This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). 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
General questionnaire example
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/Questionnaire/3141> a fhir:Questionnaire;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "3141"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\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>"
];
fhir:Questionnaire.url [ fhir:value "http://hl7.org/fhir/Questionnaire/3141"];
fhir:Questionnaire.status [ fhir:value "draft"];
fhir:Questionnaire.date [ fhir:value "2012-01"^^xsd:gYearMonth];
fhir:Questionnaire.title [ fhir:value "Cancer Quality Forum Questionnaire 2012"];
fhir:Questionnaire.subjectType [
fhir:value "Patient";
fhir:index 0
];
fhir:Questionnaire.item [
fhir:index 0;
fhir:Questionnaire.item.linkId [ fhir:value "1" ];
fhir:Questionnaire.item.concept [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://example.org/system/code/sections" ];
fhir:Coding.code [ fhir:value "COMORBIDITY" ]
];
fhir:Questionnaire.item.type [ fhir:value "group" ];
fhir:Questionnaire.item.item [
fhir:index 0;
fhir:Questionnaire.item.linkId [ fhir:value "1.1" ];
fhir:Questionnaire.item.concept [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://example.org/system/code/questions" ];
fhir:Coding.code [ fhir:value "COMORB" ]
];
fhir:Questionnaire.item.type [ fhir:value "choice" ];
fhir:Questionnaire.item.options [
fhir:link <http://hl7.org/fhir/ValueSet/yesnodontknow>;
fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/yesnodontknow" ]
];
fhir:Questionnaire.item.item [
fhir:index 0;
fhir:Questionnaire.item.linkId [ fhir:value "1.1.1" ];
fhir:Questionnaire.item.concept [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://example.org/system/code/sections" ];
fhir:Coding.code [ fhir:value "CARDIAL" ]
];
fhir:Questionnaire.item.type [ fhir:value "group" ];
fhir:Questionnaire.item.item [
fhir:index 0;
fhir:Questionnaire.item.linkId [ fhir:value "1.1.1.1" ];
fhir:Questionnaire.item.concept [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://example.org/system/code/questions" ];
fhir:Coding.code [ fhir:value "COMORBCAR" ]
];
fhir:Questionnaire.item.type [ fhir:value "choice" ];
fhir:Questionnaire.item.options [
fhir:link <http://hl7.org/fhir/ValueSet/yesnodontknow>;
fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/yesnodontknow" ]
]
], [
fhir:index 1;
fhir:Questionnaire.item.linkId [ fhir:value "1.1.1.2" ];
fhir:Questionnaire.item.concept [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://example.org/system/code/questions" ];
fhir:Coding.code [ fhir:value "COMCAR00" ];
fhir:Coding.display [ fhir:value "Angina Pectoris" ]
], [
fhir:index 1;
fhir:concept sct:194828000;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "194828000" ];
fhir:Coding.display [ fhir:value "Angina (disorder)" ]
];
fhir:Questionnaire.item.type [ fhir:value "choice" ];
fhir:Questionnaire.item.options [
fhir:link <http://hl7.org/fhir/ValueSet/yesnodontknow>;
fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/yesnodontknow" ]
]
], [
fhir:index 2;
fhir:Questionnaire.item.linkId [ fhir:value "1.1.1.3" ];
fhir:Questionnaire.item.concept [
fhir:index 0;
fhir:concept sct:22298006;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "22298006" ];
fhir:Coding.display [ fhir:value "Myocardial infarction (disorder)" ]
];
fhir:Questionnaire.item.type [ fhir:value "choice" ];
fhir:Questionnaire.item.options [
fhir:link <http://hl7.org/fhir/ValueSet/yesnodontknow>;
fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/yesnodontknow" ]
]
]
]
]
], [
fhir:index 1;
fhir:Questionnaire.item.linkId [ fhir:value "2" ];
fhir:Questionnaire.item.concept [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://example.org/system/code/sections" ];
fhir:Coding.code [ fhir:value "HISTOPATHOLOGY" ]
];
fhir:Questionnaire.item.type [ fhir:value "group" ];
fhir:Questionnaire.item.item [
fhir:index 0;
fhir:Questionnaire.item.linkId [ fhir:value "2.1" ];
fhir:Questionnaire.item.concept [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://example.org/system/code/sections" ];
fhir:Coding.code [ fhir:value "ABDOMINAL" ]
];
fhir:Questionnaire.item.type [ fhir:value "group" ];
fhir:Questionnaire.item.item [
fhir:index 0;
fhir:Questionnaire.item.linkId [ fhir:value "2.1.2" ];
fhir:Questionnaire.item.concept [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://example.org/system/code/questions" ];
fhir:Coding.code [ fhir:value "STADPT" ];
fhir:Coding.display [ fhir:value "pT category" ]
];
fhir:Questionnaire.item.type [ fhir:value "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.