Generated Narrative: Bundle home-o2-questionnairepackage-bundle-2

Bundle home-o2-questionnairepackage-bundle-2 of type collection

Entry 1 - fullUrl = http://example.org/fhir/home-o2-questionnaire

Resource Questionnaire:

LinkId	Text	Cardinality	Type	Flags	Description & Constraints
HomeOxygenTherapySDCQuestionnaire			Questionnaire		http://hl7.org/fhir/us/davinci-dtr/Questionnaire/home-o2-sdc-questionnaire#1.1.0-ballot
1	Patient Information	0..1	group
1.1	Last Name	1..1	string
1.2	Fist Name	1..1	string
1.3	Middle Name	0..1	string
1.4	Postal Code (A1A 1A1)	0..1	string
1.5	Enter your weight in lb	0..1	decimal
1.6	Attach latest x-ray	0..1	attachment
2	Calculation	0..1	group
3.1	Deadline for submission (7 days from now)	0..1	date		Expressions: Initial Value: today() + 7 days
Documentation for this format

Entry 2 - fullUrl = http://example.org/fhir/home-o2-questionnaireresponse

Resource QuestionnaireResponse:

Generated Narrative: QuestionnaireResponse home-o2-questionnaireresponse

LinkID	Text	Definition	Answer
home-o2-questionnaireresponse			Questionnaire:Referred Questionnaire for QuestionnaireResponse
1	Patient Information
1.1	Last Name but Different This Time		Quinton
1.2	First Name		Vlad
1.3	Middle Initial		A, N
1.4	Date Of Birth		1956-12-01
1.5	Gender		AdministrativeGender male: Male
1.6	Medicare ID		10A3D58WH22
2	Provider who is performing face-to-face evaluation
2.1	Last Name		Doe
2.2	First Name		Jane
2.3	Middle Initial		B
2.4	NPI		1122334455
2.5	Date of Face-To-Face Evaluation		2019-07-18
2.6	Record		Mr. Saul Moki
3	Coverage Requirements
3.1	Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy)		SNOMED CT 313296004: Mild chronic obstructive pulmonary disease
3.2	Arterial oxygen saturation (Patient on room air while at rest and awake when tested)		95 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')
3.3	Arterial Partial Pressure of Oxygen (PO2) (Patient on room air while at rest and awake when tested)		83 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')
3.4	Arterial oxygen saturation (Patient tested during exercise)		95 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')
3.5	Arterial Partial Pressure of Oxygen (PO2) (Patient tested during exercise)		78 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')
3.6	Is there a documented improvement of hypoxemia during exercise with oxygen?		true
4	Prescribed Use
4.1	Start date		2019-07-18
4.2	Length of need: (months) (99 = lifetime)		99
4.3	Peak Flow Rate
4.3.1	LPM		2
4.3.2	oxygen %		98
4.4	Average Flow Rate
4.4.1	LPM		2
4.4.2	oxygen %		97
4.5	Frequency of use (choose all that apply)		At rest and awake
5	Oxygen Supply Order Details
5.1	Current Order Description		HCPCS E0424 - Stationary Compressed Gaseous Oxygen System, Rental
5.1b	Current Order Is For A Portable Device
5.2	Type		example.org 122: Compressed Gas
5.3	Means of oxygen delivery and accessories		example.org 134: Mask
Documentation for this format