New Zealand Rheumatic Fever FHIR Implementation Guide
1.0.0 - draft

New Zealand Rheumatic Fever FHIR Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Questionnaire: Diagnosis Risk Factors Questionnaire

Official URL: https://fhir-ig.digital.health.nz/rheumatic-fever/Questionnaire/DiagnosisRiskFactorsQuestionnaire Version: 1.0.0
Draft as of 2024-01-01 Computable Name: DiagnosisRiskFactorsQuestionnaire
Other Identifiers: DiagnosisRiskFactorsQuestionnaire (use: official, period: 1/1/24 --> (ongoing))

Gathers risk factor information during rheumatic fever diagnosis assessment

Gathers risk factor information during rheumatic fever diagnosis assessment

Structure

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. DiagnosisRiskFactorsQuestionnaireGathers risk factor information during rheumatic fever diagnosis assessmentQuestionnairehttps://fhir-ig.digital.health.nz/rheumatic-fever/Questionnaire/DiagnosisRiskFactorsQuestionnaire#1.0.0
... page1page1. Please complete this questionnaire to assess risk factors for rheumatic fever diagnosis.0..1display
... SoreThroat4Weeks1). Did the patient have a sore throat in the four weeks prior to onset?1..1choiceValue Set: Generic QuestionnaireResponse yes/no question answer codes
... AntibioticsSoreThroat2). Did the patient receive antibiotics for a sore throat?1..1choiceValue Set: Generic QuestionnaireResponse yes/no question answer codes
... SoreThroatTreatedProperly4). Was the patient's sore throat appropriately treated?1..1choiceValue Set: Generic QuestionnaireResponse yes/no question answer codes
... FamilyHistoryARFRHD5). Family History of ARF / RHD?1..1choiceValue Set: Generic QuestionnaireResponse yes/no question answer codes
... FamilyHistoryDetails5.1). Details of Family History1..1textEnable When: FamilyHistoryARFRHD =
... FamilyHistoryRelationship6). Family History Relationship to Patient1..*choiceEnable When: FamilyHistoryARFRHD =
Options: 7 options
... PastMedicalHistoryARF7). Any past medical history that may have been ARF?1..1choiceValue Set: Generic QuestionnaireResponse yes/no question answer codes
... EvidencePreviousRHD8). Any evidence of previous RHD?1..1choiceValue Set: Generic QuestionnaireResponse yes/no question answer codes
... PMHXDetailsARFRHD9). Details of PMHX of possible ARF / RHD1..1textEnable When:

doco Documentation for this format

Options Sets

Answer options for FamilyHistoryRelationship

  • http://snomed.info/sct#375005 ("Sibling (person)")
  • http://snomed.info/sct#40683002 ("Parent (person)")
  • http://snomed.info/sct#38312007 ("Grandparent (person)")
  • http://snomed.info/sct#25211005 ("Aunt (person)")
  • http://snomed.info/sct#38048003 ("Uncle (person)")
  • http://snomed.info/sct#55538000 ("Cousin (person)")
  • http://snomed.info/sct#125677006 ("Other relative (person)")