<status value="draft"/> <experimental value="true"/> <subjectType value="Patient"/> <date value="2026-11-04T02:30:39+00:00"/> <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="Consumer COVID RAT Result Questionnaire"/> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="workflow"/> <display value="Workflow Setting"/> </code> <valueCodeableConcept> <text value="Consumer COVID RAT Result Questionnaire"/> </valueCodeableConcept> </useContext> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="NZ"/> <display value="New Zealand"/> </coding> </jurisdiction> <purpose value="Report a Rapid Antigen Test (RAT) result"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/sdc-questionnaire-itemExtractionContext"> <valueCode value="Observation"/> </extension> <extension url="http://health.govt.nz/fhir/StructureDefinition/sdc-questionnaire-extractUrn"> <valueString value="urn:uuid:observation-phone"/> </extension> <linkId value="metaPhoneNumber"/> <definition value="https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.valueString"/> <text value="Phone number"/> <type value="string"/> <initial> <valueString value="Placeholder"/> </initial> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <linkId value="extractPhoneNumberCode"/> <definition value="https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.code.coding[]"/> <type value="choice"/> <initial> <valueCoding> <code value="8497"/> <display value="Text patient com"/> </valueCoding> </initial> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <code value="submit-modal"/> </coding> </valueCodeableConcept> </extension> <linkId value="submit-modal"/> <text value="Enter result"/> <type value="group"/> <item> <linkId value="submit-modal-text"/> <text value="The RAT result will be recorded against the official health record for this person."> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="'The RAT result will be recorded against the official health record for ' + %subjectName + '.'"/> </valueExpression> </extension> </text> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <code value="modal"/> </coding> </valueCodeableConcept> </extension> <linkId value="nlineModal"/> <text value="RATs with other lines"/> <type value="group"/> <item> <linkId value="nlineModal-otherLines"/> <text value="If your RAT has other lines or markings, consult the product information leaflet."/> <type value="display"/> </item> <item> <linkId value="nlineModal-contactHealthline"/> <text value="Contact Healthline for further information on 0800 358 5453."/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <code value="modal"/> </coding> </valueCodeableConcept> </extension> <linkId value="highRiskModal"/> <text value="Other risk factors or medical conditions:"/> <type value="group"/> <item> <linkId value="highRiskModal-conditions"/> <text value="List of conditions"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<ul><li>chronic lung or airways disease</li><li>serious heart conditions</li><li>poorly controlled hypertension</li><li>chronic neurological or neuromuscular disease</li><li>diabetes</li><li>chronic kidney disease</li><li>severe liver disease such as cirrhosis</li><li>severe blood (haematological) disorders</li><li>severe mental illness</li><li>active cancer</li><li>morbid obesity (BMI greater than 35)</li><li>people currently in contact with secondary and tertiary mental health and addiction services</li><li>people with mental health and addiction issues who are currently homeless or without permanent housing.</li></ul>"/> </extension> </text> <type value="display"/> </item> </item> <item> <linkId value="reportResult"/> <text value="Report a COVID-19 Rapid Antigen Test (RAT) result"/> <type value="group"/> <item> <linkId value="reportResult-container"/> <type value="group"/> <item> <linkId value="reportResult-container-diagram"/> <text value="A diagram showing what a positive COVID RAT Result looks like"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<img src="https://d3pm2mo65migg8.cloudfront.net/fhir-questionnaires/COVIDRATResultQuestionnaire/rat-diagram.svg" alt="A diagram showing what a positive COVID RAT Result looks like">"/> </extension> </text> <type value="display"/> </item> <item> <linkId value="reportResult-container-controlLine"/> <text value="Is the control line (C) visible?"/> <type value="boolean"/> <required value="true"/> </item> <item> <linkId value="reportResult-container-testLine"/> <text value="Is the test line (T) visible?"/> <type value="boolean"/> <required value="true"/> </item> <item> <linkId value="reportResult-container-faintLines"/> <text value="Faint lines"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<b>Faint lines</b>"/> </extension> </text> <type value="display"/> </item> <item> <linkId value="reportResult-container-faintLinesDetail"/> <text value="If a line is faint it should still be recorded as visible."/> <type value="display"/> </item> <item> <linkId value="reportResult-container-nLineLink"/> <text value="A small number of RATs have an ‘N’ line"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<b><open-modal linkId='nlineModal'>What to do if your RAT has other lines</open-modal></b>"/> </extension> </text> <type value="display"/> </item> <item> <extension url="http://health.govt.nz/fhir/StructureDefinition/sdc-questionnaire-effectiveDate"> <valueBoolean value="true"/> </extension> <linkId value="reportResult-container-testDate"/> <text value="Day test was taken"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <code value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="today()"/> </valueExpression> </extension> </code> <display value="Today"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="today() - 1 day"/> </valueExpression> </extension> </code> <display value="Yesterday"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="today() - 2 days"/> </valueExpression> </extension> </code> <display value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="(today() - 2 days).formatDate('dddd, D MMMM')"/> </valueExpression> </extension> </display> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="today() - 3 days"/> </valueExpression> </extension> </code> <display value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="(today() - 3 days).formatDate('dddd, D MMMM')"/> </valueExpression> </extension> </display> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="today() - 4 days"/> </valueExpression> </extension> </code> <display value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="(today() - 4 days).formatDate('dddd, D