Name | Source | Ver | Description |
Aboriginal and Torres Strait Islander Health Check | csiro.fhir.au.smartforms#current | R4 | Aboriginal and Torres Strait Islander Health Check assessment form. |
Aboriginal and Torres Strait Islander Health Check - About The Health Check | csiro.fhir.au.smartforms#current | R4 | About The Health Check sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Absolute Cardiovascular Disease Risk Calculation | csiro.fhir.au.smartforms#current | R4 | Absolute Cardiovascular Disease Risk Calculation sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Allergies/Adverse Reactions | csiro.fhir.au.smartforms#current | R4 | Allergies/Adverse Reactions sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Chronic Disease Ageing | csiro.fhir.au.smartforms#current | R4 | Chronic Disease Ageing sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Consent | csiro.fhir.au.smartforms#current | R4 | Consent sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Current Priorities | csiro.fhir.au.smartforms#current | R4 | Current Priorities sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Ear Health And Hearing | csiro.fhir.au.smartforms#current | R4 | Ear Health And Hearing sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Examination | csiro.fhir.au.smartforms#current | R4 | Examination sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Eye Health | csiro.fhir.au.smartforms#current | R4 | Eye Health sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Family History | csiro.fhir.au.smartforms#current | R4 | Family History sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Finalising the Health Check | csiro.fhir.au.smartforms#current | R4 | Finalising the Health Check sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Gambling | csiro.fhir.au.smartforms#current | R4 | Gambling sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Health Priorities, Actions And Follow-Up Summary | csiro.fhir.au.smartforms#current | R4 | Health Priorities, Actions And Follow-Up Summary sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Healthy Eating | csiro.fhir.au.smartforms#current | R4 | Healthy Eating sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Home And Family | csiro.fhir.au.smartforms#current | R4 | Home And Family sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Immunisation | csiro.fhir.au.smartforms#current | R4 | Immunisation sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Investigations | csiro.fhir.au.smartforms#current | R4 | Investigations sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Learning And Development | csiro.fhir.au.smartforms#current | R4 | Learning And Development sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Learning And Work | csiro.fhir.au.smartforms#current | R4 | Learning And Work sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Medical History And Current Problems | csiro.fhir.au.smartforms#current | R4 | Medical History sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Memory And Thinking | csiro.fhir.au.smartforms#current | R4 | Memory And Thinking sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Mood | csiro.fhir.au.smartforms#current | R4 | Mood sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Oral And Dental Health | csiro.fhir.au.smartforms#current | R4 | Oral And Dental Health sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Patient Details | csiro.fhir.au.smartforms#current | R4 | Patient Details sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Physical Activity And Screen Time | csiro.fhir.au.smartforms#current | R4 | Physical Activity And Screen Time sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Red Flags Early Identification Guide For Children | csiro.fhir.au.smartforms#current | R4 | Red Flags Early Identification Guide For Children sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Regular Medications | csiro.fhir.au.smartforms#current | R4 | Regular Medications sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Screening Programs | csiro.fhir.au.smartforms#current | R4 | Screening Programs sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Sexual Health | csiro.fhir.au.smartforms#current | R4 | Sexual Health sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Skin | csiro.fhir.au.smartforms#current | R4 | Skin sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Social And Emotional Wellbeing | csiro.fhir.au.smartforms#current | R4 | Social And Emotional Wellbeing sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Social History Child | csiro.fhir.au.smartforms#current | R4 | Social History Child sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Aboriginal and Torres Strait Islander Health Check - Substance Use | csiro.fhir.au.smartforms#current | R4 | Substance Use sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
Adverse Medical Event Questionnaire | hl7.fhir.us.sirb#current | R4 | |
Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] | fhir.argonaut.questionnaire#1.0.0 | R3 | The Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) is a brief validated screen for risky drinking and alcohol abuse and dependence (alcohol misuse). |
ANC.A. Registration | who.fhir.anc-cds#current | R4 | The registration process performed to identify and register a pregnant woman so that she can proceed to the antenatal care consultation. |
ANC.B10 Counselling & treatment | who.fhir.anc-cds#current | R4 | Based on the previous steps, health worker provides counselling for potential risk, behaviours and diagnoses, as well as preventive services and any treatment that can be provided at the facility, including through admission to a different part of the facility. |
ANC.B11 Referral needed? | who.fhir.anc-cds#current | R4 | If there are any diagnoses requiring referral or services that cannot be provided at the facility, health worker refers pregnant woman based on findings during counselling. |
ANC.B12 Scheduling | who.fhir.anc-cds#current | R4 | If a referral is not required, health worker schedules follow-up contact. |
ANC.B4 Confirm pregnancy | who.fhir.anc-cds#current | R4 | Confirm the woman is pregnant using a urine dipstick test or by a blood test. |
ANC.B5 Quick check | who.fhir.anc-cds#current | R4 | Health worker assesses woman to see whether there are any danger signs that warrant in-facility management or referral, or if possible, to proceed with the routine ANC contact. |
ANC.B6 Profile | who.fhir.anc-cds#current | R4 | If this is the woman’s first ANC contact, the health worker records information on her current pregnancy, past medical and obstetric history, medications, behaviour, immunization status and other background information. |
ANC.B7 Symptoms & Follow-up | who.fhir.anc-cds#current | R4 | Health worker follows up on any previously reported behaviours, medications and symptoms. Steps 8–10 below are all conducted within the ANC assessment. |
ANC.B8 Physical exam | who.fhir.anc-cds#current | R4 | Health worker conducts a physical exam for weight, height (if first contact), maternal exam and fetal assessment. |
ANC.B9 Lab tests & imaging | who.fhir.anc-cds#current | R4 | Health worker orders or follows up on required laboratory tests and ultrasound, as necessary. Health worker informs woman of all tests ordered and explains why. |
ANC.C. Referral | who.fhir.anc-cds#current | R4 | An antenatal care referral to provide timely and appropriate referrals to a higher-level facility or health-care provider. |
ANC.End End | who.fhir.anc-cds#current | R4 | Closing the antenatal care record |
Annual follow-up of clinical questionnaire response | hl7.fhir.uv.ichom-breast-cancer#current | R4 | Clinical response questionnaire at annual post-treatment follow-up |
