New Zealand Rheumatic Fever FHIR Implementation Guide
1.0.0 - draft
New Zealand Rheumatic Fever FHIR Implementation Guide, published by Te Whatu Ora. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/tewhatuora/fhir-rheumatic-fever/ and changes regularly. See the Directory of published versions
Draft as of 2023-11-10 |
<Questionnaire xmlns="http://hl7.org/fhir">
<id value="MedicationsAndFollowUpGuidanceQuestionnaire"/>
<url
value="https://fhir-ig.digital.health.nz/rheumatic-fever/Questionnaire/MedicationsAndFollowUpGuidanceQuestionnaire"/>
<identifier>
<use value="official"/>
<value value="MedicationsAndFollowUpGuidanceQuestionnaire"/>
<period>
<start value="2023-10-16"/>
</period>
</identifier>
<version value="1.0.0"/>
<name value="MedicationsAndFollowUpGuidanceQuestionnaire"/>
<title value="Medications and Follow-up Guidance Questionnaire"/>
<status value="draft"/>
<experimental value="false"/>
<subjectType value="Patient"/>
<date value="2023-11-10"/>
<publisher value="Te Whatu Ora"/>
<contact>
<name value="Te Whatu Ora"/>
<telecom>
<system value="url"/>
<value value="https://www.tewhatuora.govt.nz/"/>
</telecom>
<telecom>
<system value="email"/>
<value value="integration@tewhatuora.govt.nz"/>
</telecom>
</contact>
<contact>
<name value="HNZ Integration Team"/>
<telecom>
<system value="email"/>
<value value="integration@tewhatuora.govt.nz"/>
<use value="work"/>
</telecom>
</contact>
<description
value="Gathers information in secondary prophylaxis planning which guides subsequent medication appointments and follow-up"/>
<purpose
value="Gathers information in secondary prophylaxis planning which guides subsequent medication appointments and follow-up"/>
<item>
<linkId value="page1"/>
<prefix value="page1"/>
<text
value="Please complete this questionnaire to guide practitioners carrying out rheumatic fever secondary prophylaxis."/>
<type value="display"/>
</item>
<item>
<linkId value="SourceOfOralMedications"/>
<prefix value="1)"/>
<text value="Source of oral medications? (choose one)"/>
<type value="choice"/>
<required value="true"/>
<repeats value="false"/>
<answerOption>
<valueString value="GP prescription"/>
</answerOption>
<answerOption>
<valueString value="3 monthly visit from a nurse"/>
</answerOption>
<answerOption>
<valueString value="Monthly visit from a nurse"/>
</answerOption>
<answerOption>
<valueString value="Pick-up from a pharmacy"/>
</answerOption>
<answerOption>
<valueString value="Other"/>
</answerOption>
</item>
<item>
<linkId value="CaseOnWarfarin"/>
<prefix value="2)"/>
<text value="Case on warfarin? (Yes/No/Unknown)"/>
<type value="choice"/>
<required value="true"/>
<repeats value="false"/>
<answerValueSet
value="https://fhir-ig.digital.health.nz/rheumatic-fever/ValueSet/nz-questionnaireresponse-qualifiedyesno-code"/>
</item>
<item>
<linkId value="WarfarinSupervisionService"/>
<prefix value="2.1)"/>
<text value="Warfarin supervision service (choose one)"/>
<type value="choice"/>
<enableWhen>
<question value="CaseOnWarfarin"/>
<operator value="="/>
<answerCoding>
<system value="http://snomed.info/sct"/>
<code value="373066001"/>
<display value="Yes (qualifier value)"/>
</answerCoding>
</enableWhen>
<required value="true"/>
<repeats value="false"/>
<answerOption>
<valueString value="GP"/>
</answerOption>
<answerOption>
<valueString value="Pharmacy"/>
</answerOption>
<answerOption>
<valueString value="Hospital service"/>
</answerOption>
<answerOption>
<valueString value="Patient"/>
</answerOption>
<answerOption>
<valueString value="Whanau"/>
</answerOption>
</item>
<item>
<linkId value="MonitoringResultSource"/>
<prefix value="3)"/>
<text
value="International normalised ratio (INR) monitoring result source (choose one)"/>
<type value="choice"/>
<required value="true"/>
<repeats value="false"/>
<answerOption>
<valueString value="Patient"/>
</answerOption>
<answerOption>
<valueString value="Parent"/>
</answerOption>
<answerOption>
<valueString value="Éclair"/>
</answerOption>
<answerOption>
<valueString value="GP"/>
</answerOption>
<answerOption>
<valueString value="Pharmacy"/>
</answerOption>
<answerOption>
<valueString value="INROnline"/>
</answerOption>
<answerOption>
<valueString value="Other"/>
</answerOption>
</item>
<item>
<linkId value="FollowUpClinicalService"/>
<prefix value="4)"/>
<text value="Follow-up clinical service? (choose one)"/>
<type value="choice"/>
<required value="true"/>
<repeats value="false"/>
<answerOption>
<valueString value="Specialist"/>
</answerOption>
<answerOption>
<valueString value="GP"/>
</answerOption>
<answerOption>
<valueString value="To be determined"/>
</answerOption>
</item>
<item>
<linkId value="PrescribingMethod"/>
<prefix value="5)"/>
<text value="Method of prescribing (choose one)"/>
<type value="choice"/>
<required value="true"/>
<repeats value="false"/>
<answerOption>
<valueString value="Community Medication Authority"/>
</answerOption>
<answerOption>
<valueString value="Standing Order (local)"/>
</answerOption>
<answerOption>
<valueString value="Standing Order (national)"/>
</answerOption>
<answerOption>
<valueString value="Individual prescription"/>
</answerOption>
</item>
</Questionnaire>