Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.0 - release New Zealand flag

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Questionnaire: Pregnancy Assessment Survey

Official URL: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/PregnancyAssessmentSurveyQuestionnaire Version: 0.4.0
Draft as of 2024-11-27 Computable Name: PregnancyAssessmentSurveyQuestionnaire
Other Identifiers: PregnancyAssessmentSurveyQuestionnaire (use: official, period: 8/16/23 --> (ongoing)), Questionnaire-PregnancyAssessmentSurveyQuestionnaire (use: temp, period: 3/7/23 --> 7/26/23)

Te Whatu Ora pregnancy assessment survey.

Generated Narrative: Questionnaire PregnancyAssessmentSurveyQuestionnaire

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. PregnancyAssessmentSurveyQuestionnaireTe Whatu Ora pregnancy assessment survey.Questionnairehttps://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/PregnancyAssessmentSurveyQuestionnaire#0.4.0
... p01page 1. Pregnancy Context0..1group
.... p01-q01-PregnancyStatuspage 1 question 1. Are you currently pregnant or postpartum?1..1choiceOptions: 2 options
.... p01-q01-1-PregnancyStatus.Gestationpage 1 question 1.1. Gestation1..1integerEnable When: p01-q01-PregnancyStatus =
.... p01-q01-2-PregnancyStatus.DeliveryDatepage 1 question 1.2. Expected Delivery Date (EDD)1..1dateEnable When: p01-q01-PregnancyStatus =
.... p01-q01-3-PregnancyStatus.Postpartumpage 1 question 1.3. Postpartum1..1integerEnable When: p01-q01-PregnancyStatus =
.... p01-q02-Paritypage 1 question 2. Para1..1integer
..... p01-q02-Partiy.HelpTextHow many live births of viable gestation has the patient had?0..1display
.... p01-q03-Gravidapage 1 question 3. Gravida1..1integer
... p02page 2. Midwife Information0..1group
.... p02-q01-MidwifeNamepage 2 question 1. Midwife Name1..1text
.... p02-q02-MidwifeContactpage 2 question 2. Midwife Contact1..1text
... p03page 3. Findings0..1group
.... p03-q01-Ultrasoundpage 3 question 1. Ultrasound Findings0..1text
.... p03-q02-BloodTestpage 3 question 2. Blood Tests0..1text
... p04page 4. Complications and Symptoms0..1group
.... p04-q01-CurrentComplicationspage 4 question 1. Any current pregnancy complications?0..1boolean
.... p04-q01-1-CurrentComplications.Detailspage 4 question 1.1. Please explain your pregnancy complications1..1textEnable When: p04-q01-CurrentComplications =
.... p04-q02-ComplicationsPreviouspage 4 question 2. Any previous pregnancy complications?0..1boolean
.... p04-q02-1-ComplicationsPrevious.Detailspage 4 question 2.1. Please explain any complications from previous pregnancies1..1textEnable When: p04-q02-ComplicationsPrevious =
.... p04-q03-PreEclampsiapage 4 question 3. Any signs of pre-eclampsia?0..1boolean
..... p04-q03-p04-q03-PreEclampsia.HelpTextHeadache, Epigastric pain, flashing lights.0..1display
.... p04-q03-1-PreEclampsia.Detailspage 4 question 3.1. Please explain any symptoms suggestive of pre-eclampsia?1..1textEnable When: p04-q03-PreEclampsia =
.... p04-q04-DVTpage 4 question 4. Any signs suggestive of a DVT?1..1boolean
..... p04-q04-DVT.HelpTextlateral swelling, redness or calf-tenderness0..1display
.... p04-q04-1-DVT.Detailspage 4 question 4.1. Please explain any symptoms suggestive of a DVT1..1textEnable When: p04-q04-DVT =
.... p04-q05-Dysuriapage 4 question 5. Any signs of Dysuria?1..1boolean
.... p04-q05-1-Dysuria.Detailspage 4 question 5.1. Please explain any details of your Dysuria1..1textEnable When: p04-q05-Dysuria =
.... p04-q06-VaginalDischargepage 4 question 6. Vaginal Discharge?1..1booleanInitial Value: boolean = false
.... p04-q06-1-VaginalDischarge.Detailspage 4 question 6.1. Please explain any details.1..1textEnable When: p04-q06-VaginalDischarge =
... p05page 5. Obstetrician Notes0..1group
.... p05-q01-ObstetricianNotespage 5 question 1. Obstetrician Details and Discussion, including any potential clexane requirement?0..1text
... p06page 6. Post 23 Week Information0..1groupEnable When: p01-q01-1-PregnancyStatus.Gestation >=
.... p06-q01-FetalMovementpage 6 question 1. Any baby movement felt?1..1boolean
.... p06-q01-1-FetalMovement.Detailspage 6 question 1.1. Any details surrounding the baby movement?0..1textEnable When: p06-q01-FetalMovement =
.... p06-q02-VaginalBleedingpage 6 question 2. Any vaginal bleeding?1..1boolean
.... p06-q02-1-VaginalBleeding.Detailspage 6 question 2.1. Any details surrounding vaginal bleeding?0..1stringEnable When: p06-q02-VaginalBleeding =
... p07page 7. General Practice Information0..1group
.... p07-q01-PracticeNamepage 7 question 1. GP Practice Name0..1string
.... p07-q02-PracticeEDIpage 7 question 2. Practice EDI0..1string
.... p07-q03-GPSendpage 7 question 3. Send note to GP Inbox?1..1boolean

doco Documentation for this format

Options Sets

Answer options for p01-q01-PregnancyStatus

  • null#Pregnant ("Pregnant")
  • null#Postpartum ("Postpartum")