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: Measles Daily Health Check

Official URL: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/MeaslesHealthCheckQuestionnaire | Version: 0.4.3
Draft as of 2023-11-07 | Computable Name: MeaslesHealthCheckQuestionnaire
Other Identifiers: MeaslesHealthCheckQuestionnaire (use: official, )
Usage:Workflow Setting:

Te Whatu Ora survey of Symptoms, Context and Quarantine informations surrounding Measles Patients

Survey of Symptoms, Context and Quarantine informations surrounding Measles Patients

Structure

LinkID | Text | Cardinality | Type | Flags | Description & Constraints
--- | --- | --- | --- | --- | ---
MeaslesHealthCheckQuestionnaire | Te Whatu Ora survey of Symptoms, Context and Quarantine informations surrounding Measles Patients |  | Questionnaire |  | https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/MeaslesHealthCheckQuestionnaire#0.4.3
p00-MetaSourceEnvironment | Source environment | 0..1 | string |  | Initial Value: string = Placeholder
p01-Introduction | page 1 . Please complete this health check form. If you feel very sick right now contact your doctor or Healthline on 0800 611 116 for medical help. If it is an emergency call 111 and tell them you have been in contact with someone with measles. | 0..1 | display |  |
p02 | page 2. Symptoms | 0..1 | group |  |
p02-q01-Symptoms | page 2 question 1. Do you currently have any measles symptoms? (required) For example: fever, red blotchy rash, cough, runny nose, sore red eyes, tiny white spots inside your mouth. | 1..1 | boolean |  |
p02-q01-1-Symptoms.Which | page 2 question 1.1. What symptoms do you currently have? (required) | 1..* | choice |  | Enable When: p02-q01-Symptoms = Options: 7 options
p02-q01-1-1-Symptoms.RashFever | page 2 question 1.1.1. Did you have a fever when you first noticed the rash? (required) | 1..1 | boolean |  | Enable When: p02-q01-1-Symptoms.Which =
p02-q01-1-2--Symptoms.RashWhen | page 2 question 1.1.2. When did the rash appear? (required) | 1..1 | date |  | Enable When: p02-q01-1-Symptoms.Which =
p02-q01-1-3-4-Symptoms.RashWhereSpread | page 2 question 1.1.3. Where on your body did the rash start? If the rash has spread, provide details of where it has spread to? (required) | 1..1 | text |  | Enable When: p02-q01-1-Symptoms.Which =
p02-q01-1-5-Symptoms.Which.Other | page 2 question 1.1.4. Provide details of your other symptoms: (required) | 1..1 | text |  | Enable When: p02-q01-1-Symptoms.Which =
p02-q01-2-Symptoms.Worsened | page 2 question 1.2. Have any of your symptoms worsened since your last health check? (required) | 1..1 | boolean |  | Enable When: p02-q01-Symptoms =
p02-q01-2-1-Symptoms.Worsened.Details | page 2 question 1.2.1. What are the details of your worsening symptoms? (required) | 1..1 | text |  | Enable When: p02-q01-2-Symptoms.Worsened =
p03 | page 3. Health Context | 0..1 | group |  |
p03-q01-Contact | page 3 question 1. Do you know if you have had any contact with someone with measles since your last health check? (required) | 1..1 | choice |  | Options: 3 options
p04 | page 4. Quarantine | 0..1 | group |  |
p04-q01-Visitors | page 4 question 1. We want to know if you've been around anyone who might not be immune to measles. Have you had any visitors or left where you're staying? (required) | 1..1 | text |  |
p04-q02-Quarantine | page 4 question 2. Do you need any help to continue to quarantine? (required) | 1..1 | boolean |  |
p04-q03-1-Quarantine.Help | page 4 question 3. Please tell us what help you need: (required) | 1..1 | text |  | Enable When: p04-q02-Quarantine =
p05 | page 5. Thank you for completing the daily heath check. | 0..1 | group |  |
p05-Container | page 5 container. null | 0..1 | group |  |
p05-Remember | page 5 q01. Remember, if you feel very sick right now contact your doctor or Healthline on 0800 611 116 for medical help. If it is an emergency call 111. | 0..1 | display |  |
p05-Healthline | page 5 q02. Healthline is available 24 hours a day, 7 days a week if you need them. If you need to see your GP or doctor in person, always call before leaving your home to tell them you have been in contact with measles. | 0..1 | display |  |
p05-Close | page 5 q03. You may now close this page. | 0..1 | display |  |
Documentation for this format

Options Sets

Answer options for p02-q01-1-Symptoms.Which

- null#Fever ("Fever ")
- null#Red blotchy rash ("Red blotchy rash")
- null#Cough ("Cough")
- null#Runny nose ("Runny nose")
- null#Sore red eyes ("Sore red eyes")
- null#Tiny white spots inside your mouth ("Tiny white spots inside your mouth")
- null#Other ("Other")

Answer options for p03-q01-Contact

- null#Yes ("Yes")
- null#No ("No")
- null#I don't know ("I don't know")