Da Vinci - Documentation Templates and Rules, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-dtr/ and changes regularly. See the Directory of published versions
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Parameters ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "NextQuestionOutputParamsExample"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-next-question-output-parameters"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-next-question-output-parameters> ] )
] ; #
fhir:parameter ( [
fhir:name [ fhir:v "out" ] ;
( fhir:Parameters.parameter.resource [
a fhir:QuestionnaireResponse ;
fhir:id [ fhir:v "home-o2-questionnaireresponse" ] ;
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-questionnaireresponse"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-questionnaireresponse> ] ) ] ;
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-context"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Coverage/CoverageExample" ] ] ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-context"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "ServiceRequest/ServiceRequestExample" ] ] ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/intendedUse"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp"^^xsd:anyURI ] ;
fhir:code [ fhir:v "withorder" ] ;
fhir:display [ fhir:v "Include with order" ] ] ) ] ] ) ;
fhir:questionnaire [
fhir:v "http://hl7.org/fhir/us/davinci-dtr/Questionnaire/referred-questionnaire"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-dtr/Questionnaire/referred-questionnaire> ] ;
fhir:status [ fhir:v "completed" ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/examplepatient" ] ;
fhir:display [ fhir:v "Vlad" ] ] ;
fhir:authored [ fhir:v "2023-08-21"^^xsd:date ] ;
( fhir:item [
fhir:linkId [ fhir:v "1" ] ;
fhir:text [ fhir:v "Patient Information" ] ;
( fhir:item [
fhir:linkId [ fhir:v "1.1" ] ;
fhir:text [ fhir:v "Last Name but Different This Time" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "override" ] ] [
( fhir:extension [
fhir:url [ fhir:v "role"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/practitioner-role"^^xsd:anyURI ] ;
fhir:code [ fhir:v "doctor" ] ;
fhir:display [ fhir:v "Doctor" ] ] ) ] ] [
fhir:url [ fhir:v "practitioner"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Practitioner/PractitionerExample" ] ;
fhir:display [ fhir:v "Dr. Jane Doe" ] ] ] ) ;
fhir:url [ fhir:v "author"^^xsd:anyURI ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [ fhir:v "Quinton" ] ] ) ] [
fhir:linkId [ fhir:v "1.2" ] ;
fhir:text [ fhir:v "First Name" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [ fhir:v "Vlad" ] ] ) ] [
fhir:linkId [ fhir:v "1.3" ] ;
fhir:text [ fhir:v "Middle Initial" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [ fhir:v "A, N" ] ] ) ] [
fhir:linkId [ fhir:v "1.4" ] ;
fhir:text [ fhir:v "Date Of Birth" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [ fhir:v "1956-12-01"^^xsd:date ] ] ) ] [
fhir:linkId [ fhir:v "1.5" ] ;
fhir:text [ fhir:v "Gender" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "http://hl7.org/fhir/administrative-gender"^^xsd:anyURI ] ;
fhir:code [ fhir:v "male" ] ;
fhir:display [ fhir:v "Male" ] ] ] ) ] [
fhir:linkId [ fhir:v "1.6" ] ;
fhir:text [ fhir:v "Medicare ID" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [ fhir:v "10A3D58WH22" ] ] ) ] ) ] [
fhir:linkId [ fhir:v "2" ] ;
fhir:text [ fhir:v "Provider who is performing face-to-face evaluation" ] ;
( fhir:item [
fhir:linkId [ fhir:v "2.1" ] ;
fhir:text [ fhir:v "Last Name" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [ fhir:v "Doe" ] ] ) ] [
fhir:linkId [ fhir:v "2.2" ] ;
fhir:text [ fhir:v "First Name" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [ fhir:v "Jane" ] ] ) ] [
fhir:linkId [ fhir:v "2.3" ] ;
fhir:text [ fhir:v "Middle Initial" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [ fhir:v "B" ] ] ) ] [
fhir:linkId [ fhir:v "2.4" ] ;
fhir:text [ fhir:v "NPI" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [ fhir:v "1122334455" ] ] ) ] [
fhir:linkId [ fhir:v "2.5" ] ;
fhir:text [ fhir:v "Date of Face-To-Face Evaluation" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "override" ] ] [
( fhir:extension [
fhir:url [ fhir:v "role"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/practitioner-role"^^xsd:anyURI ] ;
fhir:code [ fhir:v "doctor" ] ;
fhir:display [ fhir:v "Doctor" ] ] ) ] ] [
fhir:url [ fhir:v "practitioner"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Practitioner/PractitionerExample" ] ;
fhir:display [ fhir:v "Dr. Jane Doe" ] ] ] ) ;
fhir:url [ fhir:v "author"^^xsd:anyURI ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [ fhir:v "2019-07-18"^^xsd:date ] ] ) ] [
