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: COVID-19 RAT Result Questionnaire (Experimental)

Official URL: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/COVIDRATResultQuestionnaire | Version: 1.0.5
Draft as of 2025-11-25 | Computable Name: COVID-19 RAT Result Questionnaire
Other Identifiers: COVIDRATResultQuestionnaire (use: usual, period: 7/5/23 --> (ongoing))
Usage:Workflow Setting:

Complete this form to notify Health New Zealand | Te Whatu Ora of COVID-19 rapid antigen test (RAT) results

Complete this form to notify Health New Zealand | Te Whatu Ora of COVID-19 rapid antigen test (RAT) results

version: 25; Last updated: 2024-01-25 19:54:10+0000; Language: en-NZ

Structure

LinkID | Text | Cardinality | Type | Flags | Description & Constraints
--- | --- | --- | --- | --- | ---
COVID-19 RAT Result Questionnaire | Complete this form to notify Health New Zealand | Te Whatu Ora of COVID-19 rapid antigen test (RAT) results |  | Questionnaire |  | https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/COVIDRATResultQuestionnaire#1.0.5
p01-Consent | page 1. 1. Consent | 0..1 | group |  |
p01-Consent-q01 | page 1 question 1. Consent to share information | 0..1 | group |  |
p01-Consent-q01-1 | page 1 question 1.1. This report is confidential, and your/the patient's information will be kept safe in accordance with the New Zealand Privacy Act. | 0..1 | display |  |
p01-Consent-q01-2 | page 1 question 1.2. When we collect your/the patient's information, we can only use it for the purposes for which it was collected. For COVID RAT tests, this means we will only use the information to: | 0..1 | display |  |
p01-Consent-q01-3 | page 1 question 1.3. ● Inform you about your/the patient's COVID-19 status | 0..1 | display |  |
p01-Consent-q01-4 | page 1 question 1.4. ● Inform your/the patient's enrolled general practice team and general practitioner (where applicable) | 0..1 | display |  |
p01-Consent-q01-5 | page 1 question 1.5. ● Ensure accurate national reporting of COVID-19 results and informing decisions regarding New Zealand’s response to COVID-19. | 0..1 | display |  |
p01-Consent-q01-6 | page 1 question 1.6. ● Perform anonymous statistical analysis and research purposes in line with usual processes and where permitted by the Privacy Act 2020 and Health Information Privacy Code 2020. | 0..1 | display |  |
p01-Consent-q01-7 | page 1 question 1.7. We may need to share some of your/the patient's personal information with other agencies for health purposes and to ensure we meet our legal obligations. | 0..1 | display |  |
p01-Consent-q01-8 | page 1 question 1.8. If you would like more information about how your/the patient's personal information is managed, please go to the Te Whatu Ora website, and look for our ‘privacy & security’ webpage. | 0..1 | display |  |
p01-Consent-q01-9 | page 1 question 1.9. Do you wish to continue and consent to collection of your/the patient's information? | 0..1 | display |  |
p02-Test | page 2. null | 0..1 | group |  |
p02-Test-Details | page 2 question 1. null | 0..1 | group |  |
p02-Test-Details-Role | page 2 question 1.1. What is your role? | 1..1 | choice |  | Options: 2 options
p02-Test-Details-Source | page 2 question 1.2. Who are you receiving this RAT report from? | 1..1 | choice |  | Enable When: p02-Test-Details-Role = Options: 2 options
p02-Test-Details-Mobile | page 2 question 1.3. Mobile number | 1..1 | string |  | Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.valueString Enable When: p02-Test-Details-Role =
p02-Test-Details-MobileCode | page 2 question 1.4. null | 0..1 | choice |  | Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.code.coding[] Enable When: p02-Test-Details-Role = Initial Value: Coding = [not stated]#8497 "Text patient com"
