Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.5 - release New Zealand flag

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Questionnaire: Question Template for COVID-19 Regular Health Check

Official URL: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/COVIDRegularHealthCheckQuestionnaire Version: 0.4.5
Draft as of 2023-07-19 Computable Name: COVIDRegularHealthCheckQuestionnaire
Other Identifiers: COVIDRegularHealthCheckQuestionnaire (use: official, period: 7/19/23 --> (ongoing)), QuestionTemplate-CitC-COVID19-RegularHealthCheck (use: temp, period: 9/12/22 --> 7/19/23)

Usage:Workflow Setting: 

Gather the status of a patient who is self isolating

Template for the description of a phone or online video health check to gather the status of a set of conditions for a patient who is self isolating.

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. COVIDRegularHealthCheckQuestionnaireGather the status of a patient who is self isolatingQuestionnairehttps://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/COVIDRegularHealthCheckQuestionnaire#0.4.5
... 11.. Symptoms - Pay attention to the signs of talking with single words or short sentences, pausing to catch their breath, noisy breathing, persistent coughing, etc.0..1groupValue Set:
.... 1.11.1.. Fever chills (feeling hot and cold)1..1booleanValue Set:
Initial Value: boolean = false
.... 1.21.2.. Cough1..1booleanValue Set:
Initial Value: boolean = false
.... 1.31.3.. Runny nose1..1booleanValue Set:
Initial Value: boolean = false
.... 1.41.4.. Headache1..1booleanValue Set:
Initial Value: boolean = false
.... 1.51.5.. Joint pain1..1booleanValue Set:
Initial Value: boolean = false
.... 1.61.6.. Diarrhoea1..1booleanValue Set:
Initial Value: boolean = false
.... 1.71.7.. Nausea / Vomiting1..1booleanValue Set:
Initial Value: boolean = false
.... 1.81.8.. Shortness of breath1..1booleanValue Set:
Initial Value: boolean = false
.... 1.8.11.8.1.. While at rest?1..1booleanEnable When: 1.8 = true
Value Set:
Initial Value: boolean = false
.... 1.8.21.8.2.. New SOB on exertion?1..1booleanEnable When: 1.8 = true
Value Set:
Initial Value: boolean = false
.... 1.8.31.8.3.. Sudden onset of SOB? (with or without chest pain)1..1booleanEnable When: 1.8 = true
Value Set:
Initial Value: boolean = false
.... 1.8.41.8.4.. Able to speak in full sentences?1..1booleanEnable When: 1.8 = true
Value Set:
Initial Value: boolean = false
.... 1.8.51.8.5.. Assessment?1..1choiceEnable When: 1.8 = true
Value Set:
Options: 3 options
.... 1.8.61.8.6.. Further details/what could you do yesterday that you can't do today?0..1stringEnable When: 1.8 = true
Value Set:
.... 1.91.9.. Sore throat1..1booleanValue Set:
Initial Value: boolean = false
.... 1.101.10.. Loss of sense of smell / taste1..1booleanValue Set:
Initial Value: boolean = false
.... 1.111.11.. Chest pain1..1booleanValue Set:
Initial Value: boolean = false
.... 1.121.12.. Muscular pain (Myalgia)1..1booleanValue Set:
Initial Value: boolean = false
.... 1.131.13.. Abdominal pain1..1booleanValue Set:
Initial Value: boolean = false
.... 1.141.14.. Any light headedness on standing?1..1booleanValue Set:
Initial Value: boolean = false
.... 1.151.15.. Concentrated urine?1..1booleanValue Set:
Initial Value: boolean = false
.... 1.161.16.. Other COVID related symptoms0..1stringValue Set:
... 22.. Further Details0..1groupValue Set:
.... 2.12.1.. How are you feeling today compared to yesterday?1..1choiceValue Set:
Options: 3 options
.... 2.22.2.. Do you have any health concerns?1..1booleanValue Set:
Initial Value: boolean = false
.... 2.32.3.. Have you been eating / sleeping well?1..1booleanValue Set:
Initial Value: boolean = true
.... 2.42.4.. Please provide further eating / sleeping details0..1stringValue Set:
.... 2.52.5.. Have you left the room without your mask or has anyone outside your bubble visited your room?1..1booleanValue Set:
Initial Value: boolean = false
.... 2.62.6.. Please provide further details regarding whether you had visitors in your room / bubble0..1stringValue Set:
... 33.. Vital Signs0..1groupValue Set:
.... 3.13.1.. Temperature (°C)1..1decimalValue Set:
.... 3.23.2.. Heart Rate (BPM)1..1integerValue Set:
.... 3.33.3.. BP (Systolic) (mmHg)1..1integerValue Set:
.... 3.43.4.. BP (Diastolic) (mmHg)1..1integerValue Set:
.... 3.53.5.. Oxygen Saturation, SpO2 (%)0..1integerValue Set:
.... 3.63.6.. Respiration (RPM)0..1integerValue Set:
.... 3.73.7.. Other vital signs0..1stringValue Set:
.... 3.83.8.. Mood (/10)0..1integerValue Set:
.... 4.14.1.. Acuity Rating1..1choiceValue Set:
Options: 6 options
.... 4.24.2.. Regular health check note0..1stringValue Set:
.... 4.34.3.. Care Management Plan1..1choiceValue Set:
Options: 2 options

doco Documentation for this format

Options Sets

Answer options for 1.8.5

  • Same
  • Better
  • Worse

Answer options for 2.1

  • Same
  • Better
  • Worse

Answer options for 4.1

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

Answer options for 4.3

  • Self Management
  • Active Management