Examples

QuestionnaireResponse Proxy Access Request

Tree View

QuestionnaireResponse

Table View

QuestionnaireResponse.id[0]NationalProxy-QuestionnaireResponse-ProxyAccessRequest-Example
QuestionnaireResponse.questionnaire[0]https://fhir.nhs.uk/England/Questionnaire/ProxyAccessRequest
QuestionnaireResponse.status[0]completed
QuestionnaireResponse.subject[0].identifier[0].system[0]https://fhir.nhs.uk/Id/nhs-number
QuestionnaireResponse.subject[0].identifier[0].value[0]9000000017
QuestionnaireResponse.authored[0]2024-10-07T15:07:55.495Z
QuestionnaireResponse.item[0].linkId[0]relatedPerson
QuestionnaireResponse.item[0].text[0]Proxy details
QuestionnaireResponse.item[0].item[0].linkId[0]relatedPerson_identifier
QuestionnaireResponse.item[0].item[0].text[0]NHS number
QuestionnaireResponse.item[0].item[0].answer[0].value[0]9100000009
QuestionnaireResponse.item[0].item[1].linkId[0]relatedPerson_name
QuestionnaireResponse.item[0].item[1].text[0]Name
QuestionnaireResponse.item[0].item[1].item[0].linkId[0]relatedPerson_name_first
QuestionnaireResponse.item[0].item[1].item[0].text[0]First name
QuestionnaireResponse.item[0].item[1].item[0].answer[0].value[0]Jayne
QuestionnaireResponse.item[0].item[1].item[1].linkId[0]relatedPerson_name_family
QuestionnaireResponse.item[0].item[1].item[1].text[0]Last name
QuestionnaireResponse.item[0].item[1].item[1].answer[0].value[0]Smith
QuestionnaireResponse.item[0].item[2].linkId[0]relatedPerson_birthDate
QuestionnaireResponse.item[0].item[2].text[0]Date of birth
QuestionnaireResponse.item[0].item[2].answer[0].value[0]1970-10-16
QuestionnaireResponse.item[0].item[3].linkId[0]relatedPerson_basisForAccess
QuestionnaireResponse.item[0].item[3].text[0]Basis for Access
QuestionnaireResponse.item[0].item[3].answer[0].value[0].system[0]http://terminology.hl7.org/CodeSystem/v3-RoleCode
QuestionnaireResponse.item[0].item[3].answer[0].value[0].code[0]PRN
QuestionnaireResponse.item[0].item[3].answer[0].value[0].display[0]Parent
QuestionnaireResponse.item[0].item[4].linkId[0]relatedPerson_relationship
QuestionnaireResponse.item[0].item[4].text[0]Relationship
QuestionnaireResponse.item[0].item[4].answer[0].value[0].system[0]http://terminology.hl7.org/CodeSystem/v3-RoleCode
QuestionnaireResponse.item[0].item[4].answer[0].value[0].code[0]PRN
QuestionnaireResponse.item[0].item[4].answer[0].value[0].display[0]Parent
QuestionnaireResponse.item[1].linkId[0]parentalApplicationSupplementaryDetails
QuestionnaireResponse.item[1].text[0]Parental Application Supplementary Details
QuestionnaireResponse.item[1].item[0].linkId[0]parentalApplicationSupplementaryDetails_evidenceOfResponsibility
QuestionnaireResponse.item[1].item[0].text[0]Evidence of parental responsibility
QuestionnaireResponse.item[1].item[0].answer[0].value[0].system[0]https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-EvidenceOfResponsibility
QuestionnaireResponse.item[1].item[0].answer[0].value[0].code[0]BRTH
