| Package | hl7.fhir.us.davinci-dtr |
| Resource Type | Questionnaire |
| Id | home-o2-std-questionnaire |
| FHIR Version | R4 |
| Source | http://hl7.org/fhir/us/davinci-dtr/https://build.fhir.org/ig/HL7/davinci-dtr/Questionnaire-home-o2-std-questionnaire.html |
| URL | http://hl7.org/fhir/us/davinci-dtr/Questionnaire/home-o2-std-questionnaire |
| Version | 2.2.0-ballot |
| Status | draft |
| Date | 2020-01-13T00:00:00+00:00 |
| Name | HomeOxygenTherapyStdQuestionnaire |
| Title | Home Oxygen Therapy Order Template |
| Realm | us |
| Authority | hl7 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
| LinkId | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
![]() | Questionnaire | http://hl7.org/fhir/us/davinci-dtr/Questionnaire/home-o2-sdc-questionnaire#1.1.0-ballot | |||
![]() ![]() | Patient Information | 0..1 | group | ||
![]() ![]() ![]() | Last Name | 1..1 | string | ||
![]() ![]() ![]() | Fist Name | 1..1 | string | ||
![]() ![]() ![]() | Middle Name | 0..1 | string | ||
![]() ![]() | Postal Code (A1A 1A1) | 0..1 | string | ||
![]() ![]() | Enter your weight in lb | 0..1 | decimal | ||
![]() ![]() | Attach latest x-ray | 0..1 | attachment | ||
![]() ![]() | Calculation | 0..1 | group | ||
![]() ![]() ![]() | Deadline for submission (7 days from now) | 0..1 | date | Expressions:
| |
{
"resourceType": "Questionnaire",
"id": "home-o2-std-questionnaire",
"meta": {
"profile": [
"http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-std-questionnaire"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/questionnaireAudience",
"valueCode": "clinical"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-styleSensitive",
"valueBoolean": false
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode",
"valueCode": "sequential"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-library",
"valueCanonical": "http://example.org/fhir/Library/quick"
}
],
"url": "http://hl7.org/fhir/us/davinci-dtr/Questionnaire/home-o2-std-questionnaire",
"version": "2.2.0-ballot",
"name": "HomeOxygenTherapyStdQuestionnaire",
"title": "Home Oxygen Therapy Order Template",
"status": "draft",
"subjectType": [
"Patient"
],
"date": "2020-01-13T00:00:00+00:00",
"publisher": "HL7 International / Clinical Decision Support",
"contact": [
{
"name": "HL7 International / Clinical Decision Support",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/dss"
}
]
}
],
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US"
}
]
}
],
"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"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/regex",
"valueString": "[A-Z][0-9][A-Z] [0-9][A-Z][0-9]"
}
],
"linkId": "1.4",
"text": "Postal Code (A1A 1A1)",
"type": "string"
},
{
"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
}
]
}
]
}