This page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions
Example Questionnaire/f201 (Turtle)
Raw Turtle (+ also see Turtle/RDF Format Specification)
Real-world lifelines questionnaire (fictively taken from the patient)
@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:Questionnaire ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "f201"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n \n <pre>Lifelines Questionnaire 1 part 1\n 1. Do you have allergies?\n 2. General Questions:\n 2.a) What is your gender?\n 2.b) What is your date of birth?\n 2.c) What is your country of birth?\n 2.d) What is your marital status?\n 3. Intoxications:\n 3.a) Do you smoke?\n 3.b) Do you drink alcohol?</pre>\n \n </div>"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "fhir" ]
] ) ; #
fhir:url [ fhir:v "http://hl7.org/fhir/Questionnaire/f201"^^xsd:anyURI] ; #
fhir:identifier ( [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.20.6" ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:subjectType ( [ fhir:v "Patient"] ) ; #
fhir:date [ fhir:v "2010"^^xsd:gYear] ; #
fhir:publisher [ fhir:v "HL7 International / FHIR Infrastructure"] ; #
fhir:contact ( [
fhir:telecom ( [
fhir:system [ fhir:v "url" ]
] )
] ) ; #
fhir:code ( [
fhir:system [ fhir:v "http://example.org/system/code/lifelines/nl"^^xsd:anyURI ] ;
fhir:code [ fhir:v "VL 1-1, 18-65_1.2.2" ] ;
fhir:display [ fhir:v "Lifelines Questionnaire 1 part 1" ]
] ) ; #
fhir:item ( [
fhir:linkId [ fhir:v "1" ] ;
fhir:text [ fhir:v "Do you have allergies?" ] ;
fhir:type [ fhir:v "boolean" ]
] [
fhir:linkId [ fhir:v "2" ] ;
fhir:text [ fhir:v "General questions" ] ;
fhir:type [ fhir:v "group" ] ;
fhir:item ( [
fhir:linkId [ fhir:v "2.1" ] ;
fhir:text [ fhir:v "What is your gender?" ] ;
fhir:type [ fhir:v "string" ]
] [
fhir:linkId [ fhir:v "2.2" ] ;
fhir:text [ fhir:v "What is your date of birth?" ] ;
fhir:type [ fhir:v "date" ]
] [
fhir:linkId [ fhir:v "2.3" ] ;
fhir:text [ fhir:v "What is your country of birth?" ] ;
fhir:type [ fhir:v "string" ]
] [
fhir:linkId [ fhir:v "2.4" ] ;
fhir:text [ fhir:v "What is your marital status?" ] ;
fhir:type [ fhir:v "string" ]
] )
] [
fhir:linkId [ fhir:v "3" ] ;
fhir:text [ fhir:v "Intoxications" ] ;
fhir:type [ fhir:v "group" ] ;
fhir:item ( [
fhir:linkId [ fhir:v "3.1" ] ;
fhir:text [ fhir:v "Do you smoke?" ] ;
fhir:type [ fhir:v "boolean" ]
] [
fhir:linkId [ fhir:v "3.2" ] ;
fhir:text [ fhir:v "Do you drink alchohol?" ] ;
fhir:type [ fhir:v "boolean" ]
] )
] )] . #
# -------------------------------------------------------------------------------------
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.