{ "resourceType" : "Questionnaire", "id" : "MeaslesCaseReport", "meta" : { "profile" : ["http://hl7.org/fhir/4.0/StructureDefinition/Questionnaire"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire MeaslesCaseReport

Profile: http://hl7.org/fhir/4.0/StructureDefinition/Questionnaire

Structure\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeFlagsDescription & Constraints\"doco\"
\".\"\".\" Measles Case Report questionnaire for disease surveillanceQuestionnairehttp://example.org/Questionnaire/MeaslesCaseReport#0.1.0
\".\"\".\"\".\" 151479012557Reporting Site0..1group
\".\"\".\"\".\"\".\" user_roleUser Role0..1string\"icon\"/
\".\"\".\"\".\"\".\" user_facilityUser Facility0..1string\"icon\"/
\".\"\".\"\".\"\".\" user_wardUser Ward0..1string\"icon\"/
\".\"\".\"\".\"\".\" user_sub_countyUser Sub County0..1string\"icon\"/
\".\"\".\"\".\"\".\" user_countyUser County0..1string\"icon\"/
\".\"\".\"\".\"\".\" facility_levelnull0..1groupEnable When: user_role = VACCINATOR
\".\"\".\"\".\"\".\"\".\" 294367770999County1..1reference
\".\"\".\"\".\"\".\"\".\" 819946803642Sub County1..1reference
\".\"\".\"\".\"\".\"\".\" 819943434Ward1..1reference
\".\"\".\"\".\"\".\"\".\" 819946803677Health Facility1..1reference
\".\"\".\"\".\"\".\"\".\" 438862163919Type of health facility1..1choiceOptions: 3 options
\".\"\".\"\".\"\".\" sub_county_levelnull0..1groupEnable When: user_role = SUBCOUNTY_DISEASE_SURVEILLANCE_OFFICER
\".\"\".\"\".\"\".\"\".\" 294367770999_sub_countyCounty1..1reference
\".\"\".\"\".\"\".\"\".\" 819946803642_sub_countySub County1..1reference
\".\"\".\"\".\"\".\"\".\" 819943434_sub_countyWard1..1reference
\".\"\".\"\".\"\".\"\".\" 819946803677_sub_countyHealth Facility1..1reference
\".\"\".\"\".\"\".\"\".\" 438862163919_sub_countyType of health facility1..1choiceOptions: 3 options
\".\"\".\"\".\"\".\" county_levelnull0..1groupEnable When: user_role = COUNTY_DISEASE_SURVEILLANCE_OFFICER
\".\"\".\"\".\"\".\"\".\" 294367770999_countyCounty1..1reference
\".\"\".\"\".\"\".\"\".\" 819946803642_countySub County1..1reference
\".\"\".\"\".\"\".\"\".\" 819943434_countyWard1..1reference
\".\"\".\"\".\"\".\"\".\" 819946803677_countyHealth Facility1..1reference
\".\"\".\"\".\"\".\"\".\" 438862163919_countyType of health facility1..1choiceOptions: 3 options
\".\"\".\"\".\"\".\" national_levelnull0..1groupEnable When: user_role = ADMINISTRATOR
\".\"\".\"\".\"\".\"\".\" 294367770999_nationalCounty1..1reference
\".\"\".\"\".\"\".\"\".\" 819946803642_nationalSub County1..1reference
\".\"\".\"\".\"\".\"\".\" 819943434_nationalWard1..1reference
\".\"\".\"\".\"\".\"\".\" 819946803677_nationalHealth Facility1..1reference
\".\"\".\"\".\"\".\"\".\" 438862163919_nationalType of health facility1..1choiceOptions: 3 options
\".\"\".\"\".\"\".\" 992818778559EPID No0..1string\"icon\"/\"icon\"/
\".\"\".\"\".\" 670954892057Case Demographics0..1group
\".\"\".\"\".\"\".\" 873240407472First name1..1string
\".\"\".\"\".\"\".\" 246751846436Middle name0..1string
\".\"\".\"\".\"\".\" 486402457213Surname/Family name1..1string
\".\"\".\"\".\"\".\" 929966324957Sex1..1choice\"icon\"/\"icon\"/Options: 2 options
\".\"\".\"\".\"\".\" 442636360588Date of birth known or unknown1..1choice\"icon\"/\"icon\"/Options: 2 options
\".\"\".\"\".\"\".\" 257830485990Date of Birth1..1dateEnable When: 442636360588 = Known (known)
\".\"\".\"\".\"\".\" age-at-onsetAge at Onset0..1string\"icon\"/Initial Value: string = 0
\".\"\".\"\".\"\".\" 492731638700Age in Years1..1integerEnable When: 442636360588 = Unknown (unknown)
\".\"\".\"\".\"\".\" 185726989867Months0..1integerEnable When: 442636360588 = Unknown (unknown)
\".\"\".\"\".\"\".\" 828303331247Days0..1integerEnable When: 442636360588 = Unknown (unknown)
\".\"\".\"\".\"\".\" residenceResidence1..1choice\"icon\"/\"icon\"/Options: 2 options
\".\"\".\"\".\"\".\" 422935041274Tracer Information0..1display
\".\"\".\"\".\"\".\" parentParent / Guardian Name1..1string
\".\"\".\"\".\"\".\" a4-countyCounty1..1reference
\".\"\".\"\".\"\".\" a3-sub-countySub County1..1reference
\".\"\".\"\".\"\".\" a2-wardWard1..1reference
\".\"\".\"\".\"\".\" 242811643559Residence or Village0..1string
\".\"\".\"\".\"\".\" 946232932304Neighborhood major landmark1..1string
\".\"\".\"\".\"\".\" 424111786438Street/Plot/Estate/S. location1..1string
\".\"\".\"\".\"\".\" 754217593839Telephone No of parent/guardian0..1string
\".\"\".\"\".\"\".\"\".\" 2.107xxxxxxxx0..1display
\".\"\".\"\".\" 216343227137Case Information0..1group
\".\"\".\"\".\"\".\" 554231819382Date 1st seen at health facility1..1date
\".\"\".\"\".\"\".\" 483042281962Hospitalized? 1..1choice\"icon\"/\"icon\"/Options: 2 options
\".\"\".\"\".\"\".\" 340908984116Date of Admission1..1dateEnable When: 483042281962 = Yes (yes)
