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: Measles Daily Health Check

Official URL: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/MeaslesHealthCheckQuestionnaire Version: 0.4.5
Draft as of 2023-11-07 Computable Name: MeaslesHealthCheckQuestionnaire
Other Identifiers: MeaslesHealthCheckQuestionnaire (use: official, )

Usage:Workflow Setting: 

Te Whatu Ora survey of Symptoms, Context and Quarantine informations surrounding Measles Patients

Survey of Symptoms, Context and Quarantine informations surrounding Measles Patients

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. MeaslesHealthCheckQuestionnaireTe Whatu Ora survey of Symptoms, Context and Quarantine informations surrounding Measles PatientsQuestionnairehttps://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/MeaslesHealthCheckQuestionnaire#0.4.5
... p00-MetaSourceEnvironmentSource environment0..1stringiconiconValue Set:
Initial Value: string = Placeholder
... p01-Introductionpage 1 . Please complete this health check form. If you feel very sick right now contact your doctor or Healthline on 0800 611 116 for medical help. If it is an emergency call 111 and tell them you have been in contact with someone with measles.0..1displayValue Set:
... p02page 2. Symptoms0..1groupValue Set:
.... p02-q01-Symptomspage 2 question 1. Do you currently have any measles symptoms? (required) For example: fever, red blotchy rash, cough, runny nose, sore red eyes, tiny white spots inside your mouth.1..1booleanValue Set:
.... p02-q01-1-Symptoms.Whichpage 2 question 1.1. What symptoms do you currently have? (required)1..*choiceEnable When: p02-q01-Symptoms = true
Value Set:
Options: 7 options
.... p02-q01-1-1-Symptoms.RashFeverpage 2 question 1.1.1. Did you have a fever when you first noticed the rash? (required)1..1booleanEnable When: p02-q01-1-Symptoms.Which = Red blotchy rash
Value Set:
.... p02-q01-1-2--Symptoms.RashWhenpage 2 question 1.1.2. When did the rash appear? (required)1..1dateEnable When: p02-q01-1-Symptoms.Which = Red blotchy rash
Value Set:
.... p02-q01-1-3-4-Symptoms.RashWhereSpreadpage 2 question 1.1.3. Where on your body did the rash start? If the rash has spread, provide details of where it has spread to? (required)1..1textEnable When: p02-q01-1-Symptoms.Which = Red blotchy rash
Value Set:
.... p02-q01-1-5-Symptoms.Which.Otherpage 2 question 1.1.4. Provide details of your other symptoms: (required)1..1textEnable When: p02-q01-1-Symptoms.Which = Other
Value Set:
.... p02-q01-2-Symptoms.Worsenedpage 2 question 1.2. Have any of your symptoms worsened since your last health check? (required)1..1booleanEnable When: p02-q01-Symptoms = true
Value Set:
.... p02-q01-2-1-Symptoms.Worsened.Detailspage 2 question 1.2.1. What are the details of your worsening symptoms? (required)1..1textEnable When: p02-q01-2-Symptoms.Worsened = true
Value Set:
.... p03-q01-Contactpage 3 question 1. Have you had any new contact with someone with measles since your last health check? (required)1..1choiceValue Set:
Options: 3 options
.... p03-q01-1-Contact.Detailspage 3 question 1.1. Details of contact1..1textEnable When: p03-q01-Contact = Yes
Value Set:
... p04page 4. Quarantine0..1groupValue Set:
.... p04-q01-Visitorspage 4 question 1. Can you provide details of any visitors who you are not sure of their immunity status? (required)1..1textValue Set:
.... p04-q01-1-Left.Housepage 4 question 1.1. Have you left the house and met up with anyone? (required)1..1textValue Set:
.... p04-q02-Quarantinepage 4 question 2. Do you need any help to continue to quarantine? (required)1..1booleanValue Set:
.... p04-q03-1-Quarantine.Helppage 4 question 3. Please tell us what help you need: (required)1..1textEnable When: p04-q02-Quarantine = true
Value Set:
... p05page 5. Thank you for completing the daily heath check.0..1groupValue Set:
.... p05-Containerpage 5 container. null0..1groupValue Set:
..... p05-Rememberpage 5 q01. Remember, if you feel very sick right now contact your doctor or Healthline on 0800 611 116 for medical help. If it is an emergency call 111.0..1displayValue Set:
..... p05-Healthlinepage 5 q02. Healthline is available 24 hours a day, 7 days a week if you need them. If you need to see your GP or doctor in person, always call before leaving your home to tell them you have been in contact with measles.0..1displayValue Set:
..... p05-Closepage 5 q03. You may now close this page.0..1displayValue Set:

doco Documentation for this format

Options Sets

Answer options for p02-q01-1-Symptoms.Which

  • null#Fever ("Fever ")
  • null#Red blotchy rash ("Red blotchy rash")
  • null#Cough ("Cough")
  • null#Runny nose ("Runny nose")
  • null#Sore red eyes ("Sore red eyes")
  • null#Tiny white spots inside your mouth ("Tiny white spots inside your mouth")
  • null#Other ("Other")

Answer options for p03-q01-Contact

  • null#Yes ("Yes")
  • null#No ("No")
  • null#I don't know ("I don't know")