FHIR IG analytics| Package | fhir.r4.nhsengland.programme |
| Resource Type | QuestionnaireResponse |
| Id | NationalProxy-QuestionnaireResponse-ProxyAccessRequest-Example.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "QuestionnaireResponse",
"id": "NationalProxy-QuestionnaireResponse-ProxyAccessRequest-Example",
"questionnaire": "https://fhir.nhs.uk/England/Questionnaire/ProxyAccessRequest",
"status": "completed",
"subject": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9000000017"
}
},
"authored": "2024-10-07T15:07:55.495Z",
"item": [
{
"linkId": "relatedPerson",
"text": "Proxy details",
"item": [
{
"linkId": "relatedPerson_identifier",
"text": "NHS number",
"answer": [
{
"valueString": "9100000009"
}
]
},
{
"linkId": "relatedPerson_name",
"text": "Name",
"item": [
{
"linkId": "relatedPerson_name_first",
"text": "First name",
"answer": [
{
"valueString": "Jayne"
}
]
},
{
"linkId": "relatedPerson_name_family",
"text": "Last name",
"answer": [
{
"valueString": "Smith"
}
]
}
]
},
{
"linkId": "relatedPerson_birthDate",
"text": "Date of birth",
"answer": [
{
"valueDate": "1970-10-16"
}
]
},
{
"linkId": "relatedPerson_basisForAccess",
"text": "Basis for Access",
"answer": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "PRN",
"display": "Parent"
}
}
]
},
{
"linkId": "relatedPerson_relationship",
"text": "Relationship",
"answer": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "PRN",
"display": "Parent"
}
}
]
}
]
},
{
"linkId": "parentalApplicationSupplementaryDetails",
"text": "Parental Application Supplementary Details",
"item": [
{
"linkId": "parentalApplicationSupplementaryDetails_evidenceOfResponsibility",
"text": "Evidence of parental responsibility",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-EvidenceOfResponsibility",
"code": "BRTH",
"display": "Birth certificate"
}
}
]
},
{
"linkId": "parentalApplicationSupplementaryDetails_isCurrentAddressConfirmed",
"text": "Is current address confirmed?",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "parentalApplicationSupplementaryDetails_newAddress",
"text": "New address",
"item": [
{
"linkId": "parentalApplicationSupplementaryDetails_line1",
"text": "Address line 1",
"answer": [
{
"valueString": "6 Harrogate Road"
}
]
},
{
"linkId": "parentalApplicationSupplementaryDetails_line2",
"text": "Address line 2",
"answer": [
{
"valueString": "Crossgates"
}
]
},
{
"linkId": "parentalApplicationSupplementaryDetails_city",
"text": "Town / City",
"answer": [
{
"valueString": "Leeds"
}
]
},
{
"linkId": "parentalApplicationSupplementaryDetails_postalCode",
"text": "Postcode",
"answer": [
{
"valueString": "LS15 9FA"
}
]
}
]
},
{
"linkId": "parentalApplicationSupplementaryDetails_liveAtSameAddress",
"text": "Do adult and child live at the same address?",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "parentalApplicationSupplementaryDetails_canChildConsent",
"text": "Can the child consent?",
"answer": [
{
"valueBoolean": true
}
]
}
]
},
{
"linkId": "patient",
"text": "Patient details",
"item": [
{
"linkId": "patient_identifier",
"text": "NHS number",
"answer": [
{
"valueString": "9000000017"
}
]
},
{
"linkId": "patient_name",
"text": "Name",
"item": [
{
"linkId": "patient_name_first",
"text": "First name",
"answer": [
{
"valueString": "Jane Marie Anne"
}
]
},
{
"linkId": "patient_name_family",
"text": "Last name",
"answer": [
{
"valueString": "Smith"
}
]
}
]
},
{
"linkId": "patient_birthDate",
"text": "Date of birth",
"answer": [
{
"valueDate": "2010-12-31"
}
]
}
]
},
{
"linkId": "requestedAccess",
"text": "Requested access",
"item": [
{
"linkId": "requestedAccess_accessLevel",
"text": "Requested access level",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess",
"code": "APPT",
"display": "Appointment Booking"
}
},
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess",
"code": "CNTCT",
"display": "Contacting Surgery"
}
},
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess",
"code": "RECRD",
"display": "Medical Records Access"
}
},
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess",
"code": "TEST",
"display": "Test Results"
}
},
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess",
"code": "VACC",
"display": "Vaccination Records"
}
},
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-RequestedAccess",
"code": "PRESCR",
"display": "Request and manage repeat prescriptions"
}
}
]
},
{
"linkId": "requestedAccess_reasonsForAccess",
"text": "Reason for access",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-ReasonForAccess",
"code": "COMB",
"display": "Communication Barriers"
}
},
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-ReasonForAccess",
"code": "MHEA",
"display": "Mental Health Condition"
}
},
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Proxy-Placeholder-ReasonForAccess",
"code": "PRAC",
"display": "Practical Reasons"
}
}
]
}
]
}
]
}