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

• Narrative Content
• XML
• JSON

Example QuestionnaireResponse: home-o2-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