This page is part of the FHIR Specification (v4.3.0-snapshot1: Release 4B Snapshot #1). 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
FHIR Infrastructure Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Not linked to any defined compartments |
Raw JSON (canonical form + also see JSON Format Specification)
Real-world lifelines questionnaire (fictively taken from the patient)
{ "resourceType": "Questionnaire", "id": "f201", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>Lifelines Questionnaire 1 part 1\n 1. Do you have allergies?\n 2. General Questions:\n 2.a) What is your gender?\n 2.b) What is your date of birth?\n 2.c) What is your country of birth?\n 2.d) What is your marital status?\n 3. Intoxications:\n 3.a) Do you smoke?\n 3.b) Do you drink alcohol?</pre>\n </div>" }, "url": "http://hl7.org/fhir/Questionnaire/f201", "status": "active", "subjectType": [ "Patient" ], "date": "2010", "code": [ { "system": "http://example.org/system/code/lifelines/nl", "code": "VL 1-1, 18-65_1.2.2", "display": "Lifelines Questionnaire 1 part 1" } ], "item": [ { "linkId": "1", "text": "Do you have allergies?", "type": "boolean" }, { "linkId": "2", "text": "General questions", "type": "group", "item": [ { "linkId": "2.1", "text": "What is your gender?", "type": "string" }, { "linkId": "2.2", "text": "What is your date of birth?", "type": "date" }, { "linkId": "2.3", "text": "What is your country of birth?", "type": "string" }, { "linkId": "2.4", "text": "What is your marital status?", "type": "string" } ] }, { "linkId": "3", "text": "Intoxications", "type": "group", "item": [ { "linkId": "3.1", "text": "Do you smoke?", "type": "boolean" }, { "linkId": "3.2", "text": "Do you drink alchohol?", "type": "boolean" } ] } ] }
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.