Example to illustrate a questionnaire response for a fitness for work survey

Table View

QuestionnaireResponse.id[0]UKCore-QuestionnaireResponse-FitnessForWork-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 a fitness to work form</div>
QuestionnaireResponse.questionnaire[0]https://example.com/base/Questionnaire/UKCore-Questionnaire-FitnessForWork-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]2023-11-13T16:00:00+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]Assessment Date
QuestionnaireResponse.item[0].answer[0].value[0]2023-11-13
QuestionnaireResponse.item[1].linkId[0]Q2
QuestionnaireResponse.item[1].text[0]Condition(s)
QuestionnaireResponse.item[1].item[0].linkId[0]Q2g
QuestionnaireResponse.item[1].item[0].text[0]Condition (Coded)
QuestionnaireResponse.item[1].item[0].answer[0].value[0].system[0]http://snomed.info/sct
QuestionnaireResponse.item[1].item[0].answer[0].value[0].code[0]203082005
QuestionnaireResponse.item[1].item[0].answer[0].value[0].display[0]Fibromyalgia
QuestionnaireResponse.item[2].linkId[0]Q3
QuestionnaireResponse.item[2].text[0]I find you
QuestionnaireResponse.item[2].answer[0].value[0].system[0]http://snomed.info/sct
QuestionnaireResponse.item[2].answer[0].value[0].code[0]225891002
QuestionnaireResponse.item[2].answer[0].value[0].display[0]Fit for work with restrictions

XML View

<QuestionnaireResponse xmlns="http://hl7.org/fhir">
<id value="UKCore-QuestionnaireResponse-FitnessForWork-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-FitnessForWork-Example" />
<status value="completed" />
<reference value="Patient/UKCore-Patient-RichardSmith-Example" />
</subject>
<reference value="Encounter/UKCore-Encounter-InpatientEncounter-Example" />
</encounter>
<authored value="2023-11-13T16:00:00+00:00" />
<reference value="Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example" />
</author>
<reference value="Patient/UKCore-Patient-RichardSmith-Example" />
</source>
<linkId value="Q1" />
<text value="Assessment Date" />
<valueDate value="2023-11-13" />
</answer>
</item>
<linkId value="Q2" />
<text value="Condition(s)" />
<linkId value="Q2g" />
<text value="Condition (Coded)" />
<system value="http://snomed.info/sct" />
<code value="203082005" />
<display value="Fibromyalgia" />
</valueCoding>
</answer>
</item>
</item>
<linkId value="Q3" />
<text value="I find you" />
<system value="http://snomed.info/sct" />
<code value="225891002" />
<display value="Fit for work with restrictions" />
</valueCoding>
</answer>
</item>
</QuestionnaireResponse>

JSON View

{
"resourceType": "QuestionnaireResponse",
"id": "UKCore-QuestionnaireResponse-FitnessForWork-Example",
"text": {
"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},
"questionnaire": "https://example.com/base/Questionnaire/UKCore-Questionnaire-FitnessForWork-Example",
"status": "completed",
"subject": {
"reference": "Patient/UKCore-Patient-RichardSmith-Example"
},
"reference": "Encounter/UKCore-Encounter-InpatientEncounter-Example"
},
"authored": "2023-11-13T16:00:00+00:00",
"author": {
"reference": "Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example"
},
"source": {
"reference": "Patient/UKCore-Patient-RichardSmith-Example"
},
"item": [
{
"linkId": "Q1",
"text": "Assessment Date",
"answer": [
{
"valueDate": "2023-11-13"
}
]
},
{
"linkId": "Q2",
"text": "Condition(s)",
"item": [
{
"linkId": "Q2g",
"text": "Condition (Coded)",
"answer": [
{
"system": "http://snomed.info/sct",
"code": "203082005",
"display": "Fibromyalgia"
}
}
]
}
]
},
{
"linkId": "Q3",
"text": "I find you",
"answer": [
{
"system": "http://snomed.info/sct",
"code": "225891002",
"display": "Fit for work with restrictions"
}
}
]
}
]
}