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 
JSON Format: QuestionnaireResponse-questionnaireresponse-example-sampler-contained-patient
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{
"resourceType" : "QuestionnaireResponse",
"id" : "questionnaireresponse-example-sampler-contained-patient",
"meta" : {
"profile" : [
"http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/argo-questionnaireresponse"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <h3>Response Summary</h3>\n <strong>Questionnaire URL:</strong> http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-sampler<br />\n <strong>Date Completed:</strong> 2019-02-13T00:39:38.320181Z<br />\n <hr /> <br /><strong>The Argonaut Questionnaire Sampler is designed to show all the question types that can be used in the Argonaut Questionnaire Project:\n\n1 boolean\n2 decimal\n3 integer\n4 dateDate\n5 dateTime\n6 timeTime\n7 string\n8 textText\n9 urlUrl\n10 choice\n11 open-choice\n12 quantity\n</strong><br /><br /> <strong>Question:</strong> (linkID=g2.q1) Check the box if the following statement is true. The average air speed velocity of a laden European swallow is greater than a laden African swallow.<br /><strong>Response:</strong> False<br /><br /> <strong>Question:</strong> (linkID=g3.q1) What is the average air speed velocity of a laden swallow in m/sec?<br /><strong>Response:</strong> 11.0<br /><br /> <strong>Question:</strong> (linkID=g4.q1) What is the average air speed velocity of a laden swallow in m/sec?<br /><strong>Response:</strong> 11<br /><br /> <strong>Question:</strong> (linkID=g5.q1) If a laden swallow left Camelot on 7/5/2018 what day would it reach the Castle Anthrax?<br /><strong>Response:</strong> 2019-12-31<br /><br /> <strong>Question:</strong> (linkID=g6.q1) If a laden swallow left Camelot on 7/5/2018 and noon when would it reach Castle Anthrax?<br /><strong>Response:</strong> 2019-02-13T12:59<br /><br /> <strong>Question:</strong> (linkID=g7.q1) If a laden swallow left Camelot at noon what time would it reach Castle Anthrax?<br /><strong>Response:</strong> 12:59<br /><br /> <strong>Question:</strong> (linkID=g8.q1) Describe how to estimate the average air speed velocity of a laden swallow in 20 words or less.<br /><strong>Response:</strong> use a duck?<br /><br /> <strong>Question:</strong> (linkID=g9.q1) Describe in detal how to estimate the average air speed velocity of a laden swallow. Please cite your sources and give examples.<br /><strong>Response:</strong> use a duck!! See https://en.wikipedia.org/wiki/Monty_Python_and_the_Holy_Grail<br /><br /> <strong>Question:</strong> (linkID=g10.q1) Provide a link to a video clip where the average air speed velocity of a laden swallow question is discussed.<br /><strong>Response:</strong> https://en.wikipedia.org/wiki/Monty_Python_and_the_Holy_Grail<br /><br /> <strong>Question:</strong> (linkID=g11.q1) What is the average air speed velocity of a laden swallow in m/sec?<br /><strong>Response:</strong> 11<br /><br /> <strong>Question:</strong> (linkID=g12.q1) What is the average air speed velocity of a laden swallow in m/sec?<br /><strong>Response:</strong> 11<br /><strong>Response:</strong> <br /><br /> <strong>Question:</strong> (linkID=g13.q1) What is the average air speed velocity of a laden swallow - please provide the units?<br /><strong>Response:</strong> 11<br /><strong>Response:</strong> m/sec<br /> <br /><br />\n </div>"
},
"contained" : [
{
"resourceType" : "Patient",
"id" : "deid-p",
"extension" : [
{
"extension" : [
{
"url" : "text",
"valueString" : "Asian"
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2028-9",
"display" : "Asian"
}
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
}
],
"identifier" : [
{
"system" : "http://example.org/pids",
"value" : "1234"
}
],
"name" : [
{
"_family" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
},
"_given" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
}
]
}
],
"gender" : "male",
"birthDate" : "1969",
"address" : [
