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: Sleep Questionnaire

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

The Questionnaire collects patient-reported sleep symptoms, habits, and risk factors to support assessment of sleep disorders such as sleep apnoea.

Enables clinicians to evaluate risk and guide further investigation and care.

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. DHOSleepQuestionnaireThe Questionnaire collects patient-reported sleep symptoms, habits, and risk factors to support assessment of sleep disorders such as sleep apnoea.Questionnairehttps://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHOSleepQuestionnaire#1.0
... introEpworth Scale0..1display
... patient-detailsPatient Details0..1group
.... nameName0..1string
.... addressAddress0..1string
.... nhiNHI0..1string
.... dobDate Completed0..1date
... measurementsMeasurements0..1group
.... weightWeight (kg)0..1decimal
.... heightHeight (cm)0..1decimal
.... neckNeck circumference (cm) - Please use tape measure provided 0..1decimal
.... denturesDo you have dentures? (full or partial) 0..1string
... sleep-apnoeaSleep Apnoea0..1group
.... snoringAccording to what others have told you, how often do you think you snore? 0..1open-choiceValue Set: general-scale
.... stop-breathingHas anyone heard you stop breathing in your sleep?0..1boolean
.... chokingDo you sometimes wake with a choking or gasping sensation?0..1boolean
.... familyDoes anyone in your family have obstructive sleep apnoea?0..1boolean
.... toiletDo you get up to go to the toilet more than once a night?0..1boolean
.... headacheDo you regularly wake with headaches in the morning?0..1boolean
... daytimeSleepiness during the Day 0..1group
.... refreshedDo you wake feeling refreshed?0..1choiceValue Set: general-scale
.... sleepyHow often do you feel sleepy and want to fall asleep in the daytime? 0..1choiceValue Set: general-scale
... epworthEpworth Sleepiness Score0..1group
.... fallasleepHow likely are you to doze off or fall asleep in the following situations - in contrast to feeling tired. This refers to your usual way of life in recent times. Even if you have not done some of these things recently, try to work out how they would have affected you. 0..1display
.... sittingandreadingSitting & Reading0..1choiceValue Set: epworth-sleep-scale
.... readingWatching TV0..1choiceValue Set: epworth-sleep-scale
.... sittingactivitySitting inactive in a public place (theatre, meeting, etc)0..1choiceValue Set: epworth-sleep-scale
.... incarforanhour A passenger in a car for one hour0..1choiceValue Set: epworth-sleep-scale
.... lyingdownLying down in the afternoon (if circumstances permit)0..1choiceValue Set: epworth-sleep-scale
.... sittingtalkingSitting talking to someone0..1choiceValue Set: epworth-sleep-scale
.... trafficlightsIn a car whilst stopped in traffic or traffic lights0..1choiceValue Set: epworth-sleep-scale
... medicalMedical History0..1group
.... hayfeverHayfever or constantly blocked nose1..1boolean
.... nasalPrevious nasal surgery0..1boolean
.... airwayPrevious airway surgery? (e.g. tonsils removed)0..1boolean
.... heartHeart disease (heart failure, heart attack, angina, arrhythmia e.g. atrial fibrillation, stent or bypass?) 0..1boolean
.... bpHigh blood pressure0..1boolean
..... controldifficultyIf yes, is difficult to control?0..1booleanEnable When: bp =
.... strokePrevious stroke or TIA ‘mini-stroke’?0..1boolean
.... diabetesDiabetes0..1boolean
..... yescontroldifficultyIf yes, is it difficult to control?0..1booleanEnable When: diabetes =
.... depressionDepression0..1boolean
..... depression_11If yes, is it difficult to control?0..1booleanEnable When: depression =
.... asthmaAsthma/COPD0..1boolean
.... neuroNeuromuscular disease0..1boolean
.... epilepsyEpilepsy0..1boolean
..... neurodiseaseIf yes, is it difficult to control?0..1stringEnable When: epilepsy =
... lifestyleLifestyle0..1group
.... breathDo you get short of breath during your daily activities?0..1boolean
.... occupationWhat is your Occupation?0..1string
.... job-riskHas your job been at risk due to sleepiness or loss or concentration?0..1boolean
.... doze-drivingDo you have a vehicle licence?0..1boolean
..... licenseclassWhat is your vehicle licence class?0..1choiceEnable When: doze-driving =
Options: 6 options
..... licenseendorsementWhat is your vehicle licence endorsement?0..1choiceEnable When: doze-driving =
Options: 9 options
... sleep-patternRestless Legs0..1group
.... sleep-timeWhen you try to relax in the evening or sleep at night, do you ever have unpleasant, restless feelings in your legs that can be relieved by walkin0..1boolean
..... sleeptimeIf yes, please describe your symptoms: 0..1textEnable When: sleep-time =
... sleephoursHours of Sleep 0..1group
.... wake-timeWhat time do you go to sleep at night?0..1time
.... shiftWhat time do you get up in the morning?0..1time
.... shiftworkDo you do shift work?0..1boolean
.... usualhoursworkPlease describe your usual hours of work 0..1text
... medicationsDifficulty Sleeping 0..*string
.... takelongtosleepHow long does it take you to get to sleep?0..1string
.... wakeupatnightHow many times do you usually wake up during the night? 0..1string
.... backtosleepWhen you wake up, how long does it usually take you to get back to sleep? 0..1string
.... disturbsyoursleepDo you have pain that disturbs your sleep? 0..1string
... othersymptomsOther Symptoms0..1string
.... hallucinations01Do you have hallucinations (you see, feel or hear things that aren’t there) while falling asleep or waking up?0..1boolean
..... hallucinations02If yes, please describe your symptoms:0..1textEnable When: hallucinations01 =
.... cannotmoveDo you ever feel you can’t move or talk at all for 1 to 2 minutes after you wake up? 0..1boolean
.... laughter01Do you have sudden bouts of muscle weakness brought on by laughter or emotion? 0..1boolean
..... laughter02If yes, please describe your symptoms: 0..1stringEnable When: laughter01 =
.... sleepdifficulty01Do you have any other difficulties with sleep, like nightmares, acting out dreams, sleepwalking?0..1boolean
..... sleepdifficulty02If yes, please describe your symptoms: 0..1textEnable When: sleepdifficulty01 =

doco Documentation for this format

Options Sets

Answer options for licenseclass

  • null#null ("Class 1 (motorcar)")
  • null#null ("Class 2")
  • null#null ("Class 3")
  • null#null ("Class 4")
  • null#null ("Class 5")
  • null#null ("Class 6 (Motorcycle)")

Answer options for licenseendorsement

  • null#null ("P")
  • null#null ("V")
  • null#null ("D")
  • null#null ("F")
  • null#null ("R")
  • null#null ("T")
  • null#null ("W")
  • null#null ("I")
  • null#null ("O")

Contained Resources


This value set expansion contains 4 concepts.

CodeSystemDisplay
  00 -- NEVER doze
  11 -- SLIGHT chance of dozing
  22.-- MODERATE chance of dozing
  33 -- HIGH chance of dozing

This value set expansion contains 5 concepts.

CodeSystemDisplay
  4Always
  3Often
  2Sometimes
  1Rarely
  0Never

This value set expansion contains 2 concepts.

CodeSystemDisplay
  Yes
  No