Da Vinci - Documentation Templates and Rules
2.1.0 - STU 2.1

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## Questionnaire: Home Oxygen Therapy Order Template

Official URL: http://hl7.org/fhir/us/davinci-dtr/Questionnaire/home-o2-std-questionnaire | Version: 2.1.0
Standards status: Informative | Computable Name: HomeOxygenTherapyStdQuestionnaire

LinkId | Text | Cardinality | Type | Flags | Description & Constraints
--- | --- | --- | --- | --- | ---
HomeOxygenTherapySDCQuestionnaire |  |  | Questionnaire |  | http://hl7.org/fhir/us/davinci-dtr/Questionnaire/home-o2-sdc-questionnaire#1.1.0-ballot
1 | Patient Information | 0..1 | group |  |
1.1 | Last Name | 1..1 | string |  |
1.2 | Fist Name | 1..1 | string |  |
1.3 | Middle Name | 0..1 | string |  |
1.4 | Postal Code (A1A 1A1) | 0..1 | string |  |
1.5 | Enter your weight in lb | 0..1 | decimal |  |
1.6 | Attach latest x-ray | 0..1 | attachment |  |
2 | Calculation | 0..1 | group |  |
3.1 | Deadline for submission (7 days from now) | 0..1 | date |  | Expressions: Initial Value: `today() + 7 days`
Documentation for this format