resourceType: QuestionnaireResponse
id: cdex-questionnaireresponse-example2
meta:
  profile:
    - >-
      http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse-adapt
  extension:
  - url: http://hl7.org/fhir/StructureDefinition/instance-name
    valueString: CDex QuestionnaireResponse Example2
  - url: http://hl7.org/fhir/StructureDefinition/instance-description
    valueMarkdown: >-
      This Questionnaire Response example demonstrates the response to a CDEX Data Query or Attachments that uses a Questionnaire to request the data. The Questionnaire is an adaptive questionnaire and the resulting QuestionnaireResponse contains the generated Questionnaire instance.  This example is adapted from the Da Vinci DTR IG. For more information about adaptive questionnaires in FHIR see the [SDC Implementation Guide](http://hl7.org/fhir/uv/sdc/).

contained:
  - resourceType: Questionnaire
    id: cdex-adaptive-questionnaire-example1
    meta:
      profile:
        - >-
          http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-adapt
    extension:
      - url: >-
          http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-questionnaireAdaptive
        valueBoolean: true
    name: HomeOxygenTherapyAdaptiveSDCQuestionnaire
    title: Adaptive Home Oxygen Therapy Order Template (SDC)
    derivedFrom:
      - 'http://example.org/base_adaptive_questionnaire'
    status: active
    subjectType:
      - Patient
    date: '2022-06-17'
    item:
      - linkId: '1'
        text: >-
          Relevant Patient Diagnoses (conditions that might be expected to
          improve with oxygen therapy)
        type: text
        required: true
      - linkId: '2'
        text: Order Reason
        type: choice
        required: true
        answerOption:
          - valueCoding:
              system: 'http://example.org'
              code: '1'
              display: Initial or original order for certification
          - valueCoding:
              system: 'http://example.org'
              code: '2'
              display: Change in status
          - valueCoding:
              system: 'http://example.org'
              code: '3'
              display: Revision or change in equipment
          - valueCoding:
              system: 'http://example.org'
              code: '4'
              display: Replacement
questionnaire: '#cdex-adaptive-questionnaire-example1'
status: completed
subject:
  identifier:
    type:
      coding:
      - system: http://terminology.hl7.org/CodeSystem/v2-0203
        code: MB
        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: Patient Diagnosis
  - linkId: '2'
    text: Order Reason
    answer:
      - valueCoding:
          system: 'http://example.org'
          code: '4'
          display: Replacement