FHIR IG analytics| Package | ca.on.oh-eforms |
| Resource Type | QuestionnaireResponse |
| Id | SampleForm-1.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
{
"resourceType": "QuestionnaireResponse",
"id": "SampleFormQR",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"questionnaire": "urn:uuid:1b12e576-c039-4395-ad20-2d7e8633fe72|0.0.1",
"status": "completed",
"subject": {
"reference": "Patient/pat-53234",
"display": "MOMO ABBAS"
},
"authored": "2026-01-08T19:01:48.738Z",
"author": {
"reference": "Practitioner/smart-Practitioner-71482713",
"type": "Practitioner",
"display": "Susan Clark"
},
"item": [
{
"linkId": "section89997639",
"text": "Targeted to area of interest",
"answer": [
{
"valueCoding": {
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/breastSiteCodes",
"code": "RAUX",
"display": "RIGHT Axillary Tail"
}
},
{
"valueCoding": {
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/breastSiteCodes",
"code": "R7",
"display": "RIGHT Lower-Outer Quadrant - 7 o'clock"
}
}
]
},
{
"linkId": "541963618654",
"text": "Group level 1",
"item": [
{
"linkId": "536518478193",
"text": "Question 1",
"answer": [
{
"valueString": "val1"
}
]
},
{
"linkId": "662399343744",
"text": "Group level 2",
"item": [
{
"linkId": "115906539567",
"text": "Question 2a",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "generationSample",
"text": "Sample calculated value within a repeating group",
"answer": [
{
"valueString": "Selected: A"
}
]
},
{
"linkId": "795936157017",
"text": "Question 3",
"answer": [
{
"valueString": "test1"
}
]
}
]
},
{
"linkId": "662399343744",
"text": "Group level 2",
"item": [
{
"linkId": "115906539567",
"text": "Question 2a",
"answer": [
{
"valueBoolean": false
}
]
},
{
"linkId": "generationSample",
"text": "Sample calculated value within a repeating group",
"answer": [
{
"valueString": "Selected: A"
}
]
},
{
"linkId": "795936157017",
"text": "Question 3",
"answer": [
{
"valueString": "test2"
}
]
}
]
}
]
},
{
"linkId": "541963618654",
"text": "Group level 1",
"item": [
{
"linkId": "536518478193",
"text": "Question 1",
"answer": [
{
"valueString": "val2"
}
]
},
{
"linkId": "662399343744",
"text": "Group level 2",
"item": [
{
"linkId": "158999012073",
"text": "Question 2b",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "generationSample",
"text": "Sample calculated value within a repeating group",
"answer": [
{
"valueString": "Selected: B"
}
]
},
{
"linkId": "795936157017",
"text": "Question 3",
"answer": [
{
"valueString": "test3"
}
]
}
]
}
]
},
{
"linkId": "541963618654",
"text": "Group level 1",
"item": [
{
"linkId": "536518478193",
"text": "Question 1",
"answer": [
{
"valueString": "val1"
},
{
"valueString": "val2"
},
{
"valueString": "val3"
}
]
},
{
"linkId": "662399343744",
"text": "Group level 2",
"item": [
{
"linkId": "115906539567",
"text": "Question 2a",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "158999012073",
"text": "Question 2b",
"answer": [
{
"valueBoolean": false
}
]
},
{
"linkId": "267515428755",
"text": "Question 2c",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "generationSample",
"text": "Sample calculated value within a repeating group",
"answer": [
{
"valueString": "Selected: AC"
}
]
},
{
"linkId": "795936157017",
"text": "Question 3",
"answer": [
{
"valueString": "test4"
}
]
}
]
}
]
}
]
}