Kenya Disease Surveillance FHIR Implementation Guide., published by Kenya National Public Health Institute. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/Surveillance-FHIR-IG/ and changes regularly. See the Directory of published versions
| Official URL: http://example.org/Questionnaire/MeaslesCaseReport | Version: 0.1.0 | |||
| Draft as of 2026-04-04 | Computable Name: | |||
Measles Case Report questionnaire for disease surveillance
Profile: http://hl7.org/fhir/4.0/StructureDefinition/Questionnaire
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints![]() |
|---|---|---|---|---|---|
![]() | Measles Case Report questionnaire for disease surveillance | Questionnaire | http://example.org/Questionnaire/MeaslesCaseReport#0.1.0 | ||
![]() ![]() | Reporting Site | 0..1 | group | Value Set: | |
![]() ![]() ![]() | User Role | 0..1 | string | Value Set: | |
![]() ![]() ![]() | User Facility | 0..1 | string | Value Set: | |
![]() ![]() ![]() | User Ward | 0..1 | string | Value Set: | |
![]() ![]() ![]() | User Sub County | 0..1 | string | Value Set: | |
![]() ![]() ![]() | User County | 0..1 | string | Value Set: | |
![]() ![]() ![]() | null | 0..1 | group | Enable When: user_role = VACCINATOR Value Set: | |
![]() ![]() ![]() ![]() | County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Sub County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Ward | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Health Facility | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Type of health facility | 1..1 | choice | Value Set: Options: 3 options | |
![]() ![]() ![]() | null | 0..1 | group | Enable When: user_role = SUBCOUNTY_DISEASE_SURVEILLANCE_OFFICER Value Set: | |
![]() ![]() ![]() ![]() | County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Sub County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Ward | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Health Facility | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Type of health facility | 1..1 | choice | Value Set: Options: 3 options | |
![]() ![]() ![]() | null | 0..1 | group | Enable When: user_role = COUNTY_DISEASE_SURVEILLANCE_OFFICER Value Set: | |
![]() ![]() ![]() ![]() | County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Sub County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Ward | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Health Facility | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Type of health facility | 1..1 | choice | Value Set: Options: 3 options | |
![]() ![]() ![]() | null | 0..1 | group | Enable When: user_role = ADMINISTRATOR Value Set: | |
![]() ![]() ![]() ![]() | County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Sub County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Ward | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Health Facility | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Type of health facility | 1..1 | choice | Value Set: Options: 3 options | |
![]() ![]() ![]() | EPID No | 0..1 | string | Value Set: | |
![]() ![]() | Case Demographics | 0..1 | group | Value Set: | |
![]() ![]() ![]() | First name | 1..1 | string | Value Set: | |
![]() ![]() ![]() | Middle name | 0..1 | string | Value Set: | |
![]() ![]() ![]() | Surname/Family name | 1..1 | string | Value Set: | |
![]() ![]() ![]() | Sex | 1..1 | choice | Value Set: Options: 2 options | |
![]() ![]() ![]() | Date of birth known or unknown | 1..1 | choice | Value Set: Options: 2 options | |
![]() ![]() ![]() | Date of Birth | 1..1 | date | Enable When: 442636360588 = Known (known) Value Set: | |
![]() ![]() ![]() | Age at Onset | 0..1 | string | Value Set: Initial Value: string = 0 | |
![]() ![]() ![]() | Age in Years | 1..1 | integer | Enable When: 442636360588 = Unknown (unknown) Value Set: | |
![]() ![]() ![]() | Months | 0..1 | integer | Enable When: 442636360588 = Unknown (unknown) Value Set: | |
![]() ![]() ![]() | Days | 0..1 | integer | Enable When: 442636360588 = Unknown (unknown) Value Set: | |
![]() ![]() ![]() | Residence | 1..1 | choice | Value Set: Options: 2 options | |
