| 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 | 2025-08-12T10:08:23+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
Structure| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  | Formal definition of the Consultation Note | Questionnaire | https://fhir.virtually.healthcare/Questionnaire/ConsultationNote#0.1.1-current | |
  LOINC/42348-3 | Consent | 0..1 | group | Definition: https://fhir.virtually.healthcare/StructureDefinition/Consent |
   consentType | Type of Consent | 0..* | text | |
| Encounter | Consultation | 0..1 | group | Definition: |
 encounterdate | Date and time of consultation | 0..1 | dateTime | Definition: Encounter.period.start |
 encountertype | Type of Consultation | 0..1 | choice | Definition: Encounter.type Options: 3 options |
| encounterservice | Service Provided | 0..1 | choice | Definition: Encounter.serviceType Options: 1 option |
| LOINC/61150-9 | Presenting Complaint | 0..1 | group | |
| narrative | Symptoms | 0..* | text | |
| complaint | Complaint | 0..* | open-choice | Definition: Observation.valueCodeableConcept Value Set: http://snomed.info/sct/900000000000207008?fhir_vs=ecl/%3C404684003 |
| AllergyIntolerance | Allergies | 0..1 | group | Definition: |
| substance | Substance Allergy | 0..* | open-choice | Definition: AllergyIntolerance.code Value Set: http://snomed.info/sct/900000000000207008?fhir_vs=ecl/%3C105590001 |
| drug | Drug Allergy | 0..* | open-choice | Definition: AllergyIntolerance.code Value Set: http://snomed.info/sct/900000000000207008?fhir_vs=ecl/%3C416098002 |
| History | History | 0..1 | group | |
| historynarrative | Patient History | 0..* | text | |
| Examination | Examination | 0..1 | group | |
| LOINC/8716-3 | Vital signs | 0..1 | group | |
  SCT/27113001 | Weight | 0..1 | decimal | Definition: Observation.valueQuantity Initial Value: Quantity = ? kilogram |
| SCT/50373000 | Height | 0..1 | decimal | Definition: Observation.valueQuantity Initial Value: Quantity = ? centimeter |
| SCT/363811000 | Head Circumference | 0..1 | decimal | Definition: Observation.valueQuantity Initial Value: Quantity = ? centimeter |
| SCT/276885007 | Body temperature | 0..1 | decimal | Definition: Observation.valueQuantity Initial Value: Quantity = ? Cel |
| SCT/75367002 | Blood pressure | 0..1 | group | Definition: Observation.component |
| SCT/72313002 | Systolic blood pressure | 1..1 | decimal | Definition: Observation.valueQuantity Initial Value: Quantity = ? millimeter of mercury |
| SCT/1091811000000102 | Diastolic blood pressure | 1..1 | decimal | Definition: Observation.valueQuantity Initial Value: Quantity = ? millimeter of mercury |
| LOINC/61149-1 | Comment | 0..1 | group | |
| questions | Questions | 0..* | group | |
| question | Question | 0..1 | text | |
| answer | Answer | 0..* | text | |
| LOINC/29762-2 | Lifestyle- smoking and alcohol status, diet | 0..1 | group | |
| SCT/365981007 | Smoking Status | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Smoking Status |
| LOINC/10160-0 | Medications | 0..1 | group | Definition: https://fhir.virtually.healthcare/StructureDefinition/MedciationDispense |
| medication | Medications Dispensed | 0..* | group | |
| drug | Drug | 0..1 | text | |
| dosage | Dosage | 0..1 | text | |
| FollowUp | Follow up | 0..1 | group | Definition: |
| task | Tasks | 0..1 | text | |
| Documents | Document | 0..1 | group | |
 images | Images | 0..* | attachment | Definition: DocumentReference |
| Referral | Sign Posting | 0..1 | group | Definition: |
| serviceRequest | Services | 0..* | group | |
| serviceType | Type of Signposting | 0..1 | text | |
| Documentation for this format | ||||
Options Sets
Answer options for encountertype
Answer options for encounterservice
FHIR{
"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": "2025-08-12T10:08:23+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"
}
]
}
]
}
]
}