Da Vinci - Documentation Templates and Rules
2.2.0 - STU 2.2

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 2.2.0 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

## : $questionnaire-package Output Parameters Example

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    {
      "resourceType" : "Parameters",
      "id" : "QuestionnairePackageOutputParamsExample",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-qpackage-output-parameters"
        ]
      },
      "language" : "en",
      "parameter" : [
        {
          "name" : "packagebundle",
          "resource" : {
            "resourceType" : "Bundle",
            "id" : "home-o2-questionnairepackage-bundle",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/DTR-QPackageBundle"
              ]
            },
            "language" : "en",
            "type" : "collection",
            "entry" : [
              {
                "fullUrl" : "http://example.org/fhir/home-o2-questionnairepackage",
                "resource" : {
                  "resourceType" : "Questionnaire",
                  "id" : "home-o2-std-questionnaire",
                  "meta" : {
                    "profile" : [
                      🔗 "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-std-questionnaire"
                    ]
                  },
                  "language" : "en",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
                      "valueCoding" : {
                        "system" : "http://hl7.org/fhir/version-algorithm",
                        "code" : "semver"
                      }
                    },
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/questionnaireAudience",
                      "valueCode" : "clinical"
                    },
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/request-specific",
                      "valueBoolean" : false
                    },
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/rendering-styleSensitive",
                      "valueBoolean" : false
                    },
                    {
                      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode",
                      "valueCode" : "sequential"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "totalTime",
                          "valueCode" : "over-5min"
                        },
                        {
                          "url" : "clinicalTime",
                          "valueCode" : "under-3min"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/estimated-completion-time"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/us/davinci-dtr/Questionnaire/home-o2-std-questionnaire",
                  "name" : "HomeOxygenTherapyStdQuestionnaire",
                  "title" : "Home Oxygen Therapy Order Template",
                  "status" : "draft",
                  "subjectType" : [
                    "Patient"
                  ],
                  "date" : "2020-01-13T00:00:00+00:00",
                  "publisher" : "Da Vinci DTR",
                  "contact" : [
                    {
                      "name" : "Example Author"
                    }
                  ],
                  "item" : [
                    {
                      "linkId" : "1",
                      "text" : "Patient Information",
                      "type" : "group",
                      "item" : [
                        {
                          "linkId" : "1.1",
                          "text" : "Last Name",
                          "type" : "string",
                          "required" : true
                        },
                        {
                          "linkId" : "1.2",
                          "text" : "Fist Name",
                          "type" : "string",
                          "required" : true
                        },
                        {
                          "linkId" : "1.3",
                          "text" : "Middle Name",
                          "type" : "string",
                          "required" : false
                        },
                        {
                          "linkId" : "1.gender",
                          "definition" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-question-library#Demographics.sex",
                          "text" : "What is this person's gender?",
                          "type" : "choice",
                          "required" : true,
                          "answerValueSet" : "http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype"
                        },
                        {
                          "linkId" : "1.4",
                          "text" : "Date Of Birth",
                          "type" : "date"
                        },
                        {
                          "extension" : [
                            {
                              "url" : "http://hl7.org/fhir/StructureDefinition/minValue",
                              "valueDecimal" : 1
                            },
                            {
                              "url" : "http://hl7.org/fhir/StructureDefinition/maxValue",
                              "valueDecimal" : 400
                            },
                            {
                              "url" : "http://hl7.org/fhir/StructureDefinition/maxDecimalPlaces",
                              "valueInteger" : 2
                            }
                          ],
                          "linkId" : "1.5",
                          "text" : "Enter your weight in lb",
                          "type" : "decimal"
                        },
                        {
                          "extension" : [
                            {
                              "url" : "http://hl7.org/fhir/StructureDefinition/mimeType",
                              "valueCode" : "image/jpeg"
                            },
                            {
                              "url" : "http://hl7.org/fhir/StructureDefinition/maxSize",
                              "valueDecimal" : 1048576
                            }
                          ],
                          "linkId" : "1.6",
                          "text" : "Attach latest x-ray",
                          "type" : "attachment"
                        }
                      ]
                    },
                    {
                      "linkId" : "2",
                      "text" : "Calculation",
                      "type" : "group",
                      "item" : [
                        {
                          "extension" : [
                            {
                              "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                              "valueExpression" : {
                                "extension" : [
                                  {
                                    "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/alternativeExpression",
                                    "valueExpression" : {
                                      "language" : "application/elm+json",
                                      "expression" : "corresponding elm data"
                                    }
                                  }
                                ],
                                "description" : "deadline for submission",
                                "language" : "text/fhirpath",
                                "expression" : "today() + 7 days"
                              }
                            }
                          ],
                          "linkId" : "2.1",
                          "text" : "Deadline for submission (7 days from now)",
                          "type" : "date",
                          "readOnly" : true
                        }
                      ]
                    }
                  ]
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/home-o2-questionnaireresponse",
                "resource" : {
                  "resourceType" : "QuestionnaireResponse",
                  "id" : "home-o2-questionnaireresponse",
                  "meta" : {
                    "profile" : [
                      🔗 "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-questionnaireresponse"
                    ]
                  },
                  "language" : "en",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-coverage",
                      "valueReference" : {
                        🔗 "reference" : "Coverage/CoverageExample"
                      }
                    },
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/intendedUse",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes",
                            "code" : "withorder",
                            "display" : "Include with order"
                          }
                        ]
                      }
                    },
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-context",
