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Example QuestionnaireResponse/3141 (JSON)

FHIR Infrastructure Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw JSON (canonical form + also see JSON Format Specification)

General questionnaire response example

{
  "resourceType" : "QuestionnaireResponse",
  "id" : "3141",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <pre>\n            Comorbidity? YES\n              Cardial Comorbidity? YES\n                Angina? YES\n                MI? NO\n              Vascular Comorbidity?\n                (no answers)\n              ...\n            Histopathology\n              Abdominal\n                pT category: 1a\n              ...\n          </pre>\n    </div>"
  },
  "contained" : [{
    "resourceType" : "Patient",
    "id" : "patsub",
    "identifier" : [{
      "system" : "http://cancer.questionnaire.org/systems/id/patientnr",
      "value" : "A34442332"
    },
    {
      "type" : {
        "text" : "Dutch BSN"
      },
      "system" : "urn:oid:2.16.840.1.113883.2.4.6.3",
      "value" : "188912345"
    }],
    "gender" : "male",
    "birthDate" : "1972-11-30"
  },
  {
    "resourceType" : "ServiceRequest",
    "id" : "order",
    "status" : "unknown",
    "intent" : "order",
    "subject" : {
      "reference" : "#patsub"
    },
    "requester" : {
      "reference" : "Practitioner/example"
    }
  },
  {
    "resourceType" : "Practitioner",
    "id" : "questauth",
    "identifier" : [{
      "type" : {
        "text" : "AUMC, Den Helder"
      },
      "system" : "http://cancer.questionnaire.org/systems/id/org",
      "value" : "AUMC"
    }]
  }],
  "identifier" : [{
    "system" : "http://example.org/fhir/NamingSystem/questionnaire-ids",
    "value" : "Q12349876"
  }],
  "basedOn" : [{
    "reference" : "#order"
  }],
  "partOf" : [{
    "reference" : "Procedure/f201"
  }],
  "questionnaire" : "urn:uuid:95eaedf7-8a24-478a-8300-39acc44c746b",
  "status" : "completed",
  "subject" : {
    "reference" : "#patsub"
  },
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "authored" : "2013-02-19T14:15:00-05:00",
  "author" : {
    "reference" : "#questauth"
  },
  "item" : [{
    "linkId" : "1",
    "item" : [{
      "linkId" : "1.1",
      "answer" : [{
        "valueCoding" : {
          "system" : "http://cancer.questionnaire.org/system/code/yesno",
          "code" : "1",
          "display" : "Yes"
        },
        "item" : [{
          "linkId" : "1.1.1",
          "item" : [{
            "linkId" : "1.1.1.1",
            "answer" : [{
              "valueCoding" : {
                "system" : "http://cancer.questionnaire.org/system/code/yesno",
                "code" : "1"
              }
            }]
          },
          {
            "linkId" : "1.1.1.2",
            "answer" : [{
              "valueCoding" : {
                "system" : "http://cancer.questionnaire.org/system/code/yesno",
                "code" : "1"
              }
            }]
          },
          {
            "linkId" : "1.1.1.3",
            "answer" : [{
              "valueCoding" : {
                "system" : "http://cancer.questionnaire.org/system/code/yesno",
                "code" : "0"
              }
            }]
          }]
        }]
      }]
    }]
  }]
}

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.