{
  "resourceType": "QuestionnaireResponse",
  "id": "hca-4year-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-4yr-q-en-s1",
    "display": "4 Year"
  },
  "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": "Dubbo Doctors"
        }
      ]
    },
    {
      "id": "2.0.0.0",
      "linkId": "2",
      "text": "Date / Time",
      "subject": {
        "reference": "Encounter/ncdhc-encounter-example"
      },
      "answer": [
        {
          "valueDateTime": "2022-03-06T17:42:00-05:00"
        }
      ]
    },
    {
      "id": "3.0.0.0",
      "linkId": "3",
      "text": "Child's Age",
      "subject": {
        "reference": "Patient/patient-baby-example"
      },
      "answer": [
        {
          "valueString": "4 years & 3 months"
        }
      ]
    },
    {
      "id": "4.0.0.0",
      "linkId": "4",
      "text": "Weight",
      "answer": [
        {
          "valueString": "Normal",
          "item": [
            {
              "id": "4.1.0.1",
              "linkId": "4.1",
              "subject": {
                "reference": "Observation/ncdhc-observation-vitalsign-bodyweight-example"
              },
              "item": [
                {
                  "id": "4.1.1.1",
                  "linkId": "4.1.1",
                  "text": "Value",
                  "answer": [
                    {
                      "valueString": "19.1kg"
                    }
                  ]
                },
                {
                  "id": "4.1.2.1",
                  "linkId": "4.1.2",
                  "text": "Outcome",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                      }
                    }
                  ]
                },
                {
                  "id": "4.1.3.1",
                  "linkId": "4.1.3",
                  "text": "Comments",
                  "answer": [
                    {
                      "valueString": "Comment goes here"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "5.0.0.0",
      "linkId": "5",
      "text": "Length",
      "answer": [
        {
          "valueString": "Normal",
          "item": [
            {
              "id": "5.1.0.1",
              "linkId": "5.1",
              "subject": {
                "reference": "Observation/observation-vitalsign-bodyheight-example"
              },
              "item": [
                {
                  "id": "5.1.1.1",
                  "linkId": "5.1.1",
                  "text": "Value",
                  "answer": [
                    {
                      "valueString": "108.6cm"
                    }
                  ]
                },
                {
                  "id": "5.1.2.1",
                  "linkId": "5.1.2",
                  "text": "Outcome",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                      }
                    }
                  ]
                },
                {
                  "id": "5.1.3.1",
                  "linkId": "5.1.3",
                  "text": "Comments",
                  "answer": [
                    {
                      "valueString": "NA"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "6.0.0.0",
      "linkId": "6",
      "text": "Monocularly (eyes)",
      "answer": [
        {
          "valueString": "Show Details",
          "item": [
            {
              "id": "6.1.0.1",
              "linkId": "6.1",
              "subject": {
                "reference": "Observation/ncdhc-observation-vision-tested-monocularly-example"
              },
              "item": [
                {
                  "id": "6.1.1.1",
                  "linkId": "6.1.1",
                  "text": "Completed",
                  "answer": [
                    {
                      "valueString": "Yes"
                    }
                  ]
                },
                {
                  "id": "6.1.2.1",
                  "linkId": "6.1.2",
                  "text": "Result Left 6m",
                  "answer": [
                    {
                      "valueString": "20+3"
                    }
                  ]
                },
                {
                  "id": "6.1.3.1",
                  "linkId": "6.1.3",
                  "text": "Result Right 6m",
                  "answer": [
                    {
                      "valueString": "20+2"
                    }
                  ]
                },
                {
                  "id": "6.1.4.1",
                  "linkId": "6.1.4",
                  "text": "Result left 3mn",
                  "answer": [
                    {
                      "valueString": "20+10"
                    }
                  ]
                },
                {
                  "id": "6.1.5.1",
                  "linkId": "6.1.5",
                  "text": "Result right 3m",
                  "answer": [
                    {
                      "valueString": "20+8"
                    }
                  ]
                },
                {
                  "id": "6.1.6.1",
                  "linkId": "6.1.6",
                  "text": "Outcome",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                      }
                    }
                  ]
                },
                {
                  "id": "6.1.7.1",
