This page is part of the Argonaut Questionnaire Implementation Guide (v1.0.0: Release) based on FHIR R3. This is the current published version. For a full list of available versions, see the Directory of published versions 
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<QuestionnaireResponse xmlns="http://hl7.org/fhir"> <id value="adaptive-questionnaireresponse-example-audit-c"/> <meta> <profile value="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/argo-adap-questionnaireresponse"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <h3>Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] Adaptive View</h3> <p><em>NOTE: These examples are for educational and testing purposes, see the form copyright statement and do not redistribute without expressed permission from the form author.</em></p> <p>This simulates is a simple adaptive questionnaire implementation. After answering and submitting the first question another question is randomly returned from the selected questionnaire. This is repeated two more times and then the adaptive questionnaire will finish by changing the status to completed and returning a score. Note that although these questionnaires are designed as forms and are not really appropriate for the adaptive questionnaire use case, they are used here to demonstrate a proof of concept implementation.<br /> <strong>Questionnaire URL:</strong> http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-audit-c<br /> <strong>Date Completed:</strong> 2019-02-06<br /><br /> <em>Copyright: Copyright 2001 World Health Organization. Terms of Use: WHO exercises copyright over its information to make sure that it is used in accordance with the Organization's principles. Extracts of WHO information can be used for private study or for educational purposes without permission. Wider use requires permission to be obtained from WHO. http://www.who.int/about/licensing/en/</em></p> <hr /><hr /><br /> <strong>Question:</strong> (linkID=score) Cumulative Score is ... (this is hidden text/should not be displayed to the user)<br /><strong>Response:</strong> 0<br /><br /> <strong>Question:</strong> (linkID=std_dev) Standard Deviation is ... (this is hidden text/should not be displayed to the user)<br /><strong>Response:</strong> 0.0<br /><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 /></div> </text> <contained> <Questionnaire> <id value="contained-adaptive-questionnaire-example-audit-c"/> <meta> <profile value="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/argo-questionnaire"/> </meta> <extension url="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-timeLimit"> <valueDuration> <value value="1"/> <unit value="hour"/> <system value="http://unitsofmeasure.org"/> <code value="h"/> </valueDuration> </extension> <url value="http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-audit-c"/> <title value="Contained Adaptive Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"/> <status value="active"/> <date value="2019-02-13T00:33:09.090670Z"/> <copyright value="Copyright 2001 World Health Organization. Terms of Use: WHO exercises copyright over its information to make sure that it is used in accordance with the Organization's principles. Extracts of WHO information can be used for private study or for educational purposes without permission. Wider use requires permission to be obtained from WHO. http://www.who.int/about/licensing/en/"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder"> <valueInteger value="1"/> </extension> <linkId value="score"/> <text value="Cumulative Score is ..."/> <type value="integer"/> <repeats value="false"/> <readOnly value="true"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder"> <valueInteger value="2"/> </extension> <linkId value="std_dev"/> <text value="Standard Deviation is ..."/> <type value="decimal"/> <repeats value="false"/> <readOnly value="true"/> </item> <item> <extension url="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder"> <valueInteger value="3"/> </extension> <linkId value="q1"/> <definition value="http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-audit-c-q1"/> <code> <system value="http://loinc.org"/> <code value="68518-0"/> <display value="How often do you have a drink containing alcohol"/> </code> <prefix value="1."/> <text value="How often do you have a drink containing alcohol"/> <type value="choice"/> <required value="true"/> <repeats value="false"/> <option> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"> <valueInteger value="1"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue"> <valueDecimal value="0"/> </extension> <system value="http://loinc.org"/> <code value="LA6270-8"/> <display value="Never"/> </valueCoding> </option> <option> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"> <valueInteger value="2"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue"> <valueDecimal value="1"/> </extension> <system value="http://loinc.org"/> <code value="LA18926-8"/> <display value="Monthly or less"/> </valueCoding> </option> <option> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"> <valueInteger value="3"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA18927-6"/> <display value="2-4 times a month"/> </valueCoding> </option> <option> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"> <valueInteger value="4"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue"> <valueDecimal value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA18928-4"/> <display value="2-3 times a week"/> </valueCoding> </option> <option> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"> <valueInteger value="5"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue"> <valueDecimal value="4"/> </extension> <system value="http://loinc.org"/> <code value="LA18929-2"/> <display value="4 or more times a week"/> </valueCoding> </option> </item> <item> <extension url="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder"> <valueInteger value="4"/> </extension> <linkId value="q2"/> <definition value="http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-audit-c-q2"/> <code> <system value="http://loinc.org"/> <code value="68519-8"/> <display value="How many standard drinks containing alcohol do you have on a typical day"/> </code> <prefix value="2."