Antiviral medication eligibility questionnaire | cinc.fhir.ig#current | R4 | A questionnaire defining eligibility criteria for anti-viral medication |
Argonaut Questionnaire Sampler | fhir.argonaut.questionnaire#1.0.0 | R3 | |
Cancer Quality Forum Questionnaire 2012 | hl7.fhirpath#current | R4 | |
Check-In Monitoring-Fragebogen | fhir.qpath4ms#current | R4 | Fragebogen zum Check-In beim Besuch nach Basismonitoringschema |
Clinical response at 6 months post-treatment follow-up | hl7.fhir.uv.ichom-breast-cancer#current | R4 | Clinical response questionnaire at 6 months post-treatment follow-up |
Clinical response questionnaire at baseline | hl7.fhir.uv.ichom-breast-cancer#current | R4 | Clinical response questionnaire at baseline (first doctors' visit) |
Consent Questionnaire | hl7.fhir.us.sirb#current | R4 | |
Continuing Review | hl7.fhir.us.sirb#current | R4 | |
COVID19 Initial Health Assessment Questionnaire | cinc.fhir.ig#current | R4 | An initial assessment for a patient who has tested positive for COVID-19 |
COVID19 Public Health History Questionnaire | cinc.fhir.ig#current | R4 | Questions about a patient's recent COVID-19 history |
COVID19 Vaccination Side Effects Questionnaire | cinc.fhir.ig#current | R4 | Te Whatu Ora post COVID-19 vaccination survey. |
Drug Abuse Screening Test-10 [DAST-10] | fhir.argonaut.questionnaire#1.0.0 | R3 | |
Exercise Mental Illness Questionnaire | fhir.qpath4ms#current | R4 | The Exercise Mental Illness Questionnaire (EMIQ) |
Fatigue Scale for Motor and Cognitive Functions Questionnaire | fhir.qpath4ms#current | R4 | Fatigue Scale for Motor and Cognitive Functions (FSMC) Questionnaire |
Food Allergy self-report | mycompany.fhir.foodallergyExample#current | R4 | Food Allergy self-report |
Hamburg Quality of Life Questionnaire in Multiple Sclerosis | fhir.qpath4ms#current | R4 | Hamburg Quality of Life Questionnaire in Multiple Sclerosis (HAQUAMS) |
Hostpital Anxiety and Depression Scale Questionnaire, deutsche Version | fhir.qpath4ms#current | R4 | Hostpital Anxiety and Depression Scale Questionnaire, deutsche Version (HADS-D) |
Housing Questions | fhir.argonaut.questionnaire#1.0.0 | R3 | |
Influenza and COVID-19 Booster Vaccination 42 Day Review Questionnaire | cinc.fhir.ig#current | R4 | Te Whatu Ora 42-day post Influenza/Covid-19 booster vaccination survey. |
Influenza and COVID-19 Booster Vaccination 7 Day Review Questionnaire | cinc.fhir.ig#current | R4 | Te Whatu Ora 7-day post Influenza/Covid-19 booster vaccination survey. |
Initiate a Study Questionnaire | hl7.fhir.us.sirb#current | R4 | Initiate a Study Questionnaire |
Mental Health Assessment Survey | cinc.fhir.ig#current | R4 | Te Whatu Ora Mental Health Assessment Survey |
Modified Fatigue Impact Scale Questionnaire | fhir.qpath4ms#current | R4 | Modified Fatigue Impact Scale (MFIS) Questionnaire |
Module Questionnaire Address | ch.fhir.ig.ch-orf#current | R4 | |
Module Questionnaire Order Appointment | ch.fhir.ig.ch-orf#current | R4 | |
Module Questionnaire Order Coverage | ch.fhir.ig.ch-orf#current | R4 | |
Module Questionnaire Order Form | ch.fhir.ig.ch-orf#current | R4 | |
Module Questionnaire Order Initiator | ch.fhir.ig.ch-orf#current | R4 | |
Module Questionnaire Order Patient | ch.fhir.ig.ch-orf#current | R4 | |
Module Questionnaire Order Receiver | ch.fhir.ig.ch-orf#current | R4 | |
Module Questionnaire Order Receiver | ch.fhir.ig.ch-orf#current | R4 | |
Module Questionnaire Order Receiver Copy | ch.fhir.ig.ch-orf#current | R4 | |
Module Questionnaire Order Requested Encounter | ch.fhir.ig.ch-orf#current | R4 | |
Module Questionnaire Order Sender | ch.fhir.ig.ch-orf#current | R4 | |
Module Questionnaire Patient Consent | ch.fhir.ig.ch-orf#current | R4 | |
Module Questionnaire Practitioner with Name and Telecom | ch.fhir.ig.ch-orf#current | R4 | |
Multiple Sclerosis Health Resource Utilization Survey Questionnaire | fhir.qpath4ms#current | R4 | Multiple Sclerosis Health Resource Utilization Survey (MS-HRS) Questionnaire |
