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

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: Patient Screening Tool IPC (District)

Official URL: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHOPatientScreeningToolIPC Version: 1.0
Draft as of 2026-04-16 Computable Name: DHOPatientScreeningToolIPC

Patient infection prevention and control screening tool for district use.

Patient infection prevention and control screening tool for district use.

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. DHOPatientScreeningToolIPCPatient infection prevention and control screening tool for district use.Questionnairehttps://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHOPatientScreeningToolIPC#1.0
... assessordetails_06Assessor Details0..1string
.... date_01Date0..1date
.... time_02Time0..1time
.... areacompleted_03Area completed0..1string
.... assessor_04Assessor0..1string
.... sign_05sign0..1string
... patientdetailsPatient Details0..1string
.... surnameSurname0..1string
.... first-namesFirst Names0..1string
.... nhiNHI0..1string
.... date-of-birthDate of Birth0..1date
.... genderGender0..1string
... question-a-groupQuestion A – Required for all overnight admissions, plus dialysis outpatients, and Oncology outpatients0..1group
.... question-a-infonull. A: MDRO? Multi Drug Resistant Organism (e.g., MRSA, ESBL, VRE, CPO)0..1boolean
..... a1Has an MDRO alert (SPICS/HCS) or been previously MDRO positive?0..1boolean
..... a2Been admitted overnight in any North Island hospital in the last 12 months?0..1boolean
..... a3Been admitted overnight to an overseas hospital in the last 12 months?0..1boolean
..... a4Resided/travelled to the Indian subcontinent or South-East Asia in the last 12 months? Refer to MDRO-Admission-assessment-flowchart.dox (200982) for countries0..1boolean
..... a5In the last 6 months been a resident at Marne Street Hospital (Otago)?0..1boolean
..... a6In the last 6 months been a resident at Longwood Care Home (Southland)?0..1boolean
...... a-actionIf answered yes, refer to MDRO-Admission-assessment-flowchart.dox (200982) for testing and placement.0..1display
... questions-b-f-groupQuestions B–F – Ask all patients in all clinical areas, including all inpatients and outpatients0..1group
.... bB: Diarrhoea / vomiting?0..1boolean
..... b-more-than-3>3 watery bowel motions or any episodes in the past 24 hours0..1boolean
...... b-actionB – Contact. precautions Single room, stool chart0..1displayEnable When: b-more-than-3 =
.... Infectious DiseaseC: Other Infectious Disease0..1boolean
..... DiseaseSpecificIsolationRefer to Disease Specific Isolation Guidelines (20435) for isolation period or discuss with IPC team. 0..1displayEnable When: Infectious Disease =
.... AcuterespiratoryillnessesAcute respiratory illnesses0..1display
.... acuterespiratoryillnessD: Positive test for acute respiratory illness? E.g., COVID / Influenza / RSV0..1string
..... d-positive-test-detailHad a positive respiratory test in the past 10 days (or 14 days if immune compromised)0..1boolean
...... d-respiratory-organismRespiratory organism0..1stringEnable When: d-positive-test-detail =
...... d-positive-test-dateDate of positive test0..1dateEnable When: d-positive-test-detail =
...... d-actionRefer to Disease Specific Isolation Guidelines (20435) for isolation period or discuss with IPC team.0..1displayEnable When: d-positive-test-detail =
.... eE: Respiratory symptoms? Any new or worsening symptoms in the past 10 days (14 if immune compromised)0..1boolean
..... e-runny-noseRunny nose/congestion0..1boolean
..... e-sore-throatSore/scratchy throat0..1boolean
..... e-new-coughNew cough0..1boolean
..... e-shortness-breathNew shortness of breath0..1boolean
..... e-unexplained-feverUnexplained fever0..1boolean
..... covid-rat-instructionsYes to E -- COVID RAT Test0..1group
...... covid-rat-displayAll RAT results (positive or negative) are to be uploaded to Eclair (20435). Note -- Influenza/RSV RATs are unreliable, PCR required for diagnosis. Inpatients – If RAT negative then complete a COVID PCR. If patient is COVID negative, place in droplet precautions and discuss with IPC.0..1display
.... fF: Contact with COVID?0..1boolean
..... f-household-contactA household contact or living in a communal situation with a person who has a confirmed COVID infection?0..1booleanEnable When: f =
..... f-action-displayYes to F -- Droplet isolation for 5 days, staff to wear N95 mask. Only test if symptoms develop.0..1display
... all-no-actionIf no to all questions, Standard Precautions0..1display

doco Documentation for this format