Example to illustrate a questionnaire response for an end of life survey

Table View

QuestionnaireResponse.id[0]UKCore-QuestionnaireResponse-EOLPlan-Example
QuestionnaireResponse.text[0].status[0]additional
QuestionnaireResponse.text[0].div[0]<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate a questionnaire response for an end of life survey</div>
QuestionnaireResponse.questionnaire[0]https://example.com/base/Questionnaire/UKCore-Questionnaire-EOLPlan-Example
QuestionnaireResponse.status[0]completed
QuestionnaireResponse.subject[0].reference[0]Patient/UKCore-Patient-RichardSmith-Example
QuestionnaireResponse.encounter[0].reference[0]Encounter/UKCore-Encounter-InpatientEncounter-Example
QuestionnaireResponse.authored[0]2023-11-14T08:07:00+00:00
QuestionnaireResponse.author[0].reference[0]Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example
QuestionnaireResponse.source[0].reference[0]Patient/UKCore-Patient-RichardSmith-Example
QuestionnaireResponse.item[0].linkId[0]Q1
QuestionnaireResponse.item[0].text[0]Advanced Treatment Preferences
QuestionnaireResponse.item[0].item[0].linkId[0]Q1.1
QuestionnaireResponse.item[0].item[0].text[0]Clinical Problems and Advised Interventions
QuestionnaireResponse.item[0].item[0].item[0].linkId[0]Q1.1g
QuestionnaireResponse.item[0].item[0].item[0].text[0]ATP Problems
QuestionnaireResponse.item[0].item[0].item[0].answer[0].value[0].system[0]http://snomed.info/sct
QuestionnaireResponse.item[0].item[0].item[0].answer[0].value[0].code[0]95417003
QuestionnaireResponse.item[0].item[0].item[0].answer[0].value[0].display[0]Primary fibromyalgia syndrome
QuestionnaireResponse.item[0].item[1].linkId[0]Q1.2
QuestionnaireResponse.item[0].item[1].text[0]Anticipatory medicines/just in case box issued
QuestionnaireResponse.item[0].item[1].answer[0].value[0]Yes
QuestionnaireResponse.item[0].item[2].linkId[0]Q1.3
QuestionnaireResponse.item[0].item[2].text[0]Advance Decision to Refuse Treatment
QuestionnaireResponse.item[0].item[2].answer[0].value[0]Yes
QuestionnaireResponse.item[1].linkId[0]Q2
QuestionnaireResponse.item[1].text[0]Consent
QuestionnaireResponse.item[1].item[0].linkId[0]Q2g
QuestionnaireResponse.item[1].item[0].text[0]Consent for Information Sharing
QuestionnaireResponse.item[1].item[0].answer[0].value[0]2023-11-13
QuestionnaireResponse.item[2].linkId[0]Q3
QuestionnaireResponse.item[2].text[0]EOL Register
QuestionnaireResponse.item[2].item[0].linkId[0]Q3g
QuestionnaireResponse.item[2].item[0].text[0]On End Of Life Register
QuestionnaireResponse.item[2].item[0].answer[0].value[0]2023-11-13T16:07:00+00:00

XML View

<QuestionnaireResponse xmlns="http://hl7.org/fhir">
<id value="UKCore-QuestionnaireResponse-EOLPlan-Example" />
<status value="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text>
<questionnaire value="https://example.com/base/Questionnaire/UKCore-Questionnaire-EOLPlan-Example" />
<status value="completed" />
<reference value="Patient/UKCore-Patient-RichardSmith-Example" />
</subject>
<reference value="Encounter/UKCore-Encounter-InpatientEncounter-Example" />
</encounter>
<authored value="2023-11-14T08:07:00+00:00" />
<reference value="Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example" />
</author>
<reference value="Patient/UKCore-Patient-RichardSmith-Example" />
</source>
<linkId value="Q1" />
<text value="Advanced Treatment Preferences" />
<linkId value="Q1.1" />
<text value="Clinical Problems and Advised Interventions" />
<linkId value="Q1.1g" />
<text value="ATP Problems" />
<system value="http://snomed.info/sct" />
<code value="95417003" />
<display value="Primary fibromyalgia syndrome" />
</valueCoding>
</answer>
</item>
</item>
<linkId value="Q1.2" />
<text value="Anticipatory medicines/just in case box issued" />
<valueString value="Yes" />
</answer>
</item>
<linkId value="Q1.3" />
<text value="Advance Decision to Refuse Treatment" />
<valueString value="Yes" />
</answer>
</item>
</item>
<linkId value="Q2" />
<text value="Consent" />
<linkId value="Q2g" />
<text value="Consent for Information Sharing" />
<valueDate value="2023-11-13" />
</answer>
</item>
</item>
<linkId value="Q3" />
<text value="EOL Register" />
<linkId value="Q3g" />
<text value="On End Of Life Register" />
<valueDateTime value="2023-11-13T16:07:00+00:00" />
</answer>
</item>
</item>
</QuestionnaireResponse>

JSON View

{
"resourceType": "QuestionnaireResponse",
"id": "UKCore-QuestionnaireResponse-EOLPlan-Example",
"text": {
"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},
"questionnaire": "https://example.com/base/Questionnaire/UKCore-Questionnaire-EOLPlan-Example",
"status": "completed",
"subject": {
"reference": "Patient/UKCore-Patient-RichardSmith-Example"
},
"reference": "Encounter/UKCore-Encounter-InpatientEncounter-Example"
},
"authored": "2023-11-14T08:07:00+00:00",
"author": {
"reference": "Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example"
},
"source": {
"reference": "Patient/UKCore-Patient-RichardSmith-Example"
},
"item": [
{
"linkId": "Q1",
"text": "Advanced Treatment Preferences",
"item": [
{
"linkId": "Q1.1",
"text": "Clinical Problems and Advised Interventions",
"item": [
{
"linkId": "Q1.1g",
"text": "ATP Problems",
"answer": [
{
"system": "http://snomed.info/sct",
"code": "95417003",
"display": "Primary fibromyalgia syndrome"
}
}
]
}
]
},
{
"linkId": "Q1.2",
"text": "Anticipatory medicines/just in case box issued",
"answer": [
{
"valueString": "Yes"
}
]
},
{
"linkId": "Q1.3",
"text": "Advance Decision to Refuse Treatment",
"answer": [
{
"valueString": "Yes"
}
]
}
]
},
{
"linkId": "Q2",
"text": "Consent",
"item": [
{
"linkId": "Q2g",
"text": "Consent for Information Sharing",
"answer": [
{
"valueDate": "2023-11-13"
}
]
}
]
},
{
"linkId": "Q3",
"text": "EOL Register",
"item": [
{
"linkId": "Q3g",
"text": "On End Of Life Register",
"answer": [
{
"valueDateTime": "2023-11-13T16:07:00+00:00"
}
]
}
]
}
]
}