Generated Narrative: Questionnaire AntiViralEligibilityQuestionnaire

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
AntiViralEligibilityQuestionnaireA questionnaire defining eligibility criteria for anti-viral medicationQuestionnairehttps://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/AntiViralEligibilityQuestionnaire#1.0.1
AntiViralEligibilityQuestionnaire / CurrentDateCurrent Date/Time1..1dateTime
AntiViralEligibilityQuestionnaire / CurrentDate / CurrentDateTime_helpTextCurrent date/time0..1display
AntiViralEligibilityQuestionnaire / ReviewDateDate Review Performed1..1date
AntiViralEligibilityQuestionnaire / ReviewDate / ReviewDate_helpTextThe date that the review was performed0..1display
AntiViralEligibilityQuestionnaire / case-definition-panelCASE DEFINITION The transition from PCR to RATs as a primary mode of testing requires the clinical criteria to be applied thoughtfully and practically alongside the Case Definition. The case definitions were based upon PCR tests being the primary mode of diagnosis and the focus has now changed to clinical decision making based on a RAT result in the majority of cases. Clinical discretion should be applied to household contacts who test negative by RAT but are presenting with symptoms typical of COVID-19 infection. Although this population is not defined by the Case Definition^, clinical discretion may support recognition as a likely case and initiation of treatment, where indicated. ^For definition see https://www.tewhatuora.govt.nz/for-the-health-sector/covid-19-information-for-health-professionals/case-definition-and-clinical-testing-guidelines-for-covid-19#:~:text=Case%20definitions&text=A%20case%20that%20has%20laboratory,a%20validated%20NAAT%20(PCR)0..1group
AntiViralEligibilityQuestionnaire / case-definition-panel / COVID19-PositiveIs the patient a COVID-19 case as per the case definition or clinical criteria?1..1booleanInitial Value: boolean = false
AntiViralEligibilityQuestionnaire / criteria-panelDoes the patient meet the current Pharmac criteria for COVID-19 Antivitals?0..1group
AntiViralEligibilityQuestionnaire / criteria-panel / SymptomsStart1. Symptoms started:1..1choiceValue Set: Antiviral eligibility symptoms started
AntiViralEligibilityQuestionnaire / criteria-panel / supoxygen2. My patient requires supplemental oxygen1..1boolean
AntiViralEligibilityQuestionnaire / criteria-panel / criteria3. My patient's condition or circumstance (choose one):1..1choiceValue Set: COVID19 Antiviral eligibility criteria
AntiViralEligibilityQuestionnaire / criteria-panel / criteria / myPatientCriteria_helpText[1]For definition of Ministry of Health criteria of ‘severe immunocompromise’ for third primary dose see: https://www.health.govt.nz/covid-19-novel-coronavirus/covid-19-vaccines/covid-19-vaccine-severely-immunocompromised-people#criteria [2]A primary dose for most people is 2 vaccinations [3]For Ministry of Health's definition of high-risk conditions see https://covid19.govt.nz/testing-and-isolation/if-you-have-covid-19/medicines-to-treat-covid-19/0..1display
AntiViralEligibilityQuestionnaire / eligible-noAssessment: No - the patient IS NOT eligible for COVID-19 Antivirals0..1choiceEnable When:
  • SymptomsStart = not-recent (antiviral-eligibility-symptoms-started#not-recent)
  • supoxygen = true
  • criteria = none-of-the-above (COVID-19-antiviral-eligibility-criteria#none-of-the-above)

Options: 1 option
AntiViralEligibilityQuestionnaire / eligible-yesAssessment: Yes - the patient IS eligible for COVID-19 Antivirals0..1choiceEnable When:
  • SymptomsStart != not-recent (antiviral-eligibility-symptoms-started#not-recent)
  • supoxygen != true
  • criteria != none-of-the-above (COVID-19-antiviral-eligibility-criteria#none-of-the-above)

Options: 1 option
AntiViralEligibilityQuestionnaire / PharmacistInformationPlease provide pharmacist details0..1group
AntiViralEligibilityQuestionnaire / PharmacistInformation / PharmacistNamePharmacist Name1..1string
AntiViralEligibilityQuestionnaire / PharmacistInformation / PharmacistIDPharmacist ID1..1string
AntiViralEligibilityQuestionnaire / PharmacyInformationPlease provide details about the pharmacy organisation0..1group
AntiViralEligibilityQuestionnaire / PharmacyInformation / PharmacyNamePharmacy Name1..1string
AntiViralEligibilityQuestionnaire / PharmacyInformation / PharmacyHPIPharmacy HPI1..1string
AntiViralEligibilityQuestionnaire / PharmacyInformation / PharmacyAddressPharmacy address details0..1text
AntiViralEligibilityQuestionnaire / GeneralPracticeInformationPlease provide details about the patient's general practice0..1group
AntiViralEligibilityQuestionnaire / GeneralPracticeInformation / GPNameGP Practice Name0..1string
AntiViralEligibilityQuestionnaire / GeneralPracticeInformation / GPEDIPractice EDI0..1string
AntiViralEligibilityQuestionnaire / SendToGPSend note to GP Inbox?0..1booleanInitial Value: boolean = false
AntiViralEligibilityQuestionnaire / SendToGP / SendToGP_helpTextIt may not be necessary to send this message. Please consider if clinically-relevant before sending.0..1display

