<?xml version=“1.0” encoding=“UTF-8”?> <QuestionnaireResponse xmlns=“hl7.org/fhir”>
<!-- Please not that in this questionnaire, the questions are mostly unnamed, that is, the questions are not identified using the <name> element. It will therefore be hard to extract useful information in an automated way from this questionnaire. This is, however, quite often the case when modeling existing questionnaires --> <id value="bb"/> <meta> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HTEST"/> <display value="test health data"/> </security> </meta> <status value="completed"/> <subject> <reference value="http://hl7.org/fhir/Patient/1"/> <type value="Patient"/> </subject> <authored value="2013-02-19T14:15:00+10:00"/> <author> <reference value="http://hl7.org/fhir/Practitioner/example"/> <type value="Practitioner"/> </author> <!-- Many groups left out of this example --> <item> <linkId value="birthDetails"/> <text value="Birth details - To be completed by health professional"/> <item> <linkId value="group"/> <item> <linkId value="nameOfChild"/> <text value="Name of child"/> <answer> <valueString value="Cathy Jones"/> </answer> </item> <item> <linkId value="sex"/> <text value="Sex"/> <answer> <valueCoding> <code value="f"/> </valueCoding> </answer> </item> </item> <item> <linkId value="neonatalInformation"/> <text value="Neonatal Information"/> <item> <linkId value="birthWeight"/> <text value="Birth weight (kg)"/> <answer> <valueDecimal value="3.25"/> </answer> </item> <item> <linkId value="birthLength"/> <text value="Birth length (cm)"/> <answer> <valueDecimal value="44.3"/> </answer> </item> <item> <linkId value="vitaminKgiven"/> <text value="Vitamin K given"/> <answer> <valueCoding> <code value="INJECTION"/> </valueCoding> <item> <linkId value="vitaminKgivenDoses"/> <item> <linkId value="vitaminKDose1"/> <text value="1st dose"/> <answer> <valueDate value="1972-11-30"/> </answer> </item> <item> <linkId value="vitaminKDose2"/> <text value="2nd dose"/> <answer> <valueDate value="1972-12-11"/> </answer> </item> </item> </answer> </item> <item> <linkId value="hepBgiven"/> <text value="Hep B given y / n"/> <answer> <valueBoolean value="true"/> <item> <linkId value="hepBgivenDate"/> <text value="Date given"/> <answer> <valueDate value="1972-12-04"/> </answer> </item> </answer> </item> <item> <linkId value="abnormalitiesAtBirth"/> <text value="Abnormalities noted at birth"/> <answer> <valueString value="Already able to speak Chinese"/> </answer> </item> </item> </item>
</QuestionnaireResponse>