Structured Data Capture
4.0.0 - STU 4 International flag

Structured Data Capture, published by HL7 International / FHIR Infrastructure. This guide is not an authorized publication; it is the continuous build for version 4.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/sdc/ and changes regularly. See the Directory of published versions

Questionnaire: Questionnaire Pre-Population (Experimental)

Official URL: http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-test-fhirpath-prepop-initialexpression Version: 4.0.0
Standards status: Informative Active as of 2026-03-24 Computable Name: FhirPathPrepopSimple
Other Identifiers: OID:2.16.840.1.113883.4.642.40.17.35.22

FhirPath based prepopulation simple example

LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. FhirPathPrepopSimple FhirPath based prepopulation simple example Questionnaire http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-test-fhirpath-prepop-initialexpression#4.0.0
... grp null 0..1 group Value Set:
.... part-details Participant details 0..1 group Value Set:
..... participant-id Participant ID number 0..1 string Value Set:
..... medicare-number Medicare number 1..1 string Value Set:
..... dva-number DVA number 0..1 string Value Set:
..... family-name Family name 0..1 string Value Set:
..... given-names Given name(s) 0..1 string Value Set:
..... dob Date of birth 0..1 date Value Set:
..... contact-number Contact telephone number 0..1 string Value Set:
...... contact-number-tooltip (mobile or land line including area code) 0..1 text Value Set:
.... provider-details Provider details 0..1 group iconicon Value Set:
..... provider-number Provider number for payment 0..1 string Value Set:
..... date-consult Date of consultation 0..1 date Value Set:
..... provider-name Name 0..1 string iconicon Value Set:

doco Documentation for this format

  • linkId: grp
  • Answers:

Participant details

  • linkId: part-details
  • Answers:

Participant ID number

  • linkId: participant-id
  • Answers:

Medicare number*

  • linkId: medicare-number
  • Answers:

DVA number

  • linkId: dva-number
  • Answers:

Family name

  • linkId: family-name
  • Answers:

Given name(s)

  • linkId: given-names
  • Answers:

Date of birth

  • linkId: dob
  • Answers:

Contact telephone number

  • linkId: contact-number
  • Answers:

(mobile or land line including area code)

  • linkId: contact-number-tooltip
  • Answers:

Provider details

  • linkId: provider-details
  • Answers:

Provider number for payment

  • linkId: provider-number
  • Answers:

Date of consultation

  • linkId: date-consult
  • Answers:

Name

  • linkId: provider-name
  • Answers:

LinkIDDescription & Constraintsdoco
.. grp Value Set:
... part-details Value Set:
.... participant-id Value Set:
.... medicare-number Value Set:
.... dva-number Value Set:
.... family-name Value Set:
.... given-names Value Set:
.... dob Value Set:
.... contact-number Value Set:
..... contact-number-tooltip Value Set:
... provider-details Value Set:
.... provider-number Value Set:
.... date-consult Value Set:
.... provider-name Value Set:

doco Documentation for this format

Test this Questionnaire

Try this questionnaire out:

Responses for this Questionnaire

There are currently no QuestionnaireResponse instances for this Questionnaire defined in this IG.