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

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.4) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Questionnaire: Private Colposcopy Visit Summary Questionnaire

Official URL: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/PrivateColposcopyVisitQuestionnaire | Version: 0.1.1
Draft as of 2025-12-11 | Computable Name: PrivateColposcopyVisitQuestionnaire
Other Identifiers: PrivateColposcopyVisitQuestionnaire (use: official, )
Usage:Workflow Setting:

To gather the Visit details of Private Colposcopy procedure.

Structure

LinkID | Text | Cardinality | Type | Description & Constraints
--- | --- | --- | --- | ---
PrivateColposcopyVisitQuestionnaire |  |  | Questionnaire | https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/PrivateColposcopyVisitQuestionnaire#0.1.1
p01-ClinicInformation | page 01. Clinic Information | 0..1 | group |
p01-q01-ClinicName | page 01 question 1. Colposcopy HPI facility ID | 0..1 | reference |
p02-VisitInformation | page 02. Colposcopy Visit | 0..1 | group |
p02-q01-VisitDate | page 02 question 1. Date of Visit | 1..1 | date |
p02-q02-AdmissionType | page 02 question 2. Admission Type | 1..1 | choice | Options: 3 options
p02-q03-ColposcopyPerformed | page 02 question 3. Colposcopy Performed | 1..1 | boolean |
p02-q04-ColposcopySite | page 02 question 4. Colposcopy Site | 1..1 | choice | Options: 4 options
p02-q05-ColposcopySiteOther | page 02 question 5. Please describe the Alternative Site | 1..1 | text | Enable When: p02-q04-ColposcopySite =
p02-q06-ResultsDiscussed | page 02 question 6. Review / Results Discussed? | 1..1 | boolean |
p02-q07-ArrangedTreatment | page 02 question 7. Arranged Treatment? | 1..1 | boolean |
p03-ColposcopyFindings | page 03. Colposcopy Findings | 0..1 | group |
p03-q01-HysterectomyStatus | page 03 question 1. Patient has total hysterectomy? | 1..1 | boolean |
p03-q02-SquamocolumnarJunction | page 03 question 2. Squamocolumnar junction visible | 1..1 | choice | Enable When: p03-q01-HysterectomyStatus = Options: 3 options
p03-q03-TransformationZone | page 03 question 3. Transformation Zone type | 1..1 | choice | Enable When: p03-q01-HysterectomyStatus = Options: 3 options
p03-q04-LesionPresent | page 03 question 4. Lesion Present | 1..1 | choice | Options: 3 options
p03-q05-QuandrantsInvolved | page 03 question 5. Number of Quadrants Involved | 1..1 | choice | Enable When: p03-q04-LesionPresent = Options: 4 options
p03-q06-ColposcopicAppearance | page 03 question 6. Colposcopic appearance | 1..1 | choice | Options: 3 options
p03-q07-LesionVisible | page 03 question 7. Limits of Lesion Visible | 1..1 | boolean | Enable When: p03-q04-LesionPresent =
p03-q08-AbnormalityGrade | page 03 question 8. Predicted Grade of Abnormality | 1..1 | choice | Enable When: p03-q06-ColposcopicAppearance = Options: 5 options
p04-ActionsTaken | page 04. Actions Taken | 0..1 | group |
p04-q01-CervicalSample | page 04 question 1. Cervical / vaginal sample | 1..1 | choice | Options: 4 options
p04-q02-PunchBiopsy | page 04 question 2. Punch biopsy | 1..1 | boolean |
p04-q03-BiopsySite | page 04 question 3. Site of Biopsy(s) | 1..1 | text | Enable When: p04-q02-PunchBiopsy =
p04-q04-BiopsyReason | page 04 question 4. Reason for not taking biopsy(s) | 1..1 | choice | Enable When: p04-q02-PunchBiopsy = Options: 4 options
p04-q05-BiopsyReasonOther | page 04 question 5. Other Reason for biopsy not taken | 1..1 | text | Enable When: p04-q04-BiopsyReason =
p04-q06-TreatmentTaken | page 04 question 6. Treatment this visit | 1..1 | boolean |
p04-q07-TreatmentType | page 04 question 7. Type of treatment | 1..1 | choice | Enable When: p04-q06-TreatmentTaken = Options: 8 options
p04-q08-AnaesthesiaUsed | page 04 question 8. Local or general anaesthesia used | 1..1 | choice | Options: 3 options
p04-q09-AnaesthesiaReason | page 04 question 9. Reason for General Anasthesia | 1..1 | text | Enable When: p04-q08-AnaesthesiaUsed =
p04-q09.1-AnaesthesiaReasonHelpText | page 04 question 9.1. This information is required as 80% of anaesthesia should be local | 0..1 | display |
p05-DataRecieved | page 05. Data Recieved | 0..1 | group |
p05-q01-HistologyReport | page 05 question 1. Date histology specimen report received | 0..1 | date |
p05-q02-DecisionDate | page 05 question 2. Decision to treat date | 0..1 | date |
p05-q03-InformParticipantDate | page 05 question 3. Date participant informed | 0..1 | date |
p05-q04-FollowupRecommended | page 05 question 4. Follow-up management at colposcopy recommended | 0..1 | boolean |
p05-q05-NextVisit | page 05 question 5. Next visit recommended in (months | 1..1 | choice | Enable When: p05-q04-FollowupRecommended = Options: 15 options
Documentation for this format