MMMM')"/> </valueExpression> </extension> </display> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="today() - 5 days"/> </valueExpression> </extension> </code> <display value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="(today() - 5 days).formatDate('dddd, D MMMM')"/> </valueExpression> </extension> </display> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="today() - 6 days"/> </valueExpression> </extension> </code> <display value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="(today() - 6 days).formatDate('dddd, D MMMM')"/> </valueExpression> </extension> </display> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="today() - 7 days"/> </valueExpression> </extension> </code> <display value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="(today() - 7 days).formatDate('dddd, D MMMM')"/> </valueExpression> </extension> </display> </valueCoding> </answerOption> </item> <item> <linkId value="reportResult.container.onlyThisWeek"/> <text value="You can only report a test taken within the last 7 days."/> <type value="display"/> </item> <item> <linkId value="reportResult-container-householdContact"/> <text value="Are you a household contact of someone who has tested positive for COVID-19?"/> <type value="boolean"/> <enableWhen> <question value="reportResult-container-controlLine"/> <operator value="="/> <answerBoolean value="true"/> </enableWhen> <enableWhen> <question value="reportResult-container-testLine"/> <operator value="="/> <answerBoolean value="false"/> </enableWhen> <enableBehavior value="all"/> <required value="true"/> </item> </item> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%testResult != 'failed'"/> </valueExpression> </extension> <linkId value="aveSymptoms"/> <text value="Antiviral Eligibility"/> <type value="group"/> <item> <linkId value="aveSymptoms-container"/> <type value="group"/> <item> <linkId value="aveSymptoms-container-intro"/> <type value="group"/> <item> <linkId value="aveSymptoms-container-intro-heading"/> <text value="About these questions"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<h2 class='label-heading'>About these questions</h2>"/> </extension> </text> <type value="display"/> </item> <item> <linkId value="aveSymptoms-container-intro-text"/> <text value="The following questions will give you an indication of whether you might be eligible to receive free oral COVID-19 antiviral medicine."> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<p>The following questions will give you an indication of whether you might be eligible to receive free oral COVID-19 antiviral medicine.</p><p><a href='https://info.health.nz/conditions-treatments/infectious-diseases/covid-19/antiviral-medicines/' target='_blank'>More information about antivirals and eligibility criteria<anatomic-icon icon='link' display='inlineBlock' variant='functionalIcons'></anatomic-icon></a></p>"/> </extension> </text> <type value="display"/> </item> </item> <item> <linkId value="aveSymptoms-container-details"/> <type value="group"/> <item> <linkId value="aveSymptoms-container-details-heading"/> <text value="Symptoms of COVID-19 can include one or more of the following:"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<h2 class='label-heading'>Symptoms of COVID-19 can include one or more of the following:</h2>"/> </extension> </text> <type value="display"/> </item> <item> <linkId value="aveSymptoms-container-details-list"/> <text value="Sneezing and runny nose, sore throat, body aches, cough, feeling tired, headache, nausea and vomiting, diarrhoea, fever"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<ul> <li>sneezing and runny nose</li> <li>sore throat</li> <li>body aches</li> <li>cough</li> <li>feeling tired</li> <li>headache</li> <li>nausea and vomiting</li> <li>diarrhoea</li> <li>fever</li> </ul>"/> </extension> </text> <type value="display"/> </item> <item> <linkId value="aveSymptoms-container-details-moreInfoHeading"/> <text value="Visit this page for more information about COVID-19 symptoms:"/> <type value="display"/> </item> <item> <linkId value="aveSymptoms-container-details-moreInfoLink"/> <text value="COVID-19 symptoms"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<a target='_blank' href='https://info.health.nz/conditions-treatments/infectious-diseases/covid-19/about-covid-19/#covid-19-symptoms'>COVID-19 symptoms<anatomic-icon icon='link' display='inlineBlock' variant='functionalIcons'></anatomic-icon></a>"/> </extension> </text> <type value="display"/> </item> <item> <linkId value="aveSymptoms-container-details-hasSymptoms"/> <text value="Have you been experiencing any symptoms?"/> <type value="boolean"/> <required value="true"/> </item> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%hasSymptoms and (%testResult = 'positive' or %householdContact = true)"/> </valueExpression> </extension> <linkId value="aveSymptoms-container-symptomDateHeading"/> <text value="When did you start experiencing any of these symptoms?"/> <type value="display"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%hasSymptoms and (%testResult = 'positive' or %householdContact = true)"/> </valueExpression> </extension> <linkId value="aveSymptoms-container-symptomDate"/> <text value="Select the date that your symptoms started"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <code value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="today()"/> </valueExpression> </extension> </code> <display value="Today"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="today() - 1 day"/> </valueExpression> </extension> </code> <display value="Yesterday"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="today() - 2 days"/> </valueExpression> </extension> </code> <display value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="(today() - 2 days).formatDate('dddd, D MMMM')"/> </valueExpression> </extension> </display> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="today() - 3 days"/> </valueExpression> </extension> </code> <display value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="(today() - 3 days).formatDate('dddd, D MMMM')"/> </valueExpression> </extension> </display> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="today() - 4 days"/> </valueExpression> </extension> </code> <display value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="(today() - 4 days).formatDate('dddd, D MMMM')"/> </valueExpression> </extension> </display> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="today() - 5 days"/> </valueExpression> </extension> </code> <display value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="(today() - 5 days).formatDate('dddd, D