\".\"\".\"\".\"\".\" 755731625544IP/ OP No1..1string
\".\"\".\"\".\"\".\" 508745697175Outcome1..1choice\"icon\"/\"icon\"/Options: 3 options
\".\"\".\"\".\" 477144604557Clinical History0..1group
\".\"\".\"\".\"\".\" 728034137219Date of onset of illness1..1date
\".\"\".\"\".\"\".\" 745196148424Clinical symptoms1..*choiceOptions: 5 options
\".\"\".\"\".\"\".\" 576528567552Date of Onset of rash1..1dateEnable When: 745196148424 = Rash (Rash)
\".\"\".\"\".\"\".\" 704922081985Type of Rash1..1choiceEnable When: 745196148424 = Rash (Rash)
Options: 2 options
\".\"\".\"\".\"\".\" 679340979918If Other, specify1..1stringEnable When: 704922081985 = Other (Other)
\".\"\".\"\".\"\".\" 817978705295Measles Surveilance0..1display
\".\"\".\"\".\"\".\" 207408507040Was home of patient visited for contact investigation1..1choice\"icon\"/\"icon\"/Options: 2 options
\".\"\".\"\".\"\".\" 566661890668If yes, date of visit1..1dateEnable When: 207408507040 = Yes (yes)
\".\"\".\"\".\"\".\" 865158268604Is this a Case or a Line List?1..1choice\"icon\"/\"icon\"/Options: 2 options
\".\"\".\"\".\" 736291402384Vaccination History0..1group
\".\"\".\"\".\"\".\" 517772812375Was patient vaccinated against illness?1..1choice\"icon\"/\"icon\"/Options: 3 options
\".\"\".\"\".\"\".\" 886125589225If yes, number of doses1..1integerEnable When: 517772812375 = Yes (yes)
\".\"\".\"\".\"\".\" 308128177300MR vaccination given in last 30 days prior to onset of illness1..1choice\"icon\"/\"icon\"/Options: 3 options
\".\"\".\"\".\"\".\" 544290619304Date of last vaccination1..1dateEnable When: 308128177300 = Yes (yes)
\".\"\".\"\".\" 271053545237Sample/Specimen Collection0..1groupEnable When: 865158268604 = Case (Case)
\".\"\".\"\".\"\".\" 412689284625Please select specimen collected1..*choiceOptions: 3 options
\".\"\".\"\".\"\".\" 8962468583341Date of specimen collection1..1dateEnable When: 412689284625 exists true
\".\"\".\"\".\"\".\" 258912872921Were other specimen types collected?1..1choice\"icon\"/\"icon\"/Options: 2 options
\".\"\".\"\".\"\".\" 340507649387If yes, specify other specimen type1..1stringEnable When: 258912872921 = Yes (yes)
\".\"\".\"\".\"\".\" 699353598445Date of other specimen type collection1..1dateEnable When: 258912872921 = Yes (yes)
\".\"\".\"\".\"\".\" 718251724172Date specimen sent to lab1..1date

\"doco\" 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

" }, "extension" : [{ "extension" : [{ "url" : "name", "valueCoding" : { "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext", "code" : "patient" } }, { "url" : "type", "valueCode" : "Patient" }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext" }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "countyName", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='294367770999').answer.value.reference" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "patientCountyName", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='a4-county').answer.value.reference" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "patientSubCountyName", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='a3-sub-county').answer.value.reference" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "selectedSubCountyName", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='819946803642').answer.value.reference" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "selectedWardName", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='819943434').answer.value.reference" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "selectedFacilityName", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='819943434').answer.value.reference" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "assignedCounty", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='user_county').answer.value" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "assignedRole", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='user_role').answer.value" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "assignedSubCounty", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='user_sub_county').answer.value" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "assignedWard", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='user_ward').answer.value" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "assignedFacility", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='user_facility').answer.value" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "selectedCountyNameCounty", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='294367770999_county').answer.value.reference" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "selectedSubCountyNameCounty", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='819946803642_county').answer