New Zealand Rheumatic Fever FHIR Implementation Guide
1.0.0 - draft
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
| Draft as of 2024-01-01 |
{
"resourceType" : "Questionnaire",
"id" : "DiagnosisRiskFactorsQuestionnaire",
"url" : "https://fhir-ig.digital.health.nz/rheumatic-fever/Questionnaire/DiagnosisRiskFactorsQuestionnaire",
"identifier" : [
{
"use" : "official",
"value" : "DiagnosisRiskFactorsQuestionnaire",
"period" : {
"start" : "2024-01-01"
}
}
],
"version" : "1.0.0",
"name" : "DiagnosisRiskFactorsQuestionnaire",
"title" : "Diagnosis Risk Factors Questionnaire",
"status" : "draft",
"experimental" : false,
"subjectType" : [
"Patient"
],
"date" : "2024-01-01",
"publisher" : "Te Whatu Ora",
"contact" : [
{
"name" : "Te Whatu Ora",
"telecom" : [
{
"system" : "url",
"value" : "https://www.tewhatuora.govt.nz/"
},
{
"system" : "email",
"value" : "integration@tewhatuora.govt.nz"
}
]
},
{
"name" : "HNZ Integration Team",
"telecom" : [
{
"system" : "email",
"value" : "integration@tewhatuora.govt.nz",
"use" : "work"
}
]
}
],
"description" : "Gathers risk factor information during rheumatic fever diagnosis assessment",
"purpose" : "Gathers risk factor information during rheumatic fever diagnosis assessment",
"item" : [
{
"linkId" : "page1",
"prefix" : "page1",
"text" : "Please complete this questionnaire to assess risk factors for rheumatic fever diagnosis.",
"type" : "display"
},
{
"linkId" : "SoreThroat4Weeks",
"prefix" : "1)",
"text" : "Did the patient have a sore throat in the four weeks prior to onset?",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerValueSet" : "https://fhir-ig.digital.health.nz/rheumatic-fever/ValueSet/nz-questionnaireresponse-qualifiedyesno-code"
},
{
"linkId" : "AntibioticsSoreThroat",
"prefix" : "2)",
"text" : "Did the patient receive antibiotics for a sore throat?",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerValueSet" : "https://fhir-ig.digital.health.nz/rheumatic-fever/ValueSet/nz-questionnaireresponse-qualifiedyesno-code"
},
{
"linkId" : "AntibioticsDetails",
"prefix" : "3)",
"text" : "Antibiotics used for sore throat / Strep A treatment",
"type" : "text",
"enableWhen" : [
{
"question" : "AntibioticsSoreThroat",
"operator" : "=",
"answerCoding" : {
"system" : "http://snomed.info/sct",
"code" : "373066001",
"display" : "Yes (qualifier value)"
}
}
],
"required" : true
},
{
"linkId" : "SoreThroatTreatedProperly",
"prefix" : "4)",
"text" : "Was the patient's sore throat appropriately treated?",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerValueSet" : "https://fhir-ig.digital.health.nz/rheumatic-fever/ValueSet/nz-questionnaireresponse-qualifiedyesno-code"
},
{
"linkId" : "FamilyHistoryARFRHD",
"prefix" : "5)",
"text" : "Family History of ARF / RHD?",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerValueSet" : "https://fhir-ig.digital.health.nz/rheumatic-fever/ValueSet/nz-questionnaireresponse-qualifiedyesno-code"
},
{
"linkId" : "FamilyHistoryDetails",
"prefix" : "5.1)",
"text" : "Details of Family History",
"type" : "text",
"enableWhen" : [
{
"question" : "FamilyHistoryARFRHD",
"operator" : "=",
"answerCoding" : {
"system" : "http://snomed.info/sct",
"code" : "373066001",
"display" : "Yes (qualifier value)"
}
}
],
"required" : true
},
{
"linkId" : "FamilyHistoryRelationship",
"prefix" : "6)",
"text" : "Family History Relationship to Patient",
"type" : "choice",
"enableWhen" : [
{
"question" : "FamilyHistoryARFRHD",
"operator" : "=",
"answerCoding" : {
"system" : "http://snomed.info/sct",
"code" : "373066001",
"display" : "Yes (qualifier value)"
}
}
],
"required" : true,
"repeats" : true,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "375005",
"display" : "Sibling (person)"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "40683002",
"display" : "Parent (person)"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "38312007",
"display" : "Grandparent (person)"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "25211005",
"display" : "Aunt (person)"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "38048003",
"display" : "Uncle (person)"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "55538000",
"display" : "Cousin (person)"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "125677006",
"display" : "Other relative (person)"
}
}
]
},
{
"linkId" : "PastMedicalHistoryARF",
"prefix" : "7)",
"text" : "Any past medical history that may have been ARF?",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerValueSet" : "https://fhir-ig.digital.health.nz/rheumatic-fever/ValueSet/nz-questionnaireresponse-qualifiedyesno-code"
},
{
"linkId" : "EvidencePreviousRHD",
"prefix" : "8)",
"text" : "Any evidence of previous RHD?",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerValueSet" : "https://fhir-ig.digital.health.nz/rheumatic-fever/ValueSet/nz-questionnaireresponse-qualifiedyesno-code"
},
{
"linkId" : "PMHXDetailsARFRHD",
"prefix" : "9)",
"text" : "Details of PMHX of possible ARF / RHD",
"type" : "text",
"enableWhen" : [
{
"question" : "PastMedicalHistoryARF",
"operator" : "=",
"answerCoding" : {
"system" : "http://snomed.info/sct",
"code" : "373066001",
"display" : "Yes (qualifier value)"
}
},
{
"question" : "EvidencePreviousRHD",
"operator" : "=",
"answerCoding" : {
"system" : "http://snomed.info/sct",
"code" : "373066001",
"display" : "Yes (qualifier value)"
}
}
],
"enableBehavior" : "any",
"required" : true
}
]
}