MMMM')"/> </valueExpression> </extension> </display> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="today() - 6 days"/> </valueExpression> </extension> </code> <display value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="(today() - 6 days).formatDate('dddd, D MMMM')"/> </valueExpression> </extension> </display> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="today() - 7 days"/> </valueExpression> </extension> </code> <display value="placeholder"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="(today() - 7 days).formatDate('dddd, D MMMM')"/> </valueExpression> </extension> </display> </valueCoding> </answerOption> </item> </item> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="(%testResult = 'positive' or (%testResult = 'negative' and %householdContact)) and %recentSymptoms"/> </valueExpression> </extension> <linkId value="aveCriteria"/> <text value="Antiviral Eligibility"/> <type value="group"/> <item> <linkId value="aveCriteria-container"/> <type value="group"/> <item> <linkId value="aveCriteria-container-intro"/> <type value="group"/> <item> <linkId value="aveCriteria-container-intro-heading"/> <text value="About these questions"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<h2 class='label-heading'>About these questions</h2>"/> </extension> </text> <type value="display"/> </item> <item> <linkId value="aveCriteria-container-intro-text"/> <text value="The following questions will give you an indication of whether you might be eligible to receive free oral COVID-19 antiviral medicine."> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<p>The following questions will give you an indication of whether you might be eligible to receive free oral COVID-19 antiviral medicine.</p><p><a href='https://info.health.nz/conditions-treatments/infectious-diseases/covid-19/antiviral-medicines/' target='_blank'>More information about antivirals and eligibility criteria<anatomic-icon icon='link' display='inlineBlock' variant='functionalIcons'></anatomic-icon></a></p>"/> </extension> </text> <type value="display"/> </item> </item> <item> <linkId value="aveCriteria-container-vulnerableText"/> <text value="Eligible people include:"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<p><b>Eligible people include:</b></p> <ul> <li>Māori or Pacific people aged 50 or over</li> <li>anyone aged 50 or over, who has not had at least 2 COVID-19 vaccines</li> <li>anyone aged 65 or over</li> </ul>"/> </extension> </text> <type value="display"/> </item> <item> <linkId value="aveCriteria-container-vulnerableContainer"/> <type value="group"/> <item> <linkId value="aveCriteria-container-vulnerableContainer-isVulnerable"/> <text value="Do any of these apply to you?"/> <type value="boolean"/> <required value="true"/> </item> </item> <item> <linkId value="aveCriteria-container-highRiskContainer"/> <type value="group"/> <enableWhen> <question value="aveCriteria-container-vulnerableContainer-isVulnerable"/> <operator value="="/> <answerBoolean value="false"/> </enableWhen> <enableBehavior value="all"/> <item> <linkId value="aveCriteria-container-highRiskContainer-text"/> <text value="These are some reasons you might be at high risk of becoming very sick from COVID-19:"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<p><b>These are some reasons you might be at high risk of becoming very sick from COVID-19:</b></p> <ul> <li>you have Down syndrome</li> <li>you have sickle cell disease</li> <li>you have previously been in critical or high dependency hospital care from COVID-19</li> <li>you receive Disability Support Services funded by Whaikaha – Ministry of Disabled People (previously Ministry of Health) or need direct family, whānau or external disability care most days</li> <li>you have frailty or vulnerability due to one or more severe health conditions</li> <li>you have a weakened immune system</li> <li>you have 3 or more of <open-modal linkId='highRiskModal'><b>these risk factors or medical conditions</b></open-modal></li> </ul>"/> </extension> </text> <type value="display"/> </item> <item> <linkId value="aveCriteria-container-highRiskContainer-isHighRisk"/> <text value="Do any of these apply to you?"/> <type value="boolean"/> <required value="true"/> </item> </item> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <code value="post-submit"/> </coding> </valueCodeableConcept> </extension> <linkId value="postSubmit"/> <type value="group"/> <item> <linkId value="postSubmit-container"/> <type value="group"/> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%testResult = 'failed'"/> </valueExpression> </extension> <linkId value="postSubmit-container-failed"/> <text value="Result: Failed. A result could not be determined."> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<p><anatomic-icon icon='alert' variant='decorativeIcons' color='error100'></anatomic-icon></p><h1 class='label-heading'>Result: <span style='color: #D02323'>Failed</span></h1><p>A result could not be determined.</p>"/> </extension> </text> <type value="display"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%testResult != 'failed'"/> </valueExpression> </extension> <linkId value="postSubmit-container-testResult"/> <type value="group"/> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%testResult = 'positive'"/> </valueExpression> </extension> <linkId value="postSubmit-container-testResult-positive"/> <text value="Result: Positive. COVID-19 was detected."> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<p><anatomic-icon icon='alert' variant='decorativeIcons' color='error100'></anatomic-icon></p><h1 class='label-heading'>Result: <span style='color: #D02323'>Positive</span></h1><p>COVID-19 was detected.</p>"/> </extension> </text> <type value="display"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%testResult = 'negative'"/> </valueExpression> </extension> <linkId value="postSubmit-container-testResult-negative"/> <text value="Result: Negative. COVID-19 was not detected."> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<h1 class='label-heading'>Result: Negative</h1><p>COVID-19 was not detected.</p>"/> </extension> </text> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%testResult != 'failed'"/> </valueExpression> </extension> <linkId value="postSubmit-container-eligibility"/> <type value="group"/> <item> <linkId value="postSubmit-container-eligibility-heading"/> <text value="Antiviral eligibility"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<h2 class='label-heading'>Antiviral eligibility</h2>"/> </extension> </text> <type value="display"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%criteriaMet = true"/> </valueExpression> </extension> <linkId value="postSubmit-container-eligibility-maybeEligible"/> <text value="Based on the information you have provided, you may be eligible for free oral COVID-19 antiviral medication."