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

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Questionnaire: Measles Daily Health Check

Official URL: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/MeaslesHealthCheckQuestionnaire Version: 0.4.0
Draft as of 2023-11-07 Computable Name: MeaslesHealthCheckQuestionnaire
Other Identifiers: MeaslesHealthCheckQuestionnaire (use: official, )

Usage:Workflow Setting: 

Te Whatu Ora survey of Symptoms, Context and Quarantine informations surrounding Measles Patients

Survey of Symptoms, Context and Quarantine informations surrounding Measles Patients

Generated Narrative: Questionnaire MeaslesHealthCheckQuestionnaire

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. MeaslesHealthCheckQuestionnaireTe Whatu Ora survey of Symptoms, Context and Quarantine informations surrounding Measles PatientsQuestionnairehttps://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/MeaslesHealthCheckQuestionnaire#0.4.0
... p00-MetaSourceEnvironmentSource environment0..1stringiconiconInitial Value: string = Placeholder
... p01-Introductionpage 1 . Please complete this health check form. If you feel very sick right now contact your doctor or Healthline on 0800 611 116 for medical help. If it is an emergency call 111 and tell them you have been in contact with someone with measles.0..1display
... p02page 2. Symptoms0..1group
.... p02-q01-Symptomspage 2 question 1. Do you currently have any measles symptoms? (required) For example: fever, red blotchy rash, cough, runny nose, sore red eyes.1..1boolean
.... p02-q01-1-Symptoms.Whichpage 2 question 1.1. What symptoms do you currently have? (required)1..*choiceEnable When: p02-q01-Symptoms =
Options: 6 options
.... p02-q01-1-1-Symptoms.RashFeverpage 2 question 1.1.1. Did you have a fever when you first noticed the rash? (required)1..1booleanEnable When: p02-q01-1-Symptoms.Which =
.... p02-q01-1-2--Symptoms.RashWhenpage 2 question 1.1.2. When did the rash appear? (required)1..1dateEnable When: p02-q01-1-Symptoms.Which =
.... p02-q01-1-3-4-Symptoms.RashWhereSpreadpage 2 question 1.1.3. Where on your body did the rash start? If the rash has spread, provide details of where it has spread to? (required)1..1textEnable When: p02-q01-1-Symptoms.Which =
.... p02-q01-1-5-Symptoms.Which.Otherpage 2 question 1.1.4. Provide details of your other symptoms: (required)1..1textEnable When: p02-q01-1-Symptoms.Which =
.... p02-q01-2-Symptoms.Worsenedpage 2 question 1.2. Have any of your symptoms worsened since your last health check? (required)1..1booleanEnable When: p02-q01-Symptoms =
.... p02-q01-2-1-Symptoms.Worsened.Detailspage 2 question 1.2.1. What are the details of your worsening symptoms? (required)1..1textEnable When: p02-q01-2-Symptoms.Worsened =
... p03page 3. Health Context0..1group
.... p03-q01-Contactpage 3 question 1. Do you know if you have had any contact with someone with measles since your last health check? (required)1..1choiceOptions: 3 options
... p04page 4. Quarantine0..1group
.... p04-q01-Visitorspage 4 question 1. We want to know if you've been around anyone who might not be immune to measles. Have you had any visitors or left where you're staying? (required)1..1text
.... p04-q02-Quarantinepage 4 question 2. Do you need any help to continue to quarantine? (required)1..1boolean
.... p04-q03-1-Quarantine.Helppage 4 question 3. Please tell us what help you need: (required)1..1textEnable When: p04-q02-Quarantine =
... p05page 5. Thank you for completing the daily heath check.0..1group
.... p05-Containerpage 5 container. null0..1group
..... p05-Rememberpage 5 q01. Remember, if you feel very sick right now contact your doctor or Healthline on 0800 611 116 for medical help. If it is an emergency call 111.0..1display
..... p05-Healthlinepage 5 q02. Healthline is available 24 hours a day, 7 days a week if you need them. If you need to see your GP or doctor in person, always call before leaving your home to tell them you have been in contact with measles.0..1display
..... p05-Closepage 5 q03. You may now close this page.0..1display

doco Documentation for this format

Options Sets

Answer options for p02-q01-1-Symptoms.Which

  • null#Fever ("Fever ")
  • null#Red blotchy rash ("Red blotchy rash")
  • null#Cough ("Cough")
  • null#Runny nose ("Runny nose")
  • null#Sore red eyes ("Sore red eyes")
  • null#Other ("Other")

Answer options for p03-q01-Contact

  • null#Yes ("Yes")
  • null#No ("No")
  • null#I don't know ("I don't know")