DSTU2 Ballot Source

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

Questionnaireanswers-example.xml

Raw XML (canonical form)

General questionnaire answers example (id = "3141")

Raw XML

<QuestionnaireAnswers xmlns="http://hl7.org/fhir">
  <id value="3141"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <contained>
    <Patient>
      <id value="patsub"/>
      <identifier>
        <system value="http://cancer.questionnaire.org/systems/id/patientnr"/>
        <value value="A34442332"/>
      </identifier>
      <identifier>
        <type>
          <text value="Dutch BSN"/>
        </type>
        <system value="urn:oid:2.16.840.1.113883.2.4.6.3"/>
        <value value="188912345"/>
      </identifier>
      <gender value="male"/>
      <birthDate value="1972-11-30"/>
    </Patient>
  </contained>
  <contained>
    <Practitioner>
      <id value="questauth"/>
      <identifier>
        <type>
          <text value="AUMC, Den Helder"/>
        </type>
        <system value="http://cancer.questionnaire.org/systems/id/org"/>
        <value value="AUMC"/>
      </identifier>
    </Practitioner>
  </contained>
  <contained>
    <Observation>
      <id value="obs.pt-category"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="53786006"/>
          <display value="pT1 category"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="443357004"/>
          <display value="pT1a category"/>
        </coding>
      </valueCodeableConcept>
      <status value="final"/>
      <reliability value="unknown"/>
    </Observation>
  </contained>
  <status value="completed"/>
  <subject>
    <reference value="#patsub"/>
  </subject>
  <author>
    <reference value="#questauth"/>
  </author>
  <authored value="2013-02-19T14:15:00-05:00"/>
  <group>
    <title value="Cancer Quality Forum Questionnaire 2012"/>
    <group><!--    COMORBIDITY    --><!--    First main section of the form, questions about comorbidity    --><!--    section contains one question: whether there is comorbidity    -->
      <question>
        <answer>
          <valueCoding>
            <system value="http://cancer.questionnaire.org/system/code/yesno"/>
            <code value="1"/>
            <display value="Yes"/>
          </valueCoding>
        </answer>
        <group><!--    COMORBIDITY/CARDIAL    --><!--    Subsection about specific comorbidity: cardial    -->
          <question>
            <answer>
              <valueCoding>
                <system value="http://cancer.questionnaire.org/system/code/yesno"/>
                <code value="1"/>
              </valueCoding>
            </answer>
          </question>
          <question><!--    This answer carries both the questionnaire-specific name and an equivalent SNOMED CT
             code    -->
            <answer>
              <valueCoding>
                <system value="http://cancer.questionnaire.org/system/code/yesno"/>
                <code value="1"/>
              </valueCoding>
            </answer>
          </question>
          <question>
            <answer>
              <valueCoding>
                <system value="http://cancer.questionnaire.org/system/code/yesno"/>
                <code value="0"/>
              </valueCoding>
            </answer>
          </question>
        </group>
      </question>
    </group>
  </group>
</QuestionnaireAnswers>

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.