/> <type value="display"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%criteriaMet = false"/> </valueExpression> </extension> <linkId value="postSubmit-container-eligibility-notEligible"/> <text value="Not eligible"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<p>Based on the information you have provided, you are not likely to be eligible for oral COVID-19 antiviral medication.</p><p>Talk to your doctor, pharmacist or hauora provider by phone if you think this is incorrect.</p><p><a target='_blank' href='https://www.healthpoint.co.nz/pharmacy/?serviceArea=covid-19-antiviral'>Pharmacies where you do not need a prescription for antivirals<anatomic-icon icon='link' display='inlineBlock' variant='functionalIcons'></anatomic-icon></a></p>"/> </extension> </text> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%testResult = 'positive' and %isolationLeaveDate > today()"/> </valueExpression> </extension> <linkId value="postSubmit-container-isolation"/> <type value="group"/> <item> <linkId value="postSubmit-container-isolation-heading"/> <text value="Recommended isolation"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<h2 class='label-heading'>Recommended isolation</h2>"/> </extension> </text> <type value="display"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%recentSymptoms or (%recentTest and %hasSymptoms = false)"/> </valueExpression> </extension> <linkId value="postSubmit-container-isolation-isolateFiveDays"/> <text value="We recommend you stay home and isolate for five days from either the date you developed symptoms or the date you tested positive, whichever was earlier. You can leave your recommended isolation on the sixth day if you are feeling well."> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<p>We recommend you stay home and isolate for five days from either the date you developed symptoms or the date you tested positive, whichever was earlier. You can leave your recommended isolation on the sixth day if you are feeling well.</p>"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/fhirpath"/> <expression value="'We recommend you stay home and isolate for 5 days from <b>' + %dayZero.formatDate('dddd, D MMMM') + '</b>. You can leave your recommended isolation on <b>' + %isolationLeaveDate.formatDate('dddd, D MMMM') + '</b> if you are feeling well.'"/> </valueExpression> </extension> </valueString> </extension> </text> <type value="display"/> </item> <item> <linkId value="postSubmit-container-isolation-stayAwayFromFacilities"/> <text value="Recommended isolation"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<p>For 10 days you should stay away from healthcare facilities, aged residential care facilities, or anyone at risk of getting seriously unwell with COVID-19. If you must visit, phone ahead and remember to wear a mask.</p><p><a target='_blank' href='https://info.health.nz/COVID-19'>Further COVID-19 information<anatomic-icon icon='link' display='inlineBlock' variant='functionalIcons'></anatomic-icon></a></p>"/> </extension> </text> <type value="display"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%householdContact and %hasSymptoms"/> </valueExpression> </extension> <linkId value="postSubmit-container-isolation-testDailyForFiveDays"/> <text value="We recommend you test daily for 5 days and stay at home until 24 hours after your symptoms are gone. If symptoms persist, continue to test."/> <type value="display"/> </item> </item> <item> <linkId value="postSubmit-container-nextSteps"/> <type value="group"/> <item> <linkId value="postSubmit-container-nextSteps-heading"/> <text value="What to do next"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<h2 class='label-heading'>What to do next</h2>"/> </extension> </text> <type value="display"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%criteriaMet = true"/> </valueExpression> </extension> <linkId value="postSubmit-container-nextSteps-antivirals"/> <text value="Talk to your doctor, healthcare provider, pharmacist, or hauora provider if you think that you, or a member of your whānau, may be eligible for antiviral medicines.You can get a prescription for antivirals from your doctor, healthcare provider, or hauora provider. Some pharmacies can supply antivirals without a prescription."> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<p>Talk to your doctor, healthcare provider, pharmacist, or hauora provider if you think that you, or a member of your whānau, may be eligible for antiviral medicines.</p><p>You can get a prescription for antivirals from your doctor, healthcare provider, or hauora provider. Some pharmacies can supply antivirals without a prescription.</p><p><a target='_blank' href='https://www.healthpoint.co.nz/pharmacy/?serviceArea=covid-19-antiviral'>Pharmacies where you do not need a prescription for antivirals<anatomic-icon icon='link' display='inlineBlock' variant='functionalIcons'></anatomic-icon></a></p>"/> </extension> </text> <type value="display"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%testResult = 'positive'"/> </valueExpression> </extension> <linkId value="postSubmit-container-nextSteps-currentAdvicePositive"/> <text value="Continue to follow current advice: https://info.health.nz/conditions-treatments/infectious-diseases/covid-19/if-you-have-covid-19/"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<p>Continue to follow current advice: <a target='_blank' href='https://info.health.nz/conditions-treatments/infectious-diseases/covid-19/if-you-have-covid-19/'>If you have COVID-19<anatomic-icon icon='link' display='inlineBlock' variant='functionalIcons'></anatomic-icon></a></p>"/> </extension> </text> <type value="display"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%testResult = 'negative' and (%recentSymptoms or (%hasSymptoms and (%householdContact = false)))"/> </valueExpression> </extension> <linkId value="postSubmit-container-nextSteps-testAt24And48Hours"/> <text value="If symptoms persist, test again at 24 and 48 hours."> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<p>If symptoms persist, test again at 24 and 48 hours.