Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.5 - release
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
| Official URL: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHOPreoperativeQuestionnaireDaySurgeryDunedinHospital | Version: 1.0 | |||
| Active as of 2026-04-16 | Computable Name: DHOPreoperativeQuestionnaireDaySurgeryDunedinHospital | |||
Pre-operative assessment questionnaire for day surgery patients at Dunedin Hospital.
To collect pre-operative clinical and risk information prior to day surgery.
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  DHOPreoperativeQuestionnaireDaySurgeryDunedinHospital | Pre-operative assessment questionnaire for day surgery patients at Dunedin Hospital. | Questionnaire | https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHOPreoperativeQuestionnaireDaySurgeryDunedinHospital#1.0 | ||
  patientInfo | Patient Information | 0..1 | group | ||
  surname_01 | Surname | 0..1 | string | ||
| nhi_02 | NHI | 0..1 | string | ||
| othernames_03 | Other Names | 0..1 | string | ||
 dob_04 | DOB | 0..1 | date | ||
 age_05 | Age | 0..1 | integer | ||
| ward_06 | Ward | 0..1 | string | ||
| consultant_07 | Consultant | 0..1 | string | ||
| adreess_08 | Address | 0..1 | string | ||
 phonenumber_09 | Phone Number | 0..1 | string | ||
| sectioone_01 | Section One | 0..1 | group | ||
 operation_10 | Have you ever had an operation and/or anaesthetic? | 1..1 | boolean | ||
| closerelative | Have you or a close relative ever had problems with an anaesthetic? | 1..1 | boolean | ||
| problemdescribe | If YES, describe the problem: | 1..1 | string | Enable When: closerelative = | |
| medicationsallergy | Are you allergic to any medications or other substances? | 1..1 | boolean | ||
| answerallergy | If YES, please list: | 1..1 | string | Enable When: medicationsallergy = | |
| anymedications | Are you taking or have you taken any medications in the last 6 months? | 1..1 | boolean | ||
| allmedications | If YES, please list all medications: | 0..1 | string | Enable When: anymedications = | |
| hadmdro | Have you ever had MDRO? (Superbug infection) | 0..1 | boolean | ||
| workedorpatient | Have you worked or been a patient in a hospital in NZ or overseas in the last 6 months? | 0..1 | boolean | ||
| answerwhen | If YES, state when and where: | 0..1 | string | Enable When: workedorpatient = | |
| artificialjoint | Do you have an artificial joint, heart valve or a pacemaker? | 0..1 | boolean | ||
| looseteeth | Do you have dentures, partial plate, loose teeth? | 0..1 | boolean | ||
| smoke | Do you smoke? | 0..1 | boolean | ||
| howmanysmoke | If YES, how many per day? | 0..1 | string | Enable When: smoke = | |
| sufferingcold | Are you suffering from or recovering from a cold, sore throat, flu or covid19? | 0..1 | boolean | ||
| pregnant | Are you or could you be pregnant? | 0..1 | boolean | ||
| sectiontwo | Section Two | 0..1 | group | ||
 symptoms | Have you suffered from any of these symptoms or medical conditions? | 0..1 | display | ||
| heartcondition | Heart condition | 1..1 | boolean | ||
| angina | Chest pain/angina | 1..1 | boolean | ||
| bloodpressure | High blood pressure | 1..1 | boolean | ||
| ankleswelling | Ankle swelling | 1..1 | boolean | ||
| shortnessbreath | Abnormal shortness of breath | 1..1 | boolean | ||
| bloodclots | Blood clots in legs/lungs | 1..1 | boolean | ||
| rheumaticfever | Rheumatic fever | 1..1 | boolean | ||
| pcough | Persistent cough | 1..1 | boolean | ||
| asthma | Asthma | 1..1 | boolean | ||
| lungproblem | Other lung problems | 1..1 | boolean | ||
| reflux | Heartburn/reflux | 1..1 | boolean | ||
| sulcer | Stomach ulcer | 1..1 | boolean | ||
| bleedingdisorder | Bleeding disorders | 1..1 | boolean | ||
| anaemia | Anaemia | 1..1 | boolean | ||
| stroke | Stroke/blackouts | 1..1 | boolean | ||
| kidneydisorder | Kidney disorders | 1..1 | boolean | ||
| jaundice | Hepatitis/jaundice | 1..1 | boolean | ||
| efits | Epilepsy/fits | 1..1 | boolean | ||
| migraine_01 | Migraine | 1..1 | boolean | ||
| diabetestype | Diabetes type 1 / 2 | 1..1 | boolean | ||
| depressionnerves | Depression/nerves | 1..1 | boolean | ||
| arthritis | Arthritis | 1..1 | boolean | ||
| alcoholrelated | Alcohol related problems | 1..1 | boolean | ||
| motionsickness | Motion sickness | 1..1 | boolean | ||
| other | Other | 1..1 | string | ||
| sectionthree | Section Three | 0..1 | group | ||
 adultdrive | Following surgery I will have a responsible adult drive me home and stay with me for 24hrs. | 0..1 | display | ||
| supportpersonname | Support Person Name: | 1..1 | string | ||
| contactphone | Contact Phone: | 1..1 | string | ||
| patientsignature | Patient Signature: | 1..1 | string | ||
| date | Date | 1..1 | date | ||
| smokingcessation | ABC for Smoking Cessation | 0..1 | display | ||
| eversmoked | Has the patient ever smoked? | 1..1 | boolean | ||
| lastsmoke | When did they last smoke? | 1..1 | string | ||
| quitadvise | Advised to quit? | 1..1 | boolean | ||
| vape | Does the patient vape? | 1..1 | boolean | ||
| withnicotine | with nicotine? | 1..1 | boolean | ||
| quitsupport | Supported to quit (tick all that apply) | 0..1 | display | ||
| quitcard | NRT or Quitcard provided | 1..1 | boolean | ||
| referraltossss | Referral to SSSS | 1..1 | boolean | ||
| supportdeclined | Support declined | 1..1 | boolean | ||
| cessationprogramme | Already on cessation programme | 1..1 | boolean | ||
| date_11 | Date | 1..1 | date | ||
| sign_12 | Sign | 1..1 | string | ||
| fallsriskassessment | Falls Risk Assessment | 0..1 | display | ||
| fallsriskalert | If “yes” to the last question, write ‘falls risk’ in orange alert box on the front of the Day Surgery Clinical Pathway & place a red bracelet on pt. | 0..1 | display | ||
| agemore55 | >55yrs & Maori or Pacific Islander | 1..1 | boolean | ||
| agemore75 | >75yrs (Other Ethnicity) | 1..1 | boolean | ||
| ptfallenpast | Pt has fallen in past year | 1..1 | boolean | ||
| assessordeemspt | Assessor deems pt requires a full assessment | 1..1 | boolean | ||
| date_21 | Date | 1..1 | date | ||
| sign_22 | Sign: | 0..1 | string | ||
| Documentation for this format | |||||