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: Private Colposcopy Visit Summary Questionnaire

Official URL: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/PrivateColposcopyVisitQuestionnaire Version: 0.1.1
Draft as of 2025-01-07 Computable Name: PrivateColposcopyVisitQuestionnaire
Other Identifiers: PrivateColposcopyVisitQuestionnaire (use: official, )

Usage:Workflow Setting: 

To gather the Visit details of Private Colposcopy procedure.

Generated Narrative: Questionnaire PrivateColposcopyVisitQuestionnaire

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. PrivateColposcopyVisitQuestionnaireQuestionnairehttps://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/PrivateColposcopyVisitQuestionnaire#0.1.1
... p01-ClinicInformationpage 01. Clinic Information0..1group
.... p01-q01-ClinicNamepage 01 question 1. Colposcopy HPI facility ID0..1reference
... p02-VisitInformationpage 02. Colposcopy Visit0..1group
.... p02-q01-VisitDatepage 02 question 1. Date of Visit1..1date
.... p02-q02-AdmissionTypepage 02 question 2. Admission Type1..1choiceOptions: 3 options
.... p02-q03-ColposcopyPerformedpage 02 question 3. Colposcopy Performed1..1boolean
.... p02-q04-ColposcopySitepage 02 question 4. Colposcopy Site1..1choiceOptions: 4 options
.... p02-q05-ColposcopySiteOtherpage 02 question 5. Please describe the Alternative Site1..1textEnable When: p02-q04-ColposcopySite =
.... p02-q06-ResultsDiscussedpage 02 question 6. Review / Results Discussed?1..1boolean
.... p02-q07-ArrangedTreatmentpage 02 question 7. Arranged Treatment?1..1boolean
... p03-ColposcopyFindingspage 03. Colposcopy Findings0..1group
.... p03-q01-HysterectomyStatuspage 03 question 1. Patient has total hysterectomy?1..1boolean
.... p03-q02-SquamocolumnarJunctionpage 03 question 2. Squamocolumnar junction visible1..1choiceEnable When: p03-q01-HysterectomyStatus =
Options: 3 options
.... p03-q03-TransformationZonepage 03 question 3. Transformation Zone type1..1choiceEnable When: p03-q01-HysterectomyStatus =
Options: 3 options
.... p03-q04-LesionPresentpage 03 question 4. Lesion Present1..1choiceOptions: 3 options
.... p03-q05-QuandrantsInvolvedpage 03 question 5. Number of Quadrants Involved1..1choiceEnable When: p03-q04-LesionPresent =
Options: 4 options
.... p03-q06-ColposcopicAppearancepage 03 question 6. Colposcopic appearance1..1choiceOptions: 3 options
.... p03-q07-LesionVisiblepage 03 question 7. Limits of Lesion Visible1..1booleanEnable When: p03-q04-LesionPresent =
.... p03-q08-AbnormalityGradepage 03 question 8. Predicted Grade of Abnormality1..1choiceEnable When: p03-q06-ColposcopicAppearance =
Options: 5 options
... p04-ActionsTakenpage 04. Actions Taken0..1group
.... p04-q01-CervicalSamplepage 04 question 1. Cervical / vaginal sample1..1choiceOptions: 4 options
.... p04-q02-PunchBiopsypage 04 question 2. Punch biopsy1..1boolean
.... p04-q03-BiopsySitepage 04 question 3. Site of Biopsy(s)1..1textEnable When: p04-q02-PunchBiopsy =
.... p04-q04-BiopsyReasonpage 04 question 4. Reason for not taking biopsy(s)1..1choiceEnable When: p04-q02-PunchBiopsy =
Options: 4 options
.... p04-q05-BiopsyReasonOtherpage 04 question 5. Other Reason for biopsy not taken1..1textEnable When: p04-q04-BiopsyReason =
.... p04-q06-TreatmentTakenpage 04 question 6. Treatment this visit1..1boolean
.... p04-q07-TreatmentTypepage 04 question 7. Type of treatment1..1choiceEnable When: p04-q06-TreatmentTaken =
Options: 8 options
.... p04-q08-AnaesthesiaUsedpage 04 question 8. Local or general anaesthesia used1..1choiceOptions: 3 options
.... p04-q09-AnaesthesiaReasonpage 04 question 9. Reason for General Anasthesia1..1textEnable When: p04-q08-AnaesthesiaUsed =
..... p04-q09.1-AnaesthesiaReasonHelpTextpage 04 question 9.1. This information is required as 80% of anaesthesia should be local0..1display
... p05-DataRecievedpage 05. Data Recieved0..1group
.... p05-q01-HistologyReportpage 05 question 1. Date histology specimen report received0..1date
.... p05-q02-DecisionDatepage 05 question 2. Decision to treat date0..1date
.... p05-q03-InformParticipantDatepage 05 question 3. Date participant informed0..1date
.... p05-q04-FollowupRecommendedpage 05 question 4. Follow-up management at colposcopy recommended0..1boolean
.... p05-q05-NextVisitpage 05 question 5. Next visit recommended in (months1..1choiceEnable When: p05-q04-FollowupRecommended =
Options: 15 options