QuestionnaireResponse.item[1].item[0].answer[0].value[0].display[0]Birth certificate
QuestionnaireResponse.item[1].item[1].linkId[0]parentalApplicationSupplementaryDetails_isCurrentAddressConfirmed
QuestionnaireResponse.item[1].item[1].text[0]Is current address confirmed?
QuestionnaireResponse.item[1].item[1].answer[0].value[0]True
QuestionnaireResponse.item[1].item[2].linkId[0]parentalApplicationSupplementaryDetails_newAddress
QuestionnaireResponse.item[1].item[2].text[0]New address
QuestionnaireResponse.item[1].item[2].item[0].linkId[0]parentalApplicationSupplementaryDetails_line1
QuestionnaireResponse.item[1].item[2].item[0].text[0]Address line 1
QuestionnaireResponse.item[1].item[2].item[0].answer[0].value[0]6 Harrogate Road
QuestionnaireResponse.item[1].item[2].item[1].linkId[0]parentalApplicationSupplementaryDetails_line2
QuestionnaireResponse.item[1].item[2].item[1].text[0]Address line 2
QuestionnaireResponse.item[1].item[2].item[1].answer[0].value[0]Crossgates
QuestionnaireResponse.item[1].item[2].item[2].linkId[0]parentalApplicationSupplementaryDetails_city
QuestionnaireResponse.item[1].item[2].item[2].text[0]Town / City
QuestionnaireResponse.item[1].item[2].item[2].answer[0].value[0]Leeds
QuestionnaireResponse.item[1].item[2].item[3].linkId[0]parentalApplicationSupplementaryDetails_postalCode
QuestionnaireResponse.item[1].item[2].item[3].text[0]Postcode
QuestionnaireResponse.item[1].item[2].item[3].answer[0].value[0]LS15 9FA
QuestionnaireResponse.item[1].item[3].linkId[0]parentalApplicationSupplementaryDetails_liveAtSameAddress
QuestionnaireResponse.item[1].item[3].text[0]Do adult and child live at the same address?
QuestionnaireResponse.item[1].item[3].answer[0].value[0]True
QuestionnaireResponse.item[1].item[4].linkId[0]parentalApplicationSupplementaryDetails_canChildConsent
QuestionnaireResponse.item[1].item[4].text[0]Can the child consent?
QuestionnaireResponse.item[1].item[4].answer[0].value[0]True
QuestionnaireResponse.item[2].linkId[0]patient
QuestionnaireResponse.item[2].text[0]Patient details
QuestionnaireResponse.item[2].item[0].linkId[0]patient_identifier
QuestionnaireResponse.item[2].item[0].text[0]NHS number
QuestionnaireResponse.item[2].item[0].answer[0].value[0]9000000017
QuestionnaireResponse.item[2].item[1].linkId[0]patient_name
QuestionnaireResponse.item[2].item[1].text[0]Name
QuestionnaireResponse.item[2].item[1].item[0].linkId[0]patient_name_first
QuestionnaireResponse.item[2].item[1].item[0].text[0]First name
QuestionnaireResponse.item[2].item[1].item[0].answer[0].value[0]Jane Marie Anne
QuestionnaireResponse.item[2].item[1].item[1].linkId[0]patient_name_family
QuestionnaireResponse.item[2].item[1].item[1].text[0]Last name
QuestionnaireResponse.item[2].item[1].item[1].answer[0].value[0]Smith
QuestionnaireResponse.item[2].item[2].linkId[0]patient_birthDate
QuestionnaireResponse.item[2].item[2].text[0]Date of birth
QuestionnaireResponse.item[2].item[2].answer[0].value[0]2010-12-31
QuestionnaireResponse.item[3].linkId[0]requestedAccess
