Package | fhir.virtually.healthcare |
Resource Type | Questionnaire |
Id | ConsultationNote |
FHIR Version | R4 |
Source | https://fhir.virtually.healthcare/https://build.fhir.org/ig/Virtually-Healthcare/R4/Questionnaire-ConsultationNote.html |
URL | https://fhir.virtually.healthcare/Questionnaire/ConsultationNote |
Version | 0.1.1-current |
Status | draft |
Date | 2025-07-24T05:36:54+00:00 |
Title | Consultation Note |
Realm | us |
Authority | hl7 |
Description | Formal definition of the Consultation Note |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire ConsultationNote
StructureLinkID | Text | Cardinality | Type | Description & Constraints |
---|---|---|---|---|
![]() ![]() | Formal definition of the Consultation Note | Questionnaire | https://fhir.virtually.healthcare/Questionnaire/ConsultationNote#0.1.1-current | |
![]() ![]() ![]() | Consent | 0..1 | group | Definition: https://fhir.virtually.healthcare/StructureDefinition/Consent |
![]() ![]() ![]() ![]() | Type of Consent | 0..* | text | |
![]() ![]() ![]() | Consultation | 0..1 | group | Definition: |
![]() ![]() ![]() ![]() | Date and time of consultation | 0..1 | dateTime | Definition: Encounter.period.start |
![]() ![]() ![]() ![]() | Type of Consultation | 0..1 | choice | Definition: Encounter.type Options: 3 options |
![]() ![]() ![]() ![]() | Service Provided | 0..1 | choice | Definition: Encounter.serviceType Options: 1 option |
![]() ![]() ![]() | Presenting Complaint | 0..1 | group | |
![]() ![]() ![]() ![]() | Symptoms | 0..* | text | |
![]() ![]() ![]() ![]() | Complaint | 0..* | open-choice | Definition: Observation.valueCodeableConcept Value Set: http://snomed.info/sct/900000000000207008?fhir_vs=ecl/%3C404684003 |
![]() ![]() ![]() | Allergies | 0..1 | group | Definition: |
![]() ![]() ![]() ![]() | Substance Allergy | 0..* | open-choice | Definition: AllergyIntolerance.code Value Set: http://snomed.info/sct/900000000000207008?fhir_vs=ecl/%3C105590001 |
![]() ![]() ![]() ![]() | Drug Allergy | 0..* | open-choice | Definition: AllergyIntolerance.code Value Set: http://snomed.info/sct/900000000000207008?fhir_vs=ecl/%3C416098002 |
![]() ![]() ![]() | History | 0..1 | group | |
![]() ![]() ![]() ![]() | Patient History | 0..* | text | |
![]() ![]() ![]() | Examination | 0..1 | group | |
![]() ![]() ![]() ![]() | Vital signs | 0..1 | group | |
![]() ![]() ![]() ![]() ![]() | Weight | 0..1 | decimal | Definition: Observation.valueQuantity Initial Value: Quantity = ? kilogram |
![]() ![]() ![]() ![]() ![]() | Height | 0..1 | decimal | Definition: Observation.valueQuantity Initial Value: Quantity = ? centimeter |
![]() ![]() ![]() ![]() ![]() | Head Circumference | 0..1 | decimal | Definition: Observation.valueQuantity Initial Value: Quantity = ? centimeter |
![]() ![]() ![]() ![]() ![]() | Body temperature | 0..1 | decimal | Definition: Observation.valueQuantity Initial Value: Quantity = ? Cel |
![]() ![]() ![]() ![]() ![]() | Blood pressure | 0..1 | group | Definition: Observation.component |
![]() ![]() ![]() ![]() ![]() ![]() | Systolic blood pressure | 1..1 | decimal | Definition: Observation.valueQuantity Initial Value: Quantity = ? millimeter of mercury |
![]() ![]() ![]() ![]() ![]() ![]() | Diastolic blood pressure | 1..1 | decimal | Definition: Observation.valueQuantity Initial Value: Quantity = ? millimeter of mercury |
![]() ![]() ![]() | Comment | 0..1 | group | |
![]() ![]() ![]() ![]() | Questions | 0..* | group | |
![]() ![]() ![]() ![]() ![]() | Question | 0..1 | text | |
![]() ![]() ![]() ![]() ![]() | Answer | 0..* | text | |
![]() ![]() ![]() | Lifestyle- smoking and alcohol status, diet | 0..1 | group | |
![]() ![]() ![]() ![]() | Smoking Status | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Smoking Status |
![]() ![]() ![]() | Medications | 0..1 | group | Definition: https://fhir.virtually.healthcare/StructureDefinition/MedciationDispense |
![]() ![]() ![]() ![]() | Medications Dispensed | 0..* | group | |
![]() ![]() ![]() ![]() ![]() | Drug | 0..1 | text | |
![]() ![]() ![]() ![]() ![]() | Dosage | 0..1 | text | |
![]() ![]() ![]() | Follow up | 0..1 | group | Definition: |
![]() ![]() ![]() ![]() | Tasks | 0..1 | text | |
![]() ![]() ![]() | Document | 0..1 | group | |
![]() ![]() ![]() ![]() | Images | 0..* | attachment | Definition: DocumentReference |
![]() ![]() ![]() | Sign Posting | 0..1 | group | Definition: |
![]() ![]() ![]() ![]() | Services | 0..* | group | |
![]() ![]() ![]() ![]() ![]() | Type of Signposting | 0..1 | text | |
Options Sets
Answer options for encountertype
Answer options for encounterservice
{ "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" } ] } ] } ] }