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FHIR IG Statistics: Questionnaire/ConsultationNote

Packagefhir.virtually.healthcare
Resource TypeQuestionnaire
IdConsultationNote
FHIR VersionR4
Sourcehttps://fhir.virtually.healthcare/https://build.fhir.org/ig/Virtually-Healthcare/R4/Questionnaire-ConsultationNote.html
URLhttps://fhir.virtually.healthcare/Questionnaire/ConsultationNote
Version0.1.1-current
Statusdraft
Date2025-07-24T05:36:54+00:00
TitleConsultation Note
Realmus
Authorityhl7
DescriptionFormal definition of the Consultation Note

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Questionnaire ConsultationNote

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. Formal definition of the Consultation NoteQuestionnairehttps://fhir.virtually.healthcare/Questionnaire/ConsultationNote#0.1.1-current
... LOINC/42348-3Consent0..1groupDefinition: https://fhir.virtually.healthcare/StructureDefinition/Consent
.... consentTypeType of Consent0..*text
... EncounterConsultation0..1groupDefinition:
.... encounterdateDate and time of consultation0..1dateTimeDefinition: Encounter.period.start
.... encountertypeType of Consultation0..1choiceDefinition: Encounter.type
Options: 3 options
.... encounterserviceService Provided0..1choiceDefinition: Encounter.serviceType
Options: 1 option
... LOINC/61150-9Presenting Complaint0..1group
.... narrativeSymptoms0..*text
.... complaintComplaint0..*open-choiceDefinition: Observation.valueCodeableConcept
Value Set: http://snomed.info/sct/900000000000207008?fhir_vs=ecl/%3C404684003
... AllergyIntoleranceAllergies0..1groupDefinition:
.... substanceSubstance Allergy0..*open-choiceDefinition: AllergyIntolerance.code
Value Set: http://snomed.info/sct/900000000000207008?fhir_vs=ecl/%3C105590001
.... drugDrug Allergy0..*open-choiceDefinition: AllergyIntolerance.code
Value Set: http://snomed.info/sct/900000000000207008?fhir_vs=ecl/%3C416098002
... HistoryHistory0..1group
.... historynarrativePatient History0..*text
... ExaminationExamination0..1group
.... LOINC/8716-3Vital signs0..1group
..... SCT/27113001Weight0..1decimalDefinition: Observation.valueQuantity
Initial Value: Quantity = ? kilogram
..... SCT/50373000Height0..1decimalDefinition: Observation.valueQuantity
Initial Value: Quantity = ? centimeter
..... SCT/363811000Head Circumference0..1decimalDefinition: Observation.valueQuantity
Initial Value: Quantity = ? centimeter
..... SCT/276885007Body temperature0..1decimalDefinition: Observation.valueQuantity
Initial Value: Quantity = ? Cel
..... SCT/75367002Blood pressure0..1groupDefinition: Observation.component
...... SCT/72313002Systolic blood pressure1..1decimalDefinition: Observation.valueQuantity
Initial Value: Quantity = ? millimeter of mercury
...... SCT/1091811000000102Diastolic blood pressure1..1decimalDefinition: Observation.valueQuantity
Initial Value: Quantity = ? millimeter of mercury
... LOINC/61149-1Comment0..1group
.... questionsQuestions0..*group
..... questionQuestion0..1text
..... answerAnswer0..*text
... LOINC/29762-2Lifestyle- smoking and alcohol status, diet0..1group
.... SCT/365981007Smoking Status0..1choiceDefinition: Observation.valueCodeableConcept
Value Set: Smoking Status
... LOINC/10160-0Medications0..1groupDefinition: https://fhir.virtually.healthcare/StructureDefinition/MedciationDispense
.... medicationMedications Dispensed0..*group
..... drugDrug0..1text
..... dosageDosage0..1text
... FollowUpFollow up0..1groupDefinition:
.... taskTasks0..1text
... DocumentsDocument0..1group
.... imagesImages0..*attachmentDefinition: DocumentReference
... ReferralSign Posting0..1groupDefinition:
.... serviceRequestServices0..*group
..... serviceTypeType of Signposting0..1text

doco Documentation for this format

Options Sets

Answer options for encountertype

  • http://snomed.info/sct#308021002 ("Seen in clinic")
  • http://snomed.info/sct#185317003 ("Telephone encounter")
  • http://snomed.info/sct#307321000000107 ("Video-link encounter")

Answer options for encounterservice

  • http://snomed.info/sct#1577041000000109 ("Community Pharmacist Consultation Service for minor illness")

