New Zealand Rheumatic Fever FHIR Implementation Guide
0.5.0 - draft
New Zealand Rheumatic Fever FHIR Implementation Guide
0.5.0 - draft
New Zealand Rheumatic Fever FHIR Implementation Guide - Local Development build (v0.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2023-11-10 |
{
"resourceType" : "Questionnaire",
"id" : "MedicationsAndFollowUpGuidanceQuestionnaire",
"url" : "https://fhir-ig.digital.health.nz/rheumatic-fever/Questionnaire/MedicationsAndFollowUpGuidanceQuestionnaire",
"identifier" : [
{
"use" : "official",
"value" : "MedicationsAndFollowUpGuidanceQuestionnaire",
"period" : {
"start" : "2023-10-16"
}
}
],
"version" : "1.0.0",
"name" : "MedicationsAndFollowUpGuidanceQuestionnaire",
"title" : "Medications and Follow-up Guidance Questionnaire",
"status" : "draft",
"experimental" : false,
"subjectType" : [
"Patient"
],
"date" : "2023-11-10",
"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 information in secondary prophylaxis planning which guides subsequent medication appointments and follow-up",
"purpose" : "Gathers information in secondary prophylaxis planning which guides subsequent medication appointments and follow-up",
"item" : [
{
"linkId" : "page1",
"prefix" : "page1",
"text" : "Please complete this questionnaire to guide practitioners carrying out rheumatic fever secondary prophylaxis.",
"type" : "display"
},
{
"linkId" : "SourceOfOralMedications",
"prefix" : "1)",
"text" : "Source of oral medications? (choose one)",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerOption" : [
{
"valueString" : "GP prescription"
},
{
"valueString" : "3 monthly visit from a nurse"
},
{
"valueString" : "Monthly visit from a nurse"
},
{
"valueString" : "Pick-up from a pharmacy"
},
{
"valueString" : "Other"
}
]
},
{
"linkId" : "CaseOnWarfarin",
"prefix" : "2)",
"text" : "Case on warfarin? (Yes/No/Unknown)",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerValueSet" : "https://fhir-ig.digital.health.nz/rheumatic-fever/ValueSet/nz-questionnaireresponse-qualifiedyesno-code"
},
{
"linkId" : "WarfarinSupervisionService",
"prefix" : "2.1)",
"text" : "Warfarin supervision service (choose one)",
"type" : "choice",
"enableWhen" : [
{
"question" : "CaseOnWarfarin",
"operator" : "=",
"answerCoding" : {
"system" : "http://snomed.info/sct",
"code" : "373066001",
"display" : "Yes (qualifier value)"
}
}
],
"required" : true,
"repeats" : false,
"answerOption" : [
{
"valueString" : "GP"
},
{
"valueString" : "Pharmacy"
},
{
"valueString" : "Hospital service"
},
{
"valueString" : "Patient"
},
{
"valueString" : "Whanau"
}
]
},
{
"linkId" : "MonitoringResultSource",
"prefix" : "3)",
"text" : "International normalised ratio (INR) monitoring result source (choose one)",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerOption" : [
{
"valueString" : "Patient"
},
{
"valueString" : "Parent"
},
{
"valueString" : "Éclair"
},
{
"valueString" : "GP"
},
{
"valueString" : "Pharmacy"
},
{
"valueString" : "INROnline"
},
{
"valueString" : "Other"
}
]
},
{
"linkId" : "FollowUpClinicalService",
"prefix" : "4)",
"text" : "Follow-up clinical service? (choose one)",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerOption" : [
{
"valueString" : "Specialist"
},
{
"valueString" : "GP"
},
{
"valueString" : "To be determined"
}
]
},
{
"linkId" : "PrescribingMethod",
"prefix" : "5)",
"text" : "Method of prescribing (choose one)",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerOption" : [
{
"valueString" : "Community Medication Authority"
},
{
"valueString" : "Standing Order (local)"
},
{
"valueString" : "Standing Order (national)"
},
{
"valueString" : "Individual prescription"
}
]
}
]
}