Da Vinci - Documentation Templates and Rules
2.1.0 - STU 2.1

Publication Build: This will be filled in by the publication tooling

## Example Parameters: $questionnaire-package Input Parameters Example

Generated Narrative: Parameters QuestionnairePackageInputParamsExample

## Parameters

coverage | Coverage/CoverageExample Generated Narrative: Coverage CoverageExample status: Active subscriber: Anonymous Patient Male, DoB: 1996-12-23 subscriberId: PFP123450000 beneficiary: Anonymous Patient Male, DoB: 1996-12-23 relationship: Self period: 2022-01-01 --> 2023-01-01 payor: Organization Insurance Company ### Classes
- | Type | Value | Name
* | Plan | Premim Family Plus | Premim Family Plus Plan
Generated Narrative: Organization #OrgExample identifier: Clinical Laboratory Improvement Amendments/10D0202020 active: true type: Payer name: Insurance Company telecom: ph: 860-547-5001(Work) address: 680 Asylum Street Hartford CT 06155 US
order | ServiceRequest/ServiceRequestExample Generated Narrative: ServiceRequest ServiceRequestExample status: Active intent: Original Order code: Gas panel - Blood subject: Anonymous Patient Male, DoB: 1996-12-23 occurrence: 2019-05-08 09:33:27+0700 authoredOn: 2019-09-18 07:53:21+0700 requester: Practitioner Jane Doe reasonCode: Decreased oxygen affinity
questionnaire | Home Oxygen Therapy Order Template