Da Vinci Clinical Data Exchange (CDex)
2.0.0 - STU2
Da Vinci Clinical Data Exchange (CDex)
2.0.0 - STU2
This page is part of the Da Vinci Clinical Documentation Exchange (v2.0.0: STU2) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
| Page standards status: Informative |
{
"resourceType" : "QuestionnaireResponse",
"id" : "cdex-questionnaireresponse-example4",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-cdex/StructureDefinition/cdex-sdc-questionnaireresponse"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The linkId for the item\">LinkId</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the itemcan appear in the instance\">Definition</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Answer</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireResponseRoot\" class=\"hierarchy\"/> cdex-questionnaireresponse-example4</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">QuestionnaireResponse</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> 1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Examplitis</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> 2</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Order Reason</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span>http://example.org 4: Replacement</span></span></td></tr>\r\n<tr><td colspan=\"4\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature",
"valueSignature" : {
"type" : [
{
"system" : "urn:iso-astm:E1762-95:2013",
"code" : "1.2.840.10065.1.12.1.5",
"display" : "Verification Signature"
}
],
"when" : "2022-06-17T22:42:19-07:00",
"who" : {
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NPI",
"display" : "National Provider Identifier"
}
]
},
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "9941339108"
},
"display" : "CDex example provider"
},
"onBehalfOf" : {
"identifier" : {
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "1184932014"
}
},
"data" : "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"
}
}
],
"questionnaire" : "http://example.org/cdex-questionnaire-example2",
"status" : "completed",
"subject" : {
"identifier" : {
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-hrex/CodeSystem/hrex-temp",
"code" : "UMB",
"display" : "Member Number"
}
],
"text" : "Member Number"
},
"system" : "http://example.org/cdex/payer/member-ids",
"value" : "Member123"
},
"display" : "Amy Shaw"
},
"authored" : "2022-06-17",
"author" : {
"identifier" : {
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "9941339100"
}
},
"item" : [
{
"linkId" : "1",
"text" : "Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy)",
"answer" : [
{
"valueString" : "Examplitis"
}
]
},
{
"linkId" : "2",
"text" : "Order Reason",
"answer" : [
{
"valueCoding" : {
"system" : "http://example.org",
"code" : "4",
"display" : "Replacement"
}
}
]
}
]
}
IG © 2023+ HL7 International - Patient Care Work Group. Package hl7.fhir.us.davinci-cdex#2.0.0 based on FHIR 4.0.1. Generated 2023-03-22
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