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

## : Remote Monitoring Heart Failure Symptom Survey Questionnaire - TTL Representation

Draft as of 2025-11-25

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix sct: <http://snomed.info/id/> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Questionnaire ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "RemoteMonitoringHeartFailureSymptomSurveyQuestionnaire"] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire RemoteMonitoringHeartFailureSymptomSurveyQuestionnaire</b></p><a name=\"RemoteMonitoringHeartFailureSymptomSurveyQuestionnaire\"> </a><a name=\"hcRemoteMonitoringHeartFailureSymptomSurveyQuestionnaire\"> </a><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> </td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A questionnaire for a daily symptom surveying for Heart Failure patients</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/RemoteMonitoringHeartFailureSymptomSurveyQuestionnaire#0.4.3</td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" id=\"item.p01\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> p01</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">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</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q01-Symptoms\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> p01-q01-Symptoms</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 1 question 1. Think about what symptoms you have had in the last 24 hours?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.p01-q01-Symptoms\">9 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" id=\"item.p01-q01-OtherInfo\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> p01-q01-OtherInfo</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 1 question 2. Is there anything else you want to tell us about the last 24 hours?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item.p01-q01-Symptoms\"> </a><p><b>Answer options for p01-q01-Symptoms </b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#267036007 (\"Shortness of Breath\")</li><li style=\"font-size: 11px\">http://snomed.info/sct#84229001 (\"Tiredness or Weakness\")</li><li style=\"font-size: 11px\">http://snomed.info/sct#26237000 (\"Ankle Swelling\")</li><li style=\"font-size: 11px\">http://snomed.info/sct#49436004 (\"Rapid or Irregular Heartbeat\")</li><li style=\"font-size: 11px\">http://snomed.info/sct#56018004 (\"Wheezing\")</li><li style=\"font-size: 11px\">http://snomed.info/sct#49727002 (\"Cough\")</li><li style=\"font-size: 11px\">http://snomed.info/sct#29857009 (\"Chest Pain\")</li><li style=\"font-size: 11px\">http://snomed.info/sct#314938000 (\"Poor Sleep\")</li><li style=\"font-size: 11px\">http://snomed.info/sct#8943002 (\"Weight Gain\")</li></ul></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:url [ fhir:v "https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/RemoteMonitoringHeartFailureSymptomSurveyQuestionnaire"^^xsd:anyURI] ; #
      fhir:identifier ( [
    fhir:use [ fhir:v "official" ] ;
    fhir:value [ fhir:v "RemoteMonitoringHeartFailureSymptomSurveyQuestionnaire" ] ;
    fhir:period [
    fhir:start [ fhir:v "2023-08-16"^^xsd:date ]     ]
      ] [
    fhir:use [ fhir:v "temp" ] ;
    fhir:value [ fhir:v "Questionnaire-RemoteMonitoringHeartFailureSymptomSurveyQuestionnaire" ] ;
    fhir:period [
    fhir:start [ fhir:v "2023-03-07"^^xsd:date ] ;
    fhir:end [ fhir:v "2023-07-26"^^xsd:date ]     ]
      ] ) ; #
      fhir:version [ fhir:v "0.4.3"] ; #
      fhir:title [ fhir:v "Remote Monitoring Heart Failure Symptom Survey Questionnaire"] ; #
      fhir:status [ fhir:v "draft"] ; #
      fhir:subjectType ( [ fhir:v "Patient"] ) ; #
      fhir:date [ fhir:v "2025-11-25T02:00:55+00:00"^^xsd:dateTime] ; #
      fhir:publisher [ fhir:v "Te Whatu Ora"] ; #
      fhir:contact ( [
    fhir:name [ fhir:v "Te Whatu Ora" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://www.tewhatuora.govt.nz/" ]     ] )
      ] [
    fhir:name [ fhir:v "Te Whatu Ora Integration Team" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "email" ] ;
    fhir:value [ fhir:v "integration@tewhatuora.govt.nz" ] ;
    fhir:use [ fhir:v "work" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "A questionnaire for a daily symptom surveying for Heart Failure patients"] ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "NZ" ] ;
    fhir:display [ fhir:v "New Zealand" ]     ] )
      ] ) ; #
      fhir:item ( [
    fhir:linkId [ fhir:v "p01" ] ;
    fhir:prefix [ fhir:v "page 1" ] ;
    fhir:text [ fhir:v "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" ] ;
    fhir:type [ fhir:v "group" ] ;
        ( fhir:item [
    fhir:linkId [ fhir:v "p01-q01-Symptoms" ] ;
    fhir:prefix [ fhir:v "page 1 question 1" ] ;
    fhir:text [ fhir:v "Think about what symptoms you have had in the last 24 hours?" ] ;
    fhir:type [ fhir:v "choice" ] ;
    fhir:required [ fhir:v false ] ;
    fhir:repeats [ fhir:v true ] ;
          ( fhir:answerOption [
    fhir:value [
    a fhir:Coding, sct:267036007 ;
    fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "267036007" ] ;
    fhir:display [ fhir:v "Shortness of Breath" ]         ]       ] [
    fhir:value [
    a fhir:Coding, sct:84229001 ;
    fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "84229001" ] ;
    fhir:display [ fhir:v "Tiredness or Weakness" ]         ]       ] [
    fhir:value [
    a fhir:Coding, sct:26237000 ;
    fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "26237000" ] ;
    fhir:display [ fhir:v "Ankle Swelling" ]         ]       ] [
    fhir:value [
    a fhir:Coding, sct:49436004 ;
    fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "49436004" ] ;
    fhir:display [ fhir:v "Rapid or Irregular Heartbeat" ]         ]       ] [
    fhir:value [
    a fhir:Coding, sct:56018004 ;
    fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "56018004" ] ;
    fhir:display [ fhir:v "Wheezing" ]         ]       ] [
    fhir:value [
    a fhir:Coding, sct:49727002 ;
    fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "49727002" ] ;
    fhir:display [ fhir:v "Cough" ]         ]       ] [
    fhir:value [
    a fhir:Coding, sct:29857009 ;
    fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "29857009" ] ;
    fhir:display [ fhir:v "Chest Pain" ]         ]       ] [
    fhir:value [
    a fhir:Coding, sct:314938000 ;
    fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "314938000" ] ;
    fhir:display [ fhir:v "Poor Sleep" ]         ]       ] [
    fhir:value [
    a fhir:Coding, sct:8943002 ;
    fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "8943002" ] ;
    fhir:display [ fhir:v "Weight Gain" ]         ]       ] )     ] [
    fhir:linkId [ fhir:v "p01-q01-OtherInfo" ] ;
    fhir:prefix [ fhir:v "page 1 question 2" ] ;
    fhir:text [ fhir:v "Is there anything else you want to tell us about the last 24 hours?" ] ;
    fhir:type [ fhir:v "text" ] ;
    fhir:required [ fhir:v false ] ;
    fhir:repeats [ fhir:v false ]     ] )
      ] ) . #