FHIR IG analytics| Package | tewhatuora.rheumaticfever |
| Resource Type | Questionnaire |
| Id | Questionnaire-MedicationsAndFollowUpGuidanceQuestionnaire.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/tewhatuora/fhir-rheumatic-fever/Questionnaire-MedicationsAndFollowUpGuidanceQuestionnaire.html |
| URL | https://fhir-ig.digital.health.nz/rheumatic-fever/Questionnaire/MedicationsAndFollowUpGuidanceQuestionnaire |
| Version | 1.0.1 |
| Status | draft |
| Date | 2023-11-10 |
| Name | MedicationsAndFollowUpGuidanceQuestionnaire |
| Title | Medications and Follow-up Guidance Questionnaire |
| Authority | national |
| 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 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"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": "1.0.1",
"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"
}
]
},
{
"linkId": "ReasonOnOralSecondaryProphylaxis",
"prefix": "6)",
"text": "Reason on Oral Secondary Prophylaxis (choose one)",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "407563006",
"display": "Treatment not tolerated (situation)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "91936005",
"display": "Allergy to penicillin (finding)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "292954005",
"display": "Penicillin adverse reaction (disorder)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "724073007",
"display": "Declined by caregiver (qualifier value)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "182895007",
"display": "Drug declined by patient (situation)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "74964007",
"display": "Other"
}
}
]
}
]
}