</p>"/> </extension> </text> <type value="display"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%testResult = 'negative'"/> </valueExpression> </extension> <linkId value="postSubmit-container-nextSteps-currentAdviceNegative"/> <text value="Continue to follow current advice: https://info.health.nz/conditions-treatments/infectious-diseases/covid-19/testing-and-reporting/"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<p>Continue to follow current advice: <a target='_blank' href='https://info.health.nz/conditions-treatments/infectious-diseases/covid-19/testing-and-reporting/'>testing and reporting<anatomic-icon icon='link' display='inlineBlock' variant='functionalIcons'></anatomic-icon></a></p>"/> </extension> </text> <type value="display"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%testResult = 'failed'"/> </valueExpression> </extension> <linkId value="postSubmit-container-nextSteps-failed"/> <text value="Complete a new RAT and report the result."> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<p>Complete a new RAT and report the result.</p>"/> </extension> </text> <type value="display"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%testResult = 'failed'"/> </valueExpression> </extension> <linkId value="postSubmit-container-nextSteps-failedCall111"/> <text value="Call 111 if you find it difficult to breathe, pass out, or find it very difficult to wake up, are blue around the mouth, or very pale and cold, or are having severe chest pain."> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<p>Call <b>111</b> if you find it difficult to breathe, pass out, or find it very difficult to wake up, are blue around the mouth, or very pale and cold, or are having severe chest pain.</p>"/> </extension> </text> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%testResult != 'failed'"/> </valueExpression> </extension> <linkId value="postSubmit-container-furtherSupport"/> <type value="group"/> <item> <linkId value="postSubmit-container-furtherSupport-heading"/> <text value="Further support"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<h2 class='label-heading'>Further support</h2>"/> </extension> </text> <type value="display"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%testResult = 'positive' or %hasSymptoms"/> </valueExpression> </extension> <linkId value="postSubmit-container-furtherSupport-monitorSymptoms"/> <text value="Monitor COVID-19 symptoms and if they get worse or you need medical care, call a healthcare provider or Healthline on 0800 358 5453."> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<p>Monitor <a target='_blank' href='https://info.health.nz/conditions-treatments/infectious-diseases/covid-19/about-covid-19/#covid-19-symptoms'>COVID-19 symptoms<anatomic-icon icon='link' display='inlineBlock' variant='functionalIcons'></anatomic-icon></a> and if they get worse or you need medical care, call a healthcare provider or Healthline on <b><a href='tel:0800 358 5453'>0800 358 5453</a></b>.</p>"/> </extension> </text> <type value="display"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%testResult = 'negative' and %hasSymptoms = false"/> </valueExpression> </extension> <linkId value="postSubmit-container-furtherSupport-testIfSymptomatic"/> <text value="Monitor for COVID-19 symptoms, and test if you become symptomatic.If you return a positive RAT, report the result using this form."> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<p>Monitor for <a target='_blank' href='https://info.health.nz/conditions-treatments/infectious-diseases/covid-19/about-covid-19/#covid-19-symptoms'>COVID-19 symptoms<anatomic-icon icon='link' display='inlineBlock' variant='functionalIcons'></anatomic-icon></a>, and test if you become symptomatic.</p><p>If you return a positive RAT, report the result using this form.</p>"/> </extension> </text> <type value="display"/> </item> <item> <linkId value="postSubmit-container-furtherSupport-call111"/> <text value="Call 111 if you find it difficult to breathe, pass out, or find it very difficult to wake up, are blue around the mouth, or very pale and cold, or are having severe chest pain."> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<p>Call <b>111</b> if you find it difficult to breathe, pass out, or find it very difficult to wake up, are blue around the mouth, or very pale and cold, or are having severe chest pain.</p>"/> </extension> </text> <type value="display"/> </item> </item> <item> <linkId value="postSubmit-container-exitComplete"/> <text value="Exit"> <extension url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"> <valueString value="<exit-button reason='completed'>Return to results page</exit-button>"/> </extension> </text> <type value="display"/> </item> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <linkId value="extract"/> <type value="group"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/sdc-questionnaire-itemExtractionContext"> <valueCode value="Observation"/> </extension> <extension url="http://health.govt.nz/fhir/StructureDefinition/sdc-questionnaire-extractUrn"> <valueString value="urn:uuid:observation-result"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%testResult = 'positive'"/> </valueExpression> </extension> <linkId value="extract-resultObservationValuePositive"/> <definition value="https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.valueString"/> <text value="Extract - test result positive"/> <type value="string"/> <initial> <valueString value="DETECTED"/> </initial> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/sdc-questionnaire-itemExtractionContext"> <valueCode value="Observation"/> </extension> <extension url="http://health.govt.nz/fhir/StructureDefinition/sdc-questionnaire-extractUrn"> <valueString value="urn:uuid:observation-result"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%testResult = 'negative'"/> </valueExpression> </extension> <linkId value="extract-resultObservationValueNegative"/> <definition value="https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.valueString"/> <text value="Extract - test result negative"/> <type value="string"/> <initial> <valueString value="NOT DETECTED"/> </initial> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/sdc-questionnaire-itemExtractionContext"> <valueCode value="Observation"/> </extension> <extension url="http://health.govt.nz/fhir/StructureDefinition/sdc-questionnaire-extractUrn"> <valueString value="urn:uuid:observation-result"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%testResult = 'failed'"/> </valueExpression> </extension> <linkId value="extract-resultObservationValueFailed"/> <definition value="https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.valueString"/> <text value="Extract - test result failed"/> <type value="string"/> <initial> <valueString value="FAILED"/> </initial> </item> <item> <linkId