This page is part of the Argonaut Questionnaire Implementation Guide (v1.0.0: Release) based on FHIR R3. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

• Narrative Content
• XML
• JSON

XML Format: QuestionnaireResponse-questionnaireresponse-example-audit-c

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<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="questionnaireresponse-example-audit-c"/>
  <meta>
    <profile
             value="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/argo-questionnaireresponse"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
    <h3>Response Summary</h3>
    <strong>Questionnaire URL:</strong> http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-audit-c<br />
    <strong>Date Completed:</strong> 2019-02-13T00:31:20.708405Z<br />
    <hr /> <br /> <strong>Question:</strong> (linkID=q1) How often do you have a drink containing alcohol<br /><strong>Response:</strong>  Never ( code = LA6270-8, codesystem = http://loinc.org)<br /><br /> <strong>Question:</strong> (linkID=q2) How many standard drinks containing alcohol do you have on a typical day<br /><strong>Response:</strong>  1 or 2 ( code = LA15694-5, codesystem = http://loinc.org)<br /><br /> <strong>Question:</strong> (linkID=q3) How often do you have 6 or more drinks on 1 occasion<br /><strong>Response:</strong>  Never ( code = LA6270-8, codesystem = http://loinc.org)<br /><br /><strong>The Alcohol Use Disorders Identification Test C (AUDIT-C) is scored on a scale of 0-12 where the higher the score, the more likely the patient's drinking is hazardous. A score of 4 ormore for men and 3 or more for women is considered positive for hazardous drinking or active alcohol use disorders. If the points are all from Question 1 alone where 2 and 3 are 0, it is likely the patient is drinking below recommended limits. The care provider may review the patientsalcohol intake over that past few months to confirm accuracy. (this is hidden text/should not be displayed to the user)</strong><br /> <br /><br />
    </div>
  </text>
  <extension
             url="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-responsePeriod">
    <valuePeriod>
      <start value="2019-02-13T00:31:11.329331Z"/>
      <end value="2019-02-13T00:31:20.708405Z"/>
    </valuePeriod>
  </extension>
  <identifier>
    <value value="questionnaireresponse-example-audit-c"/>
  </identifier>
  <questionnaire>
    <reference
               value="http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-audit-c"/>
  </questionnaire>
  <status value="completed"/>
  <subject>
    <reference value="Patient/subject1"/>
  </subject>
  <context>
    <reference value="Encounter/encounter1"/>
  </context>
  <authored value="2019-02-13T00:31:20.708405Z"/>
  <author>
    <reference value="Practitioner/prov-admin1"/>
  </author>
  <source>
    <reference value="Patient/subject1"/>
  </source>
  <item>
    <linkId value="q1"/>
    <text value="How often do you have a drink containing alcohol"/>
    <answer>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6270-8"/>
        <display value="Never"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="q2"/>
    <text
          value="How many standard drinks containing alcohol do you have on a typical day"/>
    <answer>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA15694-5"/>
        <display value="1 or 2"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="q3"/>
    <text value="How often do you have 6 or more drinks on 1 occasion"/>
    <answer>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6270-8"/>
        <display value="Never"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="d1"/>
    <text
          value="The Alcohol Use Disorders Identification Test C (AUDIT-C) is scored on a scale of 0-12 where the higher the score, the more likely the patient&#39;s drinking is hazardous. A score of 4 ormore for men and 3 or more for women is considered positive for hazardous drinking or active alcohol use disorders. If the points are all from Question 1 alone where 2 and 3 are 0, it is likely the patient is drinking below recommended limits. The care provider may review the patientsalcohol intake over that past few months to confirm accuracy."/>
  </item>
</QuestionnaireResponse>