p02-Test-Details-MobileNote | page 2 question 1.5. Enter the mobile number for further communications related to this RAT report | 0..1 | display |  | Enable When: p02-Test-Details-Role =
p02-Test-Reporter | page 2 question 2. Reporter details | 0..1 | group |  | Enable When: p02-Test-Details-Source = p02-Test-Details-Role =
p02-Test-Reporter-FirstName | page 2 question 2.1. First name | 1..1 | string |  |
p02-Test-Reporter-LastName | page 2 question 2.2. Last name | 1..1 | string |  |
p02-Test-Reporter-Relationship | page 2 question 2.3. Relationship to person | 1..1 | string |  |
p02-Test-Kit | page 2 question 3. Covid test kit | 0..1 | group |  |
p02-Test-Kit-Batch | page 2 question 3.1. Lot number | 0..1 | string |  | Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.valueString Enable When: p02-Test-Details-Role =
p02-Test-Details-BatchCode | page 2 question 3.2. null | 0..1 | choice |  | Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.code.coding[] Enable When: p02-Test-Kit-Batch exists Initial Value: Coding = [not stated]#8499 "Lot Number"
p02-Test-Kit-Result | page 2 question 3.3. Enter result | 1..1 | choice |  | Options: 2 options
p02-Test-Kit-Result-Positive | page 2 question 3.4. Extract - test result positive | 0..1 | string |  | Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.valueString Enable When: p02-Test-Kit-Result = Initial Value: string = DETECTED
p02-Test-Kit-Result-Negative | page 2 question 3.5. Extract - test result negative | 0..1 | string |  | Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.valueString Enable When: p02-Test-Kit-Result = Initial Value: string = NOT DETECTED
p02-Test-Kit-Result-Code-Unsupervised | page 2 question 3.6. null | 0..1 | choice |  | Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.code.coding[] Enable When: p02-Test-Details-Role = Initial Value: Coding = [not stated]#XNZ5530 "SARS-CoV-2 RAT Self"
p02-Test-Kit-Result-Code-Supervised | page 2 question 3.7. null | 0..1 | choice |  | Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.code.coding[] Enable When: p02-Test-Details-Role = Initial Value: Coding = [not stated]#97097-0 "Supervised RAT SARS-CoV-2"
p02-Test-Kit-Result-PositiveNote | page 2 question 3.8. The COVID-19 antigen was detected, which indicates the patient might be positive for COVID-19. | 0..1 | display |  | Enable When: p02-Test-Kit-Result =
p02-Test-Kit-Result-NegativeNote | page 2 question 3.9. The COVID-19 antigen was not detected which indicates the patient is likely to be negative for COVID-19. | 0..1 | display |  | Enable When: p02-Test-Kit-Result =
p02-Test-Kit-Result-Symptomatic | page 2 question 3.10. Is the patient presenting symptoms? | 1..1 | boolean |  | Enable When: p02-Test-Details-Role !=
p02-Test-Kit-Result-SymptomaticFalse | page 2 question 3.11. Extract - asymptomatic positive | 0..1 | boolean |  | Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.valueBoolean Enable When: p02-Test-Kit-Result-Symptomatic = Initial Value: boolean = true
p02-Test-Kit-Result-SymptomaticTrue | page 2 question 3.12. Extract - asymptomatic negative | 0..1 | boolean |  | Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.valueBoolean Enable When: p02-Test-Kit-Result-Symptomatic = p02-Test-Details-Role = Initial Value: boolean = false
p02-Test-Kit-Result-SymptomaticCoding | page 2 question 3.13. null | 0..1 | choice |  | Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.code.coding[] Initial Value: Coding = [not stated]#84387000 "Asymptomatic"
p02-Test-Date | page 2 question 4. null | 0..1 | group |  |
p02-Test-Date-Entry | page 2 question 4.1. Day test was taken | 1..1 | date |  |
p03-ExtractResources | page 3 question 1. null | 0..1 | group |  |
