Generated Narrative: Questionnaire COVIDRegularHealthCheckQuestionnaire Structure LinkID Text Cardinality Type Description & Constraints COVIDRegularHealthCheckQuestionnaire Gather the status of a patient who is self isolating Questionnaire https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/COVIDRegularHealthCheckQuestionnaire#0.4.3 #xD; 1 1.. Symptoms - Pay attention to the signs of talking with single words or short sentences, pausing to catch their breath, noisy breathing, persistent coughing, etc. 0..1 group #xD; 1.1 1.1.. Fever chills (feeling hot and cold) 1..1 boolean Initial Value: boolean = false #xD; 1.2 1.2.. Cough 1..1 boolean Initial Value: boolean = false #xD; 1.3 1.3.. Runny nose 1..1 boolean Initial Value: boolean = false #xD; 1.4 1.4.. Headache 1..1 boolean Initial Value: boolean = false #xD; 1.5 1.5.. Joint pain 1..1 boolean Initial Value: boolean = false #xD; 1.6 1.6.. Diarrhoea 1..1 boolean Initial Value: boolean = false #xD; 1.7 1.7.. Nausea / Vomiting 1..1 boolean Initial Value: boolean = false #xD; 1.8 1.8.. Shortness of breath 1..1 boolean Initial Value: boolean = false #xD; 1.8.1 1.8.1.. While at rest? 1..1 boolean Enable When: 1.8 = Initial Value: boolean = false #xD; 1.8.2 1.8.2.. New SOB on exertion? 1..1 boolean Enable When: 1.8 = Initial Value: boolean = false #xD; 1.8.3 1.8.3.. Sudden onset of SOB? (with or without chest pain) 1..1 boolean Enable When: 1.8 = Initial Value: boolean = false #xD; 1.8.4 1.8.4.. Able to speak in full sentences? 1..1 boolean Enable When: 1.8 = Initial Value: boolean = false #xD; 1.8.5 1.8.5.. Assessment? 1..1 choice Enable When: 1.8 = Options: 3 options #xD; 1.8.6 1.8.6.. Further details/what could you do yesterday that you can't do today? 0..1 string Enable When: 1.8 = #xD; 1.9 1.9.. Sore throat 1..1 boolean Initial Value: boolean = false #xD; 1.10 1.10.. Loss of sense of smell / taste 1..1 boolean Initial Value: boolean = false #xD; 1.11 1.11.. Chest pain 1..1 boolean Initial Value: boolean = false #xD; 1.12 1.12.. Muscular pain (Myalgia) 1..1 boolean Initial Value: boolean = false #xD; 1.13 1.13.. Abdominal pain 1..1 boolean Initial Value: boolean = false #xD; 1.14 1.14.. Any light headedness on standing? 1..1 boolean Initial Value: boolean = false #xD; 1.15 1.15.. Concentrated urine? 1..1 boolean Initial Value: boolean = false #xD; 1.16 1.16.. Other COVID related symptoms 0..1 string #xD; 2 2.. Further Details 0..1 group #xD; 2.1 2.1.. How are you feeling today compared to yesterday? 1..1 choice Options: 3 options #xD; 2.2 2.2.. Do you have any health concerns? 1..1 boolean Initial Value: boolean = false #xD; 2.3 2.3.. Have you been eating / sleeping well? 1..1 boolean Initial Value: boolean = true #xD; 2.4 2.4.. Please provide further eating / sleeping details 0..1 string #xD; 2.5 2.5.. Have you left the room without your mask or has anyone outside your bubble visited your room? 1..1 boolean Initial Value: boolean = false #xD; 2.6 2.6.. Please provide further details regarding whether you had visitors in your room / bubble 0..1 string #xD; 3 3.. Vital Signs 0..1 group #xD; 3.1 3.1.. Temperature (°C) 1..1 decimal #xD; 3.2 3.2.. Heart Rate (BPM) 1..1 integer #xD; 3.3 3.3.. BP (Systolic) (mmHg) 1..1 integer #xD; 3.4 3.4.. BP (Diastolic) (mmHg) 1..1 integer #xD; 3.5 3.5.. Oxygen Saturation, SpO2 (%) 0..1 integer #xD; 3.6 3.6.. Respiration (RPM) 0..1 integer #xD; 3.7 3.7.. Other vital signs 0..1 string #xD; 3.8 3.8.. Mood (/10) 0..1 integer #xD; 4 4.. Health check note 0..1 group #xD; 4.1 4.1.. Acuity Rating 1..1 choice Options: 6 options #xD; 4.2 4.2.. Regular health check note 0..1 string #xD; 4.3 4.3.. Care Management Plan 1..1 choice Options: 2 options #xD; Documentation for this format Options Sets Answer options for 1.8.5 Same Better Worse Answer options for 2.1 Same Better Worse Answer options for 4.1 1 2 3 4 5 6 Answer options for 4.3 Self Management Active Management
Question Template for COVID-19 Regular Health Check
Gather the status of a patient who is self isolating
Template for the description of a phone or online video health check to gather the status of a set of conditions for a patient who is self isolating.
Symptoms - Pay attention to the signs of talking with single words or short sentences, pausing to catch their breath, noisy breathing, persistent coughing, etc.
Sudden onset of SOB? (with or without chest pain)
Further details/what could you do yesterday that you can't do today?
How are you feeling today compared to yesterday?
Please provide further eating / sleeping details
Have you left the room without your mask or has anyone outside your bubble visited your room?
Please provide further details regarding whether you had visitors in your room / bubble