![]() ![]() ![]() | Tracer Information | 0..1 | display | Value Set: | |
![]() ![]() ![]() | Parent / Guardian Name | 1..1 | string | Value Set: | |
![]() ![]() ![]() | County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() | Sub County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() | Ward | 1..1 | reference | Value Set: | |
![]() ![]() ![]() | Residence or Village | 0..1 | string | Value Set: | |
![]() ![]() ![]() | Neighborhood major landmark | 1..1 | string | Value Set: | |
![]() ![]() ![]() | Street/Plot/Estate/S. location | 1..1 | string | Value Set: | |
![]() ![]() ![]() | Telephone No of parent/guardian | 0..1 | string | Value Set: | |
![]() ![]() ![]() ![]() | 07xxxxxxxx | 0..1 | display | Value Set: | |
![]() ![]() | Case Information | 0..1 | group | Value Set: | |
![]() ![]() ![]() | Date 1st seen at health facility | 1..1 | date | Value Set: | |
![]() ![]() ![]() | Hospitalized? | 1..1 | choice | Value Set: Options: 2 options | |
![]() ![]() ![]() | Date of Admission | 1..1 | date | Enable When: 483042281962 = Yes (yes) Value Set: | |
![]() ![]() ![]() | IP/ OP No | 1..1 | string | Value Set: | |
![]() ![]() ![]() | Outcome | 1..1 | choice | Value Set: Options: 3 options | |
![]() ![]() | Clinical History | 0..1 | group | Value Set: | |
![]() ![]() ![]() | Date of onset of illness | 1..1 | date | Value Set: | |
![]() ![]() ![]() | Clinical symptoms | 1..* | choice | Value Set: Options: 5 options | |
![]() ![]() ![]() | Date of Onset of rash | 1..1 | date | Enable When: 745196148424 = Rash (Rash) Value Set: | |
![]() ![]() ![]() | Type of Rash | 1..1 | choice | Enable When: 745196148424 = Rash (Rash) Value Set: Options: 2 options | |
![]() ![]() ![]() | If Other, specify | 1..1 | string | Enable When: 704922081985 = Other (Other) Value Set: | |
![]() ![]() ![]() | Measles Surveilance | 0..1 | display | Value Set: | |
![]() ![]() ![]() | Was home of patient visited for contact investigation | 1..1 | choice | Value Set: Options: 2 options | |
![]() ![]() ![]() | If yes, date of visit | 1..1 | date | Enable When: 207408507040 = Yes (yes) Value Set: | |
![]() ![]() ![]() | Is this a Case or a Line List? | 1..1 | choice | Value Set: Options: 2 options | |
![]() ![]() | Vaccination History | 0..1 | group | Value Set: | |
![]() ![]() ![]() | Was patient vaccinated against illness? | 1..1 | choice | Value Set: Options: 3 options | |
![]() ![]() ![]() | If yes, number of doses | 1..1 | integer | Enable When: 517772812375 = Yes (yes) Value Set: | |
![]() ![]() ![]() | MR vaccination given in last 30 days prior to onset of illness | 1..1 | choice | Value Set: Options: 3 options | |
![]() ![]() ![]() | Date of last vaccination | 1..1 | date | Enable When: 308128177300 = Yes (yes) Value Set: | |
![]() ![]() | Sample/Specimen Collection | 0..1 | group | Enable When: 865158268604 = Case (Case) Value Set: | |
![]() ![]() ![]() | Please select specimen collected | 1..* | choice | Value Set: Options: 3 options | |
![]() ![]() ![]() | Date of specimen collection | 1..1 | date | Enable When: 412689284625 exists true Value Set: | |
![]() ![]() ![]() | Were other specimen types collected? | 1..1 | choice | Value Set: Options: 2 options | |
![]() ![]() ![]() | If yes, specify other specimen type | 1..1 | string | Enable When: 258912872921 = Yes (yes) Value Set: | |
![]() ![]() ![]() | Date of other specimen type collection | 1..1 | date | Enable When: 258912872921 = Yes (yes) Value Set: | |
![]() ![]() ![]() | Date specimen sent to lab | 1..1 | date | Value Set: | |
Documentation for this format | |||||
Options Sets
Answer options for 438862163919
Answer options for 438862163919_sub_county
Answer options for 438862163919_county
Answer options for 438862163919_national
Answer options for 929966324957
Answer options for 442636360588
Answer options for residence
Answer options for 483042281962
Answer options for 508745697175
Answer options for 745196148424
Answer options for 704922081985
Answer options for 207408507040
Answer options for 865158268604
Answer options for 517772812375
Answer options for 308128177300
Answer options for 412689284625
Answer options for 258912872921