Neonate
record
from
New
South
Wales,
Australia
"My
Personal
Health
Record"
example
{
"resourceType": "Questionnaire",
"id": "bb",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>\n <b>Birth details - To be completed by health professional</b>\n Name of child: ____________________________________\n Sex: __\n \n Neonatal Information\n Birth Weight (kg): ___________\n Birth Length (cm): ___________\n Vitamin K given : __\n 1st dose: ___________\n 2nd dose: ___________\n Hep B given : __\n Date given : ___________\n Abnormalities noted at birth:\n _______________________________________________\n </pre>\n </div>"
"resourceType" : "Questionnaire",
"id" : "bb",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n \n <pre>\n \n <b>Birth details - To be completed by health professional</b>\n Name of child: ____________________________________\n Sex: __\n \n Neonatal Information\n Birth Weight (kg): ___________\n Birth Length (cm): ___________\n Vitamin K given : __\n 1st dose: ___________\n 2nd dose: ___________\n Hep B given : __\n Date given : ___________\n Abnormalities noted at birth:\n _______________________________________________\n \n </pre>\n \n </div>"
},
"url": "http://hl7.org/fhir/Questionnaire/bb",
"title": "NSW Government My Personal Health Record",
"status": "draft",
"subjectType": [
"Patient"
],
"date": "2013-02-19",
"publisher": "New South Wales Department of Health",
"jurisdiction": [
{
"coding": [
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "fhir"
}],
"url" : "http://hl7.org/fhir/Questionnaire/bb",
"identifier" : [{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.20.4"
}],
"name" : "NSWGovernmentMyPersonalHealthRecord",
"title" : "NSW Government My Personal Health Record",
"status" : "draft",
"subjectType" : ["Patient"],
"date" : "2013-02-19",
"publisher" : "HL7 International / FHIR Infrastructure",
"contact" : [{
"telecom" : [{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/fiwg"
}]
}],
"description" : "NSW Government My Personal Health Record",
"jurisdiction" : [{
"coding" : [{
"system" : "urn:iso:std:iso:3166",
"code" : "AU"
}]
}],
"item" : [{
"linkId" : "birthDetails",
"text" : "Birth details - To be completed by health professional",
"type" : "group",
"item" : [{
"linkId" : "group",
"type" : "group",
"item" : [{
"linkId" : "nameOfChild",
"text" : "Name of child",
"type" : "string"
},
{
"linkId" : "sex",
"text" : "Sex",
"type" : "coding",
"answerOption" : [{
"valueCoding" : {
"code" : "F"
}
},
{
"system": "urn:iso:std:iso:3166",
"code": "AU"
}
]
}
],
"item": [
"valueCoding" : {
"code" : "M"
}
}]
}]
},
{
"linkId": "birthDetails",
"text": "Birth details - To be completed by health professional",
"type": "group",
"item": [
"linkId" : "neonatalInformation",
"text" : "Neonatal Information",
"type" : "group",
"item" : [{
"linkId" : "birthWeight",
"text" : "Birth weight (kg)",
"type" : "decimal"
},
{
"linkId" : "birthLength",
"text" : "Birth length (cm)",
"type" : "decimal"
},
{
"linkId" : "vitaminKgiven",
"text" : "Vitamin K given",
"type" : "coding",
"answerOption" : [{
"valueCoding" : {
"code" : "INJECTION"
}
},
{
"linkId": "group",
"type": "group",
"item": [
{
"linkId": "nameOfChild",
"text": "Name of child",
"type": "string"
},
{
"linkId": "sex",
"text": "Sex",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"code": "F"
}
},
{
"valueCoding": {
"code": "M"
}
}
]
}
]
"valueCoding" : {
"code" : "INTRAVENOUS"
}
},
{
"linkId": "neonatalInformation",
"text": "Neonatal Information",
"type": "group",
"item": [
{
"linkId": "birthWeight",
"text": "Birth weight (kg)",
"type": "decimal"
},
{
"linkId": "birthLength",
"text": "Birth length (cm)",
"type": "decimal"
},
{
"linkId": "vitaminKgiven",
"text": "Vitamin K given",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"code": "INJECTION"
}
},
{
"valueCoding": {
"code": "INTRAVENOUS"
}
},
{
"valueCoding": {
"code": "ORAL"
}
}
],
"item": [
{
"linkId": "vitaminKgivenDoses",
"type": "group",
"enableWhen": [
{
"question": "vitaminKgiven",
"operator": "exists",
"answerBoolean": true
}
],
"item": [
{
"linkId": "vitaminiKDose1",
"text": "1st dose",
"type": "dateTime"
},
{
"linkId": "vitaminiKDose2",
"text": "2nd dose",
"type": "dateTime"
}
]
}
]
},
{
"linkId": "hepBgiven",
"text": "Hep B given y / n",
"type": "boolean",
"item": [
{
"linkId": "hepBgivenDate",
"text": "Date given",
"type": "date"
}
]
},
{
"linkId": "abnormalitiesAtBirth",
"text": "Abnormalities noted at birth",
"type": "string"
}
]
}
]
}
]
"valueCoding" : {
"code" : "ORAL"
}
}],
"item" : [{
"linkId" : "vitaminKgivenDoses",
"type" : "group",
"enableWhen" : [{
"question" : "vitaminKgiven",
"operator" : "exists",
"answerBoolean" : true
}],
"item" : [{
"linkId" : "vitaminKDose1",
"text" : "1st dose",
"type" : "dateTime"
},
{
"linkId" : "vitaminKDose2",
"text" : "2nd dose",
"type" : "dateTime"
}]
}]
},
{
"linkId" : "hepBgiven",
"text" : "Hep B given y / n",
"type" : "boolean",
"item" : [{
"linkId" : "hepBgivenDate",
"text" : "Date given",
"type" : "date"
}]
},
{
"linkId" : "abnormalitiesAtBirth",
"text" : "Abnormalities noted at birth",
"type" : "string"
}]
}]
}]
}
Usage
note:
every
effort
has
been
made
to
ensure
that
the
examples
are
correct
and
useful,
but
they
are
not
a
normative
part
of
the
specification.
Foundation
|
Propose
a
change