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Inpatient Questionnaire

The Inpatient Questionnaire is a way of collecting information about overnight hospital visits and sharing this information with care teams.

How it works​

Patients will answer questions about the details of their hospital stay, including dates and the specialities they visited.

In the Huma Portal, care teams will see the latest Inpatient Questionnaire responses from their patient. In the Patient Summary, care teams will be able to see all historical data in table form.

The Inpatient Questionnaire has 7 questions in total.

Questions​

Question 1: What was your date of admission?​

Select a date

Question 2: What was your date of discharge?​

Select a date

Question 3: Which speciality did you attend?​

Choose multiple of the following

  • Cardiology
  • Neurology
  • Gastroenterology
  • Nephrology
  • Elderly care
  • Other

Question 4: Please specify the speciality you attended​

Write a descriptive answer

Question 5: Why were you admitted?​

Choose multiple of the following

  • Abnormal bowel function
  • Abnormal sweating
  • Breathlessness
  • Diarrhoea
  • Dizziness
  • Mobility
  • Nerve pain in hands and feet
  • Swelling
  • Weakness
  • Weight loss

Question 6: Was medication changed?​

Choose multiple of the following

  • Pain medicine
  • Heart failure medicine
  • Diuretic
  • Bowel medication
  • Other

Question 7: What medication change?​

Write a descriptive answer