                  "linkId": "6.1.7",
                  "text": "Comments",
                  "answer": [
                    {
                      "valueString": "Comment goes here"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "7.0.0.0",
      "linkId": "7",
      "text": "Ears",
      "answer": [
        {
          "valueString": "Show Details",
          "item": [
            {
              "id": "7.1.0.1",
              "linkId": "7.1",
              "subject": {
                "reference": "Observation/observation-ears-normal-example"
              },
              "item": [
                {
                  "id": "7.1.1.1",
                  "linkId": "7.1.1",
                  "text": "Left",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                      }
                    }
                  ]
                },
                {
                  "id": "7.1.2.1",
                  "linkId": "7.1.2",
                  "text": "Right",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                      }
                    }
                  ]
                },
                {
                  "id": "7.1.3.1",
                  "linkId": "7.1.3",
                  "text": "Comments",
                  "answer": [
                    {
                      "valueString": "Comment goes here"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "8.0.0.0",
      "linkId": "8",
      "text": "Eyes",
      "answer": [
        {
          "valueString": "Show Details",
          "item": [
            {
              "id": "8.1.0.1",
              "linkId": "8.1",
              "subject": {
                "reference": "Observation/observation-eyes-normal-example"
              },
              "item": [
                {
                  "id": "8.1.1.1",
                  "linkId": "8.1.1",
                  "text": "Left",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                      }
                    }
                  ]
                },
                {
                  "id": "8.1.2.1",
                  "linkId": "8.1.2",
                  "text": "Right",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                      }
                    }
                  ]
                },
                {
                  "id": "8.1.3.1",
                  "linkId": "8.1.3",
                  "text": "Comments",
                  "answer": [
                    {
                      "valueString": "Both eyes assessed as normal"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "9.0.0.0",
      "linkId": "10",
      "text": "Development",
      "answer": [
        {
          "valueString": "Normal",
          "item": [
            {
              "id": "9.1.0.1",
              "linkId": "10.1",
              "subject": {
                "reference": "Observation/observation-development-normal-example"
              },
              "item": [
                {
                  "id": "9.1.1.1",
                  "linkId": "10.1.1",
                  "text": "Outcome",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                      }
                    }
                  ]
                },
                {
                  "id": "9.1.2.1",
                  "linkId": "10.1.2",
                  "text": "Comments",
                  "answer": [
                    {
                      "valueString": "Comment goes here"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "10.0.0.0",
      "linkId": "11",
      "text": "Gait",
      "answer": [
        {
          "valueString": "Normal",
          "item": [
            {
              "id": "10.1.0.1",
              "linkId": "11.1",
              "subject": {
                "reference": "Observation/observation-gait-normal-example"
              },
              "item": [
                {
                  "id": "10.1.1.1",
                  "linkId": "11.1.1",
                  "text": "Outcome",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                      }
                    }
                  ]
                },
                {
                  "id": "10.1.2.1",
                  "linkId": "11.1.2",
                  "text": "Comments",
                  "answer": [
                    {
                      "valueString": "Comment goes here"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "11.0.0.0",
      "linkId": "12",
      "text": "Skin",
      "answer": [
        {
          "valueString": "Normal",
          "item": [
            {
              "id": "11.1.0.1",
              "linkId": "12.1",
              "subject": {
                "reference": "Observation/observation-skin-normal-example"
              },
              "item": [
                {
                  "id": "11.1.1.1",
                  "linkId": "12.1.1",
                  "text": "Outcome",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                      }
                    }
                  ]
                },
                {
                  "id": "11.1.2.1",
                  "linkId": "12.1.2",
                  "text": "Comments",
                  "answer": [
                    {
                      "valueString": "Comment goes here"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "12.0.0.0",
