FHIR IG analytics| Package | tewhatuora.rheumaticfever |
| Resource Type | Questionnaire |
| Id | Questionnaire-PatientMedicationAllergyQuestionnaire.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/tewhatuora/fhir-rheumatic-fever/Questionnaire-PatientMedicationAllergyQuestionnaire.html |
| URL | https://fhir-ig.digital.health.nz/rheumatic-fever/Questionnaire/PatientMedicationAllergyQuestionnaire |
| Version | 1.0.0 |
| Status | draft |
| Date | 2024-08-07 |
| Name | PatientMedicationAllergyQuestionnaire |
| Title | Secondary prophylaxis medication allergy questionnaire |
| Authority | national |
| Description | Describes any known patient allergies to medications used in rheumatic fever secondary prophylaxis |
| Purpose | Gathers information which is specific to rheumatic fever secondary prophylaxis treatment in New Zealand |
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{
"resourceType": "Questionnaire",
"id": "PatientMedicationAllergyQuestionnaire",
"url": "https://fhir-ig.digital.health.nz/rheumatic-fever/Questionnaire/PatientMedicationAllergyQuestionnaire",
"identifier": [
{
"use": "official",
"value": "PatientMedicationAllergyQuestionnaire",
"period": {
"start": "2023-10-16"
}
}
],
"version": "1.0.0",
"name": "PatientMedicationAllergyQuestionnaire",
"title": "Secondary prophylaxis medication allergy questionnaire",
"status": "draft",
"experimental": false,
"subjectType": [
"Patient"
],
"date": "2024-08-07",
"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": "Describes any known patient allergies to medications used in rheumatic fever secondary prophylaxis",
"purpose": "Gathers information which is specific to rheumatic fever secondary prophylaxis treatment in New Zealand",
"item": [
{
"linkId": "page1",
"prefix": "page1",
"text": "Please complete this questionnaire to record a patient's allergies to secondary prophylaxis medication.",
"type": "display"
},
{
"linkId": "MedicationAllergies",
"prefix": "1)",
"text": "Medication allergies? (Yes/No/Unknown)",
"type": "choice",
"required": true,
"repeats": false,
"answerValueSet": "https://fhir-ig.digital.health.nz/rheumatic-fever/ValueSet/nz-questionnaireresponse-qualifiedyesno-code",
"initial": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "261665006",
"display": "Unknown (qualifier value)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer",
"valueUrl": "https://nzhts.digital.health.nz/fhir"
}
],
"linkId": "AllergyDetails",
"prefix": "1.1",
"text": "If yes, select which substances apply",
"type": "choice",
"enableWhen": [
{
"question": "MedicationAllergies",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "373066001",
"display": "Yes (qualifier value)"
}
}
],
"required": true,
"repeats": true,
"answerValueSet": "https://fhir-ig.digital.health.nz/rheumatic-fever/ValueSet/rf-medicationallergy-code"
}
]
}