This page is part of the FHIR Specification (v0.0.82: DSTU 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

4.28.9 Resource QuestionnaireAnswers - Examples

Example Index:

General questionnaire answers exampleXMLJSON
Real-world lifelines questionnaire answers (fictively taken from the patient)XMLJSON
Real-world NSW My Personal Health Record exampleXMLJSON
Stand-alone answer setXMLJSON

4.28.9.1 General

XML

General questionnaire answers example (id = "3141")

Raw XML

<QuestionnaireAnswers xmlns="http://hl7.org/fhir">
  <id value="3141"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <contained>
    <Patient>
      <id value="patsub"/>
      <identifier>
        <system value="http://cancer.questionnaire.org/systems/id/patientnr"/>
        <value value="A34442332"/>
      </identifier>
      <identifier>
        <label value="Dutch BSN"/>
        <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>
        <label value="AUMC, Den Helder"/>
        <system value="http://cancer.questionnaire.org/systems/id/org"/>
        <value value="AUMC"/>
      </identifier>
    </Practitioner>
  </contained>
  <contained>
    <Observation>
      <id value="obs.pt-category"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="53786006"/>
          <display value="pT1 category"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="443357004"/>
          <display value="pT1a category"/>
        </coding>
      </valueCodeableConcept>
      <status value="final"/>
      <reliability value="unknown"/>
    </Observation>
  </contained>
  <status value="completed"/>
  <subject>
    <reference value="#patsub"/>
  </subject>
  <author>
    <reference value="#questauth"/>
  </author>
  <authored value="2013-02-19T14:15:00-05:00"/>
  <group>
    <title value="Cancer Quality Forum Questionnaire 2012"/>
    <group><!--    COMORBIDITY    --><!--    First main section of the form, questions about comorbidity    --><!--    section contains one question: whether there is comorbidity    -->
      <question>
        <answer>
          <valueCoding>
            <system value="http://cancer.questionnaire.org/system/code/yesno"/>
            <code value="1"/>
            <display value="Yes"/>
          </valueCoding>
        </answer>
        <group><!--    COMORBIDITY/CARDIAL    --><!--    Subsection about specific comorbidity: cardial    -->
          <question>
            <answer>
              <valueCoding>
                <system value="http://cancer.questionnaire.org/system/code/yesno"/>
                <code value="1"/>
              </valueCoding>
            </answer>
          </question>
          <question><!--    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>
          </question>
          <question>
            <answer>
              <valueCoding>
                <system value="http://cancer.questionnaire.org/system/code/yesno"/>
                <code value="0"/>
              </valueCoding>
            </answer>
          </question>
        </group>
      </question>
    </group>
  </group>
</QuestionnaireAnswers>

JSON

General questionnaire answers example

Raw JSON (Canonical)

{
  "resourceType": "QuestionnaireAnswers",
  "id": "3141",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "contained": [
    {
      "resourceType": "Patient",
      "id": "patsub",
      "identifier": [
        {
          "system": "http://cancer.questionnaire.org/systems/id/patientnr",
          "value": "A34442332"
        },
        {
          "label": "Dutch BSN",
          "system": "urn:oid:2.16.840.1.113883.2.4.6.3",
          "value": "188912345"
        }
      ],
      "gender": "male",
      "birthDate": "1972-11-30"
    },
    {
      "resourceType": "Practitioner",
      "id": "questauth",
      "identifier": [
        {
          "label": "AUMC, Den Helder",
          "system": "http://cancer.questionnaire.org/systems/id/org",
          "value": "AUMC"
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "obs.pt-category",
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "53786006",
            "display": "pT1 category"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "443357004",
            "display": "pT1a category"
          }
        ]
      },
      "status": "final",
      "reliability": "unknown"
    }
  ],
  "status": "completed",
  "subject": {
    "reference": "#patsub"
  },
  "author": {
    "reference": "#questauth"
  },
  "authored": "2013-02-19T14:15:00-05:00",
  "group": {
    "title": "Cancer Quality Forum Questionnaire 2012",
    "group": [
      {
        "question": [
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "http://cancer.questionnaire.org/system/code/yesno",
                  "code": "1",
                  "display": "Yes"
                }
              }
            ],
            "group": [
              {
                "question": [
                  {
                    "answer": [
                      {
                        "valueCoding": {
                          "system": "http://cancer.questionnaire.org/system/code/yesno",
                          "code": "1"
                        }
                      }
                    ]
                  },
                  {
                    "answer": [
                      {
                        "valueCoding": {
                          "system": "http://cancer.questionnaire.org/system/code/yesno",
                          "code": "1"
                        }
                      }
                    ]
                  },
                  {
                    "answer": [
                      {
                        "valueCoding": {
                          "system": "http://cancer.questionnaire.org/system/code/yesno",
                          "code": "0"
                        }
                      }
                    ]
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  }
}

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.