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Generated Narrative: Bundle home-o2-questionnaireresponse-bundle
Bundle home-o2-questionnaireresponse-bundle of type collection
Entry 1 - 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