This page is part of the FHIR Specification (v0.5.0: DSTU 2 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
General questionnaire example
{ "resourceType": "Questionnaire", "id": "3141", "text": { "status": "generated", "div": "<div>!-- Snipped for Brevity --></div>" }, "contained": [ { "resourceType": "ValueSet", "id": "yesno", "name": "Example YesNo", "description": "Captures simple yes-no", "status": "active", "define": { "system": "http://example.org/system/code/yesno", "caseSensitive": true, "concept": [ { "code": "1", "display": "Yes" }, { "code": "2", "display": "No" } ] } } ], "status": "draft", "date": "2012-01", "group": { "title": "Cancer Quality Forum Questionnaire 2012", "group": [ { "concept": [ { "system": "http://example.org/system/code/sections", "code": "COMORBIDITY" } ], "question": [ { "concept": [ { "system": "http://example.org/system/code/questions", "code": "COMORB" } ], "type": "choice", "options": { "reference": "#yesno" }, "group": [ { "concept": [ { "system": "http://example.org/system/code/sections", "code": "CARDIAL" } ], "question": [ { "concept": [ { "system": "http://example.org/system/code/questions", "code": "COMORBCAR" } ], "type": "choice", "options": { "reference": "#yesno" } }, { "concept": [ { "system": "http://example.org/system/code/questions", "code": "COMCAR00", "display": "Angina Pectoris" }, { "system": "http://snomed.info/sct", "code": "194828000", "display": "Angina (disorder)" } ], "type": "choice", "options": { "reference": "#yesno" } }, { "concept": [ { "system": "http://snomed.info/sct", "code": "22298006", "display": "Myocardial infarction (disorder)" } ], "type": "choice", "options": { "reference": "#yesno" } } ] }, { "concept": [ { "system": "http://example.org/system/code/sections", "code": "VASCULAR" } ] } ] } ] }, { "concept": [ { "system": "http://example.org/system/code/sections", "code": "HISTOPATHOLOGY" } ], "group": [ { "concept": [ { "system": "http://example.org/system/code/sections", "code": "ABDOMINAL" } ], "question": [ { "concept": [ { "system": "http://example.org/system/code/questions", "code": "STADPT", "display": "pT category" } ] } ] } ] } ] } }
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.