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: Mental Health Assessment Survey

Official URL: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/MentalHealthAssessmentSurveyQuestionnaire Version: 0.3.9
Draft as of 2024-06-20 Computable Name: MentalHealthAssessmentSurveyQuestionnaire
Other Identifiers: MentalHealthAssessmentSurveyQuestionnaire (use: official, period: 8/16/23 --> (ongoing)), Questionnaire-MentalHealthAssessmentSurveyQuestionnaire (use: temp, period: 3/7/23 --> 7/26/23)

Te Whatu Ora Mental Health Assessment Survey

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. MentalHealthAssessmentSurveyQuestionnaireTe Whatu Ora Mental Health Assessment SurveyQuestionnairehttps://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/MentalHealthAssessmentSurveyQuestionnaire#0.3.9
... p01page 1. History and Examination0..1group
.... p01-q01-IssueDescriptionpage 1 question 1. Description of presenting issue1..1text
.... p01-q02-Moodpage 1 question 2. Assessment of Mood1..1text
.... p01-q03-SleepHyginepage 1 question 3. Assessment of sleep hygiene1..1text
.... p01-q04-SupportStructurepage 1 question 4. Assessment of whanau and support structures1..1text
.... p01-q05-Traumapage 1 question 5. Is there a history of previous trauma and stressors?1..1boolean
.... p01-q05-1-Trauma.Descriptionpage 1 question 5.1. Please provide information surrounding this history.1..1textEnable When: p01-q05-Trauma = true
.... p01-q06-SuicideAttemptHistorypage 1 question 6. Have there been any previous suicide attempts?1..1boolean
.... p01-q06-1-SuicideAttemptHistory.Descriptionpage 1 question 6.1. Please provide details surrounding these attempts1..1textEnable When: p01-q06-SuicideAttemptHistory = true
.... p01-q07-CigaretteSmokerpage 1 question 7. Is the patient smoking cigarettes?1..1boolean
.... p01-q01-1-CigaretteSmoker.HowManypage 1 question 7.1. How many cigarettes per day?1..1choiceEnable When: p01-q07-CigaretteSmoker = true
Options: 2 options
.... p01-q08-CurrentDrinkerpage 1 question 8. Does the patient consume alcohol?1..1boolean
.... p01-q08-1-CurrentDrinker.HowManypage 1 question 8.1. How many drinks per week?1..1choiceEnable When: p01-q08-CurrentDrinker = true
Options: 3 options
.... p01-q09-RecreationalDrugspage 1 question 9. Does the patient use recreational drugs?1..1boolean
.... p01-q10-PsychiatricMedicationpage 1 question 10. Psychiatric Medication?0..1text
... p02page 2. Risk Assessment0..1group
.... p02-q01-SuicidalIntentpage 2 question 1. Suicidal Intent?1..1boolean
.... p02-q02-HarmfulThoughtspage 2 question 2. Threat to others?1..1boolean
... p03page 3. Current and past psychiatric diagnosis0..1group
.... p03-g01-AddDiagnosispage 3 group 1. Add Diagnosis0..*group
..... p03-g01-q01-AddDiagnosis.Diagnosispage 3 group 1 question 1. Diagnosis1..1text
..... p03-g01-q02-AddDiagnosis.Yearpage 3 group 1 question 2. Year of Diagnosis1..1date
..... p03-g01-q03-AddDiagnosis.Placepage 3 group 1 question 3. Place of Diagnosis1..1string
..... p03-g01-q04-AddDiagnosis.Hospitalisationpage 3 group 1 question 4. Hospitalisation?1..1boolean
..... p03-g01-q05-AddDiagnosis.Activepage 3 group 1 question 5. Active?1..1boolean
... p04page 4. General Practice Information0..1group
.... p04-q01-SendNotepage 4 question 1. Send note to GP Inbox?1..1booleanInitial Value: boolean = false
.... p04-q02-PracticeNamepage 4 question 2. GP Practice Name0..1string
.... p04-q03-PracticeEDIpage 4 question 3. Practice EDI0..1string

doco Documentation for this format

Options Sets

Answer options for p01-q01-1-CigaretteSmoker.HowMany

  • null#null ("Less than 10")
  • null#null ("10 or more")

Answer options for p01-q08-1-CurrentDrinker.HowMany

  • null#null ("Less than 10")
  • null#null ("10 to 16")
  • null#null ("More than 16")