FHIR Data Standards Wales for PSOM v1.0.0-rc1

Important: This is the release candidate of the FHIR Data Standards Wales for PSOM version 1.0 Implementation Guide. It is intended for trial use, and is published for early comment and feedback. Click here to give feedback.

Example QuestionnaireResponse - EQ5D5L (Response)

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QuestionnaireResponse

id : Example-DataStandardsWales-PSOM-QuestionnaireResponse-EQ5D5L-Response

meta

profile : https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-QuestionnaireResponse

language : en

identifier

system : http://example.org/NPROMS-QuestionnaireId

value : 828da5f2-b779-11ed-afa1-0242ac120002

assigner

reference : Organization/Example-DataStandardsWales-PSOM-Organization-NPROMS

display : NPROMS

basedOn

reference : CarePlan/Example-DataStandardsWales-PSOM-CarePlan-Myeloma-Response

display : Myeloma Care Plan

questionnaire : https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-EQ5D-5L|202214

status : completed

subject

reference : Patient/Example-DataStandardsWales-PSOM-Patient-AliceJones

display : Alice Jones

authored : 2020-10-11T04:44:16Z

item

linkId : E5DPX001X

answer

value

system : https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-Mobility

code : 4

display : I have slight problems in walking about

item

linkId : E5DPX002X

answer

value

system : https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-SelfCare

code : 2

display : I have severe problems in washing or dressing myself

item

linkId : E5DPX003X

answer

value

system : https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-UsualActivities

code : 5

display : I have no problems doing my usual activities

item

linkId : E5DPX004X

answer

value

system : https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-PainDiscomfort

code : 5

display : I have no pain or discomfort

item

linkId : E5DPX005X

answer

value

system : https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-AnxietyDepression

code : 3

display : I am moderately anxious or depressed

item

linkId : E5DPX006X

answer

value : 67

item

linkId : E5DPX007X

answer

value : 0.766

QuestionnaireResponse.id[0]	Example-DataStandardsWales-PSOM-QuestionnaireResponse-EQ5D5L-Response
QuestionnaireResponse.meta[0].profile[0]	https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-QuestionnaireResponse
QuestionnaireResponse.language[0]	en
QuestionnaireResponse.identifier[0].system[0]	http://example.org/NPROMS-QuestionnaireId
QuestionnaireResponse.identifier[0].value[0]	828da5f2-b779-11ed-afa1-0242ac120002
QuestionnaireResponse.identifier[0].assigner[0].reference[0]	Organization/Example-DataStandardsWales-PSOM-Organization-NPROMS
QuestionnaireResponse.identifier[0].assigner[0].display[0]	NPROMS
QuestionnaireResponse.basedOn[0].reference[0]	CarePlan/Example-DataStandardsWales-PSOM-CarePlan-Myeloma-Response
QuestionnaireResponse.basedOn[0].display[0]	Myeloma Care Plan
QuestionnaireResponse.questionnaire[0]	https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-EQ5D-5L\|202214
QuestionnaireResponse.status[0]	completed
QuestionnaireResponse.subject[0].reference[0]	Patient/Example-DataStandardsWales-PSOM-Patient-AliceJones
QuestionnaireResponse.subject[0].display[0]	Alice Jones
QuestionnaireResponse.authored[0]	2020-10-11T04:44:16Z
QuestionnaireResponse.item[0].linkId[0]	E5DPX001X
QuestionnaireResponse.item[0].answer[0].value[0].system[0]	https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-Mobility
QuestionnaireResponse.item[0].answer[0].value[0].code[0]	4
QuestionnaireResponse.item[0].answer[0].value[0].display[0]	I have slight problems in walking about
QuestionnaireResponse.item[1].linkId[0]	E5DPX002X
QuestionnaireResponse.item[1].answer[0].value[0].system[0]	https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-SelfCare
QuestionnaireResponse.item[1].answer[0].value[0].code[0]	2
QuestionnaireResponse.item[1].answer[0].value[0].display[0]	I have severe problems in washing or dressing myself
QuestionnaireResponse.item[2].linkId[0]	E5DPX003X
QuestionnaireResponse.item[2].answer[0].value[0].system[0]	https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-UsualActivities
QuestionnaireResponse.item[2].answer[0].value[0].code[0]	5
QuestionnaireResponse.item[2].answer[0].value[0].display[0]	I have no problems doing my usual activities
QuestionnaireResponse.item[3].linkId[0]	E5DPX004X
QuestionnaireResponse.item[3].answer[0].value[0].system[0]	https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-PainDiscomfort
QuestionnaireResponse.item[3].answer[0].value[0].code[0]	5
QuestionnaireResponse.item[3].answer[0].value[0].display[0]	I have no pain or discomfort
QuestionnaireResponse.item[4].linkId[0]	E5DPX005X
QuestionnaireResponse.item[4].answer[0].value[0].system[0]	https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-AnxietyDepression
QuestionnaireResponse.item[4].answer[0].value[0].code[0]	3
QuestionnaireResponse.item[4].answer[0].value[0].display[0]	I am moderately anxious or depressed
QuestionnaireResponse.item[5].linkId[0]	E5DPX006X
QuestionnaireResponse.item[5].answer[0].value[0]	67
QuestionnaireResponse.item[6].linkId[0]	E5DPX007X
QuestionnaireResponse.item[6].answer[0].value[0]	0.766

