Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.3 - release

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Questionnaire: Remote Monitoring Heart Failure Symptom Survey Questionnaire

Official URL: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/RemoteMonitoringHeartFailureSymptomSurveyQuestionnaire | Version: 0.4.3
Draft as of 2025-11-25 | Computable Name:
Other Identifiers: RemoteMonitoringHeartFailureSymptomSurveyQuestionnaire (use: official, period: 8/16/23 --> (ongoing)), Questionnaire-RemoteMonitoringHeartFailureSymptomSurveyQuestionnaire (use: temp, period: 3/7/23 --> 7/26/23)

A questionnaire for a daily symptom surveying for Heart Failure patients

Structure

LinkID | Text | Cardinality | Type | Description & Constraints
--- | --- | --- | --- | ---
| A questionnaire for a daily symptom surveying for Heart Failure patients |  | Questionnaire | https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/RemoteMonitoringHeartFailureSymptomSurveyQuestionnaire#0.4.3
p01 | page 1. Welcome to today's survey, this is your chance to tell us about any symptoms you have had with your heart failure in the last 24 hours | 0..1 | group |
p01-q01-Symptoms | page 1 question 1. Think about what symptoms you have had in the last 24 hours? | 0..* | choice | Options: 9 options
p01-q01-OtherInfo | page 1 question 2. Is there anything else you want to tell us about the last 24 hours? | 0..1 | text |
Documentation for this format

Options Sets

Answer options for p01-q01-Symptoms

- http://snomed.info/sct#267036007 ("Shortness of Breath")
- http://snomed.info/sct#84229001 ("Tiredness or Weakness")
- http://snomed.info/sct#26237000 ("Ankle Swelling")
- http://snomed.info/sct#49436004 ("Rapid or Irregular Heartbeat")
- http://snomed.info/sct#56018004 ("Wheezing")
- http://snomed.info/sct#49727002 ("Cough")
- http://snomed.info/sct#29857009 ("Chest Pain")
- http://snomed.info/sct#314938000 ("Poor Sleep")
- http://snomed.info/sct#8943002 ("Weight Gain")