Da Vinci - Documentation Templates and Rules
2.1.0 - STU 2.1 United States of America flag

This page is part of the Documentation Templates and Rules (v2.1.0: STU 2.1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example Parameters: $next-question Input Parameters Example

Generated Narrative: Parameters NextQuestionInputParamsExample

Parameters

in

QuestionnaireResponse/home-o2-questionnaireresponse

Generated Narrative: QuestionnaireResponse home-o2-questionnaireresponse

LinkIDTextDefinitionAnswerdoco
.. home-o2-questionnaireresponseQuestionnaire:Referred Questionnaire for QuestionnaireResponse
... 1Patient Information
.... 1.1Last Name but Different This TimeQuinton
.... 1.2First NameVlad
.... 1.3Middle InitialA, N
.... 1.4Date Of Birth1956-12-01
.... 1.5GenderAdministrativeGender male: Male
.... 1.6Medicare ID10A3D58WH22
... 2Provider who is performing face-to-face evaluation
.... 2.1Last NameDoe
.... 2.2First NameJane
.... 2.3Middle InitialB
.... 2.4NPI1122334455
.... 2.5Date of Face-To-Face Evaluation2019-07-18
.... 2.6RecordMr. Saul Moki
... 3Coverage Requirements
.... 3.1Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy)SNOMED CT 313296004: Mild chronic obstructive pulmonary disease
.... 3.2Arterial oxygen saturation (Patient on room air while at rest and awake when tested)95 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')
.... 3.3Arterial 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]')
.... 3.4Arterial oxygen saturation (Patient tested during exercise)95 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')
.... 3.5Arterial Partial Pressure of Oxygen (PO2) (Patient tested during exercise)78 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')
.... 3.6Is there a documented improvement of hypoxemia during exercise with oxygen?true
... 4Prescribed Use
.... 4.1Start date2019-07-18
.... 4.2Length of need: (months) (99 = lifetime)99
.... 4.3Peak Flow Rate
..... 4.3.1LPM2
..... 4.3.2oxygen %98
.... 4.4Average Flow Rate
..... 4.4.1LPM2
..... 4.4.2oxygen %97
.... 4.5Frequency of use (choose all that apply)At rest and awake
... 5Oxygen Supply Order Details
.... 5.1Current Order DescriptionHCPCS E0424 - Stationary Compressed Gaseous Oxygen System, Rental
.... 5.1bCurrent Order Is For A Portable Device
.... 5.2Typeexample.org 122: Compressed Gas
.... 5.3Means of oxygen delivery and accessoriesexample.org 134: Mask

doco Documentation for this format