Forms

Also known as 'Questionnaires'.

A form is a questionnaire or electronic document that has a fixed structure of questions and answers. The associated questions and answers can be individually searched through using the 'Form responses' category. A form within an EHR is a template. Forms are used in the EHR for multiple purposes, such as for the storage of conversion data, standard questions addressed when a patient presents at the A&E department, or referral letters with standard questions.

In some EHRs, some information that you may expect in a different data type is stored in a standard form. Examples:

• In Epic / Clarity, vital signs are stored in forms, not in separate vital signs or observation tables. In NL, we apply logic in the data mapping so that forms with obvious names like Vital signs are mapped to the vital signs category, not the forms category.
• Sometimes eg. referral letters, partus reports or consultation notes are recorded in a semi-structured way in a standard form. These data can therefore not be found in reports but will be made available in the form category.
• Orders are sometimes not stored in separate tables / a distinct 'order' section of the EHR, but filled out using forms.

Overview

Filter name in app	Priority	FHIR field (PFS)	Brief description	Example data
ID	Must have	Questionnaire.identifier.value	Unique identifier for form.
Description	Must have	Questionnaire.description	Name of the form, description of what the form encompasses.	Pain scores, check-up, anamnesis, anaesthesia list, A&E, partus report
Age at time of event	Must have	Derived from Patient	Age of the patient, in years, when the form was created
Category		Not yet mapped	The category that classifies the form.	Basic record, Nursing, General, A&E, Order
Specialism	Should have	QuestionnaireResponse.specialism (extension)	Specialism linker to the form, the specialism that uses this form.	Nursing, lung diseases, ophthalmology, cardiology
Department	Could have	QuestionnaireResponse.department (extension)	Department linked to the form.	Outpatient clinic anaesthesiology, outpatient rehabilitation, audiology, children haematology.
Care provider name	Could have	QuestionnaireResponse.author	Name of the care provider that filled out the form	Dr. Jane Doe, nurse John Doe.
Care provider position	Could have	QuestionnaireResponse.author	Position of the care provider that filled out the form.	Neurologist, dietician, doctor-in-training.
Start date	Must have	QuestionnaireResponse.authored	Start date and -time when the form was filled out for the first time.	DD-MM-YYYY hh:mm