Options Sets

Answer options for p02-q02-AdmissionType

- null#O ("Outpatient")
- null#D ("Day Patient")
- null#I ("Inpatient")

Answer options for p02-q04-ColposcopySite

- null#R ("Cervical")
- null#V ("Vaginal")
- null#B ("Both Cervical and Vaginal")
- null#null ("Other")

Answer options for p03-q02-SquamocolumnarJunction

- null#COMPL ("Completely")
- null#PART ("Partially")
- null#NVIS ("Not Visible")

Answer options for p03-q03-TransformationZone

- null#COMPL ("Completely")
- null#PART ("Partially")
- null#NVIS ("Not Visible")

Answer options for p03-q04-LesionPresent

- null#Y ("Yes")
- null#N ("No")
- null#null ("Inconclusive")

Answer options for p03-q05-QuandrantsInvolved

- null#null ("1")
- null#null ("2")
- null#null ("3")
- null#null ("4")

Answer options for p03-q06-ColposcopicAppearance

- null#NRML ("Normal")
- null#ABML ("Abnormal")
- null#INCON ("Inconclusive")

Answer options for p03-q08-AbnormalityGrade

- null#Low-Grade Squamous ("Low-Grade Squamous")
- null#ABML ("High-Grade Squamous")
- null#INCON ("Glandular (AIS)")
- null#INCON ("Micro-invasive cancer")
- null#INCON ("Invasive cancer (squamous/glandular)")

Answer options for p04-q01-CervicalSample

- null#RPT ("Cervical / Vaginal Smear")
- null#HPV ("HPV test")
- null#null ("Neither")
- null#null ("Both")

Answer options for p04-q04-BiopsyReason

- null#null ("Declined")
- null#null ("Pregnant")
- null#null ("Discarded as inadequate")
- null#null ("Other")

Answer options for p04-q07-TreatmentType

- null#ELCT ("Wireloop excisional procedure")
- null#LASA ("Laser ablation")
- null#null ("Ablation by means other than laser")
- null#CKNF ("Cold knife cone biopsy cervix")
- null#DIC ("Diathermy cone")
- null#LASE ("Laser cone")
- null#HYST ("Total hysterectomy")
- null#SUBH ("Sub-total hysterectomy")

Answer options for p04-q08-AnaesthesiaUsed

- null#GEN ("General")
- null#LOCAL ("Local")
- null#NA ("N/A")

Answer options for p05-q05-NextVisit

- null#7D ("7 Days")
- null#2W ("2 Weeks")
- null#6W ("6 Weeks")
- null#1M ("1 Month")
- null#2M ("2 Months")
- null#3M ("3 Months")
- null#4M ("4 Months")
- null#5M ("5 Months")
- null#6M ("6 Months")
- null#7M ("7 Months")
- null#9M ("9 Months")
- null#12M ("12 Months")
- null#18M ("18 Months")
- null#36M ("36 Months")
- null#60M ("60 Months")