Structured Data Capture
3.0.0 - STU 3 International flag

Structured Data Capture, published by HL7 International - FHIR Infrastructure Work Group. This is not an authorized publication; it is the continuous build for version 3.0.0). This version is based on the current content of and changes regularly. See the Directory of published versions

Questionnaire: Questionnaire - ANC Quick Check (Experimental)

Official URL: Version: 3.0.0
Standards status: Informative Computable Name: ANC_Quick_Check

A sample questionnaire using itemMedia and itemAnswerMedia extensions

LinkIdTextCardinalityTypeDescription & Constraintsdoco
.. ANC_Quick_CheckA sample questionnaire using itemMedia and itemAnswerMedia extensionsQuestionnaire
... reason-for-visitWhy did you come?0..1choiceOptions: 5 options

doco Documentation for this format

Option Sets

Answer options for reason-for-visit

  • For a scheduled (routine) visit
  • For specific complaints about you or your baby
  • First visit
  • Follow-up visit
  • Do you want to include your companion or other family member (parent if adolescent) in the examination and discussion?