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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: QuestionnaireResponse home-o2-adaptive-questionnaireresponse

Language: en

Profile: DTR Questionnaire Response for adaptive form

LinkID	Text	Definition	Answer
home-o2-adaptive-questionnaireresponse			Questionnaire:#home-o2-adaptive-questionnaire
1	Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy)		diagnosis
2	Order Reason		example.org: 4 (Replacement)
Documentation for this format

Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "home-o2-adaptive-questionnaireresponse",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-questionnaireresponse-adapt"
    ]
  },
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "contained": [
    {
      "resourceType": "Questionnaire",
      "id": "home-o2-adaptive-questionnaire",
      "meta": {
        "profile": [
          "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-questionnaire-adapt"
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example adaptive questionnaire contained in a QuestionnaireResposne</div>"
      },
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-questionnaireAdaptive",
          "valueUrl": "http://example.com/fhir/R4"
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/request-specific",
          "valueBoolean": false
        }
      ],
      "url": "http://example.com/fhir/questionnaire",
      "name": "HomeOxygenTherapyAdaptiveQuestionnaire",
      "title": "Adaptive Home Oxygen Therapy Order Template",
      "derivedFrom": [
        "http://hl7.org/fhir/us/davinci-dtr/dtr-questionnaire"
      ],
      "status": "draft",
      "subjectType": [
        "Patient"
      ],
      "date": "2020-01-16T00:00:00+00:00",
      "publisher": "Da Vinci DTR",
      "contact": [
        {
          "name": "Example Author"
        }
      ],
      "item": [
        {
          "linkId": "1",
          "text": "Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy)",
          "type": "text",
          "required": true
        },
        {
          "linkId": "2",
          "text": "Order Reason",
          "type": "choice",
          "required": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://example.org",
                "code": "1",
                "display": "Initial or original order for certification"
              }
            },
            {
              "valueCoding": {
                "system": "http://example.org",
                "code": "2",
                "display": "Change in status"
              }
            },
            {
              "valueCoding": {
                "system": "http://example.org",
                "code": "3",
                "display": "Revision or change in equipment"
              }
            },
            {
              "valueCoding": {
                "system": "http://example.org",
                "code": "4",
                "display": "Replacement"
              }
            }
          ]
        }
      ]
    }
  ],
  "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": "#home-o2-adaptive-questionnaire",
  "status": "completed",
  "subject": {
    "reference": "Patient/examplepatient",
    "display": "Vlad"
  },
  "authored": "2022-01-26T20:36:57.544Z",
  "item": [
    {
      "linkId": "1",
      "text": "Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy)",
      "answer": [
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "source",
                  "valueCode": "auto-server"
                }
              ],
              "url": "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
            }
          ],
          "valueString": "diagnosis"
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Order Reason",
      "answer": [
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "source",
                  "valueCode": "auto-server"
                }
              ],
              "url": "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
            }
          ],
          "valueCoding": {
            "system": "http://example.org",
            "code": "4",
            "display": "Replacement"
          }
        }
      ]
    }
  ]
}