This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
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General questionnaire answers example (id = "3141")
<QuestionnaireAnswers xmlns="http://hl7.org/fhir"> <id value="3141"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div> </text> <contained> <Patient> <id value="patsub"/> <identifier> <system value="http://cancer.questionnaire.org/systems/id/patientnr"/> <value value="A34442332"/> </identifier> <identifier> <label value="Dutch BSN"/> <system value="urn:oid:2.16.840.1.113883.2.4.6.3"/> <value value="188912345"/> </identifier> <gender value="male"/> <birthDate value="1972-11-30"/> </Patient> </contained> <contained> <Practitioner> <id value="questauth"/> <identifier> <label value="AUMC, Den Helder"/> <system value="http://cancer.questionnaire.org/systems/id/org"/> <value value="AUMC"/> </identifier> </Practitioner> </contained> <contained> <Observation> <id value="obs.pt-category"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="53786006"/> <display value="pT1 category"/> </coding> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="443357004"/> <display value="pT1a category"/> </coding> </valueCodeableConcept> <status value="final"/> <reliability value="unknown"/> </Observation> </contained> <status value="completed"/> <subject> <reference value="#patsub"/> </subject> <author> <reference value="#questauth"/> </author> <authored value="2013-02-19T14:15:00-05:00"/> <group> <title value="Cancer Quality Forum Questionnaire 2012"/> <group><!-- COMORBIDITY --><!-- First main section of the form, questions about comorbidity --><!-- section contains one question: whether there is comorbidity --> <question> <answer> <valueCoding> <system value="http://cancer.questionnaire.org/system/code/yesno"/> <code value="1"/> <display value="Yes"/> </valueCoding> </answer> <group><!-- COMORBIDITY/CARDIAL --><!-- Subsection about specific comorbidity: cardial --> <question> <answer> <valueCoding> <system value="http://cancer.questionnaire.org/system/code/yesno"/> <code value="1"/> </valueCoding> </answer> </question> <question><!-- This answer carries both the questionnaire-specific name and an equivalent SNOMED CT code --> <answer> <valueCoding> <system value="http://cancer.questionnaire.org/system/code/yesno"/> <code value="1"/> </valueCoding> </answer> </question> <question> <answer> <valueCoding> <system value="http://cancer.questionnaire.org/system/code/yesno"/> <code value="0"/> </valueCoding> </answer> </question> </group> </question> </group> </group> </QuestionnaireAnswers>
JSON
General questionnaire answers example
{
"resourceType": "QuestionnaireAnswers",
"id": "3141",
"text": {
"status": "generated",
"div": "<div>!-- Snipped for Brevity --></div>"
},
"contained": [
{
"resourceType": "Patient",
"id": "patsub",
"identifier": [
{
"system": "http://cancer.questionnaire.org/systems/id/patientnr",
"value": "A34442332"
},
{
"label": "Dutch BSN",
"system": "urn:oid:2.16.840.1.113883.2.4.6.3",
"value": "188912345"
}
],
"gender": "male",
"birthDate": "1972-11-30"
},
{
"resourceType": "Practitioner",
"id": "questauth",
"identifier": [
{
"label": "AUMC, Den Helder",
"system": "http://cancer.questionnaire.org/systems/id/org",
"value": "AUMC"
}
]
},
{
"resourceType": "Observation",
"id": "obs.pt-category",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "53786006",
"display": "pT1 category"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "443357004",
"display": "pT1a category"
}
]
},
"status": "final",
"reliability": "unknown"
}
],
"status": "completed",
"subject": {
"reference": "#patsub"
},
"author": {
"reference": "#questauth"
},
"authored": "2013-02-19T14:15:00-05:00",
"group": {
"title": "Cancer Quality Forum Questionnaire 2012",
"group": [
{
"question": [
{
"answer": [
{
"valueCoding": {
"system": "http://cancer.questionnaire.org/system/code/yesno",
"code": "1",
"display": "Yes"
}
}
],
"group": [
{
"question": [
{
"answer": [
{
"valueCoding": {
"system": "http://cancer.questionnaire.org/system/code/yesno",
"code": "1"
}
}
]
},
{
"answer": [
{
"valueCoding": {
"system": "http://cancer.questionnaire.org/system/code/yesno",
"code": "1"
}
}
]
},
{
"answer": [
{
"valueCoding": {
"system": "http://cancer.questionnaire.org/system/code/yesno",
"code": "0"
}
}
]
}
]
}
]
}
]
}
]
}
}
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.