doco Documentation for this format

Options Sets

Answer options for p02-q02-AdmissionType

  • null#O ("Outpatient")
  • null#D ("Day Patient")
  • null#I ("Inpatient")

Answer options for p02-q04-ColposcopySite

  • null#R ("Cervical")
  • null#V ("Vaginal")
  • null#B ("Both Cervical and Vaginal")
  • null#null ("Other")

Answer options for p03-q02-SquamocolumnarJunction

  • null#COMPL ("Completely")
  • null#PART ("Partially")
  • null#NVIS ("Not Visible")

Answer options for p03-q03-TransformationZone

  • null#COMPL ("Completely")
  • null#PART ("Partially")
  • null#NVIS ("Not Visible")

Answer options for p03-q04-LesionPresent

  • null#Y ("Yes")
  • null#N ("No")
  • null#null ("Inconclusive")

Answer options for p03-q05-QuandrantsInvolved

  • null#null ("1")
  • null#null ("2")
  • null#null ("3")
  • null#null ("4")

Answer options for p03-q06-ColposcopicAppearance

  • null#NRML ("Normal")
  • null#ABML ("Abnormal")
  • null#INCON ("Inconclusive")

Answer options for p03-q08-AbnormalityGrade

  • null#Low-Grade Squamous ("Low-Grade Squamous")
  • null#ABML ("High-Grade Squamous")
  • null#INCON ("Glandular (AIS)")
  • null#INCON ("Micro-invasive cancer")
  • null#INCON ("Invasive cancer (squamous/glandular)")

Answer options for p04-q01-CervicalSample

  • null#RPT ("Cervical / Vaginal Smear")
  • null#HPV ("HPV test")
  • null#null ("Neither")
  • null#null ("Both")

Answer options for p04-q04-BiopsyReason

  • null#null ("Declined")
  • null#null ("Pregnant")
  • null#null ("Discarded as inadequate")
  • null#null ("Other")

Answer options for p04-q07-TreatmentType

  • null#ELCT ("Wireloop excisional procedure")
  • null#LASA ("Laser ablation")
  • null#null ("Ablation by means other than laser")
  • null#CKNF ("Cold knife cone biopsy cervix")
  • null#DIC ("Diathermy cone")
  • null#LASE ("Laser cone")
  • null#HYST ("Total hysterectomy")
  • null#SUBH ("Sub-total hysterectomy")

Answer options for p04-q08-AnaesthesiaUsed

  • null#GEN ("General")
  • null#LOCAL ("Local")
  • null#NA ("N/A")

Answer options for p05-q05-NextVisit

  • null#7D ("7 Days")
  • null#2W ("2 Weeks")
  • null#6W ("6 Weeks")
  • null#1M ("1 Month")
  • null#2M ("2 Months")
  • null#3M ("3 Months")
  • null#4M ("4 Months")
  • null#5M ("5 Months")
  • null#6M ("6 Months")
  • null#7M ("7 Months")
  • null#9M ("9 Months")
  • null#12M ("12 Months")
  • null#18M ("18 Months")
  • null#36M ("36 Months")
  • null#60M ("60 Months")