Da Vinci - Documentation Templates and Rules
2.2.0-ballot - STU 2.2 - Ballot United States of America flag

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. The current version which supersedes this version is 2.2.0. For a full list of available versions, see the Directory of published versions

Questionnaire: Home Oxygen Therapy Order Template

Official URL: http://hl7.org/fhir/us/davinci-dtr/Questionnaire/home-o2-std-questionnaire Version: 2.2.0-ballot
Standards status: Informative Computable Name: HomeOxygenTherapyStdQuestionnaire
LinkIdTextCardinalityTypeFlagsDescription & Constraintsdoco
.. HomeOxygenTherapySDCQuestionnaireQuestionnairehttp://hl7.org/fhir/us/davinci-dtr/Questionnaire/home-o2-sdc-questionnaire#1.1.0-ballot
... 1Patient Information0..1group
.... 1.1Last Name1..1string
.... 1.2Fist Name1..1string
.... 1.3Middle Name0..1string
... 1.4Postal Code (A1A 1A1)0..1string
... 1.5Enter your weight in lb0..1decimal
... 1.6Attach latest x-ray0..1attachment
... 2Calculation0..1group
.... 3.1Deadline for submission (7 days from now)0..1dateiconExpressions:

doco Documentation for this format