This page is part of the Structured Data Capture FHIR IG (v3.0.0-preview: STU 3 Draft) based on FHIR R4. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

Example QuestionnaireResponse: SDC-Response to LOINC AHRQ

LinkId	Text	Definition	Answer
questionnaireresponse-sdc-profile-example-loinc		QuestionnaireResponse
Medication/header
0	Form ID:		000
74080-3/74081-1	Event ID:		456
74080-3/30947-6	Initial Report Date (HERF Q1)		2016-03-14
Medication/SEC00	Medication or Other Substance
Medication/SEC01/74080-3
74080-3/74076-1	What type of medication/substance was involved?		LOINC LA20271-5: Medications
74080-3/74075-3	What type of medication?		LOINC LA20278-0: Prescription or over-the-counter (including herbal supplements)
74080-3/74072-0	Which of the following best characterizes the event?		LOINC LA20275-6: Incorrect action (process failure or error) (e.g., such as administering overdose or incorrect medication)
74080-3/74071-2	What was the incorrect action?		LOINC LA20276-4: Incorrect patient
74080-3/74063-9	At what stage in the process did the event originate, regardless of the stage at which it was discovered?		LOINC LA20296-2: Administering
74080-3/74078-7
74080-3/74078-7/74062-1	Generic name or investigational drug name		Acetaminophen
74080-3/74078-7/74055-5	Dosage form of Product		Tablet
74080-3/74078-7/74053-0	Was this medication/substance prescribed for this patient?		LOINC LA32-8: No
Medication/74052-2	Was this medication/substance given to this patient?		LOINC LA33-6: Yes
Documentation for this format