This page is part of the Documentation Templates and Rules (v2.2.0-ballot: STU 2.2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 2.1.0. For a full list of available versions, see the Directory of published versions
{
"resourceType" : "Parameters",
"id" : "NextQuestionOutputParamsExample",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-next-question-output-parameters"
]
},
"parameter" : [
{
"name" : "questionnaire-response-out",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "home-o2-adaptive-questionnaireresponse",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-questionnaireresponse-adapt"
]
},
"contained" : [
{
"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"
}
],
"url" : "http://example.com/fhir/questionnaire",
"version" : "0.1.0",
"name" : "HomeOxygenTherapyAdaptiveQuestionnaire",
"title" : "Adaptive Home Oxygen Therapy Order Template",
"derivedFrom" : [
🔗 "http://hl7.org/fhir/us/davinci-dtr/dtr-questionnaire"
],
"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"
}
}
]
}
]
}
],
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-coverage",
"valueReference" : {
🔗 "reference" : "Coverage/CoverageExample"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/intendedUse",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp",
"code" : "withorder",
"display" : "Include with order"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-context",
"valueReference" : {
🔗 "reference" : "ServiceRequest/ServiceRequestExample"
}
}
],
"questionnaire" : "#home-o2-adaptive-questionnaire",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/examplepatient",
"display" : "Vlad"
},
"authored" : "2022-01-26T20:36:57.544Z",
"item" : [
{
"linkId" : "1",
"text" : "Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy)",
"answer" : [
{
"extension" : [
{
"extension" : [
{
"url" : "source",
"valueCode" : "auto"
}
],
"url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
}
],
"valueString" : "diagnosis"
}
]
},
{
"linkId" : "2",
"text" : "Order Reason",
"answer" : [
{
"extension" : [
{
"extension" : [
{
"url" : "source",
"valueCode" : "auto"
}
],
"url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
}
],
"valueCoding" : {
"system" : "http://example.org",
"code" : "4",
"display" : "Replacement"
}
}
]
}
]
}
}
]
}