This page is part of the FHIR Specification (v1.2.0: STU 3 Draft). 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>\n <pre>\n Comorbidity? YES\n Cardial Comorbidity? YES\n Angina? YES\n MI? NO\n Vascular Comorbidity?\n (no answers)\n ...\n Histopathology\n Abdominal\n pT category: 1a\n ...\n </pre>\n </div>" }, "contained": [ { "resourceType": "ValueSet", "id": "yesno", "name": "Example YesNo", "_name": { "fhir_comments": [ " In practice you could (should?) use boolean for this sort of circumstance. However, the reality is\n that many systems treat booleans as coded data " ] }, "status": "active", "description": "Captures simple yes-no", "codeSystem": { "system": "http://example.org/system/code/yesno", "caseSensitive": true, "concept": [ { "code": "1", "display": "Yes" }, { "code": "2", "display": "No" } ] } } ], "status": "draft", "date": "2012-01", "title": "Cancer Quality Forum Questionnaire 2012", "subjectType": [ "Patient" ], "item": [ { "linkId": "1", "_linkId": { "fhir_comments": [ " COMORBIDITY ", " First main section of the form, questions about comorbidity " ] }, "concept": [ { "system": "http://example.org/system/code/sections", "code": "COMORBIDITY" } ], "type": "group", "item": [ { "fhir_comments": [ " section contains one question: whether there is comorbidity " ], "linkId": "1.1", "concept": [ { "system": "http://example.org/system/code/questions", "code": "COMORB" } ], "type": "choice", "options": { "reference": "#yesno" }, "item": [ { "linkId": "1.1.1", "_linkId": { "fhir_comments": [ " COMORBIDITY/CARDIAL ", " Subsection about specific comorbidity: cardial " ] }, "concept": [ { "system": "http://example.org/system/code/sections", "code": "CARDIAL" } ], "type": "group", "item": [ { "linkId": "1.1.1.1", "concept": [ { "system": "http://example.org/system/code/questions", "code": "COMORBCAR" } ], "type": "choice", "options": { "reference": "#yesno" } }, { "linkId": "1.1.1.2", "_linkId": { "fhir_comments": [ " This answer carries both the questionnaire-specific name and an equivalent SNOMED CT code " ] }, "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" } }, { "linkId": "1.1.1.3", "concept": [ { "system": "http://snomed.info/sct", "code": "22298006", "display": "Myocardial infarction (disorder)" } ], "type": "choice", "options": { "reference": "#yesno" } } ] } ] } ] }, { "fhir_comments": [ " Todo: What's supposed to go here? " ], "linkId": "2", "_linkId": { "fhir_comments": [ " HISTOPATHOLOGY " ] }, "concept": [ { "system": "http://example.org/system/code/sections", "code": "HISTOPATHOLOGY" } ], "type": "group", "item": [ { "linkId": "2.1", "concept": [ { "system": "http://example.org/system/code/sections", "code": "ABDOMINAL" } ], "type": "group", "item": [ { "linkId": "2.1.2", "concept": [ { "system": "http://example.org/system/code/questions", "code": "STADPT", "display": "pT category" } ], "type": "choice" } ] } ] } ] }
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.