value="extract-resultObservationCode"/> <definition value="https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.code.coding[]"/> <type value="choice"/> <initial> <valueCoding> <code value="XNZ5530"/> <display value="SARS-CoV-2 RAT Self"/> </valueCoding> </initial> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/sdc-questionnaire-itemExtractionContext"> <valueCode value="DiagnosticReport"/> </extension> <extension url="http://health.govt.nz/fhir/StructureDefinition/sdc-questionnaire-extractUrn"> <valueString value="urn:uuid:diagnosticReport"/> </extension> <linkId value="extract-diagnosticReport"/> <type value="group"/> <item> <linkId value="extract-diagnosticReport-code"/> <definition value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport#DiagnosticReport.code.coding[]"/> <type value="choice"/> <initial> <valueCoding> <code value="XNZ5530"/> <display value="SARS-CoV-2 RAT Self"/> </valueCoding> </initial> </item> <item> <linkId value="extract-diagnosticReport-identifierSystem"/> <definition value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport#DiagnosticReport.identifier[0].system"/> <type value="choice"/> <initial> <valueString value="https://standards.digital.health.nz/ns/SendingApplication"/> </initial> </item> <item> <linkId value="extract-diagnosticReport-identifierValue"/> <definition value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport#DiagnosticReport.identifier[0].value"/> <type value="choice"/> <initial> <valueString value="RAT Catcher"/> </initial> </item> <item> <linkId value="extract-diagnosticReport-result"/> <definition value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport#DiagnosticReport.result[]"/> <type value="choice"/> <initial> <valueReference> <reference value="urn:uuid:observation-result"/> <display value="SARS-CoV-2 RAT Self"/> </valueReference> </initial> </item> <item> <linkId value="extract-diagnosticReport-phone"/> <definition value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport#DiagnosticReport.result[]"/> <type value="choice"/> <initial> <valueReference> <reference value="urn:uuid:observation-phone"/> <display value="Text patient com"/> </valueReference> </initial> </item> <item> <extension url="http://health.govt.nz/fhir/StructureDefinition/sdc-questionnaire-extractMetadata"> <extension url="source"> <valueExpression> <language value="text/fhirpath"/> <expression value="QuestionnaireResponse.subject"/> </valueExpression> </extension> <extension url="destination"> <valueExpression> <language value="text/fhirpath"/> <expression value="DiagnosticReport.subject"/> </valueExpression> </extension> </extension> <linkId value="extract-diagnosticReportSubject"/> <type value="boolean"/> <initial> <valueBoolean value="true"/> </initial> </item> <item> <extension url="http://health.govt.nz/fhir/StructureDefinition/sdc-questionnaire-extractMetadata"> <extension url="source"> <valueExpression> <language value="text/fhirpath"/> <expression value="QuestionnaireResponse.subject"/> </valueExpression> </extension> <extension url="destination"> <valueExpression> <language value="text/fhirpath"/> <expression value="DiagnosticReport.performer[]"/> </valueExpression> </extension> </extension> <linkId value="extract-diagnosticReportPerformer"/> <type value="boolean"/> <initial> <valueBoolean value="true"/> </initial> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-claims-extract"> <valueString value="subject.display"/> </extension> <linkId value="subjectName"/> <text value="subject name"/> <type value="string"/> <required value="true"/> </item> </item> </Questionnaire>

Generated Narrative: Questionnaire ConsumerCOVIDRATResultQuestionnaire

version: 1; Last updated: 2024-01-23 21:19:39+0000; Language: en-NZ

Structure

LinkID	Text	Cardinality	Type	Description & Constraints
ConsumerCOVIDRatResultQuestionnaire	Consumer COVID RAT Result Questionnaire		Questionnaire	https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/ConsumerCOVIDRATResultQuestionnaire#1.0.5
ConsumerCOVIDRatResultQuestionnaire / metaPhoneNumber	Phone number	0..1	string	Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.valueString Initial Value: string = Placeholder
ConsumerCOVIDRatResultQuestionnaire / extractPhoneNumberCode	null	0..1	choice	Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.code.coding[] Initial Value: Coding = [not stated]#8497 "Text patient com"
ConsumerCOVIDRatResultQuestionnaire / submit-modal	Enter result	0..1	group
ConsumerCOVIDRatResultQuestionnaire / submit-modal / submit-modal-text	The RAT result will be recorded against the official health record for this person.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / nlineModal	RATs with other lines	0..1	group
ConsumerCOVIDRatResultQuestionnaire / nlineModal / nlineModal-otherLines	If your RAT has other lines or markings, consult the product information leaflet.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / nlineModal / nlineModal-contactHealthline	Contact Healthline for further information on 0800 358 5453.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / highRiskModal	Other risk factors or medical conditions:	0..1	group
ConsumerCOVIDRatResultQuestionnaire / highRiskModal / highRiskModal-conditions	List of conditions	0..1	display
ConsumerCOVIDRatResultQuestionnaire / reportResult	Report a COVID-19 Rapid Antigen Test (RAT) result	0..1	group
ConsumerCOVIDRatResultQuestionnaire / reportResult / reportResult-container	null	0..1	group
ConsumerCOVIDRatResultQuestionnaire / reportResult / reportResult-container / reportResult-container-diagram	A diagram showing what a positive COVID RAT Result looks like	0..1	display
ConsumerCOVIDRatResultQuestionnaire / reportResult / reportResult-container / reportResult-container-controlLine	Is the control line (C) visible?	1..1	boolean
ConsumerCOVIDRatResultQuestionnaire / reportResult / reportResult-container / reportResult-container-testLine	Is the test line (T) visible?	1..1	boolean
ConsumerCOVIDRatResultQuestionnaire / reportResult / reportResult-container / reportResult-container-faintLines	Faint lines	0..1	display
ConsumerCOVIDRatResultQuestionnaire / reportResult / reportResult-container / reportResult-container-faintLinesDetail	If a line is faint it should still be recorded as visible.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / reportResult / reportResult-container / reportResult-container-nLineLink	A small number of RATs have an ‘N’ line	0..1	display
ConsumerCOVIDRatResultQuestionnaire / reportResult / reportResult-container / reportResult-container-testDate	Day test was taken	1..1	choice	Options: 8 options
