Advanced questionnaires can be built with a number of new question types and capabilities, including calculated fields (scoring), branching, and assigning clinical codes to patients' answers.
We can build advanced questionnaires with all of these features now. Please contact your Success PM if you have a questionnaire that you would like us to build.
At the moment, teams can only send advanced questionnaires to patients via our APIs, but we will be adding advanced questionnaire functionality to the UI across Q1 and Q2 2024.
Scoring
Questionnaire scoring allows clinical teams to send scored questionnaires, such as the PHQ9, to patients. These scored questionnaires will apply simple calculations to patients' responses and generate an overall score, which can be viewed in the questionnaire response or retrieved via our APIs.
Branching
Organisations can configure sections of questionnaires to be displayed conditionally to patients, based on their answers to previous questions. For example, showing a set of pregnancy-related questions to a patient only after they had responded ‘Yes’ to a question asking if they are pregnant.
Coded data
Questions in Advanced Questionnaires can be mapped to clinical codes. For example, a question asking a patient for their blood pressure can be mapped to the clinical code for blood pressure.
When PKB creates the questionnaire template, we can add a clinical code for a question and/or a list of coded answer options. Organisations can then extract the relevant coded fields into their local systems via the FHIR R4 Questionnaire resource (see image above). The questionnaire questions are linked to the relevant responses in the QuestionnaireResponse resource via the ‘linkId’.
In a later development phase, PKB will map the coded data from questionnaires to other FHIR resources, e.g. measurements -> Observations resource. This would mean the measurements will be visible in the questionnaire response and also in the Measurements section of PKB.
Questionnaire scores can also be mapped to clinical codes where appropriate. For example, the score generated from a PHQ-9 depression questionnaire could be mapped to the SNOMED code for that score.
Mandatory questions
Organisations will be able to set individual questionnaire questions as mandatory, meaning the patient will not be able to submit the questionnaire if they are not complete. This will reduce time spent by clinical teams communicating with the patient if an important field is left unanswered. The patient will see an error message if they click Submit on a form with unanswered mandatory questions.
Drafts
Patients will be able to save their questionnaire in draft form and exit the questionnaire, before returning later and carrying on where they left off.
When a patient clicks ‘Save and close’ on a questionnaire, they will be directed back to the PKB home screen (if logged in) or the PKB login screen. Draft questionnaires will have an associated questionnaire response with a status of ‘In progress’.
When a patient returns to the questionnaire, they can continue completing the questionnaire and their previous responses will be saved. When the patient clicks ‘Submit’, the associated questionnaire response will have a status of ‘Completed’.
Images
Embedded images
Organisations will be able to embed images in questionnaires. Clinical teams can use images in questionnaires to guide the patient how to answer the questions and provide additional information and context to the questions.
Patient-uploaded images
Patients will be able to upload images in response to questions in questionnaires. This can be used by clinical teams, for example, when collecting information about the patient, where they can upload a photograph of themselves, or for uploading images related to their health such as injuries or skin rashes.
Sending questionnaires to unregistered patients
Patients will be able to complete questionnaires without first registering for PKB, as long as they have a PKB record that contains an email address.
Unregistered patients will be sent an email explaining that they have been sent a questionnaire, which contains a link to the questionnaire. When they click on the link, they will be asked to provide their date of birth. This is to confirm they are the patient that the questionnaire has been sent to..
Once the date of birth check is complete, the patient is taken to the questionnaire.
When the patient clicks ‘Save and close’ or ‘Submit’, they are redirected to a confirmation page, with instructions about how to register. The completed questionnaire is saved in their PKB record even if they do not go on to register.