QuestionnaireResponse.item[3].text[0]Requested access
QuestionnaireResponse.item[3].item[0].linkId[0]requestedAccess_accessLevel
QuestionnaireResponse.item[3].item[0].text[0]Requested access level
QuestionnaireResponse.item[3].item[0].answer[0].value[0].system[0]https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess
QuestionnaireResponse.item[3].item[0].answer[0].value[0].code[0]APPT
QuestionnaireResponse.item[3].item[0].answer[0].value[0].display[0]Appointment Booking
QuestionnaireResponse.item[3].item[0].answer[1].value[0].system[0]https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess
QuestionnaireResponse.item[3].item[0].answer[1].value[0].code[0]CNTCT
QuestionnaireResponse.item[3].item[0].answer[1].value[0].display[0]Contacting Surgery
QuestionnaireResponse.item[3].item[0].answer[2].value[0].system[0]https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess
QuestionnaireResponse.item[3].item[0].answer[2].value[0].code[0]RECRD
QuestionnaireResponse.item[3].item[0].answer[2].value[0].display[0]Medical Records Access
QuestionnaireResponse.item[3].item[0].answer[3].value[0].system[0]https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess
QuestionnaireResponse.item[3].item[0].answer[3].value[0].code[0]TEST
QuestionnaireResponse.item[3].item[0].answer[3].value[0].display[0]Test Results
QuestionnaireResponse.item[3].item[0].answer[4].value[0].system[0]https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess
QuestionnaireResponse.item[3].item[0].answer[4].value[0].code[0]VACC
QuestionnaireResponse.item[3].item[0].answer[4].value[0].display[0]Vaccination Records
QuestionnaireResponse.item[3].item[0].answer[5].value[0].system[0]https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess
QuestionnaireResponse.item[3].item[0].answer[5].value[0].code[0]PRESCR
QuestionnaireResponse.item[3].item[0].answer[5].value[0].display[0]Request and manage repeat prescriptions
QuestionnaireResponse.item[3].item[1].linkId[0]requestedAccess_reasonsForAccess
QuestionnaireResponse.item[3].item[1].text[0]Reason for access
QuestionnaireResponse.item[3].item[1].answer[0].value[0].system[0]https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-ReasonForAccess
QuestionnaireResponse.item[3].item[1].answer[0].value[0].code[0]COMB
QuestionnaireResponse.item[3].item[1].answer[0].value[0].display[0]Communication Barriers
QuestionnaireResponse.item[3].item[1].answer[1].value[0].system[0]https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-ReasonForAccess
QuestionnaireResponse.item[3].item[1].answer[1].value[0].code[0]MHEA
QuestionnaireResponse.item[3].item[1].answer[1].value[0].display[0]Mental Health Condition
QuestionnaireResponse.item[3].item[1].answer[2].value[0].system[0]https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-ReasonForAccess
QuestionnaireResponse.item[3].item[1].answer[2].value[0].code[0]PRAC
QuestionnaireResponse.item[3].item[1].answer[2].value[0].display[0]Practical Reasons

