Does the patient have an autoimmune condition? - in progress

Questionnaire Snippet

In this example snippet of xml from the Questionnaire we embed a value set definition within the Questionnaire using codes from SNOMED CT.

<Questionnaire xmlns="http://hl7.org/fhir"> <contained> <ValueSet> <id value="Yes_No_Unknown"/> <name value="SNOMED CT Yes No Unknown Value Set"/> <status value="active"/> <compose> <include> <system value="http://snomed.info/sct"/> <concept> <code value="373066001"/> <display value="Yes"/> </concept> <concept> <code value="373067005"/> <display value="No"/> </concept> <concept> <code value="261665006"/> <display value="Unknown"/> </concept> </include> </compose> </ValueSet> </contained> ……. <item>    <linkId value=”aa1af550-c7be-11ea-87d0-0242ac130003”/>         <code>            <system value=”http://snomed.info/sct”/>            <code value=”85828009”/>            <display value="Autoimmune disease"/> </code>         <text>Does the patient have an autoimmune condition?</text>                <type value=”choice”/>         <answerValueSet value=”#Yes_No_Unknown” /> </item> …….. </Questionnaire>

 

Questionnaire Response

 

<QuestionnaireResponse xmlns="http://hl7.org/fhir"> ……. <item>     <linkId>aa1af550-c7be-11ea-87d0-0242ac130003</linkId>     <text>Does the patient have an autoimmune condition?</text>     <answer>        <valueCoding>           <system value=”http://snomed.info/sct”/>           <code value=”373067005”/>           <display value=”No”/>        </valueCoding>    </answer> </item> …….. </QuestionnaireResponse>

Questionnaire Response Transformed to FHIR Observation based on ANF

 The “No” answer to the Questionnaire is transformed in the FHIR Observation as a Range of > 0 and <= INF based on the ANF specification.

<?xml version="1.0" encoding="UTF-8"?> <Observation xmlns="http://hl7.org/fhir"> <identifier>b49dcbec-c7be-11ea-87d0-0242ac130003</identifier> <status value="final"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="85828009"/> <display value="Autoimmune disease"/> </coding> </code> <subject> <reference value="Patient"/>   </subject> <focus>     <reference value=”Patient”/> </focus>   <effectiveDateTime value="Time of observation"/>   <performer>      <reference value=”Practitioner”/>   </performer> 
<valueRange unitCode=“1234” unitString=“quantity” >[0,0]</valueRange> </Observation>