{ "resourceType" : "Questionnaire", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire PrivateColposcopyDischargeQuestionnaire

Structure\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeDescription & Constraints\"doco\"
\"\"\"\" PrivateColposcopyDischargeQuestionnaireQuestionnairehttps://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/PrivateColposcopyDischargeQuestionnaire#0.1.1
\"\"\"\"\"\" PrivateColposcopyDischargeQuestionnaire / p01-ClinicInformationpage 01. Clinic Information0..1group
\"\"\"\"\"\"\"\" PrivateColposcopyDischargeQuestionnaire / p01-ClinicInformation / p01-q01-FacilityIDpage 01 question 1. Discharged by Colposcopy HPI facility1..1reference
\"\"\"\"\"\" PrivateColposcopyDischargeQuestionnaire / p02-DischargeInformationpage 02. Discharge Information1..1group
\"\"\"\"\"\"\"\" PrivateColposcopyDischargeQuestionnaire / p02-DischargeInformation / p02-q01-DischargeTypepage 02 question 1. Discharge Type1..1choiceOptions: 3 options
\"\"\"\"\"\"\"\" PrivateColposcopyDischargeQuestionnaire / p02-DischargeInformation / p02-q02-SpecifyServicepage 02 question 2. Specify Service1..1stringEnable When: p02-q01-DischargeType = Other
\"\"\"\"\"\"\"\" PrivateColposcopyDischargeQuestionnaire / p02-DischargeInformation / p02-q03-DischargedToHealthWorkerpage 02 question 3. Discharged to Health worker HPI-CPN1..1reference
\"\"\"\"\"\"\"\" PrivateColposcopyDischargeQuestionnaire / p02-DischargeInformation / p02-q04-DischargedToFacilitypage 02 question 4. Discharged to Facility1..1reference
\"\"\"\"\"\"\"\" PrivateColposcopyDischargeQuestionnaire / p02-DischargeInformation / p02-q05-DateOfDischargepage 02 question 5. Date of discharge1..1date
\"\"\"\"\"\"\"\" PrivateColposcopyDischargeQuestionnaire / p02-DischargeInformation / p02-q06-FollowUpManagementpage 02 question 6. Follow-up management1..1choiceEnable When: p02-q01-DischargeType = Screen taker
Options: 7 options
\"\"\"\"\"\"\"\" PrivateColposcopyDischargeQuestionnaire / p02-DischargeInformation / p02-q7-OtherFollowUppage 02 question 7. Other0..1stringEnable When: p02-q06-FollowUpManagement = Other
\"\"\"\"\"\"\"\" PrivateColposcopyDischargeQuestionnaire / p02-DischargeInformation / p02-q08-FollowUpTimeFramepage 02 question 9. Follow-up management timeframe1..1choiceEnable When: p02-q01-DischargeType = Screen taker
Options: 15 options

