This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.1.0: STU 2.1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
: Questionnaire Task example - TTL Representation
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Task ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "questionnaire-example"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Task questionnaire-example</b></p><a name=\"questionnaire-example\"> </a><a name=\"hcquestionnaire-example\"> </a><a name=\"questionnaire-example-en-US\"> </a><p><b>basedOn</b>: <a href=\"MedicationRequest-example.html\">MedicationRequest: identifier = http://www.bmc.nl/portal/prescriptions#12345689 (use: official, ); status = draft; intent = order; medication[x] = ->Medication Azithromycin 250 mg oral tablet; authoredOn = 2015-01-15; reasonCode = Traveler's Diarrhea (disorder); note = Patient told to take with food</a></p><p><b>status</b>: Ready</p><p><b>intent</b>: order</p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/sdc/CodeSystem/temp complete-questionnaire}\">Complete Questionnaire</span></p><p><b>for</b>: <a href=\"Patient-example.html\">Amy V. Shaw Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))</a></p><p><b>encounter</b>: <a href=\"Encounter-example.html\">Encounter: identifier = http://www.amc.nl/zorgportal/identifiers/visits#v1451 (use: official, ); status = in-progress; class = ambulatory (ActCode#AMB); type = Patient-initiated encounter; priority = Non-urgent cardiological admission; reasonCode = Heart valve replacement</a></p><p><b>authoredOn</b>: 2018-08-09</p><p><b>requester</b>: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.v610@6.1.0&canonical=http://example.org/fhir/Organization/payer\">??</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp reason-prior-auth}\">Needed for prior authorization</span></p><blockquote><p><b>input</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/sdc/CodeSystem/temp questionnaire}\">Questionnaire</span></p><p><b>value</b>: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.v610@6.1.0&canonical=http://example.org/Questionnaire/XYZ|2\">http://example.org/Questionnaire/XYZ|2</a></p></blockquote><blockquote><p><b>input</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/sdc/CodeSystem/temp response-endpoint}\">Response Endpoint</span></p><p><b>value</b>: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.v610@6.1.0&canonical=http://example.org/somePayer\">http://example.org/somePayer</a></p></blockquote><blockquote><p><b>input</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp after-completion-action}\">After-completion action</span></p><p><b>value</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp prior-auth-include}\">Include in prior authorization</span></p></blockquote></div>"
] ; #
fhir:basedOn ( [
fhir:reference [ fhir:v "MedicationRequest/example" ]
] ) ; #
fhir:status [ fhir:v "ready"] ; #
fhir:intent [ fhir:v "order"] ; #
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/sdc/CodeSystem/temp"^^xsd:anyURI ] ;
fhir:code [ fhir:v "complete-questionnaire" ] ] )
] ; #
fhir:for [
fhir:reference [ fhir:v "Patient/example" ]
] ; #
fhir:encounter [
fhir:reference [ fhir:v "Encounter/example" ]
] ; #
fhir:authoredOn [ fhir:v "2018-08-09"^^xsd:date] ; #
fhir:requester [
fhir:link <http://example.org/fhir/Organization/payer> ;
fhir:reference [ fhir:v "http://example.org/fhir/Organization/payer" ]
] ; #
fhir:reasonCode [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp"^^xsd:anyURI ] ;
fhir:code [ fhir:v "reason-prior-auth" ] ] ) ;
fhir:text [ fhir:v "Needed for prior authorization" ]
] ; #
fhir:input ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/sdc/CodeSystem/temp"^^xsd:anyURI ] ;
fhir:code [ fhir:v "questionnaire" ] ] ) ] ;
fhir:value [
fhir:v "http://example.org/Questionnaire/XYZ|2"^^xsd:anyURI ;
fhir:link <http://example.org/Questionnaire/XYZ|2> ]
] [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/sdc/CodeSystem/temp"^^xsd:anyURI ] ;
fhir:code [ fhir:v "response-endpoint" ] ] ) ] ;
fhir:value [ fhir:v "http://example.org/somePayer"^^xsd:anyURI ]
] [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp"^^xsd:anyURI ] ;
fhir:code [ fhir:v "after-completion-action" ] ] ) ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp"^^xsd:anyURI ] ;
fhir:code [ fhir:v "prior-auth-include" ] ;
fhir:display [ fhir:v "Include in prior authorization" ] ] ) ]
] ) . #
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