.value.reference" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "selectedWardNameCounty", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='819943434_county').answer.value.reference" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "selectedCountyNameNational", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='294367770999_national').answer.value.reference" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "selectedSubCountyNameNational", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='819946803642_national').answer.value.reference" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "selectedWardNameNational", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='819943434_national').answer.value.reference" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "selectedCountyNameSubCounty", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='294367770999_sub_county').answer.value.reference" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "selectedSubCountyNameSubCounty", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='819946803642_sub_county').answer.value.reference" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "selectedWardNameSubCounty", "language" : "text/fhirpath", "expression" : "%resource.descendants().where(linkId='819943434_sub_county').answer.value.reference" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode", "valueCode" : "prior-edit" }], "url" : "http://example.org/Questionnaire/MeaslesCaseReport", "version" : "0.1.0", "title" : "Measles Case Report", "status" : "draft", "date" : "2026-04-04T09:09:24+00:00", "publisher" : "Kenya National Public Health Institute", "contact" : [{ "name" : "Kenya National Public Health Institute", "telecom" : [{ "system" : "url", "value" : "https://www.nphi.go.ke/" }] }, { "name" : "Kenya National Public Health Institute", "telecom" : [{ "system" : "url", "value" : "https://www.nphi.go.ke/", "use" : "work" }] }], "description" : "Measles Case Report questionnaire for disease surveillance", "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "KE", "display" : "Kenya" }] }], "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "page", "display" : "Page" }] } }], "linkId" : "151479012557", "text" : "Reporting Site", "type" : "group", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }], "linkId" : "user_role", "text" : "User Role", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }], "linkId" : "user_facility", "text" : "User Facility", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }], "linkId" : "user_ward", "text" : "User Ward", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }], "linkId" : "user_sub_county", "text" : "User Sub County", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }], "linkId" : "user_county", "text" : "User County", "type" : "string" }, { "linkId" : "facility_level", "type" : "group", "enableWhen" : [{ "question" : "user_role", "operator" : "=", "answerString" : "VACCINATOR" }], "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?_id={{%assignedCounty}}&_sort=name" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "294367770999", "text" : "County", "type" : "reference", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?_id={{%assignedSubCounty}}&_sort=name" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "819946803642", "text" : "Sub County", "type" : "reference", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?_id={{%assignedWard}}&_sort=name" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "819943434", "text" : "Ward", "type" : "reference", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?_id={{%assignedFacility}}&_sort=name" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "819946803677", "text" : "Health Facility", "type" : "reference", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "drop-down", "display" : "Drop down" }] } }], "linkId" : "438862163919", "text" : "Type of health facility", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "code" : "Private", "display" : "Private" } }, { "valueCoding" : { "code" : "Public", "display" : "Public" } }, { "valueCoding" : { "code" : "Faith Based", "display" : "Faith Based" } }] }] }, { "linkId" : "sub_county_level", "type" : "group", "enableWhen" : [{ "question" : "user_role", "operator" : "=", "answerString" : "SUBCOUNTY_DISEASE_SURVEILLANCE_OFFICER" }], "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?_id={{%assignedCounty}}&_sort=name" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "294367770999_sub_county", "text" : "County", "type" : "reference", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?