Release 5 Ballot
FoundationThis page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). 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: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw XML (canonical form + also see XML Format Specification)
Real-world lifelines questionnaire response (fictively taken from the patient) (id = "f201")
<?xml version="1.0" encoding="UTF-8"?> <QuestionnaireResponse xmlns="http://hl7.org/fhir"> <id value="f201"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><a href="formats.html#table" title="The linkId for the item">LinkId</a> </th> <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><a href="formats.html#table" title="Text for the item">Text</a> </th> <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><a href="formats.html#table" title="Minimum and Maximum # of times the the itemcan appear in the instance">Definition</a> </th> <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><a href="formats.html#table" title="The type of the item">Answer</a> <span style="float: right"><a href="formats.html#table" title="Legend for this format"><img alt="doco" src="help16.png" style="background-color: inherit"/> </a> </span> </th> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon_q_root.gif" style="background-color: white; background-color: inherit" title="QuestionnaireResponseRoot"/> f201</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">QuestionnaireResponse</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Do you have allergies?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">true</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">General questions</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">What is your gender?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Male</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">What is your date of birth?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">1960-03-13</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">What is your country of birth?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">The Netherlands</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">What is your marital status?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">married</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Intoxications</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 3.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Do you smoke?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">false</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 3.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Do you drink alchohol?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">false</td> </tr> <tr> <td class="hierarchy" colspan="4"><br/> <a href="formats.html#table" title="Legend for this format"><img alt="doco" src="help16.png" style="background-color: inherit"/> Documentation for this format</a> </td> </tr> </table> </div> </text> <questionnaire> <extension url="http://hl7.org/fhir/StructureDefinition/display"> <valueString value="Lifelines"/> </extension> </questionnaire> <status value="completed"/> <!-- Fictive, only the below answers are non-fictive --> <subject> <reference value="Patient/f201"/> <display value="Roel"/> </subject> <authored value="2013-06-18T00:00:00+01:00"/> <author> <reference value="Practitioner/f201"/> </author> <source> <reference value="Practitioner/f201"/> </source> <item> <linkId value="1"/> <text value="Do you have allergies?"/> <answer> <valueBoolean value="true"/> </answer> </item> <item> <!-- Answers to general questions --> <linkId value="2"/> <text value="General questions"/> <item> <linkId value="2.1"/> <text value="What is your gender?"/> <answer> <valueString value="Male"/> </answer> </item> <item> <linkId value="2.2"/> <text value="What is your date of birth?"/> <answer> <valueDate value="1960-03-13"/> </answer> </item> <item> <linkId value="2.3"/> <text value="What is your country of birth?"/> <answer> <valueString value="The Netherlands"/> </answer> </item> <item> <linkId value="2.4"/> <text value="What is your marital status?"/> <answer> <valueString value="married"/> </answer> </item> </item> <item> <!-- Answers to intoxications --> <linkId value="3"/> <text value="Intoxications"/> <item> <linkId value="3.1"/> <text value="Do you smoke?"/> <answer> <valueBoolean value="false"/> </answer> </item> <item> <linkId value="3.2"/> <text value="Do you drink alchohol?"/> <answer> <valueBoolean value="false"/> </answer> </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.
FHIR ®© HL7.org 2011+. FHIR R5 Ballot hl7.fhir.core#5.0.0-ballot generated on Wed, Sep 7, 2022 11:11+1000.
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