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

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Questionnaire: Question Template for COVID-19 Regular Health Check

Official URL: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/COVIDRegularHealthCheckQuestionnaire Version: 0.4.0
Draft as of 2023-07-19 Computable Name: COVIDRegularHealthCheckQuestionnaire
Other Identifiers: COVIDRegularHealthCheckQuestionnaire (use: official, period: 7/19/23 --> (ongoing)), QuestionTemplate-CitC-COVID19-RegularHealthCheck (use: temp, period: 9/12/22 --> 7/19/23)

Usage:Workflow Setting: 

Gather the status of a patient who is self isolating

Template for the description of a phone or online video health check to gather the status of a set of conditions for a patient who is self isolating.

Generated Narrative: Questionnaire COVIDRegularHealthCheckQuestionnaire

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. COVIDRegularHealthCheckQuestionnaireGather the status of a patient who is self isolatingQuestionnairehttps://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/COVIDRegularHealthCheckQuestionnaire#0.4.0
... 11.. Symptoms - Pay attention to the signs of talking with single words or short sentences, pausing to catch their breath, noisy breathing, persistent coughing, etc.0..1group
.... 1.11.1.. Fever chills (feeling hot and cold)1..1booleanInitial Value: boolean = false
.... 1.21.2.. Cough1..1booleanInitial Value: boolean = false
.... 1.31.3.. Runny nose1..1booleanInitial Value: boolean = false
.... 1.41.4.. Headache1..1booleanInitial Value: boolean = false
.... 1.51.5.. Joint pain1..1booleanInitial Value: boolean = false
.... 1.61.6.. Diarrhoea1..1booleanInitial Value: boolean = false
.... 1.71.7.. Nausea / Vomiting1..1booleanInitial Value: boolean = false
.... 1.81.8.. Shortness of breath1..1booleanInitial Value: boolean = false
.... 1.8.11.8.1.. While at rest?1..1booleanEnable When: 1.8 =
Initial Value: boolean = false
.... 1.8.21.8.2.. New SOB on exertion?1..1booleanEnable When: 1.8 =
Initial Value: boolean = false
.... 1.8.31.8.3.. Sudden onset of SOB? (with or without chest pain)1..1booleanEnable When: 1.8 =
Initial Value: boolean = false
.... 1.8.41.8.4.. Able to speak in full sentences?1..1booleanEnable When: 1.8 =
Initial Value: boolean = false
.... 1.8.51.8.5.. Assessment?1..1choiceEnable When: 1.8 =
Options: 3 options
.... 1.8.61.8.6.. Further details/what could you do yesterday that you can't do today?0..1stringEnable When: 1.8 =
.... 1.91.9.. Sore throat1..1booleanInitial Value: boolean = false
.... 1.101.10.. Loss of sense of smell / taste1..1booleanInitial Value: boolean = false
.... 1.111.11.. Chest pain1..1booleanInitial Value: boolean = false
.... 1.121.12.. Muscular pain (Myalgia)1..1booleanInitial Value: boolean = false
.... 1.131.13.. Abdominal pain1..1booleanInitial Value: boolean = false
.... 1.141.14.. Any light headedness on standing?1..1booleanInitial Value: boolean = false
.... 1.151.15.. Concentrated urine?1..1booleanInitial Value: boolean = false
.... 1.161.16.. Other COVID related symptoms0..1string
... 22.. Further Details0..1group
.... 2.12.1.. How are you feeling today compared to yesterday?1..1choiceOptions: 3 options
.... 2.22.2.. Do you have any health concerns?1..1booleanInitial Value: boolean = false
.... 2.32.3.. Have you been eating / sleeping well?1..1booleanInitial Value: boolean = true
.... 2.42.4.. Please provide further eating / sleeping details0..1string
.... 2.52.5.. Have you left the room without your mask or has anyone outside your bubble visited your room?1..1booleanInitial Value: boolean = false
.... 2.62.6.. Please provide further details regarding whether you had visitors in your room / bubble0..1string
... 33.. Vital Signs0..1group
.... 3.13.1.. Temperature (°C)1..1decimal
.... 3.23.2.. Heart Rate (BPM)1..1integer
.... 3.33.3.. BP (Systolic) (mmHg)1..1integer
.... 3.43.4.. BP (Diastolic) (mmHg)1..1integer
.... 3.53.5.. Oxygen Saturation, SpO2 (%)0..1integer
.... 3.63.6.. Respiration (RPM)0..1integer
.... 3.73.7.. Other vital signs0..1string
.... 3.83.8.. Mood (/10)0..1integer
... 44.. Health check note0..1group
.... 4.14.1.. Acuity Rating1..1choiceOptions: 6 options
.... 4.24.2.. Regular health check note0..1string
.... 4.34.3.. Care Management Plan1..1choiceOptions: 2 options

doco Documentation for this format

Options Sets

Answer options for 1.8.5

  • Same
  • Better
  • Worse

Answer options for 2.1

  • Same
  • Better
  • Worse

Answer options for 4.1

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

Answer options for 4.3

  • Self Management
  • Active Management