Source

{
  "resourceType": "Questionnaire",
  "id": "ConsultationNote",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://fhir.virtually.healthcare/Questionnaire/ConsultationNote",
  "version": "0.1.1-current",
  "title": "Consultation Note",
  "status": "draft",
  "date": "2025-07-24T05:36:54+00:00",
  "publisher": "Virtually Healthcare",
  "contact": [
    {
      "name": "Virtually Healthcare",
      "telecom": [
        {
          "system": "url",
          "value": "https://virtually.healthcare"
        }
      ]
    }
  ],
  "description": "Formal definition of the Consultation Note",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "GB",
          "display": "United Kingdom of Great Britain and Northern Ireland"
        }
      ]
    }
  ],
  "item": [
    {
      "linkId": "LOINC/42348-3",
      "definition": "https://fhir.virtually.healthcare/StructureDefinition/Consent",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "42348-3",
          "display": "Advance healthcare directives"
        }
      ],
      "text": "Consent",
      "type": "group",
      "item": [
        {
          "linkId": "consentType",
          "text": "Type of Consent",
          "type": "text",
          "repeats": true
        }
      ]
    },
    {
      "linkId": "Encounter",
      "definition": "https://fhir.virtually.healthcare/StructureDefinition/Encounter",
      "text": "Consultation",
      "type": "group",
      "item": [
        {
          "linkId": "encounterdate",
          "definition": "https://fhir.virtually.healthcare/StructureDefinition/Encounter#Encounter.period.start",
          "text": "Date and time of consultation",
          "type": "dateTime"
        },
        {
          "linkId": "encountertype",
          "definition": "https://fhir.virtually.healthcare/StructureDefinition/Encounter#Encounter.type",
          "text": "Type of Consultation",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "308021002",
                "display": "Seen in clinic"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "185317003",
                "display": "Telephone encounter"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "307321000000107",
                "display": "Video-link encounter"
              }
            }
          ]
        },
        {
          "linkId": "encounterservice",
          "definition": "https://fhir.virtually.healthcare/StructureDefinition/Encounter#Encounter.serviceType",
          "text": "Service Provided",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "1577041000000109",
                "display": "Community Pharmacist Consultation Service for minor illness"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "LOINC/61150-9",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "61150-9",
          "display": "Subjective Narrative"
        }
      ],
      "text": "Presenting Complaint",
      "type": "group",
      "item": [
        {
          "linkId": "narrative",
          "text": "Symptoms",
          "type": "text",
          "repeats": true
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer",
              "valueUrl": "https://snowstorm.ihtsdotools.org/fhir"
            }
          ],
          "linkId": "complaint",
          "definition": "https://fhir.virtually.healthcare/StructureDefinition/Observation#Observation.valueCodeableConcept",
          "code": [
            {
              "system": "http://snomed.info/sct",
              "code": "1269489004",
              "display": "Complaint"
            }
          ],
          "text": "Complaint",
          "type": "open-choice",
          "repeats": true,
          "answerValueSet": "http://snomed.info/sct/900000000000207008?fhir_vs=ecl/%3C404684003"
        }
      ]
    },
    {
      "linkId": "AllergyIntolerance",
      "definition": "https://fhir.virtually.healthcare/StructureDefinition/AllergyIntolerance",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "48765-2",
          "display": "Allergies and adverse reactions Document"
        }
      ],
      "text": "Allergies",
      "type": "group",
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer",
              "valueUrl": "https://snowstorm.ihtsdotools.org/fhir"
            }
          ],
          "linkId": "substance",
          "definition": "https://fhir.virtually.healthcare/StructureDefinition/AllergyIntolerance#AllergyIntolerance.code",
          "code": [
            {
              "system": "http://snomed.info/sct",
              "code": "105590001",
              "display": "Substance"
            }
          ],
          "text": "Substance Allergy",
          "type": "open-choice",
          "repeats": true,
          "answerValueSet": "http://snomed.info/sct/900000000000207008?fhir_vs=ecl/%3C105590001"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer",
              "valueUrl": "https://snowstorm.ihtsdotools.org/fhir"
            }
          ],
          "linkId": "drug",
          "definition": "https://fhir.virtually.healthcare/StructureDefinition/AllergyIntolerance#AllergyIntolerance.code",
          "code": [
            {
              "system": "http://snomed.info/sct",
              "code": "416098002",
              "display": "Allergy to drug"
            }
          ],
          "text": "Drug Allergy",
          "type": "open-choice",
          "repeats": true,
          "answerValueSet": "http://snomed.info/sct/900000000000207008?fhir_vs=ecl/%3C416098002"
        }
      ]
    },
    {
      "linkId": "History",
      "text": "History",
      "type": "group",
      "item": [
        {
          "linkId": "historynarrative",
          "text": "Patient History",
          "type": "text",
          "repeats": true
        }
      ]
    },
    {
      "linkId": "Examination",
      "text": "Examination",
