STU 3 Ballot

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 R2

Questionnaireresponse-example.xml

Raw XML (canonical form)

General questionnaire response example (id = "3141")

<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="3141"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <pre>
            Comorbidity? YES
              Cardial Comorbidity? YES
                Angina? YES
                MI? NO
              Vascular Comorbidity?
                (no answers)
              ...
            Histopathology
              Abdominal
                pT category: 1a
              ...
          </pre>
    </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>
  <!--     TODO: decide how to do this
  <contained>
  
    <Observation>
      <id value="obs.pt-category"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="53786006"/>
          <display value="pT1 category"/>
        </coding>
      </code>
      <subject>
        <reference value="#patsub"/>
      </subject>
      <performer>
        <reference value="#questauth"/>
      </performer>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="443357004"/>
          <display value="pT1a category"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>   -->
  <status value="completed"/>
  <subject>
    <reference value="#patsub"/>
  </subject>
  <author>
    <reference value="#questauth"/>
  </author>
  <authored value="2013-02-19T14:15:00-05:00"/>
  <item>
    <!--     COMORBIDITY     -->
    <!--     First main section of the form, questions about comorbidity     -->
    <!--     section contains one question: whether there is comorbidity     -->
    <item>
      <answer>
        <valueCoding>
          <system value="http://cancer.questionnaire.org/system/code/yesno"/>
          <code value="1"/>
          <display value="Yes"/>
        </valueCoding>
        <item>
          <!--     COMORBIDITY/CARDIAL     -->
          <!--     Subsection about specific comorbidity: cardial     -->
          <item>
            <answer>
              <valueCoding>
                <system value="http://cancer.questionnaire.org/system/code/yesno"/>
                <code value="1"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <!--     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>
          </item>
          <item>
            <answer>
              <valueCoding>
                <system value="http://cancer.questionnaire.org/system/code/yesno"/>
                <code value="0"/>
              </valueCoding>
            </answer>
          </item>
        </item>
      </answer>
    </item>
  </item>
  <!--     HISTOPATHOLOGY     -->
  <!--     TODO: decide how to do this
  <item>

    <item>
      <item>
       <dataResource>
          <reference value="#obs.pt-category"/>
        </dataResource>
      </item>
    </item>
  </item>     -->
</QuestionnaireResponse>

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.