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Example QuestionnaireResponse/f201 (JSON)

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

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

Real-world lifelines questionnaire response (fictively taken from the patient)

{
  "resourceType" : "QuestionnaireResponse",
  "id" : "f201",
  "_questionnaire" : {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/display",
      "valueString" : "Lifelines"
    }]
  },
  "status" : "completed",
  "subject" : {
    "reference" : "Patient/f201",
    "display" : "Roel"
  },
  "authored" : "2013-06-18T00:00:00+01:00",
  "author" : {
    "reference" : "Practitioner/f201"
  },
  "source" : {
    "reference" : "Practitioner/f201"
  },
  "item" : [{
    "linkId" : "1",
    "text" : "Do you have allergies?",
    "answer" : [{
      "valueBoolean" : true
    }]
  },
  {
    "linkId" : "2",
    "text" : "General questions",
    "item" : [{
      "linkId" : "2.1",
      "text" : "What is your gender?",
      "answer" : [{
        "valueString" : "Male"
      }]
    },
    {
      "linkId" : "2.2",
      "text" : "What is your date of birth?",
      "answer" : [{
        "valueDate" : "1960-03-13"
      }]
    },
    {
      "linkId" : "2.3",
      "text" : "What is your country of birth?",
      "answer" : [{
        "valueString" : "The Netherlands"
      }]
    },
    {
      "linkId" : "2.4",
      "text" : "What is your marital status?",
      "answer" : [{
        "valueString" : "married"
      }]
    }]
  },
  {
    "linkId" : "3",
    "text" : "Intoxications",
    "item" : [{
      "linkId" : "3.1",
      "text" : "Do you smoke?",
      "answer" : [{
        "valueBoolean" : false
      }]
    },
    {
      "linkId" : "3.2",
      "text" : "Do you drink alchohol?",
      "answer" : [{
        "valueBoolean" : false
      }]
    }]
  }]
}

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.