{
  "resourceType": "QuestionnaireResponse",
  "id": "hca-1-4wk-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/hca-1-4wk-q-en-s1",
    "display": "1-4 Week"
  },
  "status": "completed",
  "subject": {
    "reference": "Patient/patient-baby-example"
  },
  "item": [
    {
      "id": "1.0.0.0",
      "linkId": "1",
      "text": "Venue",
      "subject": {
        "reference": "Encounter/ncdhc-encounter-example"
      },
      "answer": [
        {
          "valueString": "Blacktown CHC"
        }
      ]
    },
    {
      "id": "2.0.0.0",
      "linkId": "2",
      "text": "Date / Time",
      "subject": {
        "reference": "Encounter/ncdhc-encounter-example"
      },
      "answer": [
        {
          "valueDateTime": "2018-01-07T17:42:00-05:00"
        }
      ]
    },
    {
      "id": "3.0.0.0",
      "linkId": "3",
      "text": "Child's Age",
      "subject": {
        "reference": "Patient/patient-baby-example"
      },
      "answer": [
        {
          "valueString": "7 days"
        }
      ]
    },
    
    {
      "id": "5.0.0.0",
      "linkId": "4",
      "text": "Weight",
      "item": [
        {
          "id": "5.1.0.1",
          "linkId": "4.1",
          "subject": {
            "reference": "Observation/ncdhc-observation-vitalsign-bodyweight-example"
          },
          "answer": [
            {
              "valueString": "Normal"
            }
          ],
          "item": [
            {
              "id": "5.1.1.1",
              "linkId": "4.1.1",
              "text": "Value",
              "answer": [
                {
                  "valueString": "4.12kg"
                }
              ]
            },
            {
              "id": "5.1.2.1",
              "linkId": "4.1.2",
              "text": "Outcome",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            },
            {
              "id": "5.1.3.1",
              "linkId": "4.1.3",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "Comment goes here"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "6.0.0.0",
      "linkId": "5",
      "text": "Length",
      "item": [
        {
          "id": "6.1.0.1",
          "linkId": "5.1",
          "subject": {
            "reference": "Observation/observation-vitalsign-bodyheight-example"
          },
          "answer": [
            {
              "valueString": "Normal"
            }
          ],
          "item": [
            {
              "id": "6.1.1.1",
              "linkId": "5.1.1",
              "text": "Value",
              "answer": [
                {
                  "valueString": "53cm"
                }
              ]
            },
            {
              "id": "6.1.2.1",
              "linkId": "5.1.2",
              "text": "Outcome",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            },
            {
              "id": "6.1.3.1",
              "linkId": "5.1.3",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "NA"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "7.0.0.0",
      "linkId": "6",
      "text": "Head Circumference",
      "item": [
        {
          "id": "7.1.0.1",
          "linkId": "6.1",
          "subject": {
            "reference": "Observation/observation-vitalsign-headcircum-example"
          },
          "answer": [
            {
              "valueString": "Normal"
            }
          ],
          "item": [
            {
              "id": "7.1.1.1",
              "linkId": "6.1.1",
              "text": "Value",
              "answer": [
                {
                  "valueString": "36.6cm"
                }
              ]
            },
            {
              "id": "7.1.2.1",
              "linkId": "6.1.2",
              "text": "Outcome",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            },
            {
              "id": "7.1.3.1",
              "linkId": "6.1.3",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "Comment goes here"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "8.0.0.0",
      "linkId": "7",
      "text": "Head Shape",
      "item": [
        {
          "id": "8.1.0.1",
          "linkId": "7.1",
          "subject": {
            "reference": "Observation/observation-head-shape-normal-example"
          },
          "answer": [
            {
              "valueString": "Not available"
            }
          ],
          "item": [
            {
              "id": "8.1.1.1",
              "linkId": "7.1.1",
              "text": "Outcome",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://hl7.org/fhir/data-absent-reason",
                    "code": "not-performed",
                    "display": "Not Performed"
                  }
                }
              ]
            },
            {
              "id": "8.1.2.1",
              "linkId": "7.1.2",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "Comment goes here"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "9.0.0.0",
      "linkId": "8",
      "text": "Fontanelles",
      "item": [
        {
          "id": "9.1.0.1",
          "linkId": "8.1",
          "subject": {
            "reference": "Observation/observation-fontanelles-normal-example"
          },
          "answer": [
            {
              "valueString": "Normal"
            }
          ],
          "item": [
            {
              "id": "9.1.1.1",
              "linkId": "8.1.1",
              "text": "Outcome",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            },
            {
              "id": "9.1.2.1",
              "linkId": "8.1.2",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "Comment goes here"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "10.0.0.0",
      "linkId": "9",
      "text": "Ears",
      "item": [
        {
          "id": "10.1.0.1",
          "linkId": "9.1",
          "subject": {
            "reference": "Observation/observation-ears-normal-example"
          },
          "answer": [
            {
              "valueString": "Show Details"
            }
          ],
          "item": [
            {
              "id": "10.1.1.1",
              "linkId": "9.1.1",
              "text": "Left",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            },
            {
              "id": "10.1.2.1",
              "linkId": "9.1.2",
