This page is part of the Da Vinci Clinical Documentation Exchange (v2.1.0-snapshot: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
Page standards status: Informative |
<QuestionnaireResponse xmlns="http://hl7.org/fhir">
<questionnaire value="http://example.org/cdex-questionnaire-example1"/>
<status value="completed"/>
<subject>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MB"/>
<display value="Member Number"/>
</coding>
<text value="Member Number"/>
</type>
<system value="http://example.org/cdex/payer/member-ids"/>
<value value="Member123"/>
</identifier>
<display value="Amy Shaw"/>
</subject>
<authored value="2022-06-17"/>
<author>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9941339100"/>
</identifier>
</author>
<item>
<linkId value="1"/>
<text
value="Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy)"/>
<answer>
<valueString value="Examplitis"/>
</answer>
</item>
<item>
<linkId value="2"/>
<text value="Order Reason"/>
<answer>
<valueCoding>
<system value="http://example.org"/>
<code value="4"/>
<display value="Replacement"/>
</valueCoding>
</answer>
</item>
</QuestionnaireResponse>