<QuestionnaireResponse xmlns="http://hl7.org/fhir">
    <id value="Example-DataStandardsWales-PSOM-QuestionnaireResponse-EQ5D5L-Response" />
    <meta>
        <profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-QuestionnaireResponse" />
    </meta>
    <language value="en" />
    <identifier>
        <system value="http://example.org/NPROMS-QuestionnaireId" />
        <value value="828da5f2-b779-11ed-afa1-0242ac120002" />
        <assigner>
            <reference value="Organization/Example-DataStandardsWales-PSOM-Organization-NPROMS" />
            <display value="NPROMS" />
        </assigner>
    </identifier>
    <basedOn>
        <reference value="CarePlan/Example-DataStandardsWales-PSOM-CarePlan-Myeloma-Response" />
        <display value="Myeloma Care Plan" />
    </basedOn>
    <questionnaire value="https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-EQ5D-5L|202214" />
    <status value="completed" />
    <subject>
        <reference value="Patient/Example-DataStandardsWales-PSOM-Patient-AliceJones" />
        <display value="Alice Jones" />
    </subject>
    <!--  MPRPX003X PROMs Completion Date & Time  -->
    <authored value="2020-10-11T04:44:16Z" />
    <item>
        <linkId value="E5DPX001X" />
        <answer>
            <valueCoding>
                <system value="https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-Mobility" />
                <code value="4" />
                <display value="I have slight problems in walking about" />
            </valueCoding>
        </answer>
    </item>
    <item>
        <linkId value="E5DPX002X" />
        <answer>
            <valueCoding>
                <system value="https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-SelfCare" />
                <code value="2" />
                <display value="I have severe problems in washing or dressing myself" />
            </valueCoding>
        </answer>
    </item>
    <item>
        <linkId value="E5DPX003X" />
        <answer>
            <valueCoding>
                <system value="https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-UsualActivities" />
                <code value="5" />
                <display value="I have no problems doing my usual activities" />
            </valueCoding>
        </answer>
    </item>
    <item>
        <linkId value="E5DPX004X" />
        <answer>
            <valueCoding>
                <system value="https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-PainDiscomfort" />
                <code value="5" />
                <display value="I have no pain or discomfort" />
            </valueCoding>
        </answer>
    </item>
    <item>
        <linkId value="E5DPX005X" />
        <answer>
            <valueCoding>
                <system value="https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-AnxietyDepression" />
                <code value="3" />
                <display value="I am moderately anxious or depressed" />
            </valueCoding>
        </answer>
    </item>
    <item>
        <linkId value="E5DPX006X" />
        <answer>
            <valueInteger value="67" />
        </answer>
    </item>
    <item>
        <linkId value="E5DPX007X" />
        <answer>
            <valueDecimal value="0.766" />
        </answer>
    </item>
</QuestionnaireResponse>

{
    "resourceType": "QuestionnaireResponse",
    "id": "Example-DataStandardsWales-PSOM-QuestionnaireResponse-EQ5D5L-Response",
    "meta": {
        "profile":  [
            "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-QuestionnaireResponse"
        ]
    },
    "language": "en",
    "identifier": {
        "system": "http://example.org/NPROMS-QuestionnaireId",
        "value": "828da5f2-b779-11ed-afa1-0242ac120002",
        "assigner": {
            "reference": "Organization/Example-DataStandardsWales-PSOM-Organization-NPROMS",
            "display": "NPROMS"
        }
    },
    "basedOn":  [
        {
            "reference": "CarePlan/Example-DataStandardsWales-PSOM-CarePlan-Myeloma-Response",
            "display": "Myeloma Care Plan"
        }
    ],
    "questionnaire": "https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-EQ5D-5L|202214",
    "status": "completed",
    "subject": {
        "reference": "Patient/Example-DataStandardsWales-PSOM-Patient-AliceJones",
        "display": "Alice Jones"
    },
    "authored": "2020-10-11T04:44:16Z",
    "item":  [
        {
            "linkId": "E5DPX001X",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-Mobility",
                        "code": "4",
                        "display": "I have slight problems in walking about"
                    }
                }
            ]
        },
        {
            "linkId": "E5DPX002X",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-SelfCare",
                        "code": "2",
                        "display": "I have severe problems in washing or dressing myself"
                    }
                }
            ]
        },
        {
            "linkId": "E5DPX003X",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-UsualActivities",
                        "code": "5",
                        "display": "I have no problems doing my usual activities"
                    }
                }
            ]
        },
        {
            "linkId": "E5DPX004X",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-PainDiscomfort",
                        "code": "5",
                        "display": "I have no pain or discomfort"
                    }
                }
            ]
        },
        {
            "linkId": "E5DPX005X",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-AnxietyDepression",
                        "code": "3",
                        "display": "I am moderately anxious or depressed"
                    }
                }
            ]
        },
        {
            "linkId": "E5DPX006X",
            "answer":  [
                {
                    "valueInteger": 67
                }
            ]
        },
        {
            "linkId": "E5DPX007X",
            "answer":  [
                {
                    "valueDecimal": 0.766
                }
            ]
        }
    ]
}