p03-ExtractResources-DiagnosticReport-code-supervised | page 3 question 1.1.1. null | 0..1 | choice |  | Definition: DiagnosticReport.code.coding[] Enable When: p02-Test-Details-Role = Initial Value: Coding = [not stated]#97097-0 "Supervised RAT SARS-CoV-2"
p03-ExtractResources-DiagnosticReport-code-self | page 3 question 1.1.2. null | 0..1 | choice |  | Definition: DiagnosticReport.code.coding[] Enable When: p02-Test-Details-Role = Initial Value: Coding = [not stated]#XNZ5530 "SARS-CoV-2 RAT Self"
p03-ExtractResources-DiagnosticReport-identifierSystem | page 3 question 1.2. null | 0..1 | choice |  | Definition: DiagnosticReport.identifier[0].system Initial Value: string = https://standards.digital.health.nz/ns/SendingApplication
p03-ExtractResources-DiagnosticReport-identifierValue-RAT | page 3 question 1.3. null | 0..1 | choice |  | Definition: DiagnosticReport.identifier[0].value Enable When: p02-Test-Details-Role = Initial Value: string = RAT Catcher
p03-ExtractResources-DiagnosticReport-identifierValue-CICS | page 3 question 1.4. null | 0..1 | choice |  | Definition: DiagnosticReport.identifier[0].value Enable When: p02-Test-Details-Role = Initial Value: string = CICS
p03-ExtractResources-DiagnosticReport-result | page 3 question 1.5. null | 0..1 | choice |  | Definition: DiagnosticReport.result[] Initial Value: Reference = urn:uuid:observation-result: SARS-CoV-2 RAT Self
p03-ExtractResources-DiagnosticReport-phone | page 3 question 1.6. null | 0..1 | choice |  | Definition: DiagnosticReport.result[] Enable When: p02-Test-Details-Role = Initial Value: Reference = urn:uuid:observation-phone: Text patient com
p03-ExtractResources-DiagnosticReport-batch | page 3 question 1.7. null | 0..1 | choice |  | Definition: DiagnosticReport.result[] Enable When: p02-Test-Kit-Batch exists Initial Value: Reference = urn:uuid:observation-batch: Lot Number
p03-ExtractResources-DiagnosticReport-asymptomatic | page 3 question 1.8. null | 0..1 | choice |  | Definition: DiagnosticReport.result[] Initial Value: Reference = urn:uuid:observation-asymptomatic: Asymptomatic
p03-ExtractResources-DiagnosticReport-authoriser | page 3 question 1.9. null | 0..1 | choice |  | Definition: DiagnosticReport.result[] Initial Value: Reference = urn:uuid:observation-authoriser: Authoriser
p03-ExtractResources-DiagnosticReport-site | page 3 question 1.10. null | 0..1 | choice |  | Definition: DiagnosticReport.result[] Initial Value: Reference = urn:uuid:observation-site: Specimen site
p03-ExtractResources-DiagnosticReport-subject | page 3 question 1.11. null | 0..1 | boolean |  | Initial Value: boolean = true
p03-ExtractResources-DiagnosticReport-performer | page 3 question 1.12. null | 0..1 | boolean |  | Initial Value: boolean = true
p03-ExtractResources-Observation-site | page 3 question 1.13. null | 0..1 | string |  | Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.valueString Initial Value: string = Nasal
p03-ExtractResources-Observation-SiteCoding | page 3 question 1.14. null | 0..1 | choice |  | Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.code.coding[] Initial Value: Coding = [not stated]#66746-9 "Specimen site"
p03-ExtractResources-Observation-authoriser | page 3 question 1.15. null | 0..1 | boolean |  | Initial Value: boolean = true
p03-ExtractResources-Observation-authoriserCoding | page 3 question 1.16. null | 0..1 | choice |  | Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.code.coding[] Initial Value: Coding = [not stated]#8495 "RAT Authoriser"
Documentation for this format

Options Sets

Answer options for p02-Test-Details-Role

- null#Assisted channel ("Assisted channel")
- null#Aged residential care ("Aged residential care")

Answer options for p02-Test-Details-Source

- null#Individual ("Individual")
- null#Someone else ("Someone else")

Answer options for p02-Test-Kit-Result

- null#Detected ("Detected")
- null#Not detected ("Not detected")