{
"postalCode" : "945"
}
]
}
],
"extension" : [
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-responsePeriod",
"valuePeriod" : {
"start" : "2019-02-13T00:37:27.524361Z",
"end" : "2019-02-13T00:39:38.320181Z"
}
}
],
"identifier" : {
"value" : "questionnaireresponse-example-sampler"
},
"questionnaire" : {
"reference" : "http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-sampler"
},
"status" : "completed",
"subject" : {
"reference" : "#deid-p"
},
"context" : {
"reference" : "Encounter/encounter1"
},
"authored" : "2019-02-13T00:39:38.320181Z",
"author" : {
"reference" : "Practitioner/prov-admin1"
},
"source" : {
"reference" : "Patient/subject1"
},
"item" : [
{
"linkId" : "g1",
"text" : "Header Text",
"item" : [
{
"linkId" : "g1.d",
"text" : "The Argonaut Questionnaire Sampler is designed to show all the question types that can be used in the Argonaut Questionnaire Project: 1. boolean, 2. decimal, 3. integer, 4. dateDate, 5. dateTime, 6. timeTime, 7. string, 8. textText, 9. urlUrl, 10. choice, 11. open-choice, 12. quantity"
}
]
},
{
"linkId" : "g2",
"text" : "boolean",
"item" : [
{
"linkId" : "g2.q1",
"text" : "Check the box if the following statement is true. The average air speed velocity of a laden European swallow is greater than a laden African swallow.",
"answer" : [
{
"valueBoolean" : false
}
]
}
]
},
{
"linkId" : "g3",
"text" : "decimal",
"item" : [
{
"linkId" : "g3.q1",
"text" : "What is the average air speed velocity of a laden swallow in m/sec?",
"answer" : [
{
"valueDecimal" : 11.0
}
]
}
]
},
{
"linkId" : "g4",
"text" : "integer",
"item" : [
{
"linkId" : "g4.q1",
"text" : "What is the average air speed velocity of a laden swallow in m/sec?",
"answer" : [
{
"valueInteger" : 11
}
]
}
]
},
{
"linkId" : "g5",
"text" : "date",
"item" : [
{
"linkId" : "g5.q1",
"text" : "If a laden swallow left Camelot on 7/5/2018 what day would it reach the Castle Anthrax?",
"answer" : [
{
"valueDate" : "2019-12-31"
}
]
}
]
},
{
"linkId" : "g6",
"text" : "dateTime",
"item" : [
{
"linkId" : "g6.q1",
"text" : "If a laden swallow left Camelot on 7/5/2018 and noon when would it reach Castle Anthrax?",
"answer" : [
{
"valueDateTime" : "2019-02-13T12:59:00Z"
}
]
}
]
},
{
"linkId" : "g7",
"text" : "time",
"item" : [
{
"linkId" : "g7.q1",
"text" : "If a laden swallow left Camelot at noon what time would it reach Castle Anthrax?",
"answer" : [
{
"valueTime" : "12:59:00"
}
]
}
]
},
{
"linkId" : "g8",
"text" : "string",
"item" : [
{
"linkId" : "g8.q1",
"text" : "Describe how to estimate the average air speed velocity of a laden swallow in 20 words or less.",
"answer" : [
{
"valueString" : "use a duck?"
}
]
}
]
},
{
"linkId" : "g9",
"text" : "text",
"item" : [
{
"linkId" : "g9.q1",
"text" : "Describe in detal how to estimate the average air speed velocity of a laden swallow. Please cite your sources and give examples.",
"answer" : [
{
"valueString" : "use a duck!! See https://en.wikipedia.org/wiki/Monty_Python_and_the_Holy_Grail"
}
]
}
]
},
{
"linkId" : "g10",
"text" : "url",
"item" : [
{
"linkId" : "g10.q1",
"text" : "Provide a link to a video clip where the average air speed velocity of a laden swallow question is discussed.",
"answer" : [
{
"valueUri" : "https://en.wikipedia.org/wiki/Monty_Python_and_the_Holy_Grail"
}
]
}
]
},
{
"linkId" : "g11",
"text" : "choice",
"item" : [
{
"linkId" : "g11.q1",
"text" : "What is the average air speed velocity of a laden swallow in m/sec?",
"answer" : [
{
"valueString" : "11"
}
]
}
]
},
{
"linkId" : "g12",
"text" : "open-choice",
"item" : [
{
"linkId" : "g12.q1",
"text" : "What is the average air speed velocity of a laden swallow in m/sec?",
"answer" : [
{
"valueString" : "11"
}
]
}
]
},
{
"linkId" : "g13",
"text" : "quantity",
"item" : [
{
"linkId" : "g13.q1",
"text" : "What is the average air speed velocity of a laden swallow - please provide the units?",
"answer" : [
{
"valueQuantity" : {
"value" : 11,
"unit" : "m/sec",
"system" : "http://unitsofmeasure.org",
"code" : "m/s"
}
}
]
}
]
}
]
}
