FHIR IG Statistics: Questionnaire/anc-quick-check

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Narrative

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

Generated Narrative: Questionnaire anc-quick-check

Profile: Advanced Rendering Questionnaire

Structure

LinkID	Text	Cardinality	Type	Description & Constraints
ANC_Quick_Check	A sample questionnaire using itemMedia and itemAnswerMedia extensions		Questionnaire	http://hl7.org/fhir/uv/sdc/Questionnaire/anc-quick-check#4.0.0-ballot
reason-for-visit	Why did you come?	0..1	choice	Options: 5 options
Documentation for this format

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Options Sets

Answer options for reason-for-visit

• For a scheduled (routine) visit
• For specific complaints about you or your baby
• First visit
• Follow-up visit
• Do you want to include your companion or other family member (parent if adolescent) in the examination and discussion?

Source

{
  "resourceType": "Questionnaire",
  "id": "anc-quick-check",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-render"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.versionAlgorithm%5Bx%5D",
      "valueCoding": {
        "system": "http://hl7.org/fhir/version-algorithm",
        "code": "semver"
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/sdc/Questionnaire/anc-quick-check",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.40.17.35.2"
    }
  ],
  "version": "4.0.0-ballot",
  "name": "ANC_Quick_Check",
  "title": "Questionnaire - ANC Quick Check",
  "status": "active",
  "experimental": true,
  "subjectType": [
    "Patient"
  ],
  "date": "2025-07-14T18:38:59+00:00",
  "publisher": "HL7 International / FHIR Infrastructure",
  "contact": [
    {
      "name": "HL7 International / FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    },
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "A sample questionnaire using itemMedia and itemAnswerMedia extensions",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "item": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia",
          "valueAttachment": {
            "url": "http://example.org/images/reason-for-visit.png"
          }
        }
      ],
      "linkId": "reason-for-visit",
      "text": "Why did you come?",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia",
              "valueAttachment": {
                "url": "http://example.org/images/reason-for-visit-routine.png"
              }
            }
          ],
          "valueString": "For a scheduled (routine) visit"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia",
              "valueAttachment": {
                "url": "http://example.org/images/reason-for-visit-specific-complaint.png"
              }
            }
          ],
          "valueString": "For specific complaints about you or your baby"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia",
              "valueAttachment": {
                "url": "http://example.org/images/reason-for-visit-first.png"
              }
            }
          ],
          "valueString": "First visit"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia",
              "valueAttachment": {
                "url": "http://example.org/images/reason-for-visit-follow-up.png"
              }
            }
          ],
          "valueString": "Follow-up visit"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia",
              "valueAttachment": {
                "url": "http://example.org/images/reason-for-visit-include-family-member.png"
              }
            }
          ],
          "valueString": "Do you want to include your companion or other family member (parent if adolescent) in the examination and discussion?"
        }
      ]
    }
  ]
}