MyPain Questionnaire | cqf.fhir.cds4cpm#current | R4 | A questionnaire to use with the MyPAIN application for a patient to assess their pain levels, locations, and treatments for use in consultation with a clinician to determine further treatments. Created for UFL pilot. |
MyPain Questionnaire | cqf.fhir.cds4cpm#current | R4 | A questionnaire to use with the MyPAIN application for a patient to assess their pain levels, locations, and treatments for use in consultation with a clinician to determine further treatments. |
NACHC.A0 Contact & Profile | fhir.nachc.hiv-cds#current | R4 | TODO: description goes here |
NACHC.A1 HIV | fhir.nachc.hiv-cds#current | R4 | TODO: description goes here |
NACHC.A2 HIV test | fhir.nachc.hiv-cds#current | R4 | TODO: description goes here |
NACHC.B1 HCV | fhir.nachc.hiv-cds#current | R4 | TODO: description goes here |
NACHC.B2 HCV test | fhir.nachc.hiv-cds#current | R4 | TODO: description goes here |
NACHC.C1 Syphilis | fhir.nachc.hiv-cds#current | R4 | TODO: description goes here |
NACHC.C2 Syphilis test | fhir.nachc.hiv-cds#current | R4 | TODO: description goes here |
NACHC.D1 Gonorrhea | fhir.nachc.hiv-cds#current | R4 | TODO: description goes here |
NACHC.D2 Gonorrhea test | fhir.nachc.hiv-cds#current | R4 | TODO: description goes here |
NACHC.E1 Chlamydia | fhir.nachc.hiv-cds#current | R4 | TODO: description goes here |
NACHC.E2 Chlamydia test | fhir.nachc.hiv-cds#current | R4 | TODO: description goes here |
NACHC.F1 Injection Drug Use | fhir.nachc.hiv-cds#current | R4 | TODO: description goes here |
NACHC.F2 Pregnancy | fhir.nachc.hiv-cds#current | R4 | TODO: description goes here |
NACHC.G1 Pep | fhir.nachc.hiv-cds#current | R4 | TODO: description goes here |
NACHC.G2 Prep | fhir.nachc.hiv-cds#current | R4 | TODO: description goes here |
NACHC.H1 Risk Factors | fhir.nachc.hiv-cds#current | R4 | TODO: description goes here |
NACHC.H2 DAST 10 | fhir.nachc.hiv-cds#current | R4 | TODO: description goes here |
Patient Health Questionnaire (PHQ-9) | example.fhir.uv.mycontentig#current | R4 | |
Patient Health Questionnaire (PHQ-9) | fhir.qpath4ms#current | R4 | Gesundheitsfragebogen für Patienten zur Depressivität |
Patient Health Questionnaire (PHQ-9) | fhir.argonaut.questionnaire#1.0.0 | R3 | |
Patient reported response at baseline | hl7.fhir.uv.ichom-breast-cancer#current | R4 | Patient-reported response at baseline (first doctors' visit) |
Patient reported response at post-treatment follow-up | hl7.fhir.uv.ichom-breast-cancer#current | R4 | Patient-reported response at every 6 months for first 2 years post-treatment, after 2 years tracked annually for up to 10 years |
Pregnancy Assessment Survey | cinc.fhir.ig#current | R4 | Te Whatu Ora pregnancy assessment survey. |
Protocol Questionnaire | hl7.fhir.us.sirb#current | R4 | |
Psykisk helbred questionnaire | hl7.fhir.dk.hackathon.2022#current | R4 | Spørgeskema der undersøger psykisk helbred for børn og unge, der er i risiko for at udvikle depression eller angst |
Question Template for COVID-19 Privacy Statement Question | cinc.fhir.ig#current | R4 | Collects responses confirming that a patient consents to data collection and sharing. |
Question Template for COVID-19 Regular Health Check | cinc.fhir.ig#current | R4 | Gather the status of a patient who is self isolating |
Recruitment Materials | hl7.fhir.us.sirb#current | R4 | |
sIRB Determination Questionnaire | hl7.fhir.us.sirb#current | R4 | |
Twelve Item MS Walking Scale Questionnaire | fhir.qpath4ms#current | R4 | Twelve Item MS Walking Scale (MSWS-12) Questionnaire |
Unanticipated Problems Involving Risk to Subjects or Others (UPIRTSO)/Adverse Non-Medical Event Questionnaire | hl7.fhir.us.sirb#current | R4 | |
United Kingdom Neurological Disability Rating Scale Questionnaire | fhir.qpath4ms#current | R4 | United Kingdom Neurological Disability Rating Scale Questionnaire (UNDS), deutsche Version |