FHIR Data Standards Wales for PSOM v1.0.0-rc3
Important: This is the release candidate of the FHIR Data Standards Wales for PSOM version 1.0.0-rc2 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)

QuestionnaireResponse
QuestionnaireResponse.id[0]le-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]https://acme.com/fhir/identifier/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.questionnaire[0]https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-EQ5D-5L|2022014
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]2020-10-11T04:44:16+00:00
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="le-DataStandardsWales-PSOM-QuestionnaireResponse-EQ5D5L-Response" />
    <meta>
        <profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-QuestionnaireResponse" />
    </meta>
    <language value="en" />
    <identifier>
        <system value="https://acme.com/fhir/identifier/NPROMS-QuestionnaireId" />
        <value value="828da5f2-b779-11ed-afa1-0242ac120002" />
        <assigner>
            <reference value="Organization/Example-DataStandardsWales-PSOM-Organization-NPROMS" />
            <display value="NPROMS" />
        </assigner>
    </identifier>
    <questionnaire value="https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-EQ5D-5L|2022014" />
    <status value="completed" />
    <subject>
        <reference value="Patient/Example-DataStandardsWales-PSOM-Patient-AliceJones" />
        <display value="Alice Jones" />
    </subject>
    <authored value="2020-10-11T04:44:16+00:00" />
    <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": "le-DataStandardsWales-PSOM-QuestionnaireResponse-EQ5D5L-Response",
    "meta": {
        "profile":  [
            "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-QuestionnaireResponse"
        ]
    },
    "language": "en",
    "identifier": {
        "system": "https://acme.com/fhir/identifier/NPROMS-QuestionnaireId",
        "value": "828da5f2-b779-11ed-afa1-0242ac120002",
        "assigner": {
            "reference": "Organization/Example-DataStandardsWales-PSOM-Organization-NPROMS",
            "display": "NPROMS"
        }
    },
    "questionnaire": "https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-EQ5D-5L|2022014",
    "status": "completed",
    "subject": {
        "reference": "Patient/Example-DataStandardsWales-PSOM-Patient-AliceJones",
        "display": "Alice Jones"
    },
    "authored": "2020-10-11T04:44:16+00:00",
    "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
                }
            ]
        }
    ]
}