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

This page is part of the Documentation Templates and Rules (v2.2.0: STU 2.2) 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

Questionnaire: Adaptive Home Oxygen Therapy Order Template

Standards status: Informative as of 2020-01-16 Computable Name: HomeOxygenTherapyAdaptiveQuestionnaire

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. HomeOxygenTherapyAdaptiveQuestionnaire Questionnaire http://example.com/fhir/questionnaire
... 1 Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy) 1..1 text
... 2 Order Reason 1..1 choice Options: 4 options

doco Documentation for this format

Options Sets

Answer options for 2

  • http://example.org#1 ("Initial or original order for certification")
  • http://example.org#2 ("Change in status")
  • http://example.org#3 ("Revision or change in equipment")
  • http://example.org#4 ("Replacement")

Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy)*

  • linkId: 1

Order Reason*

Test this Questionnaire

Try this questionnaire out:

Responses for this Questionnaire

There are currently no QuestionnaireResponse instances for this Questionnaire defined in this IG.