DEPRECATED Te Whatu Ora Shared Care FHIR API - see https://fhir-ig.digital.health.nz/shared-care
0.4.0 - release
DEPRECATED Te Whatu Ora Shared Care FHIR API - see https://fhir-ig.digital.health.nz/shared-care, published by Te Whatu Ora. This guide is not an authorized publication; it is the continuous build for version 0.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/tewhatuora/cinc-fhir-ig/ and changes regularly. See the Directory of published versions
Generated Narrative: QuestionnaireResponse ActiveMonitoringDay3SurveyQuestionnaireResponse
version: versionId: id (PrimitiveType/QuestionnaireResponse.meta.versionId): element = id -> versionId=id[1]; Last updated: 2024-04-21 22:07:18+0000
LinkID | Text | Definition | Answer |
---|---|---|---|
![]() ![]() | Questionnaire:Post Vaccine Symptom Check day 3 survey | ||
![]() ![]() ![]() | This is the first of two surveys about your experience with receiving your vaccine. This survey will take approximately five minutes to complete. You will be asked about any reactions you had after your vaccination(s). If you did not have any there is also a section at the end for you to comment on any other parts of your vaccination experience. Your responses are important and will help contribute to the safety monitoring of vaccines in New Zealand. The information you provide is confidential and is protected by the Privacy Act 2020 and data security safeguards. Please remember this is a survey only, your answers will not result in a medical response to your situation. If you have any concerns about your health after your vaccination, call Healthline at 0800 611 116 or speak to your healthcare professional. If you experience any of the following symptoms, you should seek medical help urgently and tell them about your vaccinations: tightness, heaviness, discomfort, pressure or pain in your chest or neck difficulty breathing or catching your breath feeling faint, dizzy, or light-headed fluttering, racing, or pounding heart, or feeling like it’s ‘skipping beats’ | Immunization/452fb7d0-8d3d-4534-a147-25560206edc2 | |
![]() ![]() ![]() | Screening | ||
![]() ![]() ![]() ![]() | Please confirm the vaccine(s) that you or your dependent (e.g., child) received 3 days ago | [not stated] : Only flu vaccine | |
![]() ![]() ![]() ![]() | We would like to confirm your answer to the invitation text message. Did you experience any side effects after vaccination? | [not stated] : Yes | |
![]() ![]() ![]() ![]() | |||
![]() ![]() ![]() ![]() ![]() | Who received the vaccine? | [not stated] : Myself | |
![]() ![]() ![]() ![]() ![]() | Where did you/they go to receive your/their vaccination? | [not stated] : Community vaccination centre | |
![]() ![]() ![]() ![]() ![]() | Were you/they pregnant/Hapu at the time of your/their vaccination? | false | |
![]() ![]() ![]() | Early onset reactions | ||
![]() ![]() ![]() ![]() | Did you/they experience any of the following after vaccination? (choose all that apply) | [not stated] : None of the above | |
![]() ![]() ![]() | Reactions | ||
![]() ![]() ![]() ![]() | Please choose all the reactions that you/they experienced, and if yes describe, on a scale from Minor, Mild, Moderate, Serious, to Severe. For your rating take into account levels of pain, how long symptoms lasted and impact on daily life. | ||
![]() ![]() ![]() ![]() | Injection site reaction (pain, redness, swelling, or itching at or near the injection site) | false | |
![]() ![]() ![]() ![]() | Fever (a temperature of 38°C or higher) | false | |
![]() ![]() ![]() ![]() | Swelling of glands (i.e., lymph nodes) | false | |
![]() ![]() ![]() ![]() | Chills, shivering, or cold sweats | false | |
![]() ![]() ![]() ![]() | Headaches | false | |
![]() ![]() ![]() ![]() | Rash (not at the injection site) | false | |
![]() ![]() ![]() ![]() | Aches and pains | false | |
![]() ![]() ![]() ![]() | Stomach symptoms (nausea, vomiting, diarrhoea, abdominal pain or loss of appetite) | false | |
![]() ![]() ![]() ![]() | Fatigue or tiredness | false | |
![]() ![]() ![]() ![]() | Chest symptoms (chest pain/heaviness/tightness or heart palpitations/pounding/racing) | false | |
![]() ![]() ![]() ![]() | Difficulty breathing | false | |
![]() ![]() ![]() ![]() | Dizziness or feeling lightheaded | false | |
![]() ![]() ![]() ![]() | Did you/they experience any symptoms that were not listed above? | false | |
![]() ![]() ![]() | Impact on daily activities | ||
![]() ![]() ![]() ![]() | Did any of the symptoms that you/they reported cause you/them to miss work, study, or normal daily activities? | true | |
![]() ![]() ![]() ![]() | How many days did you miss? | [not stated] : Less than 1 day | |
![]() ![]() ![]() | Medical advice/care sought | ||
![]() ![]() ![]() ![]() | Did any of the symptoms cause you/them to seek advice or care from a healthcare professional? | true | |
![]() ![]() ![]() ![]() | Please choose the type of advice or care you/they sought. Please choose all that apply | ||
![]() ![]() ![]() | Vaccination experience | ||
![]() ![]() ![]() ![]() | How would you/they rate the overall experience at the vaccination site? For your rating take into account informed consent process, staff helpfulness, vaccination site cleanliness etc. | [not stated] : Average | |
![]() ![]() ![]() ![]() | Do you/they have any comments about your/their vaccine experience? | true | |
![]() ![]() ![]() ![]() | Please explain | ASsA | |
![]() ![]() ![]() | Thank you for completing the Day 3 post vaccine survey, your answers have been submitted. You will receive your next survey 42 days after your vaccination. The data collected by these surveys will be made available online on the Health NZ website. Survey data provided online are not identifiable and individual responses are confidential. | ||