doco Documentation for this format

Options Sets

Answer options for eligible-no

  • null#confirm ("confirm")

Answer options for eligible-yes

  • null#confirm ("confirm")
 <status value="draft"/> <experimental value="false"/> <subjectType value="Patient"/> <date value="2024-03-22"/> <publisher value="Te Whatu Ora"/> <contact> <name value="Te Whatu Ora"/> <telecom> <system value="url"/> <value value="https://www.tewhatuora.govt.nz/"/> </telecom> </contact> <contact> <name value="Te Whatu Ora Integration Team"/> <telecom> <system value="email"/> <value value="integration@tewhatuora.govt.nz"/> <use value="work"/> </telecom> </contact> <description value="A questionnaire defining eligibility criteria for anti-viral medication"/> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="workflow"/> <display value="Workflow Setting"/> </code> <valueCodeableConcept> <text value="AntiViral Eligibility Assessment"/> </valueCodeableConcept> </useContext> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="NZ"/> <display value="New Zealand"/> </coding> </jurisdiction> <purpose value="Assess a patient's eligibility against criteria for anti-viral medication"/> <item> <linkId value="CurrentDate"/> <text value="Current Date/Time"/> <type value="dateTime"/> <required value="true"/> <repeats value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> <display value="Help-Button"/> </coding> <text value="Help-Button"/> </valueCodeableConcept> </extension> <linkId value="CurrentDateTime_helpText"/> <text value="Current date/time"/> <type value="display"/> </item> </item> <item> <linkId value="ReviewDate"/> <text value="Date Review Performed"/> <type value="date"/> <required value="true"/> <repeats value="false"/> <readOnly value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> <display value="Help-Button"/> </coding> <text value="Help-Button"/> </valueCodeableConcept> </extension> <linkId value="ReviewDate_helpText"/> <text value="The date that the review was performed"/> <type value="display"/> </item> </item> <item> <linkId value="case-definition-panel"/> <text value="CASE DEFINITION The transition from PCR to RATs as a primary mode of testing requires the clinical criteria to be applied thoughtfully and practically alongside the Case Definition. The case definitions were based upon PCR tests being the primary mode of diagnosis and the focus has now changed to clinical decision making based on a RAT result in the majority of cases. Clinical discretion should be applied to household contacts who test negative by RAT but are presenting with symptoms typical of COVID-19 infection. Although this population is not defined by the Case Definition^, clinical discretion may support recognition as a likely case and initiation of treatment, where indicated. ^For definition see https://www.tewhatuora.govt.nz/for-the-health-sector/covid-19-information-for-health-professionals/case-definition-and-clinical-testing-guidelines-for-covid-19#:~:text=Case%20definitions&text=A%20case%20that%20has%20laboratory,a%20validated%20NAAT%20(PCR)"/> <type value="group"/> <item> <linkId value="COVID19-Positive"/> <text value="Is the patient a COVID-19 case as per the case definition or clinical criteria?"/> <type value="boolean"/> <required value="true"/> <initial> <valueBoolean value="false"/> </initial> </item> </item> <item> <linkId value="criteria-panel"/> <text value="Does the patient meet the current Pharmac criteria for COVID-19 Antivitals?"/> <type value="group"/> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer"> <valueUrl value="https://nzhts.digital.health.nz/fhir"/> </extension> <linkId value="SymptomsStart"/> <text value="1. Symptoms started:"/> <type value="choice"/> <required value="true"/> <answerValueSet value="https://nzhts.digital.health.nz/fhir/ValueSet/antiviral-eligibility-symptoms-started"/> </item> <item> <linkId value="supoxygen"/> <text value="2. My patient requires supplemental oxygen"/> <type value="boolean"/> <required value="true"/> <repeats value="false"/> <readOnly value="false"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer"> <valueUrl value="https://nzhts.digital.health.nz/fhir"/> </extension> <linkId value="criteria"/> <text value="3. My patient's condition or circumstance (choose one):"/> <type value="choice"/> <required value="true"/> <repeats value="false"/> <answerValueSet