      "linkId": "13",
      "text": "Oral Health",
      "answer": [
        {
          "valueString": "Normal",
          "item": [
            {
              "id": "12.1.0.1",
              "linkId": "13.1",
              "subject": {
                "reference": "Observation/observation-oralhealth-normal-example"
              },
              "item": [
                {
                  "id": "12.1.1.1",
                  "linkId": "13.1.1",
                  "text": "Outcome",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                      }
                    }
                  ]
                },
                {
                  "id": "12.1.2.1",
                  "linkId": "13.1.2",
                  "text": "Comments",
                  "answer": [
                    {
                      "valueString": "Comment goes here"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "13.0.0.0",
      "linkId": "14",
      "text": "Immunisation completed",
      "answer": [
        {
          "valueString": "Yes",
          "item": [
            {
              "id": "13.1.0.1",
              "linkId": "14.1",
              "subject": {
                "reference": "Observation/observation-immunisation-normal-example"
              },
              "item": [
                {
                  "id": "13.1.1.1",
                  "linkId": "14.1.1",
                  "text": "Outcome",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                      }
                    }
                  ]
                },
                {
                  "id": "13.1.2.1",
                  "linkId": "14.1.2",
                  "text": "Comments",
                  "answer": [
                    {
                      "valueString": "Comment goes here"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "14.0.0.0",
      "linkId": "15",
      "text": "Body Mass Index (BMI)",
      "answer": [
        {
          "valueString": "Show Details",
          "item": [
            {
              "id": "14.1.0.1",
              "linkId": "15.1",
              "subject": {
                "reference": "Observation/observation-bmi-normal-example"
              },
              "item": [
                {
                  "id": "14.1.1.1",
                  "linkId": "15.1.1",
                  "text": "Outcome",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                      }
                    }
                  ]
                },
                {
                  "id": "14.1.2.1",
                  "linkId": "15.1.2",
                  "text": "Comments",
                  "answer": [
                    {
                      "valueString": "Comment goes here"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "15.0.0.0",
      "linkId": "16",
      "text": "Hearing Screen Completed",
      "answer": [
        {
          "valueString": "Show Details",
          "item": [
            {
              "id": "15.1.0.1",
              "linkId": "16.1",
              "subject": {
                "reference": "Observation/observation-hearingscreen-normal-example"
              },
              "item": [
                {
                  "id": "15.1.1.1",
                  "linkId": "16.1.1",
                  "text": "Outcome",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                      }
                    }
                  ]
                },
                {
                  "id": "15.1.2.1",
                  "linkId": "16.1.2",
                  "text": "Comments",
                  "answer": [
                    {
                      "valueString": "Comment goes here"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "16.0.0.0",
      "linkId": "17",
      "text": "Vision Screen Completed",
      "answer": [
        {
          "valueString": "Show Details",
          "item": [
            {
              "id": "16.1.0.1",
              "linkId": "17.1",
              "subject": {
                "reference": "Observation/observation-visionscreen-normal-example"
              },
              "item": [
                {
                  "id": "16.1.1.1",
                  "linkId": "17.1.1",
                  "text": "Outcome",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                      }
                    }
                  ]
                },
                {
                  "id": "16.1.2.1",
                  "linkId": "17.1.2",
                  "text": "Comments",
                  "answer": [
                    {
                      "valueString": "Comment goes here"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "17.0.0.0",
      "linkId": "18",
      "text": "Hearing Check",
      "answer": [
        {
          "valueString": "Show Details",
          "item": [
            {
              "id": "17.1.0.1",
              "linkId": "18.1",
              "subject": {
                "reference": "Observation/observation-hearingcheck-normal-example"
              },
              "item": [
                {
                  "id": "17.1.1.1",
                  "linkId": "18.1.1",
                  "text": "Audiometry",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                      }
                    }
                  ]
                },
                {
