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

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

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<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="questionnaireresponse-example-sampler-contained-patient"/>
  <meta>
    <profile
             value="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/argo-questionnaireresponse"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
    <h3>Response Summary</h3>
    <strong>Questionnaire URL:</strong> http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-sampler<br />
    <strong>Date Completed:</strong> 2019-02-13T00:39:38.320181Z<br />
    <hr /> <br /><strong>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
</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 />
    </div>
  </text>
  <contained>
    <Patient>
      <id value="deid-p"/>
      <extension
                 url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
        <extension url="text">
          <valueString value="Asian"/>
        </extension>
        <extension url="ombCategory">
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.6.238"/>
            <code value="2028-9"/>
            <display value="Asian"/>
          </valueCoding>
        </extension>
      </extension>
      <identifier>
        <system value="http://example.org/pids"/>
        <value value="1234"/>
      </identifier>
      <name>
        <family>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
            <valueCode value="masked"/>
          </extension>
        </family>
        <given>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
            <valueCode value="masked"/>
          </extension>
        </given>
      </name>
      <gender value="male"/>
      <birthDate value="1969"/>
      <address>
        <postalCode value="945"/>
      </address>
    </Patient>
  </contained>
  <extension
             url="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-responsePeriod">
    <valuePeriod>
      <start value="2019-02-13T00:37:27.524361Z"/>
      <end value="2019-02-13T00:39:38.320181Z"/>
    </valuePeriod>
  </extension>
  <identifier>
    <value value="questionnaireresponse-example-sampler"/>
  </identifier>
  <questionnaire>
    <reference
               value="http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-sampler"/>
  </questionnaire>
  <status value="completed"/>
  <subject>
    <reference value="#deid-p"/>
  </subject>
  <context>
    <reference value="Encounter/encounter1"/>
  </context>
  <authored value="2019-02-13T00:39:38.320181Z"/>
  <author>
    <reference value="Practitioner/prov-admin1"/>
  </author>
  <source>
    <reference value="Patient/subject1"/>
  </source>
  <item>
    <linkId value="g1"/>
    <text value="Header Text"/>
    <item>
      <linkId value="g1.d"/>
      <text
            value="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"/>
    </item>
  </item>
  <item>
    <linkId value="g2"/>
    <text value="boolean"/>
    <item>
      <linkId value="g2.q1"/>
      <text
            value="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 value="false"/>
      </answer>
    </item>
  </item>
  <item>
    <linkId value="g3"/>
    <text value="decimal"/>
    <item>
      <linkId value="g3.q1"/>
      <text
            value="What is the average air speed velocity of a laden swallow in m/sec?"/>
      <answer>
        <valueDecimal value="11.0"/>
      </answer>
    </item>
  </item>
  <item>
    <linkId value="g4"/>
    <text value="integer"/>
    <item>
      <linkId value="g4.q1"/>
      <text
            value="What is the average air speed velocity of a laden swallow in m/sec?"/>
      <answer>
        <valueInteger value="11"/>
      </answer>
    </item>
  </item>
  <item>
    <linkId value="g5"/>
    <text value="date"/>
    <item>
      <linkId value="g5.q1"/>
      <text
            value="If a laden swallow left Camelot on 7/5/2018 what day would it reach the Castle Anthrax?"/>
      <answer>
        <valueDate value="2019-12-31"/>
      </answer>
    </item>
  </item>
  <item>
    <linkId value="g6"/>
    <text value="dateTime"/>
    <item>
      <linkId value="g6.q1"/>
      <text
            value="If a laden swallow left Camelot on 7/5/2018 and noon when would it reach Castle Anthrax?"/>
      <answer>
        <valueDateTime value="2019-02-13T12:59:00Z"/>
      </answer>
    </item>
  </item>
  <item>
    <linkId value="g7"/>
    <text value="time"/>
    <item>
      <linkId value="g7.q1"/>
      <text
            value="If a laden swallow left Camelot at noon what time would it reach Castle Anthrax?"/>
      <answer>
        <valueTime value="12:59:00"/>
      </answer>
    </item>
  </item>
  <item>
    <linkId value="g8"/>
    <text value="string"/>
    <item>
      <linkId value="g8.q1"/>
      <text
            value="Describe how to estimate the average air speed velocity of a laden swallow in 20 words or less."/>
      <answer>
        <valueString value="use a duck?"/>
      </answer>
    </item>
  </item>
  <item>
    <linkId value="g9"/>
    <text value="text"/>
    <item>
      <linkId value="g9.q1"/>
      <text
            value="Describe in detal how to estimate the average air speed velocity of a laden swallow. Please cite your sources and give examples."/>
      <answer>
        <valueString
                     value="use a duck!!  See https://en.wikipedia.org/wiki/Monty_Python_and_the_Holy_Grail"/>
      </answer>
    </item>
  </item>
  <item>
    <linkId value="g10"/>
    <text value="url"/>
    <item>
      <linkId value="g10.q1"/>
      <text
            value="Provide a link to a video clip where the average air speed velocity of a laden swallow question is discussed."/>
      <answer>
        <valueUri
                  value="https://en.wikipedia.org/wiki/Monty_Python_and_the_Holy_Grail"/>
      </answer>
    </item>
  </item>
  <item>
    <linkId value="g11"/>
    <text value="choice"/>
    <item>
      <linkId value="g11.q1"/>
      <text
            value="What is the average air speed velocity of a laden swallow in m/sec?"/>
      <answer>
        <valueString value="11"/>
      </answer>
    </item>
  </item>
  <item>
    <linkId value="g12"/>
    <text value="open-choice"/>
    <item>
      <linkId value="g12.q1"/>
      <text
            value="What is the average air speed velocity of a laden swallow in m/sec?"/>
      <answer>
        <valueString value="11"/>
      </answer>
    </item>
  </item>
  <item>
    <linkId value="g13"/>
    <text value="quantity"/>
    <item>
      <linkId value="g13.q1"/>
      <text
            value="What is the average air speed velocity of a laden swallow - please provide the units?"/>
      <answer>
        <valueQuantity>
          <value value="11"/>
          <unit value="m/sec"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="m/s"/>
        </valueQuantity>
      </answer>
    </item>
  </item>
</QuestionnaireResponse>