DHORespiratoryPhysiologyPaediatricOSASScreeningQuestionnaire
type: Questionnaire
node role: treeRoot
id:
  v: DHORespiratoryPhysiologyPaediatricOSASScreeningQuestionnaire
text:
  status:
    v: extensions
  div: Generated Narrative: Questionnaire DHORespiratoryPhysiologyPaediatricOSASScreeningQuestionnaire Structure LinkID Text Cardinality Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> DHORespiratoryPhysiologyPaediatricOSASScreeningQuestionnaire A Respiratory Physiology Paediatric OSAS Screening Questionnaire. Questionnaire https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHORespiratoryPhysiologyPaediatricOSASScreeningQuestionnaire#1.0 #xD; patientformcomplete Patient Details 0..1 group #xD; surname_11 Surname 1..1 string #xD; fullname_12 Full Name 1..1 string #xD; nhinumber_13 NHI number 1..1 string #xD; dob_14 DOB 1..1 date #xD; sex_15 Sex 1..1 choice Options: 2 options #xD; caregivername Caregiver Name 1..1 string #xD; answeronbehalf Please answer on behalf of your child for the past month. 0..1 group #xD; options_31 Does your child have any of the following: 0..1 group #xD; runnynose A constant blocked or runny nose? 1..1 choice Options: 3 options #xD; chestinfections Recurrent chest infections/pneumonia? 1..1 choice Options: 3 options #xD; airwaynrrowing An airway narrowing or abnormality? 1..1 choice Options: 3 options #xD; syndromemajor A syndrome or other major health problem? 1..1 choice Options: 3 options #xD; type_01 Type 1..1 text Enable When: syndromemajor = #xD; tonsils Does your child have large tonsils? 1..1 choice Options: 3 options #xD; tonsilsremoved Has your child had their adenoids or tonsils removed? 1..1 choice Options: 3 options #xD; whilesleeping While sleeping, does your child 0..1 group #xD; snore_22 snore more than half the time? 1..1 choice Options: 3 options #xD; alwayssnore always snore? 1..1 choice Options: 3 options #xD; snoreloundly snore loudly? 1..1 choice Options: 3 options #xD; troublebreathing have trouble breathing, or struggle to breathe? 1..1 choice Options: 3 options #xD; loudbreathing have "heavy" or loud breathing? 1..1 choice Options: 3 options #xD; stopbreathingni…
url:
  v: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHORespiratoryPhysiologyPaediatricOSASScreeningQuestionnaire
identifier:
  use:
    v: official
  value:
    v: DHORespiratoryPhysiologyPaediatricOSASScreeningQuestionnaire
version:
  v: 1.0
name:
  v: DHORespiratoryPhysiologyPaediatricOSASScreeningQuestionnaire
title:
  v: Respiratory Physiology Paediatric OSAS Screening Questionnaire
status:
  v: active
date:
  v: 2026-04-29T05:50:51+00:00
publisher:
  v: Te Whatu Ora
contact:
  name:
    v: Te Whatu Ora
  telecom:
    system:
      v: url
    value:
      v: https://www.tewhatuora.govt.nz/
contact:
  name:
    v: Te Whatu Ora Integration Team
  telecom:
    system:
      v: email
    use:
      v: work
description:
  v: A Respiratory Physiology Paediatric OSAS Screening Questionnaire.
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
    code:
      v: NZ
    display:
      v: New Zealand
item:
  link id:
    v: patientformcomplete
  text:
    v: Patient Details
  type:
    v: group
  item:
    link id:
      v: surname_11
    text:
      v: Surname
    type:
      v: string
    required:
      v: true
  item:
    link id:
      v: fullname_12
    text:
      v: Full Name
    type:
      v: string
    required:
      v: true
  item:
    link id:
      v: nhinumber_13
    text:
      v: NHI number
    type:
      v: string
    required:
      v: true
  item:
    link id:
      v: dob_14
    text:
      v: DOB
    type:
      v: date
    required:
      v: true
  item:
    link id:
      v: sex_15
    text:
      v: Sex
    type:
      v: choice
    required:
      v: true
    answer option:
      value: Coding
    answer option:
      value: Coding
  item:
    link id:
      v: caregivername
    text:
      v: Caregiver Name
    type:
      v: string
    required:
      v: true
item:
  link id:
    v: answeronbehalf
  text:
    v: Please answer on behalf of your child for the past month.
  type:
    v: group
  item:
    link id:
      v: options_31
    text:
      v: Does your child have any of the following:
    type:
      v: group
    item:
      link id:
        v: runnynose
      text:
        v: A constant blocked or runny nose?
      type:
        v: choice
      required:
        v: true
      answer option:
        value: Coding
      answer option:
        value: Coding
      answer option:
        value: Coding
    item:
      link id:
        v: chestinfections
      text:
        v: Recurrent chest infections/pneumonia?
      type:
        v: choice
      required:
        v: true
      answer option:
        value: Coding
      answer option:
        value: Coding
      answer option:
        value: Coding
    item:
      link id:
        v: airwaynrrowing
      text:
        v: An airway narrowing or abnormality?
      type:
        v: choice
      required:
        v: true
      answer option:
        value: Coding
      answer option:
        value: Coding
      answer option:
        value: Coding
    item:
      link id:
        v: syndromemajor
      text:
        v: A syndrome or other major health problem?
      type:
        v: choice
      required:
        v: true
      answer option:
        value: Coding
      answer option:
        value: Coding
      answer option:
        value: Coding
    item:
      link id:
        v: tonsils
      text:
        v: Does your child have large tonsils?
      type:
        v: choice
      required:
        v: true
      answer option:
        value: Coding