ConsumerCOVIDRatResultQuestionnaire / reportResult / reportResult-container / reportResult.container.onlyThisWeek	You can only report a test taken within the last 7 days.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / reportResult / reportResult-container / reportResult-container-householdContact	Are you a household contact of someone who has tested positive for COVID-19?	1..1	boolean	Enable When: reportResult-container-controlLine = true reportResult-container-testLine = false
ConsumerCOVIDRatResultQuestionnaire / aveSymptoms	Antiviral Eligibility	0..1	group
ConsumerCOVIDRatResultQuestionnaire / aveSymptoms / aveSymptoms-container	null	0..1	group
ConsumerCOVIDRatResultQuestionnaire / aveSymptoms / aveSymptoms-container / aveSymptoms-container-intro	null	0..1	group
ConsumerCOVIDRatResultQuestionnaire / aveSymptoms / aveSymptoms-container / aveSymptoms-container-intro / aveSymptoms-container-intro-heading	About these questions	0..1	display
ConsumerCOVIDRatResultQuestionnaire / aveSymptoms / aveSymptoms-container / aveSymptoms-container-intro / aveSymptoms-container-intro-text	The following questions will give you an indication of whether you might be eligible to receive free oral COVID-19 antiviral medicine.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / aveSymptoms / aveSymptoms-container / aveSymptoms-container-details	null	0..1	group
ConsumerCOVIDRatResultQuestionnaire / aveSymptoms / aveSymptoms-container / aveSymptoms-container-details / aveSymptoms-container-details-heading	Symptoms of COVID-19 can include one or more of the following:	0..1	display
ConsumerCOVIDRatResultQuestionnaire / aveSymptoms / aveSymptoms-container / aveSymptoms-container-details / aveSymptoms-container-details-list	Sneezing and runny nose, sore throat, body aches, cough, feeling tired, headache, nausea and vomiting, diarrhoea, fever	0..1	display
ConsumerCOVIDRatResultQuestionnaire / aveSymptoms / aveSymptoms-container / aveSymptoms-container-details / aveSymptoms-container-details-moreInfoHeading	Visit this page for more information about COVID-19 symptoms:	0..1	display
ConsumerCOVIDRatResultQuestionnaire / aveSymptoms / aveSymptoms-container / aveSymptoms-container-details / aveSymptoms-container-details-moreInfoLink	COVID-19 symptoms	0..1	display
ConsumerCOVIDRatResultQuestionnaire / aveSymptoms / aveSymptoms-container / aveSymptoms-container-details / aveSymptoms-container-details-hasSymptoms	Have you been experiencing any symptoms?	1..1	boolean
ConsumerCOVIDRatResultQuestionnaire / aveSymptoms / aveSymptoms-container / aveSymptoms-container-symptomDateHeading	When did you start experiencing any of these symptoms?	0..1	display
ConsumerCOVIDRatResultQuestionnaire / aveSymptoms / aveSymptoms-container / aveSymptoms-container-symptomDate	Select the date that your symptoms started	1..1	choice	Options: 8 options
ConsumerCOVIDRatResultQuestionnaire / aveCriteria	Antiviral Eligibility	0..1	group
ConsumerCOVIDRatResultQuestionnaire / aveCriteria / aveCriteria-container	null	0..1	group
ConsumerCOVIDRatResultQuestionnaire / aveCriteria / aveCriteria-container / aveCriteria-container-intro	null	0..1	group
ConsumerCOVIDRatResultQuestionnaire / aveCriteria / aveCriteria-container / aveCriteria-container-intro / aveCriteria-container-intro-heading	About these questions	0..1	display
ConsumerCOVIDRatResultQuestionnaire / aveCriteria / aveCriteria-container / aveCriteria-container-intro / aveCriteria-container-intro-text	The following questions will give you an indication of whether you might be eligible to receive free oral COVID-19 antiviral medicine.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / aveCriteria / aveCriteria-container / aveCriteria-container-vulnerableText	Eligible people include:	0..1	display
ConsumerCOVIDRatResultQuestionnaire / aveCriteria / aveCriteria-container / aveCriteria-container-vulnerableContainer	null	0..1	group
ConsumerCOVIDRatResultQuestionnaire / aveCriteria / aveCriteria-container / aveCriteria-container-vulnerableContainer / aveCriteria-container-vulnerableContainer-isVulnerable	Do any of these apply to you?	1..1	boolean
ConsumerCOVIDRatResultQuestionnaire / aveCriteria / aveCriteria-container / aveCriteria-container-highRiskContainer	null	0..1	group	Enable When: aveCriteria-container-vulnerableContainer-isVulnerable = false
ConsumerCOVIDRatResultQuestionnaire / aveCriteria / aveCriteria-container / aveCriteria-container-highRiskContainer / aveCriteria-container-highRiskContainer-text	These are some reasons you might be at high risk of becoming very sick from COVID-19:	0..1	display
ConsumerCOVIDRatResultQuestionnaire / aveCriteria / aveCriteria-container / aveCriteria-container-highRiskContainer / aveCriteria-container-highRiskContainer-isHighRisk	Do any of these apply to you?	1..1	boolean
ConsumerCOVIDRatResultQuestionnaire / postSubmit	null	0..1	group
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container	null	0..1	group
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-failed	Result: Failed. A result could not be determined.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-testResult	null	0..1	group
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-testResult / postSubmit-container-testResult-positive	Result: Positive. COVID-19 was detected.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-testResult / postSubmit-container-testResult-negative	Result: Negative. COVID-19 was not detected.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-eligibility	null	0..1	group
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-eligibility / postSubmit-container-eligibility-heading	Antiviral eligibility	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-eligibility / postSubmit-container-eligibility-maybeEligible	Based on the information you have provided, you may be eligible for free oral COVID-19 antiviral medication.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-eligibility / postSubmit-container-eligibility-notEligible	Not eligible	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-isolation	null	0..1	group
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-isolation / postSubmit-container-isolation-heading	Recommended isolation	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-isolation / postSubmit-container-isolation-isolateFiveDays	We recommend you stay home and isolate for five days from either the date you developed symptoms or the date you tested positive, whichever was earlier. You can leave your recommended isolation on the sixth day if you are feeling well.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-isolation / postSubmit-container-isolation-stayAwayFromFacilities	Recommended isolation	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-isolation / postSubmit-container-isolation-testDailyForFiveDays	We recommend you test daily for 5 days and stay at home until 24 hours after your symptoms are gone. If symptoms persist, continue to test.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-nextSteps	null	0..1	group