                      "valueReference" : {
                        🔗 "reference" : "ServiceRequest/ServiceRequestExample"
                      }
                    }
                  ],
                  "questionnaire" : "http://hl7.org/fhir/us/davinci-dtr/Questionnaire/referred-questionnaire",
                  "status" : "completed",
                  "subject" : {
                    🔗 "reference" : "Patient/examplepatient",
                    "display" : "Vlad"
                  },
                  "authored" : "2023-08-21",
                  "item" : [
                    {
                      "linkId" : "1",
                      "text" : "Patient Information",
                      "item" : [
                        {
                          "linkId" : "1.1",
                          "text" : "Last Name but Different This Time",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "override"
                                    },
                                    {
                                      "extension" : [
                                        {
                                          "url" : "role",
                                          "valueCodeableConcept" : {
                                            "coding" : [
                                              {
                                                "system" : "http://terminology.hl7.org/CodeSystem/practitioner-role",
                                                "code" : "doctor",
                                                "display" : "Doctor"
                                              }
                                            ]
                                          }
                                        },
                                        {
                                          "url" : "practitioner",
                                          "valueReference" : {
                                            🔗 "reference" : "Practitioner/PractitionerExample",
                                            "display" : "Dr. Jane Doe"
                                          }
                                        }
                                      ],
                                      "url" : "author"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueString" : "Quinton"
                            }
                          ]
                        },
                        {
                          "linkId" : "1.2",
                          "text" : "First Name",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueString" : "Vlad"
                            }
                          ]
                        },
                        {
                          "linkId" : "1.3",
                          "text" : "Middle Initial",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueString" : "A, N"
                            }
                          ]
                        },
                        {
                          "linkId" : "1.4",
                          "text" : "Date Of Birth",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueDate" : "1956-12-01"
                            }
                          ]
                        },
                        {
                          "linkId" : "1.5",
                          "text" : "Gender",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueCoding" : {
                                "system" : "http://hl7.org/fhir/administrative-gender",
                                "code" : "male",
                                "display" : "Male"
                              }
                            }
                          ]
                        },
                        {
                          "linkId" : "1.6",
                          "text" : "Medicare ID",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueString" : "10A3D58WH22"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "linkId" : "2",
                      "text" : "Provider who is performing face-to-face evaluation",
                      "item" : [
                        {
                          "linkId" : "2.1",
                          "text" : "Last Name",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueString" : "Doe"
                            }
                          ]
                        },
                        {
                          "linkId" : "2.2",
                          "text" : "First Name",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueString" : "Jane"
                            }
                          ]
                        },
                        {
                          "linkId" : "2.3",
                          "text" : "Middle Initial",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueString" : "B"
                            }
                          ]
                        },
                        {
                          "linkId" : "2.4",
                          "text" : "NPI",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueString" : "1122334455"
                            }
                          ]
                        },
                        {
                          "linkId" : "2.5",
                          "text" : "Date of Face-To-Face Evaluation",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "override"
                                    },
                                    {
                                      "extension" : [
                                        {
                                          "url" : "role",
                                          "valueCodeableConcept" : {
                                            "coding" : [
                                              {
                                                "system" : "http://terminology.hl7.org/CodeSystem/practitioner-role",
                                                "code" : "doctor",
                                                "display" : "Doctor"
                                              }
                                            ]
                                          }
                                        },
                                        {
                                          "url" : "practitioner",
                                          "valueReference" : {
                                            🔗 "reference" : "Practitioner/PractitionerExample",
                                            "display" : "Dr. Jane Doe"
                                          }
                                        }
                                      ],
                                      "url" : "author"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueDate" : "2019-07-18"
                            }
                          ]
                        },
                        {
                          "linkId" : "2.6",
                          "text" : "Record",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/containedReference",
                                  "valueBoolean" : false
                                }
                              ],
                              "valueReference" : {
                                🔗 "reference" : "Patient/examplepatient",
                                "display" : "Mr. Saul Moki"
                              }
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "linkId" : "3",
                      "text" : "Coverage Requirements",
                      "item" : [
                        {
                          "linkId" : "3.1",
                          "text" : "Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy)",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueCoding" : {
                                "system" : "http://snomed.info/sct",
                                "code" : "313296004",
                                "display" : "Mild chronic obstructive pulmonary disease"
                              }
                            }
                          ]
                        },
                        {
                          "linkId" : "3.2",
                          "text" : "Arterial oxygen saturation (Patient on room air while at rest and awake when tested)",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueQuantity" : {
                                "value" : 95,
                                "system" : "http://unitsofmeasure.org",
                                "code" : "mm[Hg]"
                              }
                            }
                          ]
                        },
                        {
                          "linkId" : "3.3",
                          "text" : "Arterial Partial Pressure of Oxygen (PO2) (Patient on room air while at rest and awake when tested)",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueQuantity" : {
