This page is part of the Documentation Templates and Rules (v2.0.1: STU 2.0) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Page standards status: Informative |
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:
| |
Documentation for this format |