fhir:linkId [ fhir:v "2.6" ] ;
fhir:text [ fhir:v "Record" ] ;
( fhir:answer [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/containedReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Patient/examplepatient" ] ;
fhir:display [ fhir:v "Mr. Saul Moki" ] ] ] ) ] ) ] [
fhir:linkId [ fhir:v "3" ] ;
fhir:text [ fhir:v "Coverage Requirements" ] ;
( fhir:item [
fhir:linkId [ fhir:v "3.1" ] ;
fhir:text [ fhir:v "Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy)" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [
a fhir:Coding, sct:313296004 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "313296004" ] ;
fhir:display [ fhir:v "Mild chronic obstructive pulmonary disease" ] ] ] ) ] [
fhir:linkId [ fhir:v "3.2" ] ;
fhir:text [ fhir:v "Arterial oxygen saturation (Patient on room air while at rest and awake when tested)" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "95"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mm[Hg]" ] ] ] ) ] [
fhir:linkId [ fhir:v "3.3" ] ;
fhir:text [ fhir:v "Arterial Partial Pressure of Oxygen (PO2) (Patient on room air while at rest and awake when tested)" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "83"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mm[Hg]" ] ] ] ) ] [
fhir:linkId [ fhir:v "3.4" ] ;
fhir:text [ fhir:v "Arterial oxygen saturation (Patient tested during exercise)" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "95"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mm[Hg]" ] ] ] ) ] [
fhir:linkId [ fhir:v "3.5" ] ;
fhir:text [ fhir:v "Arterial Partial Pressure of Oxygen (PO2) (Patient tested during exercise)" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "78"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mm[Hg]" ] ] ] ) ] [
fhir:linkId [ fhir:v "3.6" ] ;
fhir:text [ fhir:v "Is there a documented improvement of hypoxemia during exercise with oxygen?" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [ fhir:v "true"^^xsd:boolean ] ] ) ] ) ] [
fhir:linkId [ fhir:v "4" ] ;
fhir:text [ fhir:v "Prescribed Use" ] ;
( fhir:item [
fhir:linkId [ fhir:v "4.1" ] ;
fhir:text [ fhir:v "Start date" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [ fhir:v "2019-07-18"^^xsd:date ] ] ) ] [
fhir:linkId [ fhir:v "4.2" ] ;
fhir:text [ fhir:v "Length of need: (months) (99 = lifetime)" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "99"^^xsd:decimal ] ] ] ) ] [
fhir:linkId [ fhir:v "4.3" ] ;
fhir:text [ fhir:v "Peak Flow Rate" ] ;
( fhir:item [
fhir:linkId [ fhir:v "4.3.1" ] ;
fhir:text [ fhir:v "LPM" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "2"^^xsd:decimal ] ] ] ) ] [
fhir:linkId [ fhir:v "4.3.2" ] ;
fhir:text [ fhir:v "oxygen %" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "98"^^xsd:decimal ] ] ] ) ] ) ] [
fhir:linkId [ fhir:v "4.4" ] ;
fhir:text [ fhir:v "Average Flow Rate" ] ;
( fhir:item [
fhir:linkId [ fhir:v "4.4.1" ] ;
fhir:text [ fhir:v "LPM" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "2"^^xsd:decimal ] ] ] ) ] [
fhir:linkId [ fhir:v "4.4.2" ] ;
fhir:text [ fhir:v "oxygen %" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "97"^^xsd:decimal ] ] ] ) ] ) ] [
fhir:linkId [ fhir:v "4.5" ] ;
fhir:text [ fhir:v "Frequency of use (choose all that apply)" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [ fhir:v "At rest and awake" ] ] ) ] ) ] [
fhir:linkId [ fhir:v "5" ] ;
fhir:text [ fhir:v "Oxygen Supply Order Details" ] ;
( fhir:item [
fhir:linkId [ fhir:v "5.1" ] ;
fhir:text [ fhir:v "Current Order Description" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [ fhir:v "HCPCS E0424 - Stationary Compressed Gaseous Oxygen System, Rental" ] ] ) ] [
fhir:linkId [ fhir:v "5.1b" ] ;
fhir:text [ fhir:v "Current Order Is For A Portable Device" ] ] [
fhir:linkId [ fhir:v "5.2" ] ;
fhir:text [ fhir:v "Type" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "http://example.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "122" ] ;
fhir:display [ fhir:v "Compressed Gas" ] ] ] ) ] [
fhir:linkId [ fhir:v "5.3" ] ;
fhir:text [ fhir:v "Means of oxygen delivery and accessories" ] ;
( fhir:answer [
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "source"^^xsd:anyURI ] ;
fhir:value [ fhir:v "auto" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"^^xsd:anyURI ] ] ) ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "http://example.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "134" ] ;
fhir:display [ fhir:v "Mask" ] ] ] ) ] ) ] ) ] )
] ) . #
IG © 2022+ HL7 International / Clinical Decision Support. Package hl7.fhir.us.davinci-dtr#2.1.0 based on FHIR 4.0.1. Generated 2024-12-21
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