Release 4B 5

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0: R5 - STU ). The This is the current published version which supercedes in it's permanent home (it will always be available at this version is 5.0.0 . URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R5 R4B R4 R3 R2

Questionnaireresponse-example-f201-lifelines.xml

Example QuestionnaireResponse/f201 (XML)

FHIR Infrastructure Work Group Maturity Level : N/A Standards Status : Informative Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson

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

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Real-world lifelines questionnaire response (fictively taken from the patient) (id = "f201") 

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


 
   vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4pxvertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
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vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
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<QuestionnaireResponse xmlns="http://hl7.org/fhir">
 <id value="f201"/> 
   <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
       top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
         top"><th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px"><a href="formats.html#table" title="The linkId for the item">LinkId</a> </th> <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px"><a href="formats.html#table" title="Text for the item">Text</a> </th> <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px"><a href="formats.html#table" title="Minimum and Maximum # of times the the itemcan appear in the instance">Definition</a> </th> <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px"><a href="formats.html#table" title="The type of the item">Answer</a> <span style="float: right"><a href="formats.html#table" title="Legend for this format"><img alt="doco" src="help16.png" style="background-color: inherit"/> </a> </span> </th> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon_q_root.gif" style="background-color: white; background-color: inherit" title="QuestionnaireResponseRoot"/>  f201</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px">QuestionnaireResponse</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> </tr> 
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(tbl_bck10.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/>  1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Do you have allergies?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px">true</td> </tr> 
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/>  2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px">General questions</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> </tr> 
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(tbl_bck110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/>  2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px">What is your gender?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Male</td> </tr> 
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/>  2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px">What is your date of birth?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px">1960-03-13</td> </tr> 
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(tbl_bck110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/>  2.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px">What is your country of birth?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px">The Netherlands</td> </tr> 
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/>  2.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px">What is your marital status?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px">married</td> </tr> 
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(tbl_bck01.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/>  3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Intoxications</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> 
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/>  3.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px">Do you smoke?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px">false</td> </tr> 
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(tbl_bck000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/>  3.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Do you drink alchohol?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px
           #F0F0F0 solid; padding:0px 4px 0px 4px">false</td> </tr> 
<tr> <td class="hierarchy" colspan="4"><br/>  <a href="formats.html#table" title="Legend for this format"><img alt="doco" src="help16.png" style="background-color: inherit"/>  Documentation for this format</a> </td> </tr> </table> </div> </text> <questionnaire>     <extension url="http://hl7.org/fhir/StructureDefinition/display">      <valueString value="Lifelines"/>     </extension>    </questionnaire>    <status value="completed"/>       <!--   Fictive, only the below answers are non-fictive   -->  <subject>     <reference value="Patient/f201"/>     <display value="Roel"/>   </subject>   <authored value="2013-06-18T00:00:00+01:00"/>   <author>     <reference value="Practitioner/f201"/>   </author>   <source>     <reference value="Practitioner/f201"/>   </source>   <item>     <linkId value="1"/>     <text value="Do you have allergies?"/>     <answer>       <valueBoolean value="true"/>     </answer>   </item>   <item>         <!--   Answers to general questions   -->    <linkId value="2"/>     <text value="General questions"/>     <item>       <linkId value="2.1"/>       <text value="What is your gender?"/>       <answer>         <valueString value="Male"/>       </answer>     </item>     <item>       <linkId value="2.2"/>       <text value="What is your date of birth?"/>       <answer>         <valueDate value="1960-03-13"/>       </answer>     </item>     <item>       <linkId value="2.3"/>       <text value="What is your country of birth?"/>       <answer>         <valueString value="The Netherlands"/>       </answer>     </item>     <item>       <linkId value="2.4"/>       <text value="What is your marital status?"/>       <answer>         <valueString value="married"/>       </answer>     </item>   </item>   <item>         <!--   Answers to intoxications   -->    <linkId value="3"/>     <text value="Intoxications"/>     <item>       <linkId value="3.1"/>       <text value="Do you smoke?"/>       <answer>         <valueBoolean value="false"/>       </answer>     </item>     <item>       <linkId value="3.2"/>       <text value="Do you drink alchohol?"/>       <answer>         <valueBoolean value="false"/>       </answer>     </item>   </item> 


</

QuestionnaireResponse

>

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.