This page is part of the Documentation Templates and Rules (v1.1.0-ballot: STU 1.1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0.  For a full list of available versions, see the Directory of published versions 
| Official URL: http://hl7.org/fhir/us/davinci-dtr/Questionnaire/home-o2-questionnaire | Version: 1.1.0-ballot | |||
| Draft as of 2019-03-11 | Computable Name: HomeOxygenTherapyQuestionnaire | |||
| LinkId | Text | Cardinality | Type | Description & Constraints  | 
|---|---|---|---|---|
|   HomeOxygenTherapyQuestionnaire | Questionnaire | http://hl7.org/fhir/us/davinci-dtr/Questionnaire/home-o2-questionnaire#1.1.0-ballot | ||
|    1 | Patient Information | 0..1 | group | |
|     1.1 | Last Name | 1..1 | string | |
|     1.3 | Middle Initial | 0..1 | text | |
|     1.2 | First Name | 1..1 | string | Enable When: 1.3 = S | 
|     1.4 | Date Of Birth | 1..1 | date | |
|     1.5 | Gender | 1..1 | choice | Value Set: AdministrativeGender | 
|  Documentation for this format | ||||