{
  "resourceType": "QuestionnaireResponse",
  "id": "nb-delivery-qa-1",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2019-10-31T00:00:00Z",
    "profile": [
      "http://hl7.org.au/fhir/ch/v1/StructureDefinition/ncdhc-questionnaireresponse-base"
    ]
  },
  "questionnaire": {
    "reference": "Questionnaire/nb-delivery-q-en-s1",
    "display": "Birth"
  },
  "status": "completed",
  "subject": {
    "reference": "Patient/patient-baby-example"
  },
  "item": [
    {
      "id": "1.0.0.0",
      "linkId": "1",
      "text": "Facility / Location",
      "subject": {
        "reference": "Patient/patient-baby-example"
      },
      "answer": [
        {
          "valueString": "Blacktown Hospital"
        }
      ]
    },
    {
      "id": "2.0.0.0",
      "linkId": "2",
      "text": "Birth Date / Time",
      "subject": {
        "reference": "Patient/patient-baby-example"
      },
      "answer": [
        {
          "valueDateTime": "2018-01-19T14:15:00-05:00"
        }
      ]
    },
    {
      "id": "3.0.0.0",
      "linkId": "3",
      "text": "Sex",
      "subject": {
        "reference": "Patient/patient-baby-example"
      },
      "answer": [
        {
          "valueCoding": {
            "system": "http://hl7.org/fhir/administrative-gender",
            "code": "female",
            "display": "Female"
          }
        }
      ]
    },
    {
      "id": "4.0.0.0",
      "linkId": "4",
      "text": "Estimated Gestation",
      "subject": {
        "reference": "Observation/observation-estimated-gestation-example"
      },
      "answer": [
        {
          "valueString": "41 weeks 5 days"
        }
      ]
    },
    {
      "id": "5.0.0.0",
      "linkId": "5",
      "text": "Type of Birth",
      "subject": {
        "reference": "Observation/observation-method-of-delivery-example"
      },
      "answer": [
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "289259007",
            "display": "Vaginal delivery"
          }
        }
      ]
    },
    {
      "id": "6.0.0.0",
      "linkId": "6",
      "text": "Labour Initiation",
      "subject": {
        "reference": "Observation/observation-labour-induced-example"
      },
      "answer": [
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "84457005",
            "display": "Spontaneous onset of labour"
          }
        }
      ]
    },
    {
      "id": "7.0.0.0",
      "linkId": "7",
      "text": "Pregnancy Complications",
      "answer": [
        {
          "valueString": "Show details",
          "item": [
            {
              "id": "7.1.0.1",
              "linkId": "7.1",
              "subject": {
                "reference": "Observation/observation-pregnancy-complication-example"
              },
              "item": [
                {
                  "id": "7.1.1.1",
                  "linkId": "7.1.1",
                  "answer": [
                    {
                      "valueString": "High blood pressure"
                    }
                  ]
                },
                {
                  "id": "7.1.2.1",
                  "linkId": "7.1.2",
                  "answer": [
                    {
                      "valueString": "Not Applicable"
                    }
                  ]
                }
              ]
            },
            {
              "id": "7.1.0.2",
              "linkId": "7.1",
              "subject": {
                "reference": "Observation/observation-pregnancy-complication-example"
              },
              "item": [
                {
                  "id": "7.1.1.2",
                  "linkId": "7.1.1",
                  "answer": [
                    {
                      "valueString": "Medical Problem - Infection"
                    }
                  ]
                },
                {
                  "id": "7.1.2.2",
                  "linkId": "7.1.2",
                  "answer": [
                    {
                      "valueString": "Infection found"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "8.0.0.0",
      "linkId": "8",
      "text": "Abnormalities Noted",
      "subject": {
        "reference": "Observation/observation-birth-abnormalities-example"
      },
      "answer": [
        {
          "valueString": "Show details",
          "item": [
            {
              "id": "8.1.0.1",
              "linkId": "8.1",
              "text": "Abnormalities Noted",
              "subject": {
                "reference": "Observation/observation-birth-abnormalities-example"
              },
              "answer": [
                {
                  "valueString": "The foot is twisted out of shape or position"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "9.0.0.0",
      "linkId": "9",
      "text": "Birth Complications",
      "subject": {
        "reference": "Observation/observation-birth-complication-example"
      },
      "answer": [
        {
          "valueCoding": {
            "display": "Not Applicable"
          }
        }
      ]
    },
    {
      "id": "10.0.0.0",
      "linkId": "10",
      "text": "APGAR",
      "answer": [
        {
          "valueString": "1m: 9",
          "item": [
            {
              "id": "10.1.0.1",
              "linkId": "10.1",
              "text": "1 minute",
              "subject": {
                "reference": "Observation/observation-apgar-score-1m-example"
