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

Te Whatu Ora Shared Care FHIR API - Local Development build (v0.3.9) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Questionnaire: COVID19 Public Health History Questionnaire

Official URL: https://fhir-ig-uat.digital.health.nz/shared-care/Questionnaire/COVIDPublicHealthHistoryQuestionnaire Version: 0.3.9
Draft as of 2023-07-19 Computable Name: COVIDPublicHealthHistoryQuestionnaire
Other Identifiers: COVIDRegularHealthCheckQuestionnaire (use: official, period: 7/1/23 --> (ongoing))

Usage:Workflow Setting: COVID Public Health History Questionnaire

Questions about a patient’s recent COVID-19 history

For assessing patient’s recent history of COVID-19 for public health purposes

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. COVIDPublicHealthHistoryQuestionnaireQuestions about a patient's recent COVID-19 historyQuestionnairehttps://fhir-ig-uat.digital.health.nz/shared-care/Questionnaire/COVIDPublicHealthHistoryQuestionnaire#0.3.9
... summaryQuestions about a patient's recent COVID-19 history0..1display
... p01Public Health History0..1group
.... p01-q01-PlacesVisitedRecentlyquestion 1. Places visited in last 14 days0..1text
.... p01-q02-PrevPositivequestion 2. Previous positive COVID-19 test?1..1boolean
.... p01-q02-1-PrevPositiveMonthquestion 2-1. Month of positive COVID-19 test?1..1choiceEnable When: p01-q02-PrevPositive = true
Options: 12 options
.... p01-q02-2-PrevPositiveYearquestion 2-2. Year of positive COVID-19 test?1..1choiceEnable When: p01-q02-PrevPositive = true
Options: 11 options
.... p01-q03-HighSuspicionOfCOVIDquestion 3. High suspicion of prev. COVID-19?1..1boolean
.... p01-q04-PotentialCloseContactquestion 4. Potential close contact with a COVID-19 positive person in the last 14 days?1..1boolean
.... p01-q05-COVID19Vaccinequestion 5. COVID-19 vaccine?1..1choiceOptions: 3 options
.... p01-q06-dose1-datequestion 6 - 1st Dose. Date0..1date
.... p01-q06-dose1-vaccinequestion 6 - 1st Dose. Vaccine given0..1choiceEnable When: p01-q06-dose1-date exists true
Options: 8 options
.... p01-q06-dose1-countryquestion 6 - 1st Dose. Country where vaccinated0..1choiceEnable When: p01-q06-dose1-date exists true
Value Set: Iso 3166 Part 1: 2 Letter Codes
.... p01-q06-dose2-datequestion 6 - 2nd Dose. Date0..1date
.... p01-q06-dose2-vaccinequestion 6 - 2nd Dose. Vaccine given0..1choiceEnable When: p01-q06-dose2-date exists true
Options: 8 options
.... p01-q06-dose2-countryquestion 6 - 2nd Dose. Country where vaccinated0..1choiceEnable When: p01-q06-dose2-date exists true
Value Set: Iso 3166 Part 1: 2 Letter Codes
.... p01-q06-dose3-datequestion 6 - 3rd Dose. Date0..1date
.... p01-q06-dose3-vaccinequestion 6 - 3rd Dose. Vaccine given0..1choiceEnable When: p01-q06-dose3-date exists true
Options: 8 options
.... p01-q06-dose3-countryquestion 6 - 3rd Dose. Country where vaccinated0..1choiceEnable When: p01-q06-dose3-date exists true
Value Set: Iso 3166 Part 1: 2 Letter Codes

doco Documentation for this format

Options Sets

Answer options for p01-q02-1-PrevPositiveMonth

  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December

Answer options for p01-q02-2-PrevPositiveYear

  • 2020
  • 2021
  • 2022
  • 2023
  • 2024
  • 2025
  • 2026
  • 2027
  • 2028
  • 2029
  • 2030

Answer options for p01-q05-COVID19Vaccine

  • null#null ("Full")
  • null#null ("Partial")
  • null#null ("Nil")

Answer options for p01-q06-dose1-vaccine

  • null#207 ("Moderna")
  • null#208 ("Pfizer/BioNtech")
  • null#210 ("AstraZeneca / Covishield")
  • null#211 ("Novavax")
  • null#212 ("Janssen")
  • null#505 ("Sputnik V")
  • null#510 ("Sinopharm")
  • null#511 ("CoronaVac")

Answer options for p01-q06-dose2-vaccine

  • null#207 ("Moderna")
  • null#208 ("Pfizer/BioNtech")
  • null#210 ("AstraZeneca / Covishield")
  • null#211 ("Novavax")
  • null#212 ("Janssen")
  • null#505 ("Sputnik V")
  • null#510 ("Sinopharm")
  • null#511 ("CoronaVac")

Answer options for p01-q06-dose3-vaccine

  • null#207 ("Moderna")
  • null#208 ("Pfizer/BioNtech")
  • null#210 ("AstraZeneca / Covishield")
  • null#211 ("Novavax")
  • null#212 ("Janssen")
  • null#505 ("Sputnik V")
  • null#510 ("Sinopharm")
  • null#511 ("CoronaVac")