                  "id": "17.1.2.1",
                  "linkId": "18.1.2",
                  "text": "Tympanometry",
                  "answer": [
                    {
                      "valueString": "Category A"
                    }
                  ]
                },
                {
                  "id": "17.1.3.1",
                  "linkId": "18.1.3",
                  "text": "Comments",
                  "answer": [
                    {
                      "valueString": "Both ears assessed as normal and within normal limits"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "18.0.0.0",
      "linkId": "19",
      "text": "Iron Testing",
      "answer": [
        {
          "valueString": "Show Details",
          "item": [
            {
              "id": "18.1.0.1",
              "linkId": "19.1",
              "subject": {
                "reference": "Observation/ncdhc-observation-irontesting-normal-example"
              },
              "item": [
                {
                  "id": "18.1.1.1",
                  "linkId": "19.1.1",
                  "text": "Completed",
                  "answer": [
                    {
                      "valueString": "Yes"
                    }
                  ]
                },
                {
                  "id": "18.1.2.1",
                  "linkId": "19.1.2",
                  "text": "Type",
                  "answer": [
                    {
                      "valueString": "Serum Ferritin"
                    }
                  ]
                },
                {
                  "id": "18.1.3.1",
                  "linkId": "19.1.3",
                  "text": "Result",
                  "answer": [
                    {
                      "valueString": "150ng/ml"
                    }
                  ]
                },
                {
                  "id": "18.1.4.1",
                  "linkId": "19.1.4",
                  "text": "Comments",
                  "answer": [
                    {
                      "valueString": "Test results were observed as normal."
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "19.0.0.0",
      "linkId": "20",
      "text": "Deworming",
      "answer": [
        {
          "valueString": "Show Details",
          "item": [
            {
              "id": "19.1.0.1",
              "linkId": "20.1",
              "subject": {
                "reference": "Observation/observation-deworming-normal-example"
              },
              "item": [
                {
                  "id": "19.1.1.1",
                  "linkId": "20.1.1",
                  "text": "Medication Given",
                  "answer": [
                    {
                      "valueString": "Yes"
                    }
                  ]
                },
                {
                  "id": "19.1.2.1",
                  "linkId": "20.1.2",
                  "text": "Comments",
                  "answer": [
                    {
                      "valueString": "Comment goes here"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "20.0.0.0",
      "linkId": "21",
      "text": "Fluoride Varnish",
      "answer": [
        {
          "valueString": "Show Details",
          "item": [
            {
              "id": "20.1.0.1",
              "linkId": "21.1",
              "subject": {
                "reference": "Observation/observation-fluoridevarnish-normal-example"
              },
              "item": [
                {
                  "id": "20.1.1.1",
                  "linkId": "21.1.1",
                  "text": "Fluoride Applied",
                  "answer": [
                    {
                      "valueString": "Yes"
                    }
                  ]
                },
                {
                  "id": "20.1.2.1",
                  "linkId": "21.1.2",
                  "text": "Comments",
                  "answer": [
                    {
                      "valueString": "Comment goes here"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "21.0.0.0",
      "linkId": "22",
      "text": "Examiner",
      "answer": [
        {
          "valueString": "Angelo ROWE",
          "item": [
            {
              "id": "21.1.0.1",
              "linkId": "22.1",
              "text": "Designation",
              "subject": {
                "reference": "Practitioner/examiner-practitioner"
              },
              "answer": [
                {
                  "valueString": "General Practitioner"
                }
              ]
            },
            {
              "id": "21.2.0.1",
              "linkId": "22.2",
              "text": "Venue",
              "subject": {
                "reference": "Encounter/ncdhc-encounter-example"
              },
              "answer": [
                {
                  "valueString": "Dubbo Doctors"
                }
              ]
            },
            {
              "id": "21.3.0.1",
              "linkId": "22.3",
              "text": "Date & Time",
              "subject": {
                "reference": "Encounter/ncdhc-encounter-example"
              },
              "answer": [
                {
                  "valueDateTime": "2022-03-06T11:34:00-05:00"
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}