v: male

v: Male

v: female

v: Female

Coding
system:
  v: https://fhir-ig.digital.health.nz/cs/osas
code:
  v: yes
display:
  v: Yes

Coding
system:
  v: https://fhir-ig.digital.health.nz/cs/osas
code:
  v: no
display:
  v: No

Coding
system:
  v: https://fhir-ig.digital.health.nz/cs/osas
code:
  v: unknown
display:
  v: Unknown

Coding
system:
  v: https://fhir-ig.digital.health.nz/cs/osas
code:
  v: yes
display:
  v: Yes

Coding
system:
  v: https://fhir-ig.digital.health.nz/cs/osas
code:
  v: no
display:
  v: No

Coding
system:
  v: https://fhir-ig.digital.health.nz/cs/osas
code:
  v: unknown
display:
  v: Unknown

Coding
system:
  v: https://fhir-ig.digital.health.nz/cs/osas
code:
  v: yes
display:
  v: Yes

Coding
system:
  v: https://fhir-ig.digital.health.nz/cs/osas
code:
  v: no
display:
  v: No

Coding
system:
  v: https://fhir-ig.digital.health.nz/cs/osas
code:
  v: unknown
display:
  v: Unknown

Coding
system:
  v: https://fhir-ig.digital.health.nz/cs/osas
code:
  v: yes
display:
  v: Yes

Coding
system:
  v: https://fhir-ig.digital.health.nz/cs/osas
code:
  v: no
display:
  v: No

Coding
system:
  v: https://fhir-ig.digital.health.nz/cs/osas
code:
  v: unknown
display:
  v: Unknown

v: type_01

v: Type

v: text

question:
  v: syndromemajor
operator:
  v: =
answer: Coding
  system:
    v: https://fhir-ig.digital.health.nz/cs/osas
  code:
    v: yes
  display:
    v: Yes

v: true

Coding
system:
  v: https://fhir-ig.digital.health.nz/cs/osas
code:
  v: yes
display:
  v: Yes

value: Coding
  system:
    v: https://fhir-ig.digital.health.nz/cs/osas
  code:
    v: no
  display:
    v: No

value: Coding
  system:
    v: https://fhir-ig.digital.health.nz/cs/osas
  code:
    v: unknown
  display:
    v: Unknown

