Argonaut Questionnaire Implementation Guide (Release 1.0.0 )

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

XML Format: QuestionnaireResponse-questionnaireresponse-example-housing

Download Raw xml 


<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="questionnaireresponse-example-housing"/>
  <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-housing<br />
    <strong>Date Completed:</strong> 2019-02-13T00:35:59.723988Z<br />
    <hr /> <br /><strong>Accountable Health Communities Core Health-Related Social Needs Screening Questions 
Underlined answer options indicate positive responses for the associated health-related social need. 
A value greater than 10 when the numerical values for answers to questions 7-10 are summed indicates a positive screen for interpersonal safety.</strong><br /><br /> <strong>Question:</strong> (linkID=g1.1) What is your housing situation today?<br /><strong>Response:</strong> I have housing<br /><br /> <strong>Question:</strong> (linkID=g1.2) Think about the place you live. Do you have problems with any of the following? (check all that apply)<br /><strong>Response:</strong> None of the above<br /> <br /><br />
    </div>
  </text>
  <extension
             url="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-responsePeriod">
    <valuePeriod>
      <start value="2019-02-13T00:35:52.916382Z"/>
      <end value="2019-02-13T00:35:59.723988Z"/>
    </valuePeriod>
  </extension>
  <identifier>
    <value value="questionnaireresponse-example-housing"/>
  </identifier>
  <questionnaire>
    <reference
               value="http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-housing"/>
  </questionnaire>
  <status value="completed"/>
  <subject>
    <reference value="Patient/subject1"/>
  </subject>
  <context>
    <reference value="Encounter/encounter1"/>
  </context>
  <authored value="2019-02-13T00:35:59.723988Z"/>
  <author>
    <reference value="Practitioner/prov-admin1"/>
  </author>
  <source>
    <reference value="Patient/subject1"/>
  </source>
  <item>
    <linkId value="g1"/>
    <item>
      <linkId value="g1.d"/>
      <text
            value="Accountable Health Communities Core Health-Related Social Needs Screening Questions 
Underlined answer options indicate positive responses for the associated health-related social need. 
A value greater than 10 when the numerical values for answers to questions 7-10 are summed indicates a positive screen for interpersonal safety."/>
    </item>
    <item>
      <linkId value="g1.1"/>
      <text value="What is your housing situation today?"/>
      <answer>
        <valueString value="I have housing"/>
      </answer>
    </item>
    <item>
      <linkId value="g1.2"/>
      <text
            value="Think about the place you live. Do you have problems with any of the following? (check all that apply)"/>
      <answer>
        <valueString value="None of the above"/>
      </answer>
    </item>
  </item>
</QuestionnaireResponse>