XML View

<QuestionnaireResponse xmlns="http://hl7.org/fhir">
<id value="NationalProxy-QuestionnaireResponse-ProxyAccessRequest-Example" />
<questionnaire value="https://fhir.nhs.uk/England/Questionnaire/ProxyAccessRequest" />
<status value="completed" />
<subject>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9000000017" />
</identifier>
</subject>
<authored value="2024-10-07T15:07:55.495Z" />
<item>
<linkId value="relatedPerson" />
<text value="Proxy details" />
<item>
<linkId value="relatedPerson_identifier" />
<text value="NHS number" />
<answer>
<valueString value="9100000009" />
</answer>
</item>
<item>
<linkId value="relatedPerson_name" />
<text value="Name" />
<item>
<linkId value="relatedPerson_name_first" />
<text value="First name" />
<answer>
<valueString value="Jayne" />
</answer>
</item>
<item>
<linkId value="relatedPerson_name_family" />
<text value="Last name" />
<answer>
<valueString value="Smith" />
</answer>
</item>
</item>
<item>
<linkId value="relatedPerson_birthDate" />
<text value="Date of birth" />
<answer>
<valueDate value="1970-10-16" />
</answer>
</item>
<item>
<linkId value="relatedPerson_basisForAccess" />
<text value="Basis for Access" />
<answer>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode" />
<code value="PRN" />
<display value="Parent" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="relatedPerson_relationship" />
<text value="Relationship" />
<answer>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode" />
<code value="PRN" />
<display value="Parent" />
</valueCoding>
</answer>
</item>
</item>
<item>
<linkId value="parentalApplicationSupplementaryDetails" />
<text value="Parental Application Supplementary Details" />
<item>
<linkId value="parentalApplicationSupplementaryDetails_evidenceOfResponsibility" />
<text value="Evidence of parental responsibility" />
<answer>
<valueCoding>
<system value="https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-EvidenceOfResponsibility" />
<code value="BRTH" />
<display value="Birth certificate" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="parentalApplicationSupplementaryDetails_isCurrentAddressConfirmed" />
<text value="Is current address confirmed?" />
<answer>
<valueBoolean value="true" />
</answer>
</item>
<item>
<linkId value="parentalApplicationSupplementaryDetails_newAddress" />
<text value="New address" />
<item>
<linkId value="parentalApplicationSupplementaryDetails_line1" />
<text value="Address line 1" />
<answer>
<valueString value="6 Harrogate Road" />
</answer>
</item>
<item>
<linkId value="parentalApplicationSupplementaryDetails_line2" />
<text value="Address line 2" />
<answer>
<valueString value="Crossgates" />
</answer>
</item>
<item>
<linkId value="parentalApplicationSupplementaryDetails_city" />
<text value="Town / City" />
<answer>
<valueString value="Leeds" />
</answer>
</item>
<item>
<linkId value="parentalApplicationSupplementaryDetails_postalCode" />
<text value="Postcode" />
<answer>
<valueString value="LS15 9FA" />
</answer>
</item>
</item>
<item>
<linkId value="parentalApplicationSupplementaryDetails_liveAtSameAddress" />
<text value="Do adult and child live at the same address?" />
<answer>
<valueBoolean value="true" />
</answer>
</item>
<item>
<linkId value="parentalApplicationSupplementaryDetails_canChildConsent" />
<text value="Can the child consent?" />
<answer>
<valueBoolean value="true" />
</answer>
</item>
</item>
<item>
<linkId value="patient" />
<text value="Patient details" />
<item>
<linkId value="patient_identifier" />
<text value="NHS number" />
<answer>
<valueString value="9000000017" />
</answer>
</item>
<item>
<linkId value="patient_name" />
<text value="Name" />
<item>
<linkId value="patient_name_first" />
<text value="First name" />
<answer>
<valueString value="Jane Marie Anne" />
</answer>
</item>
<item>
<linkId value="patient_name_family" />
<text value="Last name" />
<answer>
<valueString value="Smith" />
</answer>
</item>
</item>
<item>
<linkId value="patient_birthDate" />
<text value="Date of birth" />
<answer>
<valueDate value="2010-12-31" />
</answer>
</item>
</item>
<item>
<linkId value="requestedAccess" />
<text value="Requested access" />
<item>
<linkId value="requestedAccess_accessLevel" />
<text value="Requested access level" />
<answer>
<valueCoding>
<system value="https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess" />
<code value="APPT" />
<display value="Appointment Booking" />
</valueCoding>
</answer>
<answer>
<valueCoding>
<system value="https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess" />
<code value="CNTCT" />
<display value="Contacting Surgery" />
</valueCoding>
</answer>
<answer>
<valueCoding>
<system value="https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess" />
<code value="RECRD" />
<display value="Medical Records Access" />
</valueCoding>
</answer>
<answer>
<valueCoding>
<system value="https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess" />
<code value="TEST" />
<display value="Test Results" />
</valueCoding>
</answer>
<answer>
<valueCoding>
<system value="https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess" />
<code value="VACC" />
<display value="Vaccination Records" />
</valueCoding>
</answer>
<answer>
<valueCoding>
<system value="https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess" />
<code value="PRESCR" />
<display value="Request and manage repeat prescriptions" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="requestedAccess_reasonsForAccess" />
<text value="Reason for access" />
<answer>
<valueCoding>
<system value="https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-ReasonForAccess" />
<code value="COMB" />
<display value="Communication Barriers" />
</valueCoding>
</answer>
<answer>
<valueCoding>
<system value="https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-ReasonForAccess" />
<code value="MHEA" />
<display value="Mental Health Condition" />
</valueCoding>
</answer>
<answer>
<valueCoding>
<system value="https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-ReasonForAccess" />
<code value="PRAC" />
<display value="Practical Reasons" />
</valueCoding>
</answer>
</item>
</item>
</QuestionnaireResponse>

