FHIR IG analytics| Package | fhir.argonaut.questionnaire |
| Resource Type | QuestionnaireResponse |
| Id | QuestionnaireResponse-adaptive-questionnaireresponse-example-dast.json |
| FHIR Version | R3 |
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Note: links and images are rebased to the (stated) source
NOTE: These examples are for educational and testing purposes, see the form copyright statement and do not redistribute without expressed permission from the form author.
This simulates is a simple adaptive questionnaire implementation.
After answering and submitting the first question another question is randomly
returned from the selected questionnaire. This is repeated two more times and
then the adaptive questionnaire will finish by changing the status to completed
and returning a score. Note that although these questionnaires are designed as forms and
are not really appropriate for the adaptive questionnaire use case, they are used here to
demonstrate a proof of concept implementation.
Questionnaire URL: http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-dast
Date Completed: 2018-07-26
Copyright: Center for Addiction and Mental Health
Copyright 982 Center for Addiction and Mental Health. Used with permission.
URL: http://www.camh.ca/en/hospital/Pages/home.aspx
FHIR
FHIRsmith{
"resourceType": "QuestionnaireResponse",
"id": "adaptive-questionnaireresponse-example-dast",
"meta": {
"profile": [
"http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/argo-adap-questionnaireresponse"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"contained": [
{
"resourceType": "Questionnaire",
"id": "contained-adaptive-questionnaire-example-dast",
"meta": {
"profile": [
"http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/argo-questionnaire"
]
},
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-timeLimit",
"valueDuration": {
"value": 2,
"unit": "day",
"system": "http://unitsofmeasure.org",
"code": "d"
}
}
],
"url": "http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-dast",
"title": "Contained Adaptive Drug Abuse Screening Test-10 [DAST-10]",
"status": "active",
"date": "2019-02-13T00:35:13.638711Z",
"copyright": "Center for Addiction and Mental Health\nCopyright 982 Center for Addiction and Mental Health. Used with permission.\nURL: http://www.camh.ca/en/hospital/Pages/home.aspx",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 1
}
],
"linkId": "score",
"text": "Cumulative Score is ...",
"type": "integer",
"repeats": false,
"readOnly": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 2
}
],
"linkId": "std_dev",
"text": "Standard Deviation is ...",
"type": "decimal",
"repeats": false,
"readOnly": true
},
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 3
}
],
"linkId": "g1.q1",
"definition": "http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-dast-g1.q1",
"code": [
{
"system": "http://loinc.org",
"code": "68525-5"
}
],
"prefix": "1.",
"text": "Have you used drugs other than those required for medical reasons?",
"type": "choice",
"required": true,
"repeats": false,
"option": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 0
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 1
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
}
]
},
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 4
}
],
"linkId": "g1.q4",
"definition": "http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-dast-g1.q4",
"code": [
{
"system": "http://loinc.org",
"code": "68528-9"
}
],
"prefix": "4.",
"text": "Have you ever had blackouts or flashbacks as a result of drug use?",
"type": "choice",
"required": true,
"repeats": false,
"option": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 0
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 1
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
}
]
},
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 5
}
],
"linkId": "g1.q8",
"definition": "http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-dast-g1.q8",
"code": [
{
"system": "http://loinc.org",
"code": "68532-1"
}
],
"prefix": "8.",
"text": "Have you engaged in illegal activities in order to obtain drugs?",
"type": "choice",
"required": true,
"repeats": false,
"option": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 0
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 1
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
}
]
}
]
}
],
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-responsePeriod",
"valuePeriod": {
"start": "2019-02-13T00:35:12.073629Z",
"end": "2019-02-13T00:35:33.341374Z"
}
}
],
"identifier": {
"value": "adaptive-questionnaireresponse-example-dast"
},
"questionnaire": {
"reference": "#contained-adaptive-questionnaire-example-dast"
},
"status": "completed",
"subject": {
"reference": "Patient/subject1"
},
"context": {
"reference": "Encounter/encounter1"
},
"authored": "2019-02-13T00:35:12.073629Z",
"author": {
"reference": "Practitioner/prov-admin1"
},
"source": {
"reference": "Patient/subject1"
},
"item": [
{
"linkId": "score",
"text": "Cumulative Score is ...",
"answer": [
{
"valueInteger": 0
}
]
},
{
"linkId": "std_dev",
"text": "Standard Deviation is ...",
"answer": [
{
"valueDecimal": 0
}
]
},
{
"linkId": "g1.q1",
"definition": "http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-dast-g1.q1",
"text": "Have you used drugs other than those required for medical reasons?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "g1.q4",
"definition": "http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-dast-g1.q4",
"text": "Have you ever had blackouts or flashbacks as a result of drug use?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "g1.q8",
"definition": "http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-dast-g1.q8",
"text": "Have you engaged in illegal activities in order to obtain drugs?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
}