      "type": "group",
      "item": [
        {
          "linkId": "LOINC/8716-3",
          "code": [
            {
              "system": "http://loinc.org",
              "code": "8716-3",
              "display": "Vital signs"
            }
          ],
          "text": "Vital signs",
          "type": "group",
          "item": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                  "valueCoding": {
                    "system": "http://unitsofmeasure.org",
                    "code": "kg",
                    "display": "kilogram"
                  }
                }
              ],
              "linkId": "SCT/27113001",
              "definition": "https://fhir.virtually.healthcare/StructureDefinition/Observation#Observation.valueQuantity",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "27113001",
                  "display": "Body weight"
                },
                {
                  "system": "http://loinc.org",
                  "code": "29463-7",
                  "display": "Body Weight"
                }
              ],
              "text": "Weight",
              "type": "decimal",
              "required": false,
              "initial": [
                {
                  "valueQuantity": {
                    "unit": "kilogram",
                    "system": "http://unitsofmeasure.org",
                    "code": "kg"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                  "valueCoding": {
                    "system": "http://unitsofmeasure.org",
                    "code": "cm",
                    "display": "centimeter"
                  }
                }
              ],
              "linkId": "SCT/50373000",
              "definition": "https://fhir.virtually.healthcare/StructureDefinition/Observation#Observation.valueQuantity",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "50373000",
                  "display": "Body height measure"
                },
                {
                  "system": "http://loinc.org",
                  "code": "8302-2",
                  "display": "Body height"
                }
              ],
              "text": "Height",
              "type": "decimal",
              "required": false,
              "initial": [
                {
                  "valueQuantity": {
                    "unit": "centimeter",
                    "system": "http://unitsofmeasure.org",
                    "code": "cm"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                  "valueCoding": {
                    "system": "http://unitsofmeasure.org",
                    "code": "cm",
                    "display": "centimeter"
                  }
                }
              ],
              "linkId": "SCT/363811000",
              "definition": "https://fhir.virtually.healthcare/StructureDefinition/Observation#Observation.valueQuantity",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "363811000",
                  "display": "Head circumference measure"
                },
                {
                  "system": "http://loinc.org",
                  "code": "9843-4",
                  "display": "Head Occipital-frontal circumference"
                }
              ],
              "text": "Head Circumference",
              "type": "decimal",
              "required": false,
              "initial": [
                {
                  "valueQuantity": {
                    "unit": "centimeter",
                    "system": "http://unitsofmeasure.org",
                    "code": "cm"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                  "valueCoding": {
                    "system": "http://unitsofmeasure.org",
                    "code": "Cel",
                    "display": "Cel"
                  }
                }
              ],
              "linkId": "SCT/276885007",
              "definition": "https://fhir.virtually.healthcare/StructureDefinition/Observation#Observation.valueQuantity",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "276885007",
                  "display": "Core body temperature"
                },
                {
                  "system": "http://loinc.org",
                  "code": "8310-5",
                  "display": "Body temperature"
                }
              ],
              "text": "Body temperature",
              "type": "decimal",
              "required": false,
              "initial": [
                {
                  "valueQuantity": {
                    "unit": "Cel",
                    "system": "http://unitsofmeasure.org",
                    "code": "Cel"
                  }
                }
              ]
            },
            {
              "linkId": "SCT/75367002",
              "definition": "https://fhir.virtually.healthcare/StructureDefinition/Observation#Observation.component",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "75367002",
                  "display": "Blood pressure"
                },
                {
                  "system": "http://loinc.org",
                  "code": "85354-9",
                  "display": "Blood pressure panel with all children optional"
                }
              ],
              "text": "Blood pressure",
              "type": "group",
              "required": false,
              "item": [
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                      "valueCoding": {
                        "system": "http://unitsofmeasure.org",
                        "code": "mm[Hg]",
                        "display": "mmHg"
                      }
                    }
                  ],
                  "linkId": "SCT/72313002",
                  "definition": "https://fhir.virtually.healthcare/StructureDefinition/Observation#Observation.valueQuantity",
