DHORespiratoryPhysiologyPaediatricOSASScreeningQuestionnaire
type: Questionnaire
node role: treeRoot
id:
  v: DHORespiratoryPhysiologyPaediatricOSASScreeningQuestionnaire
text:
  status:
    v: extensions
  div: Generated Narrative: Questionnaire DHORespiratoryPhysiologyPaediatricOSASScreeningQuestionnaire Structure LinkID Text Cardinality Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> DHORespiratoryPhysiologyPaediatricOSASScreeningQuestionnaire A Respiratory Physiology Paediatric OSAS Screening Questionnaire. Questionnaire https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHORespiratoryPhysiologyPaediatricOSASScreeningQuestionnaire#1.0 #xD; patientformcomplete Please ensure patient details are completed here 0..1 display #xD; surname_11 Surname 1..1 string #xD; fullname_12 Full Name 1..1 string #xD; nhinumber_13 NHI number 1..1 string #xD; dob_14 DOB 1..1 date #xD; sex_15 Sex 1..1 choice Options: 2 options #xD; caregivername Caregiver Name 1..1 string #xD; date_31 Date 1..1 date #xD; answeronbehalf Please answer on behalf of your child for the past month. 0..1 display #xD; options_31 Does your child have any of the following: 0..1 display #xD; runnynose A constant blocked or runny nose? 1..1 choice Options: 3 options #xD; chestinfections Recurrent chest infections/pneumonia? 1..1 choice Options: 3 options #xD; airwaynrrowing An airway narrowing or abnormality? 1..1 choice Options: 3 options #xD; syndromemajor A syndrome or other major health problem? 1..1 choice Options: 3 options #xD; type_01 Type 1..1 string #xD; tonsils Does your child have large tonsils? 1..1 choice Options: 3 options #xD; tonsilsremoved Has your child had their adenoids or tonsils removed? 1..1 choice Options: 3 options #xD; whilesleeping While sleeping, does your child 0..1 display #xD; snore_22 snore more than half the time? 1..1 choice Options: 3 options #xD; alwayssnore always snore? 1..1 choice Options: 3 options #xD; snoreloundly snore loudly? 1..1 choice Options: 3 options #xD; troublebreathing have trouble breathing, or struggle to breathe? 1..1 choice Options: 3 options #xD; loudbreathing have "heavy" or loud breathing? 1..1 choi…
url:
  v: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHORespiratoryPhysiologyPaediatricOSASScreeningQuestionnaire
version:
  v: 1.0
name:
  v: DHORespiratoryPhysiologyPaediatricOSASScreeningQuestionnaire
title:
  v: Respiratory Physiology Paediatric OSAS Screening Questionnaire
status:
  v: active
date:
  v: 2026-04-16T21:32:31+00:00
publisher:
  v: Te Whatu Ora
contact:
  name:
    v: Te Whatu Ora
  telecom:
    system:
      v: url
    value:
      v: https://www.tewhatuora.govt.nz/
contact:
  name:
    v: Te Whatu Ora Integration Team
  telecom:
    system:
      v: email
    use:
      v: work
description:
  v: A Respiratory Physiology Paediatric OSAS Screening Questionnaire.
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
    code:
      v: NZ
    display:
      v: New Zealand
item:
  link id:
    v: patientformcomplete
  text:
    v: Please ensure patient details are completed here
  type:
    v: display
item:
  link id:
    v: surname_11
  text:
    v: Surname
  type:
    v: string
  required:
    v: true
item:
  link id:
    v: fullname_12
  text:
    v: Full Name
  type:
    v: string
  required:
    v: true
item:
  link id:
    v: nhinumber_13
  text:
    v: NHI number
  type:
    v: string
  required:
    v: true
item:
  link id:
    v: dob_14
  text:
    v: DOB
  type:
    v: date
  required:
    v: true
item:
  link id:
    v: sex_15
  text:
    v: Sex
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: male
      display:
        v: Male
  answer option:
    value: Coding
      code:
        v: female
      display:
        v: Female
item:
  link id:
    v: caregivername
  text:
    v: Caregiver Name
  type:
    v: string
  required:
    v: true
item:
  link id:
    v: date_31
  text:
    v: Date
  type:
    v: date
  required:
    v: true
item:
  link id:
    v: answeronbehalf
  text:
    v: Please answer on behalf of your child for the past month.
  type:
    v: display
item:
  link id:
    v: options_31
  text:
    v: Does your child have any of the following:
  type:
    v: display
item:
  link id:
    v: runnynose
  text:
    v: A constant blocked or runny nose?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      code:
        v: unknown
      display:
        v: Unknown
item:
  link id:
    v: chestinfections
  text:
    v: Recurrent chest infections/pneumonia?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      code:
        v: unknown
      display:
        v: Unknown
item:
  link id:
    v: airwaynrrowing

v: An airway narrowing or abnormality?

v: choice

v: true

value: Coding
  code:
    v: yes
  display:
    v: Yes

value: Coding
  code:
    v: no
  display:
    v: No

value: Coding
  code:
    v: unknown
  display:
    v: Unknown

link id:
  v: syndromemajor
text:
  v: A syndrome or other major health problem?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: type_01
text:
  v: Type
type:
  v: string
required:
  v: true

link id:
  v: tonsils
text:
  v: Does your child have large tonsils?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: tonsilsremoved
text:
  v: Has your child had their adenoids or tonsils removed?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: whilesleeping
text:
  v: While sleeping, does your child
type:
  v: display

link id:
  v: snore_22
text:
  v: snore more than half the time?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: alwayssnore
text:
  v: always snore?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: snoreloundly
text:
  v: snore loudly?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: troublebreathing
text:
  v: have trouble breathing, or struggle to breathe?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: loudbreathing
text:
  v: have "heavy" or loud breathing?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: stopbreathingnight
text:
  v: Have you ever seen your child stop breathing during the night?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: followingoptions
text:
  v: Does your child has the following
type:
  v: display

link id:
  v: breathethroughmouth
text:
  v: tend to breathe through the mouth during the day?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: wetthebed
text:
  v: occasionally wet the bed?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: unrefreshedmorning
text:
  v: wake up feeling unrefreshed in the morning?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: sleepinessduringday
text:
  v: have a problem with sleepiness during the day?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: sleepyatnight
text:
  v: Has a teacher commented that your child appears sleepy during the day?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: hardtowakeup
text:
  v: Is it hard to wake your child up in the morning?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: headachesinthemorning
text:
  v: Does your child wake up with headaches in the morning?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: stopgrowing
text:
  v: Did your child stop growing at a normal rate at any time since birth?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: childoverweight
text:
  v: Is your child overweight?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: childoftenhas
text:
  v: My child often .
type:
  v: display

link id:
  v: listenissues
text:
  v: does not seem to listen when spoken to directly.
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: difficultyinorganizing
text:
  v: has difficulty organizing task and activities.
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: stimulieasily
text:
  v: is easily distracted by extraneous stimuli.
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: squirmsseat
text:
  v: fidgets with hands or feet or squirms in seat.
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: drivenbyamotor
text:
  v: is 'on the go' or often acts as if 'driven by a motor'.
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: intrudesother
text:
  v: interrupts or intrudes on others (e.g. butts into conversations or games).
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    code:
      v: unknown
    display:
      v: Unknown