Women for FHIR

Heavy Menstrual Bleeding Implementation Guide
0.1.0 - Draft

Please note, this guide is currently under development and subject to change.

QuestionnaireResponse

QuestionnaireResponse
QuestionnaireResponse.id[0]CommunityFacingQuestionnaireResponseFlorenceBennett
QuestionnaireResponse.questionnaire[0]https://simplifier.net/guide/hmb-fhir-ig/Questionnaire/community-facing-questionnaire
QuestionnaireResponse.status[0]in-progress
QuestionnaireResponse.item[0].linkId[0]1
QuestionnaireResponse.item[0].text[0]PERSONAL INFORMATION
QuestionnaireResponse.item[0].item[0].linkId[0]1.1
QuestionnaireResponse.item[0].item[0].text[0]First Name
QuestionnaireResponse.item[0].item[0].answer[0].value[0]Florence
QuestionnaireResponse.item[0].item[1].linkId[0]1.2
QuestionnaireResponse.item[0].item[1].text[0]Surname
QuestionnaireResponse.item[0].item[1].answer[0].value[0]Bennett
QuestionnaireResponse.item[0].item[2].linkId[0]1.3
QuestionnaireResponse.item[0].item[2].text[0]Preferred Name
QuestionnaireResponse.item[0].item[2].answer[0].value[0]Flo
QuestionnaireResponse.item[0].item[3].linkId[0]1.4
QuestionnaireResponse.item[0].item[3].text[0]DOB
QuestionnaireResponse.item[0].item[3].answer[0].value[0]1951-01-20
QuestionnaireResponse.item[0].item[4].linkId[0]1.5
QuestionnaireResponse.item[0].item[4].text[0]Email
QuestionnaireResponse.item[0].item[4].answer[0].value[0]flo@example.com
QuestionnaireResponse.item[0].item[5].linkId[0]1.6
QuestionnaireResponse.item[0].item[5].text[0]Please outline your main health related concern(s)
QuestionnaireResponse.item[0].item[5].answer[0].value[0]Heavy Periods (fatigue, occasional dizziness, need to change protection every 1-2 hours on heavy days)
QuestionnaireResponse.item[1].linkId[0]2
QuestionnaireResponse.item[1].text[0]PAST MEDICAL HISTORY
QuestionnaireResponse.item[1].item[0].linkId[0]2.1
QuestionnaireResponse.item[1].item[0].text[0]Please check any past or current medical conditions that apply to you
QuestionnaireResponse.item[1].item[0].answer[0].value[0].system[0]http://snomed.info/sct
QuestionnaireResponse.item[1].item[0].answer[0].value[0].code[0]195967001
QuestionnaireResponse.item[1].item[0].answer[0].value[0].display[0]Asthma (disorder)
QuestionnaireResponse.item[1].item[0].answer[1].value[0].system[0]http://snomed.info/sct
QuestionnaireResponse.item[1].item[0].answer[1].value[0].code[0]52702003
QuestionnaireResponse.item[1].item[0].answer[1].value[0].display[0]Chronic fatigue syndrome (disorder)
QuestionnaireResponse.item[1].item[1].linkId[0]2.2
QuestionnaireResponse.item[1].item[1].text[0]Childhood Disease
QuestionnaireResponse.item[1].item[1].answer[0].value[0]Measles
<QuestionnaireResponse xmlns="http://hl7.org/fhir">
    <id value="CommunityFacingQuestionnaireResponseFlorenceBennett" />
    <questionnaire value="https://simplifier.net/guide/hmb-fhir-ig/Questionnaire/community-facing-questionnaire" />
    <status value="in-progress" />
    <item>
        <linkId value="1" />
        <text value="PERSONAL INFORMATION" />
        <item>
            <linkId value="1.1" />
            <text value="First Name" />
            <answer>
                <valueString value="Florence" />
            </answer>
        </item>
        <item>
            <linkId value="1.2" />
            <text value="Surname" />
            <answer>
                <valueString value="Bennett" />
            </answer>
        </item>
        <item>
            <linkId value="1.3" />
            <text value="Preferred Name" />
            <answer>
                <valueString value="Flo" />
            </answer>
        </item>
        <item>
            <linkId value="1.4" />
            <text value="DOB" />
            <answer>
                <valueDate value="1951-01-20" />
            </answer>
        </item>
        <item>
            <linkId value="1.5" />
            <text value="Email" />
            <answer>
                <valueString value="flo@example.com" />
            </answer>
        </item>
        <item>
            <linkId value="1.6" />
            <text value="Please outline your main health related concern(s)" />
            <answer>
                <valueString value="Heavy Periods (fatigue, occasional dizziness, need to change protection every 1-2 hours on heavy days)" />
            </answer>
        </item>
    </item>
    <item>
        <linkId value="2" />
        <text value="PAST MEDICAL HISTORY" />
        <item>
            <linkId value="2.1" />
            <text value="Please check any past or current medical conditions that apply to you" />
            <answer>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="195967001" />
                    <display value="Asthma (disorder)" />
                </valueCoding>
            </answer>
            <answer>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="52702003" />
                    <display value="Chronic fatigue syndrome (disorder)" />
                </valueCoding>
            </answer>
        </item>
        <item>
            <linkId value="2.2" />
            <text value="Childhood Disease" />
            <answer>
                <valueString value="Measles" />
            </answer>
        </item>
    </item>
</QuestionnaireResponse>
{
    "resourceType": "QuestionnaireResponse",
    "id": "CommunityFacingQuestionnaireResponseFlorenceBennett",
    "questionnaire": "https://simplifier.net/guide/hmb-fhir-ig/Questionnaire/community-facing-questionnaire",
    "status": "in-progress",
    "item":  [
        {
            "linkId": "1",
            "text": "PERSONAL INFORMATION",
            "item":  [
                {
                    "linkId": "1.1",
                    "text": "First Name",
                    "answer":  [
                        {
                            "valueString": "Florence"
                        }
                    ]
                },
                {
                    "linkId": "1.2",
                    "text": "Surname",
                    "answer":  [
                        {
                            "valueString": "Bennett"
                        }
                    ]
                },
                {
                    "linkId": "1.3",
                    "text": "Preferred Name",
                    "answer":  [
                        {
                            "valueString": "Flo"
                        }
                    ]
                },
                {
                    "linkId": "1.4",
                    "text": "DOB",
                    "answer":  [
                        {
                            "valueDate": "1951-01-20"
                        }
                    ]
                },
                {
                    "linkId": "1.5",
                    "text": "Email",
                    "answer":  [
                        {
                            "valueString": "flo@example.com"
                        }
                    ]
                },
                {
                    "linkId": "1.6",
                    "text": "Please outline your main health related concern(s)",
                    "answer":  [
                        {
                            "valueString": "Heavy Periods (fatigue, occasional dizziness, need to change protection every 1-2 hours on heavy days)"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "2",
            "text": "PAST MEDICAL HISTORY",
            "item":  [
                {
                    "linkId": "2.1",
                    "text": "Please check any past or current medical conditions that apply to you",
                    "answer":  [
                        {
                            "valueCoding": {
                                "code": "195967001",
                                "system": "http://snomed.info/sct",
                                "display": "Asthma (disorder)"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "52702003",
                                "system": "http://snomed.info/sct",
                                "display": "Chronic fatigue syndrome (disorder)"
                            }
                        }
                    ]
                },
                {
                    "linkId": "2.2",
                    "text": "Childhood Disease",
                    "answer":  [
                        {
                            "valueString": "Measles"
                        }
                    ]
                }
            ]
        }
    ]
}