Structured Data Capture
4.0.0 - International flag

Structured Data Capture, published by HL7 International / FHIR Infrastructure. This guide is not an authorized publication; it is the continuous build for version 4.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/sdc/ and changes regularly. See the Directory of published versions

Questionnaire: Questionnaire - ANC Quick Check (Experimental)

Official URL: http://hl7.org/fhir/uv/sdc/Questionnaire/anc-quick-check Version: 4.0.0
Standards status: Informative Active as of 2025-10-22 Computable Name: ANC_Quick_Check
Other Identifiers: OID:2.16.840.1.113883.4.642.40.17.35.2

A sample questionnaire using itemMedia and itemAnswerMedia extensions

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. ANC_Quick_Check A sample questionnaire using itemMedia and itemAnswerMedia extensions Questionnaire http://hl7.org/fhir/uv/sdc/Questionnaire/anc-quick-check#4.0.0
... reason-for-visit Why did you come? 0..1 choice Options: 5 options

doco Documentation for this format

Options 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?

Why did you come?

Test this Questionnaire

Try this questionnaire out:

    Responses for this Questionnaire