Argonaut Questionnaire Implementation Guide (Release 1.0.0 )

This page is part of the Argonaut Questionnaire Implementation Guide (v1.0.0: Release) based on FHIR R3. This is the current published version. For a full list of available versions, see the Directory of published versions

JSON Format: QuestionnaireResponse-questionnaireresponse-example-sampler-contained-patient

Download Raw json

{
  "resourceType" : "QuestionnaireResponse",
  "id" : "questionnaireresponse-example-sampler-contained-patient",
  "meta" : {
    "profile" : [
      "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/argo-questionnaireresponse"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n    <h3>Response Summary</h3>\n    <strong>Questionnaire URL:</strong> http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-sampler<br />\n    <strong>Date Completed:</strong> 2019-02-13T00:39:38.320181Z<br />\n    <hr /> <br /><strong>The Argonaut Questionnaire Sampler is designed to show all the question types that can be used in the Argonaut Questionnaire Project:\n\n1 boolean\n2 decimal\n3 integer\n4 dateDate\n5 dateTime\n6 timeTime\n7 string\n8 textText\n9 urlUrl\n10 choice\n11 open-choice\n12 quantity\n</strong><br /><br /> <strong>Question:</strong> (linkID=g2.q1) Check the box if the following statement is true.  The average air speed velocity of a laden European swallow is greater than a laden African swallow.<br /><strong>Response:</strong> False<br /><br /> <strong>Question:</strong> (linkID=g3.q1) What is the average air speed velocity of a laden swallow in m/sec?<br /><strong>Response:</strong> 11.0<br /><br /> <strong>Question:</strong> (linkID=g4.q1) What is the average air speed velocity of a laden swallow in m/sec?<br /><strong>Response:</strong> 11<br /><br /> <strong>Question:</strong> (linkID=g5.q1) If a laden swallow left Camelot on 7/5/2018 what day would it reach the Castle Anthrax?<br /><strong>Response:</strong> 2019-12-31<br /><br /> <strong>Question:</strong> (linkID=g6.q1) If a laden swallow left Camelot on 7/5/2018 and noon when would it reach Castle Anthrax?<br /><strong>Response:</strong> 2019-02-13T12:59<br /><br /> <strong>Question:</strong> (linkID=g7.q1) If a laden swallow left Camelot at noon what time would it reach Castle Anthrax?<br /><strong>Response:</strong> 12:59<br /><br /> <strong>Question:</strong> (linkID=g8.q1) Describe how to estimate the average air speed velocity of a laden swallow in 20 words or less.<br /><strong>Response:</strong> use a duck?<br /><br /> <strong>Question:</strong> (linkID=g9.q1) Describe in detal how to estimate the average air speed velocity of a laden swallow. Please cite your sources and give examples.<br /><strong>Response:</strong> use a duck!!  See https://en.wikipedia.org/wiki/Monty_Python_and_the_Holy_Grail<br /><br /> <strong>Question:</strong> (linkID=g10.q1) Provide a link to a video clip where the average air speed velocity of a laden swallow question is discussed.<br /><strong>Response:</strong> https://en.wikipedia.org/wiki/Monty_Python_and_the_Holy_Grail<br /><br /> <strong>Question:</strong> (linkID=g11.q1) What is the average air speed velocity of a laden swallow in m/sec?<br /><strong>Response:</strong> 11<br /><br /> <strong>Question:</strong> (linkID=g12.q1) What is the average air speed velocity of a laden swallow in m/sec?<br /><strong>Response:</strong> 11<br /><strong>Response:</strong> <br /><br /> <strong>Question:</strong> (linkID=g13.q1) What is the average air speed velocity of a laden swallow - please provide the units?<br /><strong>Response:</strong> 11<br /><strong>Response:</strong> m/sec<br /> <br /><br />\n    </div>"
  },
  "contained" : [
    {
      "resourceType" : "Patient",
      "id" : "deid-p",
      "extension" : [
        {
          "extension" : [
            {
              "url" : "text",
              "valueString" : "Asian"
            },
            {
              "url" : "ombCategory",
              "valueCoding" : {
                "system" : "urn:oid:2.16.840.1.113883.6.238",
                "code" : "2028-9",
                "display" : "Asian"
              }
            }
          ],
          "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
        }
      ],
      "identifier" : [
        {
          "system" : "http://example.org/pids",
          "value" : "1234"
        }
      ],
      "name" : [
        {
          "_family" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ]
          },
          "_given" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                  "valueCode" : "masked"
                }
              ]
            }
          ]
        }
      ],
      "gender" : "male",
      "birthDate" : "1969",
      "address" : [
        {
          "postalCode" : "945"
        }
      ]
    }
  ],
  "extension" : [
    {
      "url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-responsePeriod",
      "valuePeriod" : {
        "start" : "2019-02-13T00:37:27.524361Z",
        "end" : "2019-02-13T00:39:38.320181Z"
      }
    }
  ],
  "identifier" : {
    "value" : "questionnaireresponse-example-sampler"
  },
  "questionnaire" : {
    "reference" : "http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-sampler"
  },
  "status" : "completed",
