Questionnaireresponse-example-f201-lifelines.xml

Real-world lifelines questionnaire response (fictively taken from the patient) (id = "f201")

<?xml version="1.0" encoding="UTF-8"?>
<QuestionnaireResponse xmlns="http://hl7.org/fhir"><id value="f201"/><text ><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px"><a href="formats.html#table" title="The linkId for the item">LinkId</a></th><th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px"><a href="formats.html#table" title="Text for the item">Text</a></th><th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px"><a href="formats.html#table" title="Minimum and Maximum # of times the the itemcan appear in the instance">Definition</a></th><th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px"><a href="formats.html#table" title="The type of the item">Answer</a><span style="float: right"><a href="formats.html#table" title="Legend for this format"><img alt="doco" src="help16.png" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon_q_root.gif" style="background-color: white; background-color: inherit" title="QuestionnaireResponseRoot"/> f201</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px">QuestionnaireResponse</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px"/></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px"/></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px">Do you have allergies?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px">I am allergic to house dust</td></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px">General questions</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px"/></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px">What is your gender?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px">Male</td></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px">What is your date of birth?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px">1960年03月13日</td></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px">What is your country of birth?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px">The Netherlands</td></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px">What is your marital status?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px">married</td></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px">Intoxications</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px"/></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 3.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px">Do you smoke?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0
 solid; padding:0px 4px 0px 4px">No</td></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 3.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px">Do you drink alchohol?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid;
 padding:0px 4px 0px 4px">No, but I used to drink</td></tr><tr ><td class="hierarchy" colspan="4"><br /><a href="formats.html#table" title="Legend for this format"><img alt="doco" src="help16.png" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div></text><status value="completed"/><!-- Fictive, only the below answers are non-fictive --><subject ><reference value="Patient/f201 "/><display value="Roel"/></subject><authored value="2013年06月18日T00:00:00+01:00"/><author ><reference value="Practitioner/f201 "/></author><source ><reference value="Practitioner/f201 "/></source><item ><linkId value="1"/><item ><!-- Seperate answer --><linkId value="1.1"/><text value="Do you have allergies?"/><answer ><valueString value="I am allergic to house dust"/></answer></item></item><item ><!-- Answers to general questions --><linkId value="2"/><text value="General questions"/><item ><linkId value="2.1"/><text value="What is your gender?"/><answer ><valueString value="Male"/></answer></item><item ><linkId value="2.2"/><text value="What is your date of birth?"/><answer ><valueDate value="1960年03月13日"/></answer></item><item ><linkId value="2.3"/><text value="What is your country of birth?"/><answer ><valueString value="The Netherlands"/></answer></item><item ><linkId value="2.4"/><text value="What is your marital status?"/><answer ><valueString value="married"/></answer></item></item><item ><!-- Answers to intoxications --><linkId value="3"/><text value="Intoxications"/><item ><linkId value="3.1"/><text value="Do you smoke?"/><answer ><valueString value="No"/></answer></item><item ><linkId value="3.2"/><text value="Do you drink alchohol?"/><answer ><valueString value="No, but I used to drink"/></answer></item></item></QuestionnaireResponse>