<?xml version=“1.0” encoding=“UTF-8”?><Questionnaire xmlns=“hl7.org/fhir”>

<id value="3141"/>
<text>
  <status value="generated"/>
  <div xmlns="http://www.w3.org/1999/xhtml">

    <pre>
          Comorbidity? YES
            Cardial Comorbidity? YES
              Angina? YES
              MI? NO
            Vascular Comorbidity?
              (no answers)
            ...
          Histopathology
            Abdominal
              pT category: 1a
            ...
        </pre>

  </div>
</text>
<contained>
  <ValueSet>
    <id value="yesno"/>
  <!--    In practice you could (should?) use boolean for this sort of circumstance.  However, the reality is
      that many systems treat booleans as coded data    -->
    <name value="Example YesNo"/>
    <status value="active"/>
    <description value="Captures simple yes-no"/>
    <codeSystem>
      <system value="http://example.org/system/code/yesno"/>
      <caseSensitive value="true"/>
      <concept>
        <code value="1"/>
        <display value="Yes"/>
      </concept>
      <concept>
        <code value="2"/>
        <display value="No"/>
      </concept>
    </codeSystem>
  </ValueSet>
</contained>
<status value="draft"/>
<date value="2012-01"/>
<subjectType value="Patient"/>
<group>
  <linkId value="1"/>
  <title value="Cancer Quality Forum Questionnaire 2012"/>
  <required value="true"/>
  <group>
  <!--    COMORBIDITY    -->
  <!--    First main section of the form, questions about comorbidity    -->
    <linkId value="1.1"/>
    <concept>
      <system value="http://example.org/system/code/sections"/>
      <code value="COMORBIDITY"/>
    </concept>
  <!--    section contains one question: whether there is comorbidity    -->
    <question>
      <linkId value="1.1.1"/>
      <concept>
        <system value="http://example.org/system/code/questions"/>
        <code value="COMORB"/>
      </concept>
      <type value="choice"/>
      <options>
        <reference value="#yesno"/>
      </options>
      <group>
      <!--    COMORBIDITY/CARDIAL    -->
      <!--    Subsection about specific comorbidity: cardial    -->
        <linkId value="1.1.1.1"/>
        <concept>
          <system value="http://example.org/system/code/sections"/>
          <code value="CARDIAL"/>
        </concept>
        <question>
          <linkId value="1.1.1.1.1"/>
          <concept>
            <system value="http://example.org/system/code/questions"/>
            <code value="COMORBCAR"/>
          </concept>
          <type value="choice"/>
          <options>
            <reference value="#yesno"/>
          </options>
        </question>
        <question>
        <!--    This answer carries both the questionnaire-specific name and an equivalent SNOMED CT code    -->
          <linkId value="1.1.1.1.2"/>
          <concept>
            <system value="http://example.org/system/code/questions"/>
            <code value="COMCAR00"/>
            <display value="Angina Pectoris"/>
          </concept>
          <concept>
            <system value="http://snomed.info/sct"/>
            <code value="194828000"/>
            <display value="Angina (disorder)"/>
          </concept>
          <type value="choice"/>
          <options>
            <reference value="#yesno"/>
          </options>
        </question>
        <question>
          <linkId value="1.1.1.1.3"/>
          <concept>
            <system value="http://snomed.info/sct"/>
            <code value="22298006"/>
            <display value="Myocardial infarction (disorder)"/>
          </concept>
          <type value="choice"/>
          <options>
            <reference value="#yesno"/>
          </options>
        </question>
      </group>
      <group>
      <!--    COMORBIDITY/VASCULAR    -->
        <linkId value="1.1.1.2"/>
        <concept>
          <system value="http://example.org/system/code/sections"/>
          <code value="VASCULAR"/>
        </concept>
      </group>
    </question>
  </group>
<!--    Todo: What's supposed to go here?    -->
  <group>
  <!--    HISTOPATHOLOGY    -->
    <linkId value="1.2"/>
    <concept>
      <system value="http://example.org/system/code/sections"/>
      <code value="HISTOPATHOLOGY"/>
    </concept>
    <group>
      <linkId value="1.2.1"/>
      <concept>
        <system value="http://example.org/system/code/sections"/>
        <code value="ABDOMINAL"/>
      </concept>
      <question>
        <linkId value="1.2.1.2"/>
        <concept>
          <system value="http://example.org/system/code/questions"/>
          <code value="STADPT"/>
          <display value="pT category"/>
        </concept>
      </question>
    </group>
  </group>
</group>

</Questionnaire>