Release 5 Draft Ballot

This page is part of the FHIR Specification (v4.6.0: R5 Draft Ballot). 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-f201-lifelines.json

FHIR Infrastructure Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw JSON (canonical form + also see JSON Format Specification)

Real-world lifelines questionnaire response (fictively taken from the patient)

{
  "resourceType": "QuestionnaireResponse",
  "id": "f201",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div>todo</div></div>"
  },
  "status": "completed",
  "subject": {
    "reference": "Patient/f201",
    "display": "Roel"
  },
  "authored": "2013-06-18T00:00:00+01:00",
  "author": {
    "reference": "Practitioner/f201"
  },
  "source": {
    "reference": "Practitioner/f201"
  },
  "item": [
    {
      "linkId": "1",
      "text": "Do you have allergies?",
      "answer": [
        {
          "valueBoolean": true
        }
      ]
    },
    {
      "linkId": "2",
      "text": "General questions",
      "item": [
        {
          "linkId": "2.1",
          "text": "What is your gender?",
          "answer": [
            {
              "valueString": "Male"
            }
          ]
        },
        {
          "linkId": "2.2",
          "text": "What is your date of birth?",
          "answer": [
            {
              "valueDate": "1960-03-13"
            }
          ]
        },
        {
          "linkId": "2.3",
          "text": "What is your country of birth?",
          "answer": [
            {
              "valueString": "The Netherlands"
            }
          ]
        },
        {
          "linkId": "2.4",
          "text": "What is your marital status?",
          "answer": [
            {
              "valueString": "married"
            }
          ]
        }
      ]
    },
    {
      "linkId": "3",
      "text": "Intoxications",
      "item": [
        {
          "linkId": "3.1",
          "text": "Do you smoke?",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "3.2",
          "text": "Do you drink alchohol?",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        }
      ]
    }
  ]
}

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.