FHIR IG analytics

Package	hl7.fhir.us.davinci-cdex
Resource Type	QuestionnaireResponse
Id	QuestionnaireResponse-cdex-questionnaireresponse-example4.json
FHIR Version	R4
Resources that use this resource

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Narrative

Note: links and images are rebased to the (stated) source
Questionnaire Response Summary for Amy Shaw

Questionnaire: CDEX Questionnaire Example2
Date Completed: June 17, 2022
Patient: Amy Shaw (Member Number: Member123)
Questions and Answers

Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy): Examplitis
Order Reason: Replacement
Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "cdex-questionnaireresponse-example4",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature",
      "valueSignature": {
        "type": [
          {
            "system": "urn:iso-astm:E1762-95:2013",
            "code": "1.2.840.10065.1.12.1.5",
            "display": "Verification Signature"
          }
        ],
        "when": "2020-10-23T04:54:56.048+00:00",
        "who": {
          "identifier": {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "NPI"
                }
              ]
            },
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "9941339100"
          },
          "display": "John Hancock, MD"
        },
        "onBehalfOf": {
          "identifier": {
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "1234567893"
          }
        },
        "targetFormat": "application/fhir+json;canonicalization=http://hl7.org/fhir/canonicalization/json#document",
        "sigFormat": "application/jose",
        "data": "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"
      }
    }
  ],
  "questionnaire": "http://example.org/cdex-questionnaire-example2",
  "status": "completed",
  "subject": {
    "identifier": {
      "use": "usual",
      "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": "Examplitis"
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Order Reason",
      "answer": [
        {
          "valueCoding": {
            "system": "http://example.org",
            "code": "4",
            "display": "Replacement"
          }
        }
      ]
    }
  ]
}