I'm wondering the best way to use the Questionnaire resource for our workflow. We generate a pretty dynamic set of questions from our system to collect answers for medical conditions, history, etc. We want to store this is Medplum as a

QuestionnaireResponse

resource. This intake is mainly for review by a physician and doesn't necessarily need to be rigidly structured as long as the physician can read through it. I see two ways of doing this: 1. Create a new

Questionnaire

with the exact questions/fields we asked for each new response 2. Create a single

Questionnaire

with just a free form field where we put all the answers in as markdown/html (or some other formatted/rich text) Any recommendations? Option 1 seems like a bit of a hacky use of the

Questionnaire

resource and would lead to a huge number of these resources.

The questionnaire supports a lot of stuff - including pagination, enableWhen etc. Here are some examples: https://storybook.medplum.com/?path=/story/medplum-questionnaireform--basic Do any of these look close to what you want to capture? This is kind of a "kitchen sink" example too: https://github.com/medplum/medplum/tree/main/examples/medplum-patient-intake-demo

If it makes any difference we aren't concerned with the actual form UI since we will be creating the response via the API

Yeah, there is a "code" section in the storybook, so you can see what fields are available as types and how to manipulate using the SDK. Look at Kitchen Sink for example https://storybook.medplum.com/?path=/story/medplum-questionnaireform--kitchen-sink-with-initial-values (No rich text at present)

I see, thanks

That is unconventional! No reason to think it wouldn't work - but typically a single or a few questionnaires for intake (can be very complex) are the common path.

I think that the FHIR Structured Data Capture IG might have exactly what you're looking for. Part of the IG defines a system for dynamic/adaptive forms. This is typically used for computer adaptive tests where the computer selects the next question based on it's current expectation of your "skill" level from a pool of questions so as to greatly reduce the number of questions that needs to be asked. https://build.fhir.org/ig/HL7/sdc/en/adaptive.html The core insight here is that you store the Questionnaire in the

contained

field on the response. That way you don't have to create a new Questionnaire for each response but can still track and know what questions were asked

Ah great this is super helpful thanks! I'll look into this