Generated Narrative: Questionnaire DHOPatientScreeningToolIPC LinkID Text Cardinality Type Description & Constraints DHOPatientScreeningToolIPC Patient infection prevention and control screening tool for district use. Questionnaire https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHOPatientScreeningToolIPC#1.0 #xD; assessordetails_06 Assessor Details 0..1 string #xD; date_01 Date 0..1 date #xD; time_02 Time 0..1 time #xD; areacompleted_03 Area completed 0..1 string #xD; assessor_04 Assessor 0..1 string #xD; sign_05 sign 0..1 string #xD; patientdetails Patient Details 0..1 string #xD; surname Surname 0..1 string #xD; first-names First Names 0..1 string #xD; nhi NHI 0..1 string #xD; date-of-birth Date of Birth 0..1 date #xD; gender Gender 0..1 string #xD; question-a-group Question A – Required for all overnight admissions, plus dialysis outpatients, and Oncology outpatients 0..1 group #xD; question-a-info null. A: MDRO? Multi Drug Resistant Organism (e.g., MRSA, ESBL, VRE, CPO) 0..1 boolean #xD; a1 Has an MDRO alert (SPICS/HCS) or been previously MDRO positive? 0..1 boolean #xD; a2 Been admitted overnight in any North Island hospital in the last 12 months? 0..1 boolean #xD; a3 Been admitted overnight to an overseas hospital in the last 12 months? 0..1 boolean #xD; a4 Resided/travelled to the Indian subcontinent or South-East Asia in the last 12 months? Refer to MDRO-Admission-assessment-flowchart.dox (200982) for countries 0..1 boolean #xD; a5 In the last 6 months been a resident at Marne Street Hospital (Otago)? 0..1 boolean #xD; a6 In the last 6 months been a resident at Longwood Care Home (Southland)? 0..1 boolean #xD; a-action If answered yes, refer to MDRO-Admission-assessment-flowchart.dox (200982) for testing and placement. 0..1 display #xD; questions-b-f-group Questions B–F – Ask all patients in all clinical areas, including all inpatients and outpatients 0..1 group #xD; b B: Diarrhoea / vomiting? 0..1 boolean #xD; b-more-than-3 >3 watery bowel motions or any episodes in the past 24 hours 0..1 boolean #xD; b-action B – Contact. precautions Single room, stool chart 0..1 display Enable When: b-more-than-3 = #xD; Infectious Disease C: Other Infectious Disease 0..1 boolean #xD; DiseaseSpecificIsolation Refer to Disease Specific Isolation Guidelines (20435) for isolation period or discuss with IPC team. 0..1 display Enable When: Infectious Disease = #xD; Acuterespiratoryillnesses Acute respiratory illnesses 0..1 display #xD; acuterespiratoryillness D: Positive test for acute respiratory illness? E.g., COVID / Influenza / RSV 0..1 string #xD; d-positive-test-detail Had a positive respiratory test in the past 10 days (or 14 days if immune compromised) 0..1 boolean #xD; d-respiratory-organism Respiratory organism 0..1 string Enable When: d-positive-test-detail = #xD; d-positive-test-date Date of positive test 0..1 date Enable When: d-positive-test-detail = #xD; d-action Refer to Disease Specific Isolation Guidelines (20435) for isolation period or discuss with IPC team. 0..1 display Enable When: d-positive-test-detail = #xD; e E: Respiratory symptoms? Any new or worsening symptoms in the past 10 days (14 if immune compromised) 0..1 boolean #xD; e-runny-nose Runny nose/congestion 0..1 boolean #xD; e-sore-throat Sore/scratchy throat 0..1 boolean #xD; e-new-cough New cough 0..1 boolean #xD; e-shortness-breath New shortness of breath 0..1 boolean #xD; e-unexplained-fever Unexplained fever 0..1 boolean #xD; covid-rat-instructions Yes to E -- COVID RAT Test 0..1 group #xD; covid-rat-display All 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..1 display #xD; f F: Contact with COVID? 0..1 boolean #xD; f-household-contact A household contact or living in a communal situation with a person who has a confirmed COVID infection? 0..1 boolean Enable When: f = #xD; f-action-display Yes to F -- Droplet isolation for 5 days, staff to wear N95 mask. Only test if symptoms develop. 0..1 display #xD; all-no-action If no to all questions, Standard Precautions 0..1 display #xD; Documentation for this format
Patient infection prevention and control screening tool for district use.
Question A – Required for all overnight admissions, plus dialysis outpatients, and Oncology outpatients
A: MDRO? Multi Drug Resistant Organism (e.g., MRSA, ESBL, VRE, CPO)
Has an MDRO alert (SPICS/HCS) or been previously MDRO positive?
Been admitted overnight in any North Island hospital in the last 12 months?
Been admitted overnight to an overseas hospital in the last 12 months?
Resided/travelled to the Indian subcontinent or South-East Asia in the last 12 months? Refer to MDRO-Admission-assessment-flowchart.dox (200982) for countries
In the last 6 months been a resident at Marne Street Hospital (Otago)?
In the last 6 months been a resident at Longwood Care Home (Southland)?
If answered yes, refer to MDRO-Admission-assessment-flowchart.dox (200982) for testing and placement.
Questions B–F – Ask all patients in all clinical areas, including all inpatients and outpatients
>3 watery bowel motions or any episodes in the past 24 hours
Refer to Disease Specific Isolation Guidelines (20435) for isolation period or discuss with IPC team.
D: Positive test for acute respiratory illness? E.g., COVID / Influenza / RSV
Had a positive respiratory test in the past 10 days (or 14 days if immune compromised)
E: Respiratory symptoms? Any new or worsening symptoms in the past 10 days (14 if immune compromised)
All 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.
A household contact or living in a communal situation with a person who has a confirmed COVID infection?
Yes to F -- Droplet isolation for 5 days, staff to wear N95 mask. Only test if symptoms develop.
If no to all questions, Standard Precautions