                                "value" : 83,
                                "system" : "http://unitsofmeasure.org",
                                "code" : "mm[Hg]"
                              }
                            }
                          ]
                        },
                        {
                          "linkId" : "3.4",
                          "text" : "Arterial oxygen saturation (Patient tested during exercise)",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueQuantity" : {
                                "value" : 95,
                                "system" : "http://unitsofmeasure.org",
                                "code" : "mm[Hg]"
                              }
                            }
                          ]
                        },
                        {
                          "linkId" : "3.5",
                          "text" : "Arterial Partial Pressure of Oxygen (PO2) (Patient tested during exercise)",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueQuantity" : {
                                "value" : 78,
                                "system" : "http://unitsofmeasure.org",
                                "code" : "mm[Hg]"
                              }
                            }
                          ]
                        },
                        {
                          "linkId" : "3.6",
                          "text" : "Is there a documented improvement of hypoxemia during exercise with oxygen?",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueBoolean" : true
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "linkId" : "4",
                      "text" : "Prescribed Use",
                      "item" : [
                        {
                          "linkId" : "4.1",
                          "text" : "Start date",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueDate" : "2019-07-18"
                            }
                          ]
                        },
                        {
                          "linkId" : "4.2",
                          "text" : "Length of need: (months) (99 = lifetime)",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueQuantity" : {
                                "value" : 99
                              }
                            }
                          ]
                        },
                        {
                          "linkId" : "4.3",
                          "text" : "Peak Flow Rate",
                          "item" : [
                            {
                              "linkId" : "4.3.1",
                              "text" : "LPM",
                              "answer" : [
                                {
                                  "extension" : [
                                    {
                                      "extension" : [
                                        {
                                          "url" : "source",
                                          "valueCode" : "auto-client"
                                        }
                                      ],
                                      "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                    }
                                  ],
                                  "valueQuantity" : {
                                    "value" : 2
                                  }
                                }
                              ]
                            },
                            {
                              "linkId" : "4.3.2",
                              "text" : "oxygen %",
                              "answer" : [
                                {
                                  "extension" : [
                                    {
                                      "extension" : [
                                        {
                                          "url" : "source",
                                          "valueCode" : "auto-client"
                                        }
                                      ],
                                      "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                    }
                                  ],
                                  "valueQuantity" : {
                                    "value" : 98
                                  }
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "linkId" : "4.4",
                          "text" : "Average Flow Rate",
                          "item" : [
                            {
                              "linkId" : "4.4.1",
                              "text" : "LPM",
                              "answer" : [
                                {
                                  "extension" : [
                                    {
                                      "extension" : [
                                        {
                                          "url" : "source",
                                          "valueCode" : "auto-client"
                                        }
                                      ],
                                      "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                    }
                                  ],
                                  "valueQuantity" : {
                                    "value" : 2
                                  }
                                }
                              ]
                            },
                            {
                              "linkId" : "4.4.2",
                              "text" : "oxygen %",
                              "answer" : [
                                {
                                  "extension" : [
                                    {
                                      "extension" : [
                                        {
                                          "url" : "source",
                                          "valueCode" : "auto-client"
                                        }
                                      ],
                                      "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                    }
                                  ],
                                  "valueQuantity" : {
                                    "value" : 97
                                  }
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "linkId" : "4.5",
                          "text" : "Frequency of use (choose all that apply)",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueString" : "At rest and awake"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "linkId" : "5",
                      "text" : "Oxygen Supply Order Details",
                      "item" : [
                        {
                          "linkId" : "5.1",
                          "text" : "Current Order Description",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueString" : "HCPCS E0424 - Stationary Compressed Gaseous Oxygen System, Rental"
                            }
                          ]
                        },
                        {
                          "linkId" : "5.1b",
                          "text" : "Current Order Is For A Portable Device"
                        },
                        {
                          "linkId" : "5.2",
                          "text" : "Type",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueCoding" : {
                                "system" : "http://example.org",
                                "code" : "122",
                                "display" : "Compressed Gas"
                              }
                            }
                          ]
                        },
                        {
                          "linkId" : "5.3",
                          "text" : "Means of oxygen delivery and accessories",
                          "answer" : [
                            {
                              "extension" : [
                                {
                                  "extension" : [
                                    {
                                      "url" : "source",
                                      "valueCode" : "auto-client"
                                    }
                                  ],
                                  "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
                                }
                              ],
                              "valueCoding" : {
                                "system" : "http://example.org",
                                "code" : "134",
                                "display" : "Mask"
                              }
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              }
            ]
          }
        }
      ]
    }