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-nextSteps / postSubmit-container-nextSteps-heading	What to do next	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-nextSteps / postSubmit-container-nextSteps-antivirals	Talk to your doctor, healthcare provider, pharmacist, or hauora provider if you think that you, or a member of your whānau, may be eligible for antiviral medicines.You can get a prescription for antivirals from your doctor, healthcare provider, or hauora provider. Some pharmacies can supply antivirals without a prescription.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-nextSteps / postSubmit-container-nextSteps-currentAdvicePositive	Continue to follow current advice: https://info.health.nz/conditions-treatments/infectious-diseases/covid-19/if-you-have-covid-19/	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-nextSteps / postSubmit-container-nextSteps-testAt24And48Hours	If symptoms persist, test again at 24 and 48 hours.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-nextSteps / postSubmit-container-nextSteps-currentAdviceNegative	Continue to follow current advice: https://info.health.nz/conditions-treatments/infectious-diseases/covid-19/testing-and-reporting/	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-nextSteps / postSubmit-container-nextSteps-failed	Complete a new RAT and report the result.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-nextSteps / postSubmit-container-nextSteps-failedCall111	Call 111 if you find it difficult to breathe, pass out, or find it very difficult to wake up, are blue around the mouth, or very pale and cold, or are having severe chest pain.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-furtherSupport	null	0..1	group
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-furtherSupport / postSubmit-container-furtherSupport-heading	Further support	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-furtherSupport / postSubmit-container-furtherSupport-monitorSymptoms	Monitor COVID-19 symptoms and if they get worse or you need medical care, call a healthcare provider or Healthline on 0800 358 5453.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-furtherSupport / postSubmit-container-furtherSupport-testIfSymptomatic	Monitor for COVID-19 symptoms, and test if you become symptomatic.If you return a positive RAT, report the result using this form.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-furtherSupport / postSubmit-container-furtherSupport-call111	Call 111 if you find it difficult to breathe, pass out, or find it very difficult to wake up, are blue around the mouth, or very pale and cold, or are having severe chest pain.	0..1	display
ConsumerCOVIDRatResultQuestionnaire / postSubmit / postSubmit-container / postSubmit-container-exitComplete	Exit	0..1	display
ConsumerCOVIDRatResultQuestionnaire / extract	null	0..1	group
ConsumerCOVIDRatResultQuestionnaire / extract / extract-resultObservationValuePositive	Extract - test result positive	0..1	string	Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.valueString Initial Value: string = DETECTED
ConsumerCOVIDRatResultQuestionnaire / extract / extract-resultObservationValueNegative	Extract - test result negative	0..1	string	Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.valueString Initial Value: string = NOT DETECTED
ConsumerCOVIDRatResultQuestionnaire / extract / extract-resultObservationValueFailed	Extract - test result failed	0..1	string	Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.valueString Initial Value: string = FAILED
ConsumerCOVIDRatResultQuestionnaire / extract / extract-resultObservationCode	null	0..1	choice	Definition: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/StructureDefinition/ManaakiNgaTahiObservation#Observation.code.coding[] Initial Value: Coding = [not stated]#XNZ5530 "SARS-CoV-2 RAT Self"
ConsumerCOVIDRatResultQuestionnaire / extract / extract-diagnosticReport	null	0..1	group
ConsumerCOVIDRatResultQuestionnaire / extract / extract-diagnosticReport / extract-diagnosticReport-code	null	0..1	choice	Definition: DiagnosticReport.code.coding[] Initial Value: Coding = [not stated]#XNZ5530 "SARS-CoV-2 RAT Self"
ConsumerCOVIDRatResultQuestionnaire / extract / extract-diagnosticReport / extract-diagnosticReport-identifierSystem	null	0..1	choice	Definition: DiagnosticReport.identifier[0].system Initial Value: string = https://standards.digital.health.nz/ns/SendingApplication
ConsumerCOVIDRatResultQuestionnaire / extract / extract-diagnosticReport / extract-diagnosticReport-identifierValue	null	0..1	choice	Definition: DiagnosticReport.identifier[0].value Initial Value: string = RAT Catcher
ConsumerCOVIDRatResultQuestionnaire / extract / extract-diagnosticReport / extract-diagnosticReport-result	null	0..1	choice	Definition: DiagnosticReport.result[] Initial Value: Reference = urn:uuid:observation-result: SARS-CoV-2 RAT Self
ConsumerCOVIDRatResultQuestionnaire / extract / extract-diagnosticReport / extract-diagnosticReport-phone	null	0..1	choice	Definition: DiagnosticReport.result[] Initial Value: Reference = urn:uuid:observation-phone: Text patient com
ConsumerCOVIDRatResultQuestionnaire / extract / extract-diagnosticReport / extract-diagnosticReportSubject	null	0..1	boolean	Initial Value: boolean = true
ConsumerCOVIDRatResultQuestionnaire / extract / extract-diagnosticReport / extract-diagnosticReportPerformer	null	0..1	boolean	Initial Value: boolean = true
ConsumerCOVIDRatResultQuestionnaire / extract / subjectName	subject name	1..1	string
Documentation for this format

Options Sets

Answer options for reportResult-container-testDate

null#placeholder ("Today")
null#placeholder ("Yesterday")
null#placeholder ("placeholder")
null#placeholder ("placeholder")
null#placeholder ("placeholder")
null#placeholder ("placeholder")
null#placeholder ("placeholder")
null#placeholder ("placeholder")

Answer options for aveSymptoms-container-symptomDate

null#placeholder ("Today")
null#placeholder ("Yesterday")
null#placeholder ("placeholder")
null#placeholder ("placeholder")
null#placeholder ("placeholder")
null#placeholder ("placeholder")
null#placeholder ("placeholder")
null#placeholder ("placeholder")