This page is part of the FHIR Specification (v0.11: DSTU 1 Ballot 3). 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
General questionnaire example
{ "Questionnaire":{ "text":{ "status":{ "value":"generated" }, "div":"<div>\n <pre>\n Comorbidity? YES\n Cardial Comorbidity? YES\n Angina? YES\n MI? NO\n Vascular Comorbidity?\n (no answers)\n ...\n Histopathology\n Abdominal\n pT category: 1\n ...\n <\/pre>\n <\/div>" }, "contained":[ { "Patient":{ "_id":"patsub", "identifier":[ { "system":{ "value":"http://cancer.questionnaire.org/systems/id/patientnr" }, "key":{ "value":"A34442332" } }, { "label":{ "value":"Dutch BSN" }, "system":{ "value":"urn:oid:2.16.840.1.113883.2.4.6.3" }, "key":{ "value":"188912345" } } ], "gender":{ "coding":[ { "system":{ "value":"http://hl7.org/fhir/v3/AdministrativeGender" }, "code":{ "value":"M" } } ] }, "birthDate":{ "value":"1972-11-30" } } }, { "Practitioner":{ "_id":"questauth", "identifier":[ { "label":{ "value":"AUMC, Den Helder" }, "system":{ "value":"http://cancer.questionnaire.org/systems/id/org" }, "key":{ "value":"AUMC" } } ] } }, { "Observation":{ "_id":"obs.pt-category", "name":{ "coding":[ { "system":{ "value":"http://cancer.questionnaire.org/system/code/questions" }, "code":{ "value":"53786006" }, "display":{ "value":"pT1 category" } } ] }, "status":{ "value":"final" }, "reliability":{ "value":"unknown" } } } ], "status":{ "value":"final" }, "authored":{ "value":"2013-02-19T14:15:00" }, "subject":{ "type":{ "value":"Patient" }, "reference":{ "value":"#patsub" } }, "author":{ "type":{ "value":"Practitioner" }, "reference":{ "value":"#questauth" } }, "name":{ "text":{ "value":"Cancer Quality Forum Questionnaire 2012" } }, "group":[ { "name":{ "coding":[ { "system":{ "value":"http://cancer.questionnaire.org/system/code/sections" }, "code":{ "value":"COMORBIDITY" } } ] }, "question":[ { "name":{ "coding":[ { "system":{ "value":"http://cancer.questionnaire.org/system/code/questions" }, "code":{ "value":"COMORB" } } ] }, "choice":[ { "system":{ "value":"http://cancer.questionnaire.org/system/code/yesno" }, "code":{ "value":"1" }, "display":{ "value":"Yes" } } ] } ], "group":[ { "name":{ "coding":[ { "system":{ "value":"http://cancer.questionnaire.org/system/code/sections" }, "code":{ "value":"CARDIAL" } } ] }, "question":[ { "name":{ "coding":[ { "system":{ "value":"http://cancer.questionnaire.org/system/code/questions" }, "code":{ "value":"COMORBCAR" } } ] }, "choice":[ { "system":{ "value":"http://cancer.questionnaire.org/system/code/yesno" }, "code":{ "value":"1" } } ] }, { "name":{ "coding":[ { "system":{ "value":"http://cancer.questionnaire.org/system/code/questions" }, "code":{ "value":"COMCAR00" }, "display":{ "value":"Angina Pectoris" } }, { "system":{ "value":"http://snomed.info/sct" }, "code":{ "value":"194828000" }, "display":{ "value":"Angina (disorder)" } } ] }, "choice":[ { "system":{ "value":"http://cancer.questionnaire.org/system/code/yesno" }, "code":{ "value":"1" } } ] }, { "name":{ "coding":[ { "system":{ "value":"http://snomed.info/sct" }, "code":{ "value":"22298006" }, "display":{ "value":"Myocardial infarction (disorder)" } } ] }, "choice":[ { "system":{ "value":"http://cancer.questionnaire.org/system/code/yesno" }, "code":{ "value":"0" } } ] } ] }, { "name":{ "coding":[ { "system":{ "value":"http://cancer.questionnaire.org/system/code/sections" }, "code":{ "value":"VASCULAR" } } ] } } ] }, { "name":{ "coding":[ { "system":{ "value":"http://cancer.questionnaire.org/system/code/sections" }, "code":{ "value":"HISTOPATHOLOGY" } } ] }, "group":[ { "name":{ "coding":[ { "system":{ "value":"http://cancer.questionnaire.org/system/code/sections" }, "code":{ "value":"ABDOMINAL" } } ] }, "question":[ { "name":{ "coding":[ { "system":{ "value":"http://cancer.questionnaire.org/system/code/questions" }, "code":{ "value":"STADPT" }, "display":{ "value":"pT category" } } ] }, "dataResource":{ "type":{ "value":"Observation" }, "reference":{ "value":"#obs.pt-category" } } } ] } ] } ] } }