{
    "resourceType": "QuestionnaireResponse",
    "id": "antenatal-visit-alc-tob-drug-screening-qa-en-s1",
    "meta": {
        "versionId": "1",
        "lastUpdated": "2019-10-31T00:00:00Z",
        "profile": [
            "http://hl7.org.au/fhir/ch/v1/StructureDefinition/ncdhc-questionnaireresponse-base"
        ]
    },
    "questionnaire": {
        "reference": "Questionnaire/antenatal-visit-alc-tob-drug-screening-qa-en-s1",
        "display": "My Alcohol, Tobacco and Other Drug Screening"
    },
    "status": "completed",
    "subject": {
        "reference": "Patient/ncdhc-patient-expectant-mother-example"
    },
    "item": [
        {
            "id": "1.0.0.0",
            "linkId": "1",
            "text": "Medication Changes",
            "subject": {
                "reference": "Observation/ncdhc-observation-medication-pres-change-example"
            },
            "answer": [
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "373066001",
                        "display": "Yes"
                    },
                    "item": [
                        {
                            "id": "1.1.0.1",
                            "linkId": "1.1",
                            "subject": {
                                "reference": "Observation/ncdhc-observation-medication-pres-change-example"
                            },
                            "item": [
                                {
                                    "id": "1.1.1.1",
                                    "linkId": "1.1.1",
                                    "text": "Comments",
                                    "answer": [
                                        {
                                            "valueString": "No medication change suggested"
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "id": "2.0.0.0",
            "linkId": "2",
            "text": "Brief Smoking intervention",
            "subject": {
                "reference": "Observation/ncdhc-observation-bi-tobacco-usage-example"
            },
            "answer": [
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "443938003",
                        "display": "Procedure carried out on subject"
                    },
                    "item": [
                        {
                            "id": "2.1.0.1",
                            "linkId": "2.1",
                            "subject": {
                                "reference": "Observation/ncdhc-observation-bi-tobacco-usage-example"
                            },
                            "item": [
                                {
                                    "id": "2.1.1.1",
                                    "linkId": "2.1.1",
                                    "text": "Cigarettes per day",
                                    "answer": [
                                        {
                                            "valueString": "10"
                                        }
                                    ]
                                },
                                {
                                    "id": "2.1.2.1",
                                    "linkId": "2.1.2",
                                    "text": "Smoking - Quit date",
                                    "answer": [
                                        {
                                            "valueDateTime": "2019-12-27T16:13:03Z"
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "id": "3.0.0.0",
            "linkId": "3",
            "text": "Brief Alcohol intervention",
            "subject": {
                "reference": "Observation/ncdhc-observation-bi-alcohol-intake-example"
            },
            "answer": [
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "443938003",
                        "display": "Procedure carried out on subject"
                    },
                    "item": [
                        {
                            "id": "3.1.0.1",
                            "linkId": "3.1",
                            "subject": {
                                "reference": "Observation/ncdhc-observation-bi-alcohol-intake-example"
                            },
                            "item": [
                                {
                                    "id": "3.1.1.1",
                                    "linkId": "3.1.1",
                                    "text": "Average standard drinks per day",
                                    "answer": [
                                        {
                                            "valueString": "1"
                                        }
                                    ]
                                },
                                {
                                    "id": "3.1.2.1",
                                    "linkId": "3.1.2",
                                    "text": "Alcohol- Quit date",
                                    "answer": [
                                        {
                                            "valueDateTime": "2019-12-27T16:13:03Z"
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "id": "4.0.0.0",
            "linkId": "4",
            "text": "Other Breif intervention",
            "subject": {
                "reference": "Observation/ncdhc-observation-bi-other-example"
            },
            "answer": [
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "443938003",
                        "display": "Procedure carried out on subject"
                    },
                    "item": [
                        {
                            "id": "4.1.0.1",
                            "linkId": "4.1",
                            "subject": {
                                "reference": "Observation/ncdhc-observation-bi-other-example"
                            },
                            "item": [
                                {
                                    "id": "4.1.1.1",
                                    "linkId": "4.1.1",
                                    "text": "Intervention type",
                                    "answer": [
                                        {
                                            "valueString": "Not performed"
                                        }
                                    ]
                                },
                                {
                                    "id": "4.1.2.1",
                                    "linkId": "3.1.2",
                                    "text": "Additional Comments",
                                    "answer": [
                                        {
                                            "valueString": "Not performed"
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "id": "5.0.0.0",
            "linkId": "5",
            "text": "Illicit Drugs",
            "answer": [
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "443938003",
                        "display": "Procedure carried out on subject"
                    },
                    "item": [
                        {
                            "id": "5.1.0.1",
                            "linkId": "5.1",
                            "subject": {
                                "reference": "Observation/ncdhc-observation-illicit-drugs-gestation-example"
                            },
                            "item": [
                                {
                                    "id": "5.1.1.1",
                                    "linkId": "5.1.1",
                                    "text": "Drug type",
                                    "answer": [
                                        {
                                            "valueCoding": {
                                                "system": "http://snomed.info/sct",
                                                "code": "387341002",
                                                "display": "Heroin"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "id": "5.1.2.1",
                                    "linkId": "5.1.2",
                                    "text": "Number of weeks",
                                    "answer": [
                                        {
                                            "valueString": "8w+4d"
                                        }
                                    ]
                                },
                                {
                                    "id": "5.1.3.1",
                                    "linkId": "5.1.3",
                                    "text": "Illicir drugs- Quit date",
                                    "answer": [
                                        {
                                            "valueDateTime": "2019-12-27T16:13:03Z"
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                }
            ]
        }
    ]
}