                  "code": [
                    {
                      "system": "http://snomed.info/sct",
                      "code": "72313002",
                      "display": "Systolic arterial pressure"
                    },
                    {
                      "system": "http://loinc.org",
                      "code": "8480-6",
                      "display": "Systolic blood pressure"
                    }
                  ],
                  "text": "Systolic blood pressure",
                  "type": "decimal",
                  "required": true,
                  "initial": [
                    {
                      "valueQuantity": {
                        "unit": "millimeter of mercury",
                        "system": "http://unitsofmeasure.org",
                        "code": "mm[Hg]"
                      }
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                      "valueCoding": {
                        "system": "http://unitsofmeasure.org",
                        "code": "mm[Hg]",
                        "display": "mmHg"
                      }
                    }
                  ],
                  "linkId": "SCT/1091811000000102",
                  "definition": "https://fhir.virtually.healthcare/StructureDefinition/Observation#Observation.valueQuantity",
                  "code": [
                    {
                      "system": "http://snomed.info/sct",
                      "code": "1091811000000102",
                      "display": "Diastolic arterial pressure"
                    },
                    {
                      "system": "http://loinc.org",
                      "code": "8462-4",
                      "display": "Diastolic blood pressure"
                    }
                  ],
                  "text": "Diastolic blood pressure",
                  "type": "decimal",
                  "required": true,
                  "initial": [
                    {
                      "valueQuantity": {
                        "unit": "millimeter of mercury",
                        "system": "http://unitsofmeasure.org",
                        "code": "mm[Hg]"
                      }
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "LOINC/61149-1",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "61149-1",
          "display": "Objective Narrative"
        }
      ],
      "text": "Comment",
      "type": "group",
      "repeats": false,
      "item": [
        {
          "linkId": "questions",
          "text": "Questions",
          "type": "group",
          "repeats": true,
          "item": [
            {
              "linkId": "question",
              "text": "Question",
              "type": "text"
            },
            {
              "linkId": "answer",
              "text": "Answer",
              "type": "text",
              "repeats": true
            }
          ]
        }
      ]
    },
    {
      "linkId": "LOINC/29762-2",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "29762-2",
          "display": "Social history Narrative"
        }
      ],
      "text": "Lifestyle- smoking and alcohol status, diet",
      "type": "group",
      "item": [
        {
          "linkId": "SCT/365981007",
          "definition": "https://fhir.virtually.healthcare/StructureDefinition/Observation#Observation.valueCodeableConcept",
          "code": [
            {
              "system": "http://snomed.info/sct",
              "code": "365981007",
              "display": "Tobacco smoking behaviour - finding"
            }
          ],
          "text": "Smoking Status",
          "type": "choice",
          "required": false,
          "answerValueSet": "https://fhir.virtually.healthcare/ValueSet/SmokingStatus"
        }
      ]
    },
    {
      "linkId": "LOINC/10160-0",
      "definition": "https://fhir.virtually.healthcare/StructureDefinition/MedciationDispense",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "10160-0",
          "display": "Medication use"
        }
      ],
      "text": "Medications",
      "type": "group",
      "item": [
        {
          "linkId": "medication",
          "text": "Medications Dispensed",
          "type": "group",
          "repeats": true,
          "item": [
            {
              "linkId": "drug",
              "text": "Drug",
              "type": "text"
            },
            {
              "linkId": "dosage",
              "text": "Dosage",
              "type": "text"
            }
          ]
        }
      ]
    },
    {
      "linkId": "FollowUp",
      "definition": "https://fhir.virtually.healthcare/StructureDefinition/Task",
      "text": "Follow up",
      "type": "group",
      "item": [
        {
          "linkId": "task",
          "text": "Tasks",
          "type": "text"
        }
      ]
    },
    {
      "linkId": "Documents",
      "text": "Document",
      "type": "group",
      "item": [
        {
          "linkId": "images",
          "definition": "https://fhir.virtually.healthcare/StructureDefinition/DocumentReference#DocumentReference",
          "text": "Images",
          "type": "attachment",
          "repeats": true
        }
      ]
    },
    {
      "linkId": "Referral",
      "definition": "https://fhir.virtually.healthcare/StructureDefinition/ServiceRequest",
      "text": "Sign Posting",
      "type": "group",
      "item": [
        {
          "linkId": "serviceRequest",
          "text": "Services",
          "type": "group",
          "repeats": true,
          "item": [
            {
              "linkId": "serviceType",
              "text": "Type of Signposting",
              "type": "text"
            }
          ]
        }
      ]
    }
  ]
}