DSTU2

This page is part of the FHIR Specification (v1.0.2: DSTU 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 . Page versions: R5 R4B R4 R3 R2

Questionnaireresponse-example-bluebook.xml

Raw XML (canonical form)

Real-world NSW My Personal Health Record example (id = "bb")

<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <!--   Please not that in this questionnaire, the questions are mostly unnamed, that is, the
   questions are not identified using the <name> element. It will therefore
    be hard to extract useful information in an automated way from this questionnaire.
   This is, however, quite often the case when modelling existing questionnaires   -->
 <id value="bb"/>
   <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <pre>
        Cathy Jones, female. Birth weight 3.25 kg at 44.3 cm. 
        Injection of Vitamin K given on 1972-11-30 (first dose) and 1972-12-11 (second
         dose)
        Note: Was able to speak Chinese at birth.
      </pre>
    </div>
  </text>
  <status value="completed"/>
  <subject>
    <reference value="http://hl7.org/fhir/Patient/1"/>
  </subject>
  <author>
    <reference value="http://hl7.org/fhir/Practitioner/example"/>
  </author>
  <authored value="2013-02-19T14:15:00+10:00"/>
  <group>
    <linkId value="PHR"/>
    <title value="NSW Government My Personal Health Record, january 2013"/>
    <!--   Many groups left out of this example   -->
    <group>
      <linkId value="birthDetails"/>
      <title value="Birth details - To be completed by health professional"/>
      <group>
        <question>
          <linkId value="nameOfChild"/>  
          <text value="Name of child"/>
          <answer>
            <valueString value="Cathy Jones"/>
          </answer>
        </question>
  <question>
          <linkId value="sex"/>
          <text value="Sex"/>
          <answer>
            <valueCoding>
              <code value="f"/>
            </valueCoding>
          </answer>
        </question>
      </group>        
      <group>
        <linkId value="neonatalInformation"/>
        <title value="Neonatal Information"/>
  <question>
          <linkId value="birthWeight"/>
          <text value="Birth weight (kg)"/>
          <answer>
            <valueDecimal value="3.25"/>
          </answer>
        </question>
  <question>
          <linkId value="birthLength"/>
          <text value="Birth length (cm)"/>
          <answer>
            <valueDecimal value="44.3"/>
          </answer>
        </question>
  <question>
          <linkId value="vitaminKgiven"/>
          <text value="Vitamin K given"/>
          <answer>
            <valueCoding>
              <code value="INJECTION"/>
            </valueCoding>
      <group>
              <extension url="http://example.org/Profile/questionnaire#visibilityCondition">
                <!--   note: this syntax is for demonstration purposes only, will need to be finalized during
                 DSTU   --> 
                <valueString value="HAS_VALUE(../choice/code) AND NEQ(../choice/code,'NO')"/>
              </extension>
              <linkId value="vitaminKgivenDoses"/>
        <question>
                <linkId value="vitaminiKDose1"/>
                <text value="1st dose"/>
                <answer>
                  <valueDate value="1972-11-30"/>
                </answer>
              </question>
        <question>
                <linkId value="vitaminiKDose2"/>
                <text value="2nd dose"/>
                <answer>
                  <valueDate value="1972-12-11"/>
                </answer>
              </question>
            </group>
          </answer>
        </question>
  <question>
          <linkId value="hepBgiven"/>
          <text value="Hep B given y / n"/>
          <answer>
            <valueBoolean value="true"/>
      <group>
              <linkId value="hepBgivenDate"/>
              <question>
                <text value="Date given"/>
                <answer>
                  <valueDate value="1972-12-04"/>
                </answer>
              </question>
            </group>
          </answer>
        </question>
  <question>
          <linkId value="abnormalitiesAtBirth"/>
          <text value="Abnormalities noted at birth"/>
          <answer>
            <valueString value="Already able to speak Chinese"/>
          </answer>
        </question>
      </group>
    </group>
  </group>
</QuestionnaireResponse>

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.