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 |
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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 } ] } ] }