This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). 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/sct/> . @prefix xs: <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:Questionnaire.status [ fhir:value "draft"]; fhir:Questionnaire.date [ fhir:value "2012-01"^^xs: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:reference <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:reference <http://hl7.org/fhir/ValueSet/yesnodontknow>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/yesnodontknow" ] ] ]; fhir:Questionnaire.item.item [ 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:Questionnaire.item.concept [ fhir:index 1; a 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:reference <http://hl7.org/fhir/ValueSet/yesnodontknow>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/yesnodontknow" ] ] ]; fhir:Questionnaire.item.item [ fhir:index 2; fhir:Questionnaire.item.linkId [ fhir:value "1.1.1.3" ]; fhir:Questionnaire.item.concept [ fhir:index 0; a 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:reference <http://hl7.org/fhir/ValueSet/yesnodontknow>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/yesnodontknow" ] ] ] ] ] ]; fhir:Questionnaire.item [ 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.