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Example of FHIR Questionnaire Data Structure: Lifelines Health Information Collection

Request - Touchstone

July 11, 2025

Summary

This article provides a technical sample showing how a specific medical questionnaire, the 'New Patient Questionnaire,' is structured as an FHIR resource. The questionnaire includes items designed to collect basic patient information such as allergy status, gender, date of birth, and country of birth.

Details

This document presents an implementation example of a 'Questionnaire' resource based on the HL7 FHIR standard. Specifically, it details the structure for a questionnaire titled 'New Patient Questionnaire.' It defines multiple items necessary for basic health screening, including questions about allergy history, general information (gender, date of birth, country of birth, marital status), and lifestyle habits (smoking/drinking). Technically, the resource is shown in an XML format, intended to be sent via a PUT method to a specific path. The entire data structure is described, with each item specifying a `linkId` and expected data type (e.g., boolean, date, string), thereby clearly defining what information needs to be collected by the system. This is crucial as a blueprint for standardizing questionnaires in electronic medical records or telemedicine. By utilizing FHIR, it becomes possible to consistently collect and exchange patient data using a common data structure (the `Questionnaire` resource) across different systems, forming a foundational interoperability layer essential for realizing digital health in Japan.

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