DSTU2 Ballot Source

This page is part of the FHIR Specification (v0.5.0: DSTU 2 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Questionnaireanswers-example-f201-lifelines.xml

Raw XML (canonical form)

Real-world lifelines questionnaire answers (fictively taken from the patient) (id = "f201")

Raw XML

<QuestionnaireAnswers xmlns="http://hl7.org/fhir">
  <id value="f201"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <status value="completed"/><!--   Fictive, only the below answers are non-fictive   -->
  <subject>
    <reference value="Patient/f201"/>
    <display value="Roel"/>
  </subject>
  <author>
    <reference value="Practitioner/f201"/>
  </author>
  <authored value="2013-06-18T00:00:00+01:00"/>
  <source>
    <reference value="Practitioner/f201"/>
  </source>
  <group>
    <group>
      <question><!--   Seperate answer   -->
        <text value="Do you have allergies?"/>
        <answer>
          <valueString value="I am allergic to house dust"/>
        </answer>
      </question>
    </group>
    <group><!--   Answers to general questions   -->
      <title value="General questions"/>
      <question>
        <text value="What is your gender?"/>
        <answer>
          <valueString value="Male"/>
        </answer>
      </question>
      <question>
        <text value="What is your date of birth?"/>
        <answer>
          <valueDate value="1960-03-13"/>
        </answer>
      </question>
      <question>
        <text value="What is your country of birth?"/>
        <answer>
          <valueString value="The Netherlands"/>
        </answer>
      </question>
      <question>
        <text value="What is your marital status?"/>
        <answer>
          <valueString value="married"/>
        </answer>
      </question>
    </group>
    <group><!--   Answers to intoxications   -->
      <title value="Intoxications"/>
      <question>
        <text value="Do you smoke?"/>
        <answer>
          <valueString value="No"/>
        </answer>
      </question>
      <question>
        <text value="Do you drink alchohol?"/>
        <answer>
          <valueString value="No, but I used to drink"/>
        </answer>
      </question>
    </group>
  </group>
</QuestionnaireAnswers>

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.