FHIR IG analytics| Package | uk.nhsengland.genomics.r4 |
| Resource Type | QuestionnaireResponse |
| Id | QuestionnaireResponse-RoD-YoungPersonAssentForm-Example.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
{
"resourceType": "QuestionnaireResponse",
"id": "QuestionnaireResponse-RoD-YoungPersonAssentForm-Example",
"questionnaire": "https://fhir.nhs.uk/Questionnaire/Questionnaire-RoD-YoungPersonAssentForm-Example",
"status": "completed",
"basedOn": [
{
"reference": "urn:uuid:a40c7ddc-2897-4e3c-bae6-88500e080229"
}
],
"subject": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307539"
},
"display": "A Patient"
},
"authored": "2024-01-25",
"author": {
"type": "PractitionerRole",
"identifier": {
"system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
"value": "999999999999"
}
},
"source": {
"type": "PractitionerRole",
"identifier": {
"system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
"value": "999999999999"
}
},
"item": [
{
"linkId": "patientDetails",
"text": "Patient Details",
"item": [
{
"linkId": "givenName",
"text": "First Name",
"answer": [
{
"valueString": "Phoebe"
}
]
},
{
"linkId": "familyName",
"text": "Last Name",
"answer": [
{
"valueString": "Smitham"
}
]
},
{
"linkId": "nhs_Number",
"text": "NHS number (or postcode if not not known)",
"answer": [
{
"valueString": "9449307539"
}
]
},
{
"linkId": "birthDate",
"text": "Date of Birth",
"answer": [
{
"valueDate": "2013-09-27"
}
]
}
]
},
{
"linkId": "declarationResponse",
"text": "Please indicate your choices below by ticking the appropriate box:",
"item": [
{
"linkId": "consentQuestion1",
"text": "1. Have you read information or has someone explained the research to you?",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "consentQuestion2",
"text": "2. Have you asked all the questions you want?",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "consentQuestion3",
"text": "3. Have you had your questions answered in a way you understand?",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "consentQuestion4",
"text": "4. Do you understand it’s OK to say you don’t want to take part – but that your parent(s), or guardian who look after you, will make the final choice?",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "consentQuestion5",
"text": "5. Are you happy to take part?",
"answer": [
{
"valueBoolean": false
}
]
}
]
},
{
"linkId": "isRemoteConsentTrue",
"text": "Assent obtained remotely, no participant signature",
"answer": [
{
"valueBoolean": true
}
]
}
]
}