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)
- Overview
- Table
- XML
- JSON
- Narrative
| 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 | 
| 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] | 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 } ] } ] }
