FHIR IG analytics| Package | haau3.fhir |
| Resource Type | Questionnaire |
| Id | Questionnaire-simple-questionnaire.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/haau3/fhir-ig/Questionnaire-simple-questionnaire.html |
| URL | https://haau3.com/fhir/Questionnaire/patient-demographics |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-03-09T01:21:31+00:00 |
| Realm | us |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire simple-questionnaire
Profile: Questionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
![]() | Questionnaire | https://haau3.com/fhir/Questionnaire/patient-demographics#0.1.0 | ||
![]() ![]() | Patient name | 0..1 | group | Definition: Patient.name |
![]() ![]() ![]() | Last name | 1..1 | string | Definition: Patient.name.family |
![]() ![]() ![]() | First name | 1..1 | string | Definition: Patient.name.given |
![]() ![]() | Date of birth | 1..1 | date | Definition: Patient.birthDate |
![]() ![]() | Administrative sex | 1..1 | choice | Definition: Patient.gender Options: 4 options |
Options Sets
Answer options for patient.gender
{
"resourceType": "Questionnaire",
"id": "simple-questionnaire",
"meta": {
"profile": [
"https://haau3.com/fhir/StructureDefinition/haau3-questionnaire"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"extension": [
{
"url": "name",
"valueCoding": {
"system": "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext",
"code": "patient"
}
},
{
"url": "type",
"valueCode": "Patient"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext"
},
{
"extension": [
{
"url": "name",
"valueCoding": {
"system": "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext",
"code": "user"
}
},
{
"url": "type",
"valueCode": "PractitionerRole"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext"
},
{
"extension": [
{
"url": "definition",
"valueCanonical": "http://hl7.org/fhir/StructureDefinition/Patient"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtract"
}
],
"url": "https://haau3.com/fhir/Questionnaire/patient-demographics",
"version": "0.1.0",
"status": "active",
"subjectType": [
"Patient"
],
"date": "2026-03-09T01:21:31+00:00",
"publisher": "haau3",
"contact": [
{
"name": "haau3",
"telecom": [
{
"system": "url",
"value": "https://haau3.com"
},
{
"system": "email",
"value": "hello@haau3.com"
}
]
}
],
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US",
"display": "United States of America"
}
]
}
],
"item": [
{
"linkId": "patient.name",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name",
"text": "Patient name",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%patient.name.where(use.empty() or use = 'official').family.first()"
}
}
],
"linkId": "patient.name.family",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.family",
"text": "Last name",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%patient.name.where(use.empty() or use = 'official').given.first()"
}
}
],
"linkId": "patient.name.given",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given",
"text": "First name",
"type": "string",
"required": true
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%patient.birthDate"
}
}
],
"linkId": "patient.birthDate",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.birthDate",
"text": "Date of birth",
"type": "date",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%patient.gender"
}
}
],
"linkId": "patient.gender",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.gender",
"text": "Administrative sex",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "male"
}
},
{
"valueCoding": {
"code": "female"
}
},
{
"valueCoding": {
"code": "other"
}
},
{
"valueCoding": {
"code": "unknown"
}
}
]
}
]
}