| LinkID | Text | Definition | Answer |
|---|
 COVIDInitialHealthAssessmentQuestionnaireResponse | | | Questionnaire:COVID19 Initial Health Assessment Questionnaire |
  COVIDInitialHealthAssessmentQuestionnaireResponse / 1 | Past Health and Wellbeing History - ask questions to find out about: | | |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 1 / 1.1 | Hypertension? | | true |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 1 / 1.2 | Diabetes? | | false |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 1 / 1.3 | Asthma? | | false |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 1 / 1.4 | Previous stroke? | | false |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 1 / 1.5 | Cancer? | | false |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 1 / 1.6 | Current/recent pregnancy? | | false |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 1 / 1.7 | Immunocompromised? | | false |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 1 / 1.8 | Previous heart attack or heart failure? | | false |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 1 / 1.9 | Epilepsy? | | false |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 1 / 1.10 | Other respiratory disease? | | false |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 1 / 1.11 | Mental health and/or addiction? | | false |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 1 / 1.12 | Kidney disease? | | false |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 1 / 1.13 | CPAP device used? | | false |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 1 / 1.14 | Weight? | | Average |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 1 / 1.15 | Other | | Nothing of note |
  COVIDInitialHealthAssessmentQuestionnaireResponse / 2 | Medication and Allergies | | |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 2 / 2.1 | Smoking? | | false |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 2 / 2.2 | Alcohol? | | false |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 2 / 2.3 | Recreational drugs? | | false |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 2 / 2.4 | Allergies? | | true |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 2 / 2.4.1 | Medication Allergies | | false |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 2 / 2.4.2 | Other allergies | | Eggs and Peanuts |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 2 / 2.5 | Prescription medication or medical devices (eg. CPAP, nebuliser, blood glucose meter)? | | false |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 2 / 2.7 | Able to manage meds independently? | | true |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 2 / 2.8 | Sufficient supply for 14 days? | | true |
  COVIDInitialHealthAssessmentQuestionnaireResponse / 3 | Individual assessment plan/guideline | | |
   COVIDInitialHealthAssessmentQuestionnaireResponse / 3 / 3.1 | Individual assessment plan / guideline | | Standard Plan |
Documentation for this format |