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

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Questionnaire: COVID19 Public Health History Questionnaire

Official URL: https://fhir-ig.digital.health.nz/shared-care/Questionnaire/COVIDPublicHealthHistoryQuestionnaire | Version: 0.4.5
Draft as of 2023-07-19 | Computable Name: COVIDPublicHealthHistoryQuestionnaire
Other Identifiers: COVIDRegularHealthCheckQuestionnaire (use: official, period: 7/1/23 --> (ongoing))
Usage:Workflow Setting:

Questions about a patient's recent COVID-19 history

For assessing patient's recent history of COVID-19 for public health purposes

Structure

LinkID | Text | Cardinality | Type | Description & Constraints
--- | --- | --- | --- | ---
COVIDPublicHealthHistoryQuestionnaire | Questions about a patient's recent COVID-19 history |  | Questionnaire | https://fhir-ig.digital.health.nz/shared-care/Questionnaire/COVIDPublicHealthHistoryQuestionnaire#0.4.5
summary | Questions about a patient's recent COVID-19 history | 0..1 | display |
p01 | Public Health History | 0..1 | group |
p01-q01-PlacesVisitedRecently | question 1. Places visited in last 14 days | 0..1 | text |
p01-q02-PrevPositive | question 2. Previous positive COVID-19 test? | 1..1 | boolean |
p01-q02-1-PrevPositiveMonth | question 2-1. Month of positive COVID-19 test? | 1..1 | choice | Enable When: p01-q02-PrevPositive = Options: 12 options
p01-q02-2-PrevPositiveYear | question 2-2. Year of positive COVID-19 test? | 1..1 | choice | Enable When: p01-q02-PrevPositive = Options: 11 options
p01-q03-HighSuspicionOfCOVID | question 3. High suspicion of prev. COVID-19? | 1..1 | boolean |
p01-q04-PotentialCloseContact | question 4. Potential close contact with a COVID-19 positive person in the last 14 days? | 1..1 | boolean |
p01-q05-COVID19Vaccine | question 5. COVID-19 vaccine? | 1..1 | choice | Options: 3 options
p01-q06-dose1-date | question 6 - 1st Dose. Date | 0..1 | date |
p01-q06-dose1-vaccine | question 6 - 1st Dose. Vaccine given | 0..1 | choice | Enable When: p01-q06-dose1-date exists Options: 8 options
p01-q06-dose1-country | question 6 - 1st Dose. Country where vaccinated | 0..1 | choice | Enable When: p01-q06-dose1-date exists Value Set: Iso 3166 Part 1: 2 Letter Codes
p01-q06-dose2-date | question 6 - 2nd Dose. Date | 0..1 | date |
p01-q06-dose2-vaccine | question 6 - 2nd Dose. Vaccine given | 0..1 | choice | Enable When: p01-q06-dose2-date exists Options: 8 options
p01-q06-dose2-country | question 6 - 2nd Dose. Country where vaccinated | 0..1 | choice | Enable When: p01-q06-dose2-date exists Value Set: Iso 3166 Part 1: 2 Letter Codes
p01-q06-dose3-date | question 6 - 3rd Dose. Date | 0..1 | date |
p01-q06-dose3-vaccine | question 6 - 3rd Dose. Vaccine given | 0..1 | choice | Enable When: p01-q06-dose3-date exists Options: 8 options
p01-q06-dose3-country | question 6 - 3rd Dose. Country where vaccinated | 0..1 | choice | Enable When: p01-q06-dose3-date exists Value Set: Iso 3166 Part 1: 2 Letter Codes
Documentation for this format

Options Sets

Answer options for p01-q02-1-PrevPositiveMonth

- January
- February
- March
- April
- May
- June
- July
- August
- September
- October
- November
- December

Answer options for p01-q02-2-PrevPositiveYear

- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- 2028
- 2029
- 2030

Answer options for p01-q05-COVID19Vaccine

- null#Full ("Full")
- null#Partial ("Partial")
- null#Nil ("Nil")

Answer options for p01-q06-dose1-vaccine

- null#207 ("Moderna")
- null#208 ("Pfizer/BioNtech")
- null#210 ("AstraZeneca / Covishield")
- null#211 ("Novavax")
- null#212 ("Janssen")
- null#505 ("Sputnik V")
- null#510 ("Sinopharm")
- null#511 ("CoronaVac")

Answer options for p01-q06-dose2-vaccine

- null#207 ("Moderna")
- null#208 ("Pfizer/BioNtech")
- null#210 ("AstraZeneca / Covishield")
- null#211 ("Novavax")
- null#212 ("Janssen")
- null#505 ("Sputnik V")
- null#510 ("Sinopharm")
- null#511 ("CoronaVac")

Answer options for p01-q06-dose3-vaccine

- null#207 ("Moderna")
- null#208 ("Pfizer/BioNtech")
- null#210 ("AstraZeneca / Covishield")
- null#211 ("Novavax")
- null#212 ("Janssen")
- null#505 ("Sputnik V")
- null#510 ("Sinopharm")
- null#511 ("CoronaVac")