DSTU2 STU 3 Candidate
This page is part of the FHIR Specification (v1.0.2: DSTU 2). The current version which supercedes this version is

This page is part of the FHIR Specification (v1.4.0: STU 3 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 . For a full list of available versions, see the Directory of published versions . Page versions: . Page versions: R5 R4B R4 R3 R2

Questionnaire-example.xml Raw XML (

Raw XML ( canonical form canonical form ) General questionnaire example (id = "3141") )

General questionnaire example (id = "3141")

<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="3141"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      
      

      <pre>
            Comorbidity? YES
              Cardial Comorbidity? YES
                Angina? YES
                MI? NO
              Vascular Comorbidity?
                (no answers)
              ...
            Histopathology
              Abdominal
                pT category: 1a
              ...
          </pre>
    
    

    </div>
  </text>
  
    
      
    <!--     In practice you could (should?) use boolean for this sort of circumstance.  However,
       the reality is
        that many systems treat booleans as coded data     -->
      
      
      
      
        
        
        
          
          
        
        
          
          
        
      
    
  

  <status value="draft"/>
  <date value="2012-01"/>
  <title value="Cancer Quality Forum Questionnaire 2012"/>
  <subjectType value="Patient"/>
  
    
    
    
    
    
    
      
      
        
        
      
    
      
        
        
          
          
        
        
        
          
        
        
        
  
    
          
            
            
          
    
            
            
              
              
            
            
            
              
            
          
          
          <!--     This answer carries both the questionnaire-specific name and an equivalent SNOMED
             CT code     -->
            
            
              
              
              
            
            
              
              
              
            
            
            
              
            
          
          
            
            
              
              
              
            
            
            
              
            
          
        
        
        
          
          
            
            
          
        
      
    
  
    
    
      
      
        
        
      
      
        
        

  <item>
    <linkId value="1"/>
    <concept>
      <system value="http://example.org/system/code/sections"/>
      <code value="COMORBIDITY"/>
    </concept>
    <type value="group"/>
    <item>
      <linkId value="1.1"/>
      <concept>
        <system value="http://example.org/system/code/questions"/>
        <code value="COMORB"/>
      </concept>
      <type value="choice"/>
      <options>
        <reference value="http://hl7.org/fhir/ValueSet/yesnodontknow"/>
      </options>
      <item>
        <linkId value="1.1.1"/>
        <concept>
          <system value="http://example.org/system/code/sections"/>
          
        
        
          
          

          <code value="CARDIAL"/>
        </concept>
        <type value="group"/>
        <item>
          <linkId value="1.1.1.1"/>
          <concept>
            <system value="http://example.org/system/code/questions"/>
            
            
          
        
      
    
  

            <code value="COMORBCAR"/>
          </concept>
          <type value="choice"/>
          <options>
            <reference value="http://hl7.org/fhir/ValueSet/yesnodontknow"/>
          </options>
        </item>
        <item>
          <linkId value="1.1.1.2"/>
          <concept>
            <system value="http://example.org/system/code/questions"/>
            <code value="COMCAR00"/>
            <display value="Angina Pectoris"/>
          </concept>
          <concept>
            <system value="http://snomed.info/sct"/>
            <code value="194828000"/>
            <display value="Angina (disorder)"/>
          </concept>
          <type value="choice"/>
          <options>
            <reference value="http://hl7.org/fhir/ValueSet/yesnodontknow"/>
          </options>
        </item>
        <item>
          <linkId value="1.1.1.3"/>
          <concept>
            <system value="http://snomed.info/sct"/>
            <code value="22298006"/>
            <display value="Myocardial infarction (disorder)"/>
          </concept>
          <type value="choice"/>
          <options>
            <reference value="http://hl7.org/fhir/ValueSet/yesnodontknow"/>
          </options>
        </item>
      </item>
    </item>
  </item>
  <item>
    <linkId value="2"/>
    <concept>
      <system value="http://example.org/system/code/sections"/>
      <code value="HISTOPATHOLOGY"/>
    </concept>
    <type value="group"/>
    <item>
      <linkId value="2.1"/>
      <concept>
        <system value="http://example.org/system/code/sections"/>
        <code value="ABDOMINAL"/>
      </concept>
      <type value="group"/>
      <item>
        <linkId value="2.1.2"/>
        <concept>
          <system value="http://example.org/system/code/questions"/>
          <code value="STADPT"/>
          <display value="pT category"/>
        </concept>
        <type value="choice"/>
      </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.
©
HL7.org
2011+.
FHIR
DSTU2
(v1.0.2-7202)
generated
on
Sat,
Oct
24,
2015
07:44+1100.
Links:

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.