/> <text value="How many standard drinks containing alcohol do you have on a typical day"/> <type value="choice"/> <required value="true"/> <repeats value="false"/> <option> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"> <valueInteger value="1"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue"> <valueDecimal value="0"/> </extension> <system value="http://loinc.org"/> <code value="LA15694-5"/> <display value="1 or 2"/> </valueCoding> </option> <option> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"> <valueInteger value="2"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue"> <valueDecimal value="1"/> </extension> <system value="http://loinc.org"/> <code value="LA15695-2"/> <display value="3 or 4"/> </valueCoding> </option> <option> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"> <valueInteger value="3"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA18930-0"/> <display value="5 or 6"/> </valueCoding> </option> <option> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"> <valueInteger value="4"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue"> <valueDecimal value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA18931-8"/> <display value="7 to 9"/> </valueCoding> </option> <option> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"> <valueInteger value="5"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue"> <valueDecimal value="4"/> </extension> <system value="http://loinc.org"/> <code value="LA18932-6"/> <display value="10 or more"/> </valueCoding> </option> </item> <item> <extension url="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder"> <valueInteger value="5"/> </extension> <linkId value="q3"/> <definition value="http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-audit-c-q3"/> <code> <system value="http://loinc.org"/> <code value="68520-6"/> <display value="How often do you have 6 or more drinks on 1 occasion"/> </code> <prefix value="3."/> <text value="How often do you have 6 or more drinks on 1 occasion"/> <type value="choice"/> <required value="true"/> <repeats value="false"/> <option> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"> <valueInteger value="1"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue"> <valueDecimal value="0"/> </extension> <system value="http://loinc.org"/> <code value="LA6270-8"/> <display value="Never"/> </valueCoding> </option> <option> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"> <valueInteger value="2"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue"> <valueDecimal value="1"/> </extension> <system value="http://loinc.org"/> <code value="LA18933-4"/> <display value="Less than monthly"/> </valueCoding> </option> <option> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"> <valueInteger value="3"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA18876-5"/> <display value="Monthly"/> </valueCoding> </option> <option> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"> <valueInteger value="4"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue"> <valueDecimal value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA18891-4"/> <display value="Weekly"/> </valueCoding> </option> <option> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"> <valueInteger value="5"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue"> <valueDecimal value="4"/> </extension> <system value="http://loinc.org"/> <code value="LA18934-2"/> <display value="Daily or almost daily"/> </valueCoding> </option> </item> </Questionnaire> </contained> <extension url="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-responsePeriod"> <valuePeriod> <start value="2019-02-13T00:33:06.209791Z"/> <end value="2019-02-13T00:33:32.202676Z"/> </valuePeriod> </extension> <identifier> <value value="adaptive-questionnaireresponse-example-audit-c"/> </identifier> <questionnaire> <reference value="#contained-adaptive-questionnaire-example-audit-c"/> </questionnaire> <status value="completed"/> <subject> <reference value="Patient/subject1"/> </subject> <context> <reference value="Encounter/encounter1"/> </context> <authored value="2019-02-13T00:33:06.209791Z"/> <author> <reference value="Practitioner/prov-admin1"/> </author> <source> <reference value="Patient/subject1"/> </source> <item> <linkId value="score"/> <text value="Cumulative Score is ..."/> <answer> <valueInteger value="0"/> </answer> </item> <item> <linkId value="std_dev"/> <text value="Standard Deviation is ..."/> <answer> <valueDecimal value="0.0"/> </answer> </item> <item> <linkId value="q1"/> <definition value="http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-audit-c-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"/> <definition value="http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-audit-c-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"/> <definition value="http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-audit-c-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> </QuestionnaireResponse>
