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

• Narrative Content
• XML
• JSON

: Questionnaire Package Operation Results - Simple - XML Representation

Raw xml | Download

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