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Questionnaireresponse-example.xml

Example QuestionnaireResponse/3141 (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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General questionnaire response example (id = "3141") 

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


  
  
    
    
      
            Comorbidity? YES
              Cardial Comorbidity? YES
                Angina? YES
                MI? NO
              Vascular Comorbidity?
                (no answers)
              ...
            Histopathology
              Abdominal
                pT category: 1a
              ...
          
    
  
  
    
      
      
        
        
      
      
        
          
        
        
        
      
      
      
    
  
  
    
      
      
      
      
        
      
      
          
      
    
  
  
    
      
      
        
          
        
        
        
      
    
  
  <!--     TODO: decide how to do this
  <contained>

    <Observation>
      <id value="obs.pt-category"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="53786006"/>
          <display value="pT1 category"/>
        </coding>
      </code>
      <subject>
        <reference value="#patsub"/>
      </subject>
      <performer>
        <reference value="#questauth"/>
      </performer>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="443357004"/>
          <display value="pT1a category"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>   -->
  
    
    
  
  
    
  
  
    
  
  
  
    
  
  
    
  
  
  
    
  
  
    
    
    
    
    
      
      
        
          
          
          
        
        
          
          
          
          
            
            
              
                
                
              
            
          
          
            <!--     This answer carries both the questionnaire-specific name and an equivalent SNOMED
             CT code     -->
            
            
              
                
                
              
            
          
          
            
            
              
                
                
              
            
          
        
      
    
  
  
  <!--     TODO: decide how to do this
  <item>

    <item>
      <item>
       <dataResource>
          <reference value="#obs.pt-category"/>
        </dataResource>
      </item>
    </item>
  </item>     -->

<QuestionnaireResponse 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>   <contained>     <Patient>       <id value="patsub"/>       <identifier>         <system value="http://cancer.questionnaire.org/systems/id/patientnr"/>         <value value="A34442332"/>       </identifier>       <identifier>         <type>           <text value="Dutch BSN"/>         </type>         <system value="urn:oid:2.16.840.1.113883.2.4.6.3"/>         <value value="188912345"/>       </identifier>       <gender value="male"/>       <birthDate value="1972-11-30"/>     </Patient>   </contained>   <contained>     <ServiceRequest>       <id value="order"/>       <status value="unknown"/>       <intent value="order"/>       <subject>         <reference value="#patsub"/>       </subject>       <requester>           <reference value="Practitioner/example"/>       </requester>     </ServiceRequest>   </contained>   <contained>     <Practitioner>       <id value="questauth"/>       <identifier>         <type>           <text value="AUMC, Den Helder"/>         </type>         <system value="http://cancer.questionnaire.org/systems/id/org"/>         <value value="AUMC"/>       </identifier>     </Practitioner>   </contained>     <!--     TODO: decide how to do this
  <contained>
    <Observation>
      <id value="obs.pt-category"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="53786006"/>
          <display value="pT1 category"/>
        </coding>
      </code>
      <subject>
        <reference value="#patsub"/>
      </subject>
      <performer>
        <reference value="#questauth"/>
      </performer>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="443357004"/>
          <display value="pT1a category"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>   -->
  <identifier>     <system value="http://example.org/fhir/NamingSystem/questionnaire-ids"/>     <value value="Q12349876"/>   </identifier>   <basedOn>     <reference value="#order"/>   </basedOn>   <partOf>     <reference value="Procedure/f201"/>   </partOf>   <questionnaire value="urn:uuid:95eaedf7-8a24-478a-8300-39acc44c746b"/>   <status value="completed"/>   <subject>     <reference value="#patsub"/>   </subject>   <encounter>     <reference value="Encounter/example"/>   </encounter>   <authored value="2013-02-19T14:15:00-05:00"/>   <author>     <reference value="#questauth"/>   </author>   <item>       <!--     COMORBIDITY     -->      <!--     First main section of the form, questions about comorbidity     -->      <!--     section contains one question: whether there is comorbidity     -->    <linkId value="1"/>     <item>       <linkId value="1.1"/>       <answer>         <valueCoding>           <system value="http://cancer.questionnaire.org/system/code/yesno"/>           <code value="1"/>           <display value="Yes"/>         </valueCoding>         <item>             <!--     COMORBIDITY/CARDIAL     -->            <!--     Subsection about specific comorbidity: cardial     -->          <linkId value="1.1.1"/>           <item>             <linkId value="1.1.1.1"/>             <answer>               <valueCoding>                 <system value="http://cancer.questionnaire.org/system/code/yesno"/>                 <code value="1"/>               </valueCoding>             </answer>           </item>           <item>               <!--     This answer carries both the questionnaire-specific name and an equivalent

             SNOMED CT code     -->
            <linkId value="1.1.1.2"/>             <answer>               <valueCoding>                 <system value="http://cancer.questionnaire.org/system/code/yesno"/>                 <code value="1"/>               </valueCoding>             </answer>           </item>           <item>             <linkId value="1.1.1.3"/>             <answer>               <valueCoding>                 <system value="http://cancer.questionnaire.org/system/code/yesno"/>                 <code value="0"/>               </valueCoding>             </answer>           </item>         </item>       </answer>     </item>   </item>     <!--     HISTOPATHOLOGY     -->    <!--     TODO: decide how to do this
  <item>
    <item>
      <item>
       <dataResource>
          <reference value="#obs.pt-category"/>
        </dataResource>
      </item>
    </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.