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Questionnaire-example.xml

Example Questionnaire/3141 (XML)

Maturity Level : N/A
Responsible Owner: FHIR Infrastructure Work Group Standards Status : Informative Compartments : Not linked to any No defined compartments

Raw XML ( canonical form + also see XML Format Specification )

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General questionnaire example (id = "3141")

<?xml version="1.0" encoding="UTF-8"?>


  
  
    
    
      
            1.Comorbidity?
              1.1 Cardial Comorbidity
                1.1.1 Angina?
                1.1.2 MI?
              1.2 Vascular Comorbidity?
              ...
            Histopathology
              Abdominal
                pT category?
              ...
          
    
  
  
  
  
  
  
  
    
    
      
      
    
    
    
      
      
        
        
      
      
      
      
      
        
        
          
          
        
        
        
          
          
          
            
            
          
        
        
          
          
            
            
          
          
          
          
          
            
            
              
              
              
            
            
              
              
              
            
            
            
            
          
          
            
            
              
              
              
            
            
            
            
          
        
        
          
          
            
            
          
          
          
          
        
      
    
  
  
    
    
      
      
    
    
    
      
      
        
        
      
      
      
        
        
          
          
          
        
        
      
    
  

<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="3141"/> 
  <text> 
    <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">
      
      <pre> 
            1.Comorbidity?
              1.1 Cardial Comorbidity
                1.1.1 Angina?
                1.1.2 MI?
              1.2 Vascular Comorbidity?
              ...
            Histopathology
              Abdominal
                pT category?
              ...
          </pre> 
    
    </div>   </text>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">    <valueCode value="fhir"/>   </extension>   <url value="http://hl7.org/fhir/Questionnaire/3141"/>   <identifier>     <system value="urn:ietf:rfc:3986"/>     <value value="urn:oid:2.16.840.1.113883.4.642.20.2"/>   </identifier>   <name value="CancerQualityForumQuestionnaire2012"/>   <title value="Cancer Quality Forum Questionnaire 2012"/>   <status value="draft"/>   <subjectType value="Patient"/>   <date value="2012-01"/>   <publisher value="HL7 International / FHIR Infrastructure"/>   <contact>     <telecom>       <system value="url"/>       <value value="http://www.hl7.org/Special/committees/fiwg"/>     </telecom>   </contact>   <description value="Cancer Quality Forum Questionnaire 2012"/>   <item>     <linkId value="1"/>     <code>       <system value="http://example.org/system/code/sections"/>       <code value="COMORBIDITY"/>     </code>     <type value="group"/>     <item>       <linkId value="1.1"/>       <code>         <system value="http://example.org/system/code/questions"/>         <code value="COMORB"/>       </code>       <prefix value="1"/>       <type value="coding"/>       <answerValueSet value="http://hl7.org/fhir/ValueSet/yesnodontknow"/>       <item>         <linkId value="1.1.1"/>         <code>           <system value="http://example.org/system/code/sections"/>           <code value="CARDIAL"/>         </code>         <type value="group"/>         <enableWhen>           <question value="1.1"/>           <operator value="="/>           <answerCoding>             <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>             <code value="Y"/>           </answerCoding>         </enableWhen>         <item>           <linkId value="1.1.1.1"/>           <code>             <system value="http://example.org/system/code/questions"/>             <code value="COMORBCAR"/>           </code>           <prefix value="1.1"/>           <type value="coding"/>           <answerValueSet value="http://hl7.org/fhir/ValueSet/yesnodontknow"/>           <item>             <linkId value="1.1.1.1.1"/>             <code>               <system value="http://example.org/system/code/questions"/>               <code value="COMCAR00"/>               <display value="Angina Pectoris"/>             </code>             <code>               <system value="http://snomed.info/sct"/>               <code value="194828000"/>               <display value="Angina (disorder)"/>             </code>             <prefix value="1.1.1"/>             <type value="coding"/>             <answerValueSet value="http://hl7.org/fhir/ValueSet/yesnodontknow"/>           </item>           <item>             <linkId value="1.1.1.1.2"/>             <code>               <system value="http://snomed.info/sct"/>               <code value="22298006"/>               <display value="Myocardial infarction (disorder)"/>             </code>             <prefix value="1.1.2"/>             <type value="coding"/>             <answerValueSet value="http://hl7.org/fhir/ValueSet/yesnodontknow"/>           </item>         </item>         <item>           <linkId value="1.1.1.2"/>           <code>             <system value="http://example.org/system/code/questions"/>             <code value="COMORBVAS"/>           </code>           <prefix value="1.2"/>           <type value="coding"/>           <answerValueSet value="http://hl7.org/fhir/ValueSet/yesnodontknow"/>         </item>       </item>     </item>   </item>   <item>     <linkId value="2"/>     <code>       <system value="http://example.org/system/code/sections"/>       <code value="HISTOPATHOLOGY"/>     </code>     <type value="group"/>     <item>       <linkId value="2.1"/>       <code>         <system value="http://example.org/system/code/sections"/>         <code value="ABDOMINAL"/>       </code>       <type value="group"/>       <item>         <linkId value="2.1.2"/>         <code>           <system value="http://example.org/system/code/questions"/>           <code value="STADPT"/>           <display value="pT category"/>         </code>         <type value="coding"/>       </item>     </item>   </item> 


</

Questionnaire

>



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.