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
Generated Narrative: Bundle home-o2-questionnairepackage-bundle-2
Bundle home-o2-questionnairepackage-bundle-2 of type collection
Entry 1 - fullUrl = http://example.org/fhir/home-o2-questionnaire
Resource Questionnaire:
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:
- Initial Value:
today() + 7 days
Documentation for this format
Entry 2 - fullUrl = http://example.org/fhir/home-o2-questionnaireresponse
Resource QuestionnaireResponse:
Generated Narrative: QuestionnaireResponse home-o2-questionnaireresponse
LinkID Text Definition Answer home-o2-questionnaireresponse Questionnaire:Referred Questionnaire for QuestionnaireResponse 1 Patient Information 1.1 Last Name but Different This Time Quinton 1.2 First Name Vlad 1.3 Middle Initial A, N 1.4 Date Of Birth 1956-12-01 1.5 Gender AdministrativeGender male: Male 1.6 Medicare ID 10A3D58WH22 2 Provider who is performing face-to-face evaluation 2.1 Last Name Doe 2.2 First Name Jane 2.3 Middle Initial B 2.4 NPI 1122334455 2.5 Date of Face-To-Face Evaluation 2019-07-18 2.6 Record Mr. Saul Moki 3 Coverage Requirements 3.1 Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy) SNOMED CT 313296004: Mild chronic obstructive pulmonary disease 3.2 Arterial oxygen saturation (Patient on room air while at rest and awake when tested) 95 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]') 3.3 Arterial Partial Pressure of Oxygen (PO2) (Patient on room air while at rest and awake when tested) 83 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]') 3.4 Arterial oxygen saturation (Patient tested during exercise) 95 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]') 3.5 Arterial Partial Pressure of Oxygen (PO2) (Patient tested during exercise) 78 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]') 3.6 Is there a documented improvement of hypoxemia during exercise with oxygen? true 4 Prescribed Use 4.1 Start date 2019-07-18 4.2 Length of need: (months) (99 = lifetime) 99 4.3 Peak Flow Rate 4.3.1 LPM 2 4.3.2 oxygen % 98 4.4 Average Flow Rate 4.4.1 LPM 2 4.4.2 oxygen % 97 4.5 Frequency of use (choose all that apply) At rest and awake 5 Oxygen Supply Order Details 5.1 Current Order Description HCPCS E0424 - Stationary Compressed Gaseous Oxygen System, Rental 5.1b Current Order Is For A Portable Device 5.2 Type example.org 122: Compressed Gas 5.3 Means of oxygen delivery and accessories example.org 134: Mask
Documentation for this format