link id:
  v: tonsilsremoved
text:
  v: Has your child had their adenoids or tonsils removed?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    system:
      v: https://fhir-ig.digital.health.nz/cs/osas
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    system:
      v: https://fhir-ig.digital.health.nz/cs/osas
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    system:
      v: https://fhir-ig.digital.health.nz/cs/osas
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: whilesleeping
text:
  v: While sleeping, does your child
type:
  v: group
item:
  link id:
    v: snore_22
  text:
    v: snore more than half the time?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: unknown
      display:
        v: Unknown
item:
  link id:
    v: alwayssnore
  text:
    v: always snore?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: unknown
      display:
        v: Unknown
item:
  link id:
    v: snoreloundly
  text:
    v: snore loudly?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: unknown
      display:
        v: Unknown
item:
  link id:
    v: troublebreathing
  text:
    v: have trouble breathing, or struggle to breathe?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: unknown
      display:
        v: Unknown
item:
  link id:
    v: loudbreathing
  text:
    v: have "heavy" or loud breathing?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: unknown
      display:
        v: Unknown
item:
  link id:
    v: stopbreathingnight
  text:
    v: Have you ever seen your child stop breathing during the night?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: unknown
      display:
        v: Unknown

link id:
  v: followingoptions
text:
  v: Does your child have the following
type:
  v: group
item:
  link id:
    v: breathethroughmouth
  text:
    v: tend to breathe through the mouth during the day?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: unknown
      display:
        v: Unknown
item:
  link id:
    v: wetthebed
  text:
    v: occasionally wet the bed?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: unknown
      display:
        v: Unknown
item:
  link id:
    v: unrefreshedmorning
  text:
    v: wake up feeling unrefreshed in the morning?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: unknown
      display:
        v: Unknown
item:
  link id:
    v: sleepinessduringday
  text:
    v: have a problem with sleepiness during the day?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: unknown
      display:
        v: Unknown
item:
  link id:
    v: sleepyatnight
  text:
    v: Has a teacher commented that your child appears sleepy during the day?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: unknown
      display:
        v: Unknown
item:
  link id:
    v: hardtowakeup
  text:
    v: Is it hard to wake your child up in the morning?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: unknown
      display:
        v: Unknown

link id:
  v: headachesinthemorning
text:
  v: Does your child wake up with headaches in the morning?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    system:
      v: https://fhir-ig.digital.health.nz/cs/osas
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    system:
      v: https://fhir-ig.digital.health.nz/cs/osas
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    system:
      v: https://fhir-ig.digital.health.nz/cs/osas
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: stopgrowing
text:
  v: Did your child stop growing at a normal rate at any time since birth?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    system:
      v: https://fhir-ig.digital.health.nz/cs/osas
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    system:
      v: https://fhir-ig.digital.health.nz/cs/osas
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    system:
      v: https://fhir-ig.digital.health.nz/cs/osas
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: childoverweight
text:
  v: Is your child overweight?
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    system:
      v: https://fhir-ig.digital.health.nz/cs/osas
    code:
      v: yes
    display:
      v: Yes
answer option:
  value: Coding
    system:
      v: https://fhir-ig.digital.health.nz/cs/osas
    code:
      v: no
    display:
      v: No
answer option:
  value: Coding
    system:
      v: https://fhir-ig.digital.health.nz/cs/osas
    code:
      v: unknown
    display:
      v: Unknown

link id:
  v: childoftenhas
text:
  v: My child often
type:
  v: group
item:
  link id:
    v: listenissues
  text:
    v: does not seem to listen when spoken to directly.
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: unknown
      display:
        v: Unknown
item:
  link id:
    v: difficultyinorganizing
  text:
    v: has difficulty organizing task and activities.
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: unknown
      display:
        v: Unknown
item:
  link id:
    v: stimulieasily
  text:
    v: is easily distracted by extraneous stimuli.
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: unknown
      display:
        v: Unknown
item:
  link id:
    v: squirmsseat
  text:
    v: fidgets with hands or feet or squirms in seat.
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: unknown
      display:
        v: Unknown
item:
  link id:
    v: drivenbyamotor
  text:
    v: is 'on the go' or often acts as if 'driven by a motor'.
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: unknown
      display:
        v: Unknown
item:
  link id:
    v: intrudesother
  text:
    v: interrupts or intrudes on others (e.g. butts into conversations or games).
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: no
      display:
        v: No
  answer option:
    value: Coding
      system:
        v: https://fhir-ig.digital.health.nz/cs/osas
      code:
        v: unknown
      display:
        v: Unknown