              "text": "Right",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            },
            {
              "id": "10.1.3.1",
              "linkId": "9.1.3",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "Comment goes here"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "11.0.0.0",
      "linkId": "10",
      "text": "Eyes",
      "item": [
        {
          "id": "11.1.0.1",
          "linkId": "10.1",
          "subject": {
            "reference": "Observation/observation-eyes-normal-example"
          },
          "answer": [
            {
              "valueString": "Show Details"
            }
          ],
          "item": [
            {
              "id": "11.1.1.1",
              "linkId": "10.1.1",
              "text": "Left",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            },
            {
              "id": "11.1.2.1",
              "linkId": "10.1.2",
              "text": "Right",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            },
            {
              "id": "11.1.3.1",
              "linkId": "10.1.3",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "Both eyes assessed as normal"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "12.0.0.0",
      "linkId": "11",
      "text": "Mouth Palate",
      "item": [
        {
          "id": "12.1.0.1",
          "linkId": "11.1",
          "subject": {
            "reference": "Observation/observation-mouthpalate-normal-example"
          },
          "answer": [
            {
              "valueString": "Normal"
            }
          ],
          "item": [
            {
              "id": "12.1.1.1",
              "linkId": "11.1.1",
              "text": "Outcome",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            },
            {
              "id": "12.1.2.1",
              "linkId": "11.1.2",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "Comment goes here"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "13.0.0.0",
      "linkId": "12",
      "text": "Cardiovascular",
      "item": [
        {
          "id": "13.1.0.1",
          "linkId": "12.1",
          "subject": {
            "reference": "Observation/observation-cardiovascular-normal-example"
          },
          "answer": [
            {
              "valueString": "Not available"
            }
          ],
          "item": [
            {
              "id": "13.1.1.1",
              "linkId": "12.1.1",
              "text": "Outcome",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://hl7.org/fhir/data-absent-reason",
                    "code": "not-performed",
                    "display": "Not Performed"
                  }
                }
              ]
            },
            {
              "id": "13.1.2.1",
              "linkId": "12.1.2",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "Comment goes here"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "14.0.0.0",
      "linkId": "13",
      "text": "Reflexes",
      "item": [
        {
          "id": "14.1.0.1",
          "linkId": "13.1",
          "subject": {
            "reference": "Observation/observation-reflexes-normal-example"
          },
          "answer": [
            {
              "valueString": "Normal"
            }
          ],
          "item": [
            {
              "id": "14.1.1.1",
              "linkId": "13.1.1",
              "text": "Outcome",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            },
            {
              "id": "14.1.2.1",
              "linkId": "13.1.2",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "Comment goes here"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "15.0.0.0",
      "linkId": "14",
      "text": "Femoral Pulse",
      "item": [
        {
          "id": "15.1.0.1",
          "linkId": "14.1",
          "subject": {
            "reference": "Observation/observation-femoralpulse-normal-example"
          },
          "answer": [
            {
              "valueString": "Show Details"
            }
          ],
          "item": [
            {
              "id": "15.1.1.1",
              "linkId": "14.1.1",
              "text": "Left",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            },
            {
              "id": "15.1.2.1",
              "linkId": "14.1.2",
              "text": "Right",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            },
            {
              "id": "15.1.3.1",
              "linkId": "14.1.3",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "Both femoral pulses assessed as normal"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "16.0.0.0",
      "linkId": "15",
      "text": "Development",
      "item": [
        {
          "id": "16.1.0.1",
          "linkId": "15.1",
          "subject": {
            "reference": "Observation/observation-development-normal-example"
          },
          "answer": [
            {
              "valueString": "Normal"
            }
          ],
          "item": [
            {
              "id": "16.1.1.1",
              "linkId": "15.1.1",
              "text": "Outcome",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            },
            {
              "id": "16.1.2.1",
              "linkId": "15.1.2",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "Comment goes here"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "17.0.0.0",
      "linkId": "16",
      "text": "Umbilicus",
      "item": [
        {
          "id": "17.1.0.1",
          "linkId": "16.1",
          "subject": {
            "reference": "Observation/observation-umbilicus-normal-example"
          },
          "answer": [
            {
              "valueString": "Normal"
            }
          ],
          "item": [
            {
              "id": "17.1.1.1",
              "linkId": "16.1.1",
              "text": "Outcome",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            },
            {
              "id": "17.1.2.1",
              "linkId": "16.1.2",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "Comment goes here"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "18.0.0.0",
      "linkId": "17",
      "text": "Testes fully descended",
      "item": [
        {
          "id": "18.1.0.1",
          "linkId": "17.1",
          "subject": {
            "reference": "Observation/observation-testes-normal-example"