JSON View

{
"resourceType": "QuestionnaireResponse",
"id": "NationalProxy-QuestionnaireResponse-ProxyAccessRequest-Example",
"questionnaire": "https://fhir.nhs.uk/England/Questionnaire/ProxyAccessRequest",
"status": "completed",
"subject": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9000000017"
}
},
"authored": "2024-10-07T15:07:55.495Z",
"item": [
{
"linkId": "relatedPerson",
"text": "Proxy details",
"item": [
{
"linkId": "relatedPerson_identifier",
"text": "NHS number",
"answer": [
{
"valueString": "9100000009"
}
]
},
{
"linkId": "relatedPerson_name",
"text": "Name",
"item": [
{
"linkId": "relatedPerson_name_first",
"text": "First name",
"answer": [
{
"valueString": "Jayne"
}
]
},
{
"linkId": "relatedPerson_name_family",
"text": "Last name",
"answer": [
{
"valueString": "Smith"
}
]
}
]
},
{
"linkId": "relatedPerson_birthDate",
"text": "Date of birth",
"answer": [
{
"valueDate": "1970-10-16"
}
]
},
{
"linkId": "relatedPerson_basisForAccess",
"text": "Basis for Access",
"answer": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "PRN",
"display": "Parent"
}
}
]
},
{
"linkId": "relatedPerson_relationship",
"text": "Relationship",
"answer": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "PRN",
"display": "Parent"
}
}
]
}
]
},
{
"linkId": "parentalApplicationSupplementaryDetails",
"text": "Parental Application Supplementary Details",
"item": [
{
"linkId": "parentalApplicationSupplementaryDetails_evidenceOfResponsibility",
"text": "Evidence of parental responsibility",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-EvidenceOfResponsibility",
"code": "BRTH",
"display": "Birth certificate"
}
}
]
},
{
"linkId": "parentalApplicationSupplementaryDetails_isCurrentAddressConfirmed",
"text": "Is current address confirmed?",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "parentalApplicationSupplementaryDetails_newAddress",
"text": "New address",
"item": [
{
"linkId": "parentalApplicationSupplementaryDetails_line1",
"text": "Address line 1",
"answer": [
{
"valueString": "6 Harrogate Road"
}
]
},
{
"linkId": "parentalApplicationSupplementaryDetails_line2",
"text": "Address line 2",
"answer": [
{
"valueString": "Crossgates"
}
]
},
{
"linkId": "parentalApplicationSupplementaryDetails_city",
"text": "Town / City",
"answer": [
{
"valueString": "Leeds"
}
]
},
{
"linkId": "parentalApplicationSupplementaryDetails_postalCode",
"text": "Postcode",
"answer": [
{
"valueString": "LS15 9FA"
}
]
}
]
},
{
"linkId": "parentalApplicationSupplementaryDetails_liveAtSameAddress",
"text": "Do adult and child live at the same address?",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "parentalApplicationSupplementaryDetails_canChildConsent",
"text": "Can the child consent?",
"answer": [
{
"valueBoolean": true
}
]
}
]
},
{
"linkId": "patient",
"text": "Patient details",
"item": [
{
"linkId": "patient_identifier",
"text": "NHS number",
"answer": [
{
"valueString": "9000000017"
}
]
},
{
"linkId": "patient_name",
"text": "Name",
"item": [
{
"linkId": "patient_name_first",
"text": "First name",
"answer": [
{
"valueString": "Jane Marie Anne"
}
]
},
{
"linkId": "patient_name_family",
"text": "Last name",
"answer": [
{
"valueString": "Smith"
}
]
}
]
},
{
"linkId": "patient_birthDate",
"text": "Date of birth",
"answer": [
{
"valueDate": "2010-12-31"
}
]
}
]
},
{
"linkId": "requestedAccess",
"text": "Requested access",
"item": [
{
"linkId": "requestedAccess_accessLevel",
"text": "Requested access level",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess",
"code": "APPT",
"display": "Appointment Booking"
}
},
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess",
"code": "CNTCT",
"display": "Contacting Surgery"
}
},
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess",
"code": "RECRD",
"display": "Medical Records Access"
}
},
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess",
"code": "TEST",
"display": "Test Results"
}
},
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess",
"code": "VACC",
"display": "Vaccination Records"
}
},
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess",
"code": "PRESCR",
"display": "Request and manage repeat prescriptions"
}
}
]
},
{
"linkId": "requestedAccess_reasonsForAccess",
"text": "Reason for access",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-ReasonForAccess",
"code": "COMB",
"display": "Communication Barriers"
}
},
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-ReasonForAccess",
"code": "MHEA",
"display": "Mental Health Condition"
}
},
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-ReasonForAccess",
"code": "PRAC",
"display": "Practical Reasons"
}
}
]
}
]
}
]
}