Da Vinci Clinical Data Exchange (CDex)
2.1.0-snapshot - CI Build United States of America flag

This page is part of the Da Vinci Clinical Documentation Exchange (v2.1.0-snapshot: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

: CDex Questionnaireresponse Inline Example 1 - JSON Representation

Page standards status: Informative

Raw json | Download

{
  "resourceType" : "QuestionnaireResponse",
  "questionnaire" : "http://example.org/cdex-questionnaire-example1",
  "status" : "completed",
  "subject" : {
    "identifier" : {
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MB",
            "display" : "Member Number"
          }
        ],
        "text" : "Member Number"
      },
      "system" : "http://example.org/cdex/payer/member-ids",
      "value" : "Member123"
    },
    "display" : "Amy Shaw"
  },
  "authored" : "2022-06-17",
  "author" : {
    "identifier" : {
      "system" : "http://hl7.org/fhir/sid/us-npi",
      "value" : "9941339100"
    }
  },
  "item" : [
    {
      "linkId" : "1",
      "text" : "Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy)",
      "answer" : [
        {
          "valueString" : "Examplitis"
        }
      ]
    },
    {
      "linkId" : "2",
      "text" : "Order Reason",
      "answer" : [
        {
          "valueCoding" : {
            "system" : "http://example.org",
            "code" : "4",
            "display" : "Replacement"
          }
        }
      ]
    }
  ]
}