          },
          "answer": [
            {
              "valueString": "Not applicable"
            }
          ],
          "item": [
            {
              "id": "18.1.1.1",
              "linkId": "17.1.1",
              "text": "Left",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://hl7.org/fhir/data-absent-reason",
                    "code": "not-performed",
                    "display": "Not Performed"
                  }
                }
              ]
            },
            {
              "id": "18.1.2.1",
              "linkId": "17.1.2",
              "text": "Right",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://hl7.org/fhir/data-absent-reason",
                    "code": "not-performed",
                    "display": "Not Performed"
                  }
                }
              ]
            },
            {
              "id": "18.1.3.1",
              "linkId": "17.1.3",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "Comments go here"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "19.0.0.0",
      "linkId": "18",
      "text": "Genitalia",
      "item": [
        {
          "id": "19.1.0.1",
          "linkId": "18.1",
          "subject": {
            "reference": "Observation/observation-genitalia-normal-example"
          },
          "answer": [
            {
              "valueString": "Normal"
            }
          ],
          "item": [
            {
              "id": "19.1.1.1",
              "linkId": "18.1.1",
              "text": "Outcome",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            },
            {
              "id": "19.1.2.1",
              "linkId": "18.1.2",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "Comment goes here"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "20.0.0.0",
      "linkId": "19",
      "text": "Anus",
      "item": [
        {
          "id": "20.1.0.1",
          "linkId": "19.1",
          "subject": {
            "reference": "Observation/observation-anus-normal-example"
          },
          "answer": [
            {
              "valueString": "Not available"
            }
          ],
          "item": [
            {
              "id": "20.1.1.1",
              "linkId": "19.1.1",
              "text": "Outcome",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://hl7.org/fhir/data-absent-reason",
                    "code": "not-performed",
                    "display": "Not Performed"
                  }
                }
              ]
            },
            {
              "id": "20.1.2.1",
              "linkId": "19.1.2",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "Comment goes here"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "4.0.0.0",
      "linkId": "20",
      "text": "Skin",
      "item": [
        {
          "id": "4.1.0.1",
          "linkId": "20.1",
          "subject": {
            "reference": "Observation/observation-skin-review-example"
          },
          "answer": [
            {
              "valueString": "Review"
            }
          ],
          "item": [
            {
              "id": "4.1.1.1",
              "linkId": "20.1.1",
              "text": "Outcome",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "1222461000168103",
                    "display": "Follow-up review of patient requested"
                  }
                }
              ]
            },
            {
              "id": "4.1.2.1",
              "linkId": "20.1.2",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "Mascular rash that was detected at birth still present on the infants left arm.Review required at next health check assessment."
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "21.0.0.0",
      "linkId": "21",
      "text": "Hips",
      "item": [
        {
          "id": "21.1.0.1",
          "linkId": "21.1",
          "subject": {
            "reference": "Observation/observation-hips-normal-example"
          },
          "answer": [
            {
              "valueString": "Normal"
            }
          ],
          "item": [
            {
              "id": "21.1.1.1",
              "linkId": "21.1.1",
              "text": "Outcome",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            },
            {
              "id": "21.1.2.1",
              "linkId": "21.1.2",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "Comment goes here"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "22.0.0.0",
      "linkId": "22",
      "text": "Abdomen",
      "item": [
        {
          "id": "22.1.0.1",
          "linkId": "22.1",
          "subject": {
            "reference": "Observation/observation-abdomen-normal-example"
          },
          "answer": [
            {
              "valueString": "Normal"
            }
          ],
          "item": [
            {
              "id": "22.1.1.1",
              "linkId": "22.1.1",
              "text": "Outcome",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            },
            {
              "id": "22.1.2.1",
              "linkId": "22.1.2",
              "text": "Comments",
              "answer": [
                {
                  "valueString": "Comment goes here"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "23.0.0.0",
      "linkId": "23",
      "text": "Examiner",
      "item": [
        {
          "id": "23.1.0.1",
          "linkId": "23.1",
          "text": "Designation",
          "subject": {
            "reference": "Practitioner/examiner-practitioner"
          },
          "answer": [
            {
              "valueString": "Child and Family Health Nurse"
            }
          ]
        },
        {
          "id": "23.2.0.1",
          "linkId": "23.2",
          "text": "Venue",
          "subject": {
            "reference": "Encounter/ncdhc-encounter-example"
          },
          "answer": [
            {
              "valueString": "Blacktown CHC"
            }
          ]
        },
        {
          "id": "23.3.0.1",
          "linkId": "23.3",
          "text": "Date & Time",
          "subject": {
            "reference": "Encounter/ncdhc-encounter-example"
          },
          "answer": [
            {
              "valueDateTime": "2018-01-07T14:15:00-05:00"
            }
          ]
        }
      ]
    }
  ]
}