Physical Activity Implementation Guide
1.0.0 - STU Release 1 United States of America flag

This page is part of the U.S. Physical Activity IG (v1.0.0: STU 1.0) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Questionnaire - Exercise Satisfaction - Scenario 4 - XML Representation

Page standards status: Informative

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<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="Scen4Questionnaire"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Placeholder</div>
  </text>
  <url value="https://example.org/fhir/Questionnaire/satisfaction"/>
  <version value="1.0.0"/>
  <status value="active"/>
  <subjectType value="Patient"/>
  <date value="2023-08-25T15:35:25+00:00"/>
  <publisher value="HL7 International - Patient Care WG"/>
  <contact>
    <name value="HL7 International - Patient Care WG"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/patientcare"/>
    </telecom>
  </contact>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <item>
    <linkId value="1"/>
    <text value="Are you satisfied with your current exercise plan?"/>
    <type value="boolean"/>
  </item>
  <item>
    <linkId value="2"/>
    <text value="Did you experience any discomfort with an exercise?"/>
    <type value="boolean"/>
  </item>
  <item>
    <linkId value="3"/>
    <text value="If yes, which exercise?"/>
    <type value="string"/>
  </item>
</Questionnaire>