  "subject" : {
    "reference" : "#deid-p"
  },
  "context" : {
    "reference" : "Encounter/encounter1"
  },
  "authored" : "2019-02-13T00:39:38.320181Z",
  "author" : {
    "reference" : "Practitioner/prov-admin1"
  },
  "source" : {
    "reference" : "Patient/subject1"
  },
  "item" : [
    {
      "linkId" : "g1",
      "text" : "Header Text",
      "item" : [
        {
          "linkId" : "g1.d",
          "text" : "The Argonaut Questionnaire Sampler is designed to show all the question types that can be used in the Argonaut Questionnaire Project: 1. boolean, 2. decimal, 3. integer, 4. dateDate, 5. dateTime, 6. timeTime, 7. string, 8. textText, 9. urlUrl, 10. choice, 11. open-choice, 12. quantity"
        }
      ]
    },
    {
      "linkId" : "g2",
      "text" : "boolean",
      "item" : [
        {
          "linkId" : "g2.q1",
          "text" : "Check the box if the following statement is true.  The average air speed velocity of a laden European swallow is greater than a laden African swallow.",
          "answer" : [
            {
              "valueBoolean" : false
            }
          ]
        }
      ]
    },
    {
      "linkId" : "g3",
      "text" : "decimal",
      "item" : [
        {
          "linkId" : "g3.q1",
          "text" : "What is the average air speed velocity of a laden swallow in m/sec?",
          "answer" : [
            {
              "valueDecimal" : 11.0
            }
          ]
        }
      ]
    },
    {
      "linkId" : "g4",
      "text" : "integer",
      "item" : [
        {
          "linkId" : "g4.q1",
          "text" : "What is the average air speed velocity of a laden swallow in m/sec?",
          "answer" : [
            {
              "valueInteger" : 11
            }
          ]
        }
      ]
    },
    {
      "linkId" : "g5",
      "text" : "date",
      "item" : [
        {
          "linkId" : "g5.q1",
          "text" : "If a laden swallow left Camelot on 7/5/2018 what day would it reach the Castle Anthrax?",
          "answer" : [
            {
              "valueDate" : "2019-12-31"
            }
          ]
        }
      ]
    },
    {
      "linkId" : "g6",
      "text" : "dateTime",
      "item" : [
        {
          "linkId" : "g6.q1",
          "text" : "If a laden swallow left Camelot on 7/5/2018 and noon when would it reach Castle Anthrax?",
          "answer" : [
            {
              "valueDateTime" : "2019-02-13T12:59:00Z"
            }
          ]
        }
      ]
    },
    {
      "linkId" : "g7",
      "text" : "time",
      "item" : [
        {
          "linkId" : "g7.q1",
          "text" : "If a laden swallow left Camelot at noon what time would it reach Castle Anthrax?",
          "answer" : [
            {
              "valueTime" : "12:59:00"
            }
          ]
        }
      ]
    },
    {
      "linkId" : "g8",
      "text" : "string",
      "item" : [
        {
          "linkId" : "g8.q1",
          "text" : "Describe how to estimate the average air speed velocity of a laden swallow in 20 words or less.",
          "answer" : [
            {
              "valueString" : "use a duck?"
            }
          ]
        }
      ]
    },
    {
      "linkId" : "g9",
      "text" : "text",
      "item" : [
        {
          "linkId" : "g9.q1",
          "text" : "Describe in detal how to estimate the average air speed velocity of a laden swallow. Please cite your sources and give examples.",
          "answer" : [
            {
              "valueString" : "use a duck!!  See https://en.wikipedia.org/wiki/Monty_Python_and_the_Holy_Grail"
            }
          ]
        }
      ]
    },
    {
      "linkId" : "g10",
      "text" : "url",
      "item" : [
        {
          "linkId" : "g10.q1",
          "text" : "Provide a link to a video clip where the average air speed velocity of a laden swallow question is discussed.",
          "answer" : [
            {
              "valueUri" : "https://en.wikipedia.org/wiki/Monty_Python_and_the_Holy_Grail"
            }
          ]
        }
      ]
    },
    {
      "linkId" : "g11",
      "text" : "choice",
      "item" : [
        {
          "linkId" : "g11.q1",
          "text" : "What is the average air speed velocity of a laden swallow in m/sec?",
          "answer" : [
            {
              "valueString" : "11"
            }
          ]
        }
      ]
    },
    {
      "linkId" : "g12",
      "text" : "open-choice",
      "item" : [
        {
          "linkId" : "g12.q1",
          "text" : "What is the average air speed velocity of a laden swallow in m/sec?",
          "answer" : [
            {
              "valueString" : "11"
            }
          ]
        }
      ]
    },
    {
      "linkId" : "g13",
      "text" : "quantity",
      "item" : [
        {
          "linkId" : "g13.q1",
          "text" : "What is the average air speed velocity of a laden swallow - please provide the units?",
          "answer" : [
            {
              "valueQuantity" : {
                "value" : 11,
                "unit" : "m/sec",
                "system" : "http://unitsofmeasure.org",
                "code" : "m/s"
              }
            }
          ]
        }
      ]
    }
  ]
}