Structured Data Capture
2.8.0 - CI Build

Structured Data Capture, published by HL7 International - FHIR Infrastructure Work Group. This is not an authorized publication; it is the continuous build for version 2.8.0). This version is based on the current content of https://github.com/HL7/sdc/ and changes regularly. See the Directory of published versions

: SDC-Response to LOINC AHRQ - JSON Representation

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{
  "resourceType" : "QuestionnaireResponse",
  "id" : "questionnaireresponse-sdc-profile-example-loinc",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"questionnaireresponse-sdc-profile-example-loinc\" </p></div><p><b>questionnaire</b>: <a href=\"http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-loinc\">http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-loinc|2012-04</a></p><p><b>status</b>: completed</p><p><b>authored</b>: 2016-03-14</p><blockquote><p><b>item</b></p><p><b>linkId</b>: Medication/header</p><blockquote><p><b>item</b></p><p><b>linkId</b>: 0</p><p><b>text</b>: Form ID:</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 74080-3/74081-1</p><p><b>text</b>: Event ID:</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 74080-3/30947-6</p><p><b>text</b>: Initial Report Date (HERF Q1)</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: Medication/SEC00</p><p><b>text</b>: Medication or Other Substance</p><blockquote><p><b>item</b></p><p><b>linkId</b>: Medication/SEC01/74080-3</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 74080-3/74078-7</p></blockquote></blockquote></div>"
  },
  "questionnaire" : "http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-loinc|2012-04",
  "status" : "completed",
  "authored" : "2016-03-14",
  "item" : [
    {
      "linkId" : "Medication/header",
      "item" : [
        {
          "linkId" : "0",
          "text" : "Form ID:",
          "answer" : [
            {
              "valueString" : "000"
            }
          ]
        },
        {
          "linkId" : "74080-3/74081-1",
          "text" : "Event ID:",
          "answer" : [
            {
              "valueString" : "456"
            }
          ]
        },
        {
          "linkId" : "74080-3/30947-6",
          "text" : "Initial Report Date (HERF Q1)",
          "answer" : [
            {
              "valueString" : "2016-03-14"
            }
          ]
        }
      ]
    },
    {
      "linkId" : "Medication/SEC00",
      "text" : "Medication or Other Substance",
      "item" : [
        {
          "linkId" : "Medication/SEC01/74080-3",
          "item" : [
            {
              "linkId" : "74080-3/74076-1",
              "text" : "What type of medication/substance was involved?",
              "answer" : [
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "LA20271-5",
                    "display" : "Medications"
                  }
                }
              ],
              "item" : [
                {
                  "linkId" : "74080-3/74075-3",
                  "text" : "What type of medication?",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org/vs/LL2655-0",
                        "code" : "LA20278-0",
                        "display" : "Prescription or over-the-counter (including herbal supplements)"
                      }
                    }
                  ]
                }
              ]
            },
            {
              "linkId" : "74080-3/74072-0",
              "text" : "Which of the following best characterizes the event?",
              "answer" : [
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "LA20275-6",
                    "display" : "Incorrect action (process failure or error) (e.g., such as administering overdose or incorrect medication)"
                  }
                }
              ]
            },
            {
              "linkId" : "74080-3/74071-2",
              "text" : "What was the incorrect action?",
              "answer" : [
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "LA20276-4",
                    "display" : "Incorrect patient"
                  }
                }
              ]
            },
            {
              "linkId" : "74080-3/74063-9",
              "text" : "At what stage in the process did the event originate, regardless of the stage at which it was discovered?",
              "answer" : [
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org/vs/LL2669-1",
                    "code" : "LA20296-2",
                    "display" : "Administering"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId" : "74080-3/74078-7",
          "item" : [
            {
              "linkId" : "74080-3/74078-7/74062-1",
              "text" : "Generic name or investigational drug name",
              "answer" : [
                {
                  "valueString" : "Acetaminophen"
                }
              ]
            },
            {
              "linkId" : "74080-3/74078-7/74055-5",
              "text" : "Dosage form of Product",
              "answer" : [
                {
                  "valueString" : "Tablet"
                }
              ]
            },
            {
              "linkId" : "74080-3/74078-7/74053-0",
              "text" : "Was this medication/substance prescribed for this patient?",
              "answer" : [
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org/vs/LL2828-3",
                    "code" : "LA32-8",
                    "display" : "No"
                  }
                }
              ]
            },
            {
              "linkId" : "Medication/74052-2",
              "text" : "Was this medication/substance given to this patient?",
              "answer" : [
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org/vs/LL2828-3",
                    "code" : "LA33-6",
                    "display" : "Yes"
                  }
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}