Questionnaires (10)

NameSourceVerDescription
Antiviral medication eligibility questionnairecinc.fhir.ig#currentR4A questionnaire defining eligibility criteria for anti-viral medication
COVID19 Initial Health Assessment Questionnairecinc.fhir.ig#currentR4An initial assessment for a patient who has tested positive for COVID-19
COVID19 Public Health History Questionnairecinc.fhir.ig#currentR4Questions about a patient's recent COVID-19 history
COVID19 Vaccination Side Effects Questionnairecinc.fhir.ig#currentR4Te Whatu Ora post COVID-19 vaccination survey.
Influenza and COVID-19 Booster Vaccination 42 Day Review Questionnairecinc.fhir.ig#currentR4Te Whatu Ora 42-day post Influenza/Covid-19 booster vaccination survey.
Influenza and COVID-19 Booster Vaccination 7 Day Review Questionnairecinc.fhir.ig#currentR4Te Whatu Ora 7-day post Influenza/Covid-19 booster vaccination survey.
Mental Health Assessment Surveycinc.fhir.ig#currentR4Te Whatu Ora Mental Health Assessment Survey
Pregnancy Assessment Surveycinc.fhir.ig#currentR4Te Whatu Ora pregnancy assessment survey.
Question Template for COVID-19 Privacy Statement Questioncinc.fhir.ig#currentR4Collects responses confirming that a patient consents to data collection and sharing.
Question Template for COVID-19 Regular Health Checkcinc.fhir.ig#currentR4Gather the status of a patient who is self isolating

Produced 08 Sep 2023