value="https://nzhts.digital.health.nz/fhir/ValueSet/COVID-19-antiviral-eligibility-criteria"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> <display value="Help-Button"/> </coding> <text value="Help-Button"/> </valueCodeableConcept> </extension> <linkId value="myPatientCriteria_helpText"/> <text value="[1]For definition of Ministry of Health criteria of ‘severe immunocompromise’ for third primary dose see: https://www.health.govt.nz/covid-19-novel-coronavirus/covid-19-vaccines/covid-19-vaccine-severely-immunocompromised-people#criteria [2]A primary dose for most people is 2 vaccinations [3]For Ministry of Health's definition of high-risk conditions see https://covid19.govt.nz/testing-and-isolation/if-you-have-covid-19/medicines-to-treat-covid-19/"/> <type value="display"/> </item> </item> </item> <item> <linkId value="eligible-no"/> <text value="Assessment: No - the patient IS NOT eligible for COVID-19 Antivirals"/> <type value="choice"/> <enableWhen> <question value="SymptomsStart"/> <operator value="="/> <answerCoding> <system value="https://nzhts.digital.health.nz/fhir/ValueSet/antiviral-eligibility-symptoms-started"/> <code value="not-recent"/> </answerCoding> </enableWhen> <enableWhen> <question value="supoxygen"/> <operator value="="/> <answerBoolean value="true"/> </enableWhen> <enableWhen> <question value="criteria"/> <operator value="="/> <answerCoding> <system value="https://nzhts.digital.health.nz/fhir/ValueSet/COVID-19-antiviral-eligibility-criteria"/> <code value="none-of-the-above"/> </answerCoding> </enableWhen> <enableBehavior value="any"/> <required value="false"/> <answerOption> <valueCoding> <code value="confirm"/> <display value="confirm"/> </valueCoding> </answerOption> </item> <item> <linkId value="eligible-yes"/> <text value="Assessment: Yes - the patient IS eligible for COVID-19 Antivirals"/> <type value="choice"/> <enableWhen> <question value="SymptomsStart"/> <operator value="!="/> <answerCoding> <system value="https://nzhts.digital.health.nz/fhir/ValueSet/antiviral-eligibility-symptoms-started"/> <code value="not-recent"/> </answerCoding> </enableWhen> <enableWhen> <question value="supoxygen"/> <operator value="!="/> <answerBoolean value="true"/> </enableWhen> <enableWhen> <question value="criteria"/> <operator value="!="/> <answerCoding> <system value="https://nzhts.digital.health.nz/fhir/ValueSet/COVID-19-antiviral-eligibility-criteria"/> <code value="none-of-the-above"/> </answerCoding> </enableWhen> <enableBehavior value="all"/> <required value="false"/> <answerOption> <valueCoding> <code value="confirm"/> <display value="confirm"/> </valueCoding> </answerOption> </item> <item> <linkId value="PharmacistInformation"/> <text value="Please provide pharmacist details"/> <type value="group"/> <item> <linkId value="PharmacistName"/> <text value="Pharmacist Name"/> <type value="string"/> <required value="true"/> </item> <item> <linkId value="PharmacistID"/> <text value="Pharmacist ID"/> <type value="string"/> <required value="true"/> </item> </item> <item> <linkId value="PharmacyInformation"/> <text value="Please provide details about the pharmacy organisation"/> <type value="group"/> <item> <linkId value="PharmacyName"/> <text value="Pharmacy Name"/> <type value="string"/> <required value="true"/> </item> <item> <linkId value="PharmacyHPI"/> <text value="Pharmacy HPI"/> <type value="string"/> <required value="true"/> </item> <item> <linkId value="PharmacyAddress"/> <text value="Pharmacy address details"/> <type value="text"/> </item> </item> <item> <linkId value="GeneralPracticeInformation"/> <text value="Please provide details about the patient's general practice"/> <type value="group"/> <item> <linkId value="GPName"/> <text value="GP Practice Name"/> <type value="string"/> <required value="false"/> </item> <item> <linkId value="GPEDI"/> <text value="Practice EDI"/> <type value="string"/> <required value="false"/> </item> </item> <item> <linkId value="SendToGP"/> <text value="Send note to GP Inbox?"/> <type value="boolean"/> <required value="false"/> <initial> <valueBoolean value="false"/> </initial> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> <display value="Help-Button"/> </coding> <text value="Help-Button"/> </valueCodeableConcept> </extension> <linkId value="SendToGP_helpText"/> <text value="It may not be necessary to send this message. Please consider if clinically-relevant before sending."/> <type value="display"/> </item> </item> </Questionnaire>