This
page
is
part
of
the
FHIR
Specification
(v4.0.1:
R4
-
Mixed
Normative
and
STU
).
This
is
the
current
published
version
in
it's
permanent
home
(it
will
always
be
available
at
this
URL).
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
Questionnaire-profile-example-ussg-fht
This
is
the
narrative
for
the
resource.
See
also
the
XML
,
JSON
or
Turtle
format.
This
example
conforms
to
the
profile
Questionnaire
.
Generated
Narrative
with
Details
id
:
54127-6
meta
:
contained
:
,
url
:
http://hl7.org/fhir/us/sdc/Questionnaire/54127-6
identifier
:
54127-6
title
:
US
Surgeon
General
-
Family
Health
Portrait
status
:
active
experimental
:
true
subjectType
:
Patient
date
:
01/01/2015
publisher
:
Regenstrief
Institute,
Inc
and
the
LOINC
Committee
contact
:
description
:
This
represents
an
implementation
of
the
"US
Surgeon
General
family
health
portrait"
form
found
at
https://lforms-demo.nlm.nih.gov
useContext
:
jurisdiction
:
United
States
of
America
(Details
:
{urn:iso:std:iso:3166
code
'US'
=
'United
States
of
America)
purpose
:
Captures
basic
family
history
information
copyright
:
(c)
2015
Regenstrief
Institute
approvalDate
:
31/10/2015
lastReviewDate
:
15/03/2017
code
:
US
Surgeon
General
family
health
portrait
[USSG-FHT]
(Details:
LOINC
code
54127-6
=
'US
Surgeon
General
family
health
portrait
[USSG-FHT]',
stated
as
'US
Surgeon
General
family
health
portrait
[USSG-FHT]')
item
linkId
:
0
type
:
group
Items
-
*
*
*
*
item
linkId
:
1
definition
:
http://loinc.org/rdf#54126-8
text
:
Your
health
information
type
:
group
required
:
true
Items
-
*
*
item
linkId
:
2
definition
:
http://loinc.org/rdf#54114-4
text
:
Family
member
health
information
type
:
group
repeats
:
true
Items
-
*
Other
examples
that
reference
this
example:
QuestionnaireResponse/LOINC
USSG
Family
History
Response
Usage
note:
every
effort
has
been
made
to
ensure
that
the
examples
are
correct
and
useful,
but
they
are
not
a
normative
part
of
the
specification.