Generated Narrative: Questionnaire PregnancyAssessmentSurveyQuestionnaire Structure LinkID Text Cardinality Type Description & Constraints PregnancyAssessmentSurveyQuestionnaire Te Whatu Ora pregnancy assessment survey. Questionnaire https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/PregnancyAssessmentSurveyQuestionnaire#0.4.3 #xD; p01 page 1. Pregnancy Context 0..1 group #xD; p01-q01-PregnancyStatus page 1 question 1. Are you currently pregnant or postpartum? 1..1 choice Options: 2 options #xD; p01-q01-1-PregnancyStatus.Gestation page 1 question 1.1. Gestation 1..1 integer Enable When: p01-q01-PregnancyStatus = #xD; p01-q01-2-PregnancyStatus.DeliveryDate page 1 question 1.2. Expected Delivery Date (EDD) 1..1 date Enable When: p01-q01-PregnancyStatus = #xD; p01-q01-3-PregnancyStatus.Postpartum page 1 question 1.3. Postpartum 1..1 integer Enable When: p01-q01-PregnancyStatus = #xD; p01-q02-Parity page 1 question 2. Para 1..1 integer #xD; p01-q02-Partiy.HelpText How many live births of viable gestation has the patient had? 0..1 display #xD; p01-q03-Gravida page 1 question 3. Gravida 1..1 integer #xD; p02 page 2. Midwife Information 0..1 group #xD; p02-q01-MidwifeName page 2 question 1. Midwife Name 1..1 text #xD; p02-q02-MidwifeContact page 2 question 2. Midwife Contact 1..1 text #xD; p03 page 3. Findings 0..1 group #xD; p03-q01-Ultrasound page 3 question 1. Ultrasound Findings 0..1 text #xD; p03-q02-BloodTest page 3 question 2. Blood Tests 0..1 text #xD; p04 page 4. Complications and Symptoms 0..1 group #xD; p04-q01-CurrentComplications page 4 question 1. Any current pregnancy complications? 0..1 boolean #xD; p04-q01-1-CurrentComplications.Details page 4 question 1.1. Please explain your pregnancy complications 1..1 text Enable When: p04-q01-CurrentComplications = #xD; p04-q02-ComplicationsPrevious page 4 question 2. Any previous pregnancy complications? 0..1 boolean #xD; p04-q02-1-ComplicationsPrevious.Details page 4 question 2.1. Please explain any complications from previous pregnancies 1..1 text Enable When: p04-q02-ComplicationsPrevious = #xD; p04-q03-PreEclampsia page 4 question 3. Any signs of pre-eclampsia? 0..1 boolean #xD; p04-q03-p04-q03-PreEclampsia.HelpText Headache, Epigastric pain, flashing lights. 0..1 display #xD; p04-q03-1-PreEclampsia.Details page 4 question 3.1. Please explain any symptoms suggestive of pre-eclampsia? 1..1 text Enable When: p04-q03-PreEclampsia = #xD; p04-q04-DVT page 4 question 4. Any signs suggestive of a DVT? 1..1 boolean #xD; p04-q04-DVT.HelpText lateral swelling, redness or calf-tenderness 0..1 display #xD; p04-q04-1-DVT.Details page 4 question 4.1. Please explain any symptoms suggestive of a DVT 1..1 text Enable When: p04-q04-DVT = #xD; p04-q05-Dysuria page 4 question 5. Any signs of Dysuria? 1..1 boolean #xD; p04-q05-1-Dysuria.Details page 4 question 5.1. Please explain any details of your Dysuria 1..1 text Enable When: p04-q05-Dysuria = #xD; p04-q06-VaginalDischarge page 4 question 6. Vaginal Discharge? 1..1 boolean Initial Value: boolean = false #xD; p04-q06-1-VaginalDischarge.Details page 4 question 6.1. Please explain any details. 1..1 text Enable When: p04-q06-VaginalDischarge = #xD; p05 page 5. Obstetrician Notes 0..1 group #xD; p05-q01-ObstetricianNotes page 5 question 1. Obstetrician Details and Discussion, including any potential clexane requirement? 0..1 text #xD; p06 page 6. Post 23 Week Information 0..1 group Enable When: p01-q01-1-PregnancyStatus.Gestation >= #xD; p06-q01-FetalMovement page 6 question 1. Any baby movement felt? 1..1 boolean #xD; p06-q01-1-FetalMovement.Details page 6 question 1.1. Any details surrounding the baby movement? 0..1 text Enable When: p06-q01-FetalMovement = #xD; p06-q02-VaginalBleeding page 6 question 2. Any vaginal bleeding? 1..1 boolean #xD; p06-q02-1-VaginalBleeding.Details page 6 question 2.1. Any details surrounding vaginal bleeding? 0..1 string Enable When: p06-q02-VaginalBleeding = #xD; p07 page 7. General Practice Information 0..1 group #xD; p07-q01-PracticeName page 7 question 1. GP Practice Name 0..1 string #xD; p07-q02-PracticeEDI page 7 question 2. Practice EDI 0..1 string #xD; p07-q03-GPSend page 7 question 3. Send note to GP Inbox? 1..1 boolean #xD; Documentation for this format Options Sets Answer options for p01-q01-PregnancyStatus null#Pregnant ("Pregnant") null#Postpartum ("Postpartum")
Te Whatu Ora pregnancy assessment survey.
Are you currently pregnant or postpartum?
How many live births of viable gestation has the patient had?
Please explain your pregnancy complications
Please explain any complications from previous pregnancies
Headache, Epigastric pain, flashing lights.
Please explain any symptoms suggestive of pre-eclampsia?
lateral swelling, redness or calf-tenderness
Please explain any symptoms suggestive of a DVT
Please explain any details of your Dysuria
Obstetrician Details and Discussion, including any potential clexane requirement?
Any details surrounding the baby movement?
Any details surrounding vaginal bleeding?