Source | cinc.fhir.ig#current:Care In The Community FHIR API (v4.0.1) |
resourceType | Questionnaire |
id | AntiViralEligibilityQuestionnaire |
canonical | https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/AntiViralEligibilityQuestionnaire |
version | 0.2.8 |
status | draft |
publisher | Te Whatu Ora |
name | AntiViralEligibilityQuestionnaire |
title | Antiviral medication eligibility questionnaire |
date | 2023-08-16 |
experimental | false |
description | A questionnaire defining eligibility criteria for anti-viral medication |
jurisdictions | nz |
Usages | (none) |
Current Date/Time *
Current date/time
Date Review Performed *
The date that the review was performed
CASE DEFINITION The transition from PCR to RATs as a primary mode of testing requires the clinical criteria to be applied thoughtfully and practically alongside the Case Definition. The case definitions were based upon PCR tests being the primary mode of diagnosis and the focus has now changed to clinical decision making based on a RAT result in the majority of cases. Clinical discretion should be applied to household contacts who test negative by RAT but are presenting with symptoms typical of COVID-19 infection. Although this population is not defined by the Case Definition^, clinical discretion may support recognition as a likely case and initiation of treatment, where indicated. ^For definition see https://www.tewhatuora.govt.nz/for-the-health-sector/covid-19-information-for-health-professionals/case-definition-and-clinical-testing-guidelines-for-covid-19#:~:text=Case%20definitions&text=A%20case%20that%20has%20laboratory,a%20validated%20NAAT%20(PCR)
Is the patient a COVID-19 case as per the case definition or clinical criteria? *
Does the patient meet the current Pharmac criteria for COVID-19 Antivitals?
1. Symptoms started: *
2. My patient requires supplemental oxygen *
3. My patient's condition or circumstance (choose one): *
[1]For definition of Ministry of Health criteria of ‘severe immunocompromise’ for third primary dose see: https://www.health.govt.nz/covid-19-novel-coronavirus/covid-19-vaccines/covid-19-vaccine-severely-immunocompromised-people#criteria [2]A primary dose for most people is 2 vaccinations [3]For Ministry of Health's definition of high-risk conditions see https://covid19.govt.nz/testing-and-isolation/if-you-have-covid-19/medicines-to-treat-covid-19/
Assessment: No - the patient IS NOT eligible for COVID-19 Antivirals
Assessment: Yes - the patient IS eligible for COVID-19 Antivirals
Please provide pharmacist details
Pharmacist Name *
Pharmacist ID *
Please provide details about the pharmacy organisation
Pharmacy Name *
Pharmacy HPI *
Pharmacy address details
Please provide details about the patient's general practice
GP Practice Name
Practice EDI
Send note to GP Inbox?
It may not be necessary to send this message. Please consider if clinically-relevant before sending.
Produced 08 Sep 2023