Release 5 Draft Ballot

This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions

Questionnaireresponse-example-f201-lifelines.xml

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

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

Jump past Narrative

Real-world lifelines questionnaire response (fictively taken from the patient) (id = "f201")

<?xml version="1.0" encoding="UTF-8"?>

<QuestionnaireResponse xmlns="http://hl7.org/fhir">
 <id value="f201"/> 
   <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px"><a href="formats.html#table" title="The linkId for the item">LinkId</a> </th> <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px"><a href="formats.html#table" title="Text for the item">Text</a> </th> <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px"><a href="formats.html#table" title="Minimum and Maximum # of times the the itemcan appear in the instance">Definition</a> </th> <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px"><a href="formats.html#table" title="The type of the item">Answer</a> <span style="float: right"><a href="formats.html#table" title="Legend for this format"><img alt="doco" src="help16.png" style="background-color: inherit"/> </a> </span> </th> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon_q_root.gif" style="background-color: white; background-color: inherit" title="QuestionnaireResponseRoot"/>  f201</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px">QuestionnaireResponse</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> </tr> 
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/>  1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px">Do you have allergies?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px">true</td> </tr> 
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/>  2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px">General questions</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> </tr> 
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/>  2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px">What is your gender?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px">Male</td> </tr> 
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/>  2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px">What is your date of birth?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1960-03-13</td> </tr> 
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/>  2.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px">What is your country of birth?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px">The Netherlands</td> </tr> 
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/>  2.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px">What is your marital status?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px">married</td> </tr> 
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/>  3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px">Intoxications</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> </tr> 
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/>  3.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Do you smoke?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
           padding:0px 4px 0px 4px">false</td> </tr> 
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/>  3.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px">Do you drink alchohol?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
           solid; padding:0px 4px 0px 4px">false</td> </tr> 
<tr> <td class="hierarchy" colspan="4"><br/>  <a href="formats.html#table" title="Legend for this format"><img alt="doco" src="help16.png" style="background-color: inherit"/>  Documentation for this format</a> </td> </tr> </table> </div> </text> <status value="completed"/> 
  <!--   Fictive, only the below answers are non-fictive   -->
  <subject> 
    <reference value="Patient/f201"/> 
    <display value="Roel"/> 
  </subject> 
  <authored value="2013-06-18T00:00:00+01:00"/> 
  <author> 
    <reference value="Practitioner/f201"/> 
  </author> 
  <source> 
    <reference value="Practitioner/f201"/> 
  </source> 
  <item> 
    <linkId value="1"/> 
    <text value="Do you have allergies?"/> 
    <answer> 
      <valueBoolean value="true"/> 
    </answer> 
  </item> 
  <item> 
    <!--   Answers to general questions   -->
    <linkId value="2"/> 
    <text value="General questions"/> 
    <item> 
      <linkId value="2.1"/> 
      <text value="What is your gender?"/> 
      <answer> 
        <valueString value="Male"/> 
      </answer> 
    </item> 
    <item> 
      <linkId value="2.2"/> 
      <text value="What is your date of birth?"/> 
      <answer> 
        <valueDate value="1960-03-13"/> 
      </answer> 
    </item> 
    <item> 
      <linkId value="2.3"/> 
      <text value="What is your country of birth?"/> 
      <answer> 
        <valueString value="The Netherlands"/> 
      </answer> 
    </item> 
    <item> 
      <linkId value="2.4"/> 
      <text value="What is your marital status?"/> 
      <answer> 
        <valueString value="married"/> 
      </answer> 
    </item> 
  </item> 
  <item> 
    <!--   Answers to intoxications   -->
    <linkId value="3"/> 
    <text value="Intoxications"/> 
    <item> 
      <linkId value="3.1"/> 
      <text value="Do you smoke?"/> 
      <answer> 
        <valueBoolean value="false"/> 
      </answer> 
    </item> 
    <item> 
      <linkId value="3.2"/> 
      <text value="Do you drink alchohol?"/> 
      <answer> 
        <valueBoolean value="false"/> 
      </answer> 
    </item> 
  </item> 
</QuestionnaireResponse> 

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.