\"doco\" Documentation for this format

Options Sets

Answer options for p02-q01-DischargeType

Answer options for p02-q06-FollowUpManagement

Answer options for p02-q08-FollowUpTimeFrame

" }, "url" : "https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/PrivateColposcopyDischargeQuestionnaire", "identifier" : [{ "use" : "official", "value" : "PrivateColposcopyDischargeQuestionnaire" }], "version" : "0.1.1", "name" : "PrivateColposcopyDischargeQuestionnaire", "title" : "Private Colposcopy Discharge Questionnaire", "status" : "draft", "experimental" : false, "subjectType" : ["Patient"], "date" : "2026-10-13T01:26:02+00:00", "publisher" : "Te Whatu Ora", "contact" : [{ "name" : "Te Whatu Ora", "telecom" : [{ "system" : "url", "value" : "https://www.tewhatuora.govt.nz/" }] }, { "name" : "Te Whatu Ora Integration Team", "telecom" : [{ "system" : "email", "value" : "integration@tewhatuora.govt.nz", "use" : "work" }] }], "useContext" : [{ "code" : { "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type", "code" : "workflow", "display" : "Workflow Setting" }, "valueCodeableConcept" : { "text" : "Private Colposcopy Visit Summary" } }], "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "NZ", "display" : "New Zealand" }] }], "purpose" : "To gather the discharge details surrounding a Private colposcopy procedure.", "item" : [{ "linkId" : "p01-ClinicInformation", "prefix" : "page 01", "text" : "Clinic Information", "type" : "group", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource", "valueCode" : "Location" }], "linkId" : "p01-q01-FacilityID", "prefix" : "page 01 question 1", "text" : "Discharged by Colposcopy HPI facility", "type" : "reference", "required" : true, "repeats" : false }] }, { "linkId" : "p02-DischargeInformation", "prefix" : "page 02", "text" : "Discharge Information", "type" : "group", "required" : true, "repeats" : false, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "drop-down", "display" : "Drop down" }] } }], "linkId" : "p02-q01-DischargeType", "prefix" : "page 02 question 1", "text" : "Discharge Type", "type" : "choice", "required" : true, "repeats" : false, "answerOption" : [{ "valueCoding" : { "display" : "Screen taker" } }, { "valueCoding" : { "display" : "Oncology" } }, { "valueCoding" : { "display" : "Other" } }] }, { "linkId" : "p02-q02-SpecifyService", "prefix" : "page 02 question 2", "text" : "Specify Service", "type" : "string", "enableWhen" : [{ "question" : "p02-q01-DischargeType", "operator" : "=", "answerCoding" : { "display" : "Other" } }], "enableBehavior" : "all", "required" : true, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource", "valueCode" : "Practitioner" }], "linkId" : "p02-q03-DischargedToHealthWorker", "prefix" : "page 02 question 3", "text" : "Discharged to Health worker HPI-CPN", "type" : "reference", "required" : true, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource", "valueCode" : "Location" }], "linkId" : "p02-q04-DischargedToFacility", "prefix" : "page 02 question 4", "text" : "Discharged to Facility", "type" : "reference", "required" : true, "repeats" : false }, { "linkId" : "p02-q05-DateOfDischarge", "prefix" : "page 02 question 5", "text" : "Date of discharge", "type" : "date", "required" : true, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "drop-down", "display" : "Drop down" }] } }], "linkId" : "p02-q06-FollowUpManagement", "prefix" : "page 02 question 6", "text" : "Follow-up management", "type" : "choice", "enableWhen" : [{ "question" : "p02-q01-DischargeType", "operator" : "=", "answerCoding" : { "display" : "Screen taker" } }], "enableBehavior" : "all", "required" : true, "repeats" : false, "answerOption" : [{ "valueCoding" : { "code" : "HPVCYTO", "display" : "HPV +/- Cytology" } }, { "valueCoding" : { "code" : "1TOC", "display" : "First TOC" } }, { "valueCoding" : { "code" : "1TOC", "display" : "Second TOC" } }, { "valueCoding" : { "code" : "ACT", "display" : "Annual co-test recall" } }, { "valueCoding" : { "display" : "Regular interval screening (5 years), (3 years if immune deficient)" } }, { "valueCoding" : { "code" : "ACT", "display" : "Annual Co-test" } }, { "valueCoding" : { "display" : "Other" } }] }, { "linkId" : "p02-q7-OtherFollowUp", "prefix" : "page 02 question 7", "text" : "Other", "type" : "string", "enableWhen" : [{ "question" : "p02-q06-FollowUpManagement", "operator" : "=", "answerCoding" : { "display" : "Other" } }], "enableBehavior" : "all" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "drop-down", "display" : "Drop down" }] } }], "linkId" : "p02-q08-FollowUpTimeFrame", "prefix" : "page 02 question 9", "text" : "Follow-up management timeframe", "type" : "choice", "enableWhen" : [{ "question" : "p02-q01-DischargeType", "operator" : "=", "answerCoding" : { "display" : "Screen taker" } }], "enableBehavior" : "all", "required" : true, "repeats" : false, "answerOption" : [{ "valueCoding" : { "code" : "7D", "display" : "7 Days" } }, { "valueCoding" : { "code" : "2W", "display" : "2 Weeks" } }, { "valueCoding" : { "code" : "6W", "display" : "6 Weeks" } }, { "valueCoding" : { "code" : "1M", "display" : "1 Month" } }, { "valueCoding" : { "code" : "2M", "display" : "2 Months" } }, { "valueCoding" : { "code" : "3M", "display" : "3 Months" } }, { "valueCoding" : { "code" : "4M", "display" : "4 Months" } }, { "valueCoding" : { "code" : "5M", "display" : "5 Months" } }, { "valueCoding" : { "code" : "6M", "display" : "6 Months" } }, { "valueCoding" : { "code" : "7M", "display" : "7 Months" } }, { "valueCoding" : { "code" : "9M", "display" : "9 Months" } }, { "valueCoding" : { "code" : "12M", "display" : "12 Months" } }, { "valueCoding" : { "code" : "18M", "display" : "18 Months" } }, { "valueCoding" : { "code" : "36M", "display" : "36 Months" } }, { "valueCoding" : { "code" : "60M", "display" : "60 Months" } }] }] }] }