2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Questionnaire-example-f201-lifelines.json

Raw JSON (canonical form)

Real-world lifelines questionnaire (fictively taken from the patient)

{
  "resourceType": "Questionnaire",
  "id": "f201",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "identifier": [
    {
      "use": "temp",
      "label": "Roel's VL 1-1, 18-65_1.2.2"
    }
  ],
  "status": "published",
  "date": "2010",
  "group": {
    "concept": [
      {
        "system": "http://example.org/system/code/lifelines/nl",
        "code": "VL 1-1, 18-65_1.2.2",
        "display": "Lifelines Questionnaire 1 part 1"
      }
    ],
    "group": [
      {
        "question": [
          {
            "text": "Do you have allergies?"
          }
        ]
      },
      {
        "text": "General questions",
        "question": [
          {
            "text": "What is your gender?"
          },
          {
            "text": "What is your date of birth?"
          },
          {
            "text": "What is your country of birth?"
          },
          {
            "text": "What is your marital status?"
          }
        ]
      },
      {
        "title": "Intoxications",
        "question": [
          {
            "text": "Do you smoke?"
          },
          {
            "text": "Do you drink alchohol?"
          }
        ]
      }
    ]
  }
}

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.