This page is part of the Documentation Templates and Rules (v2.1.0-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.1. For a full list of available versions, see the Directory of published versions

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: Questionnaire Package Operation Results - Simple - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "DTRQuestionnairePackageOperationResultSimple",
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:90404930-204a-4127-9c40-997b2ed7f767"
  },
  "type" : "collection",
  "timestamp" : "2023-04-20T00:00:00+05:00",
  "entry" : [
    {
      "id" : "home-o2-adaptive-questionnaire",
      "fullUrl" : "http://example.org/fhir/Questionnaire/home-o2-adaptive-questionnaire",
      "resource" : {
        "resourceType" : "Questionnaire",
        "id" : "home-o2-adaptive-questionnaire",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-questionnaire-adapt"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example adaptive questionnaire contained in a QuestionnaireResposne</div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-questionnaireAdaptive",
            "valueUrl" : "http://example.com/fhir/R4"
          }
        ],
        "version" : "0.1.0",
        "name" : "HomeOxygenTherapyAdaptiveQuestionnaire",
        "title" : "Adaptive Home Oxygen Therapy Order Template",
        "derivedFrom" : [
          🔗 "http://hl7.org/fhir/us/davinci-dtr/Questionnaire/home-o2-std-questionnaire"
        ],
        "_derivedFrom" : [
          {
            🔗 "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-derivationType",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/questionnaire-derivationType",
                      "code" : "compliesWith",
                      "display" : "Complies with"
                    }
                  ]
                }
              }
            ]
          }
        ],
        "status" : "draft",
        "subjectType" : [
          "Patient"
        ],
        "date" : "2020-01-16T00:00:00+00:00",
        "publisher" : "Da Vinci DTR",
        "contact" : [
          {
            "name" : "Example Author"
          }
        ],
        "item" : [
          {
            "linkId" : "1",
            "text" : "Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy)",
            "type" : "text",
            "required" : true
          },
          {
            "linkId" : "2",
            "text" : "Order Reason",
            "type" : "choice",
            "required" : true,
            "answerOption" : [
              {
                "valueCoding" : {
                  "system" : "http://example.org",
                  "code" : "1",
                  "display" : "Initial or original order for certification"
                }
              },
              {
                "valueCoding" : {
                  "system" : "http://example.org",
                  "code" : "2",
                  "display" : "Change in status"
                }
              },
              {
                "valueCoding" : {
                  "system" : "http://example.org",
                  "code" : "3",
                  "display" : "Revision or change in equipment"
                }
              },
              {
                "valueCoding" : {
                  "system" : "http://example.org",
                  "code" : "4",
                  "display" : "Replacement"
                }
              }
            ]
          }
        ]
      }
    }
  ]
}