              },
              "answer": [
                {
                  "valueQuantity": {
                    "value": 9,
                    "system": "http://unitsofmeasure.org",
                    "code": "{score}"
                  }
                }
              ]
            },
            {
              "id": "10.2.0.1",
              "linkId": "10.2",
              "text": "5 minute",
              "subject": {
                "reference": "Observation/observation-apgar-score-5m-example"
              },
              "answer": [
                {
                  "valueQuantity": {
                    "value": 16,
                    "system": "http://unitsofmeasure.org",
                    "code": "{score}"
                  }
                }
              ]
            },
            {
              "id": "10.3.0.1",
              "linkId": "10.3",
              "text": "10 minute",
              "subject": {
                "reference": "Observation/observation-apgar-score-10m-example"
              },
              "answer": [
                {
                  "valueCoding": {
                    "display": "Not Available"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "11.0.0.0",
      "linkId": "11",
      "text": "Birth Weight",
      "subject": {
        "reference": "Observation/ncdhc-observation-vitalsign-bodyweight-example"
      },
      "answer": [
        {
          "valueQuantity": {
            "value": 3.09414,
            "unit": "kg",
            "system": "http://unitsofmeasure.org",
            "code": "kg"
          }
        }
      ]
    },
    {
      "id": "12.0.0.0",
      "linkId": "12",
      "text": "Birth Length",
      "subject": {
        "reference": "Observation/observation-vitalsign-birthlength-example"
      },
      "answer": [
        {
          "valueQuantity": {
            "value": 51.5,
            "unit": "cm",
            "system": "http://unitsofmeasure.org",
            "code": "cm"
          }
        }
      ]
    },
    {
      "id": "13.0.0.0",
      "linkId": "13",
      "text": "Head Circumference",
      "subject": {
        "reference": "Observation/observation-vitalsign-headcircum-example"
      },
      "answer": [
        {
          "valueQuantity": {
            "value": 34.5,
            "unit": "cm",
            "system": "http://unitsofmeasure.org",
            "code": "cm"
          }
        }
      ]
    },
    {
      "id": "14.0.0.0",
      "linkId": "14",
      "text": "Vitamin K",
      "answer": [
        {
          "valueString": "Given",
          "item": [
            {
              "id": "14.1.0.1",
              "linkId": "14.1",
              "text": "Vitamin K1",
              "subject": {
                "reference": "MedicationStatement/ncdhc-medicationstatement-k1-example"
              },
              "item": [
                {
                  "id": "14.1.1.1",
                  "linkId": "14.1.1",
                  "text": "Dose",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "69775011000036100",
                        "display": "Phytomenadione"
                      }
                    }
                  ]
                },
                {
                  "id": "14.1.2.1",
                  "linkId": "14.1.2",
                  "text": "Date",
                  "answer": [
                    {
                      "valueDateTime": "2018-01-19T14:15:00-05:00"
                    }
                  ]
                },
                {
                  "id": "14.1.3.1",
                  "linkId": "14.1.3",
                  "text": "Given",
                  "answer": [
                    {
                      "valueString": "Yes"
                    }
                  ]
                },
                {
                  "id": "14.1.5.1",
                  "linkId": "14.1.5",
                  "text": "Route",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "738956005",
                        "display": "Oral"
                      }
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "15.0.0.0",
      "linkId": "15",
      "text": "Examiner",
      "answer": [
        {
          "valueString": "Judith NORMAN",
          "item": [
            {
              "id": "15.1.0.1",
              "linkId": "15.1",
              "text": "Designation",
              "subject": {
                "reference": "Practitioner/examiner-practitioner"
              },
              "answer": [
                {
                  "valueString": "Midwife"
                }
              ]
            },
            {
              "id": "15.2.0.1",
              "linkId": "15.2",
              "text": "Venue",
              "subject": {
                "reference": "Encounter/ncdhc-encounter-example"
              },
              "answer": [
                {
                  "valueString": "Blacktown Hospital"
                }
              ]
            },
            {
              "id": "15.3.0.1",
              "linkId": "15.3",
              "text": "Date & Time",
              "subject": {
                "reference": "Encounter/ncdhc-encounter-example"
              },
              "answer": [
                {
                  "valueDateTime": "2019-01-19T14:15:00-05:00"
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}