_id={{%assignedSubCounty}}&_sort=name" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "819946803642_sub_county", "text" : "Sub County", "type" : "reference", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?partof={{%selectedSubCountyNameSubCounty}}&_sort=name" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "819943434_sub_county", "text" : "Ward", "type" : "reference", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?partof={{%selectedWardNameSubCounty}}&_sort=name" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "819946803677_sub_county", "text" : "Health Facility", "type" : "reference", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "drop-down", "display" : "Drop down" }] } }], "linkId" : "438862163919_sub_county", "text" : "Type of health facility", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "code" : "Private", "display" : "Private" } }, { "valueCoding" : { "code" : "Public", "display" : "Public" } }, { "valueCoding" : { "code" : "Faith Based", "display" : "Faith Based" } }] }] }, { "linkId" : "county_level", "type" : "group", "enableWhen" : [{ "question" : "user_role", "operator" : "=", "answerString" : "COUNTY_DISEASE_SURVEILLANCE_OFFICER" }], "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?_id={{%assignedCounty}}&_sort=name" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "294367770999_county", "text" : "County", "type" : "reference", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?partof={{%selectedCountyNameCounty}}&_sort=name" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "819946803642_county", "text" : "Sub County", "type" : "reference", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?partof={{%selectedSubCountyNameCounty}}&_sort=name" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "819943434_county", "text" : "Ward", "type" : "reference", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?partof={{%selectedWardNameCounty}}&_sort=name" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "819946803677_county", "text" : "Health Facility", "type" : "reference", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "drop-down", "display" : "Drop down" }] } }], "linkId" : "438862163919_county", "text" : "Type of health facility", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "code" : "Private", "display" : "Private" } }, { "valueCoding" : { "code" : "Public", "display" : "Public" } }, { "valueCoding" : { "code" : "Faith Based", "display" : "Faith Based" } }] }] }, { "linkId" : "national_level", "type" : "group", "enableWhen" : [{ "question" : "user_role", "operator" : "=", "answerString" : "ADMINISTRATOR" }], "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?partof=Location/0&_sort=name" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "294367770999_national", "text" : "County", "type" : "reference", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?partof={{%selectedCountyNameNational}}&_sort=name" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "819946803642_national", "text" : "Sub County", "type" : "reference", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?partof={{%selectedSubCountyNameNational}}&_sort=name" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "819943434_national", "text" : "Ward", "type" : "reference", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?partof={{%selectedWardNameNational}}&_sort=name" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "819946803677_national", "text" : "Health Facility", "type" : "reference", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "drop-down", "display" : "Drop down" }] } }], "linkId" : "438862163919_national", "text" : "Type of health facility", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "code" : "Private", "display" : "Private" } }, { "valueCoding" : { "code" : "Public", "display" : "Public" } }, { "valueCoding" : { "code" : "Faith Based", "display" : "Faith Based" } }] }] }, { "linkId" : "992818778559", "text" : "EPID No", "type" : "string", "readOnly" : true }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "page", "display" : "Page" }] } }], "linkId" : "670954892057", "text" : "Case Demographics", "type" : "group", "item" : [{ "linkId" : "873240407472", "text" : "First name", "type" : "string", "required" : true }, { "linkId" : "246751846436", "text" : "Middle name", "type" : "string" }, { "linkId" : "486402457213", "text" : "Surname/Family name", "type" : "string", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "radio-button", "display" : "Radio Button" }] } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }], "linkId" : "929966324957", "text" : "Sex", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "code" : "male", "display" : "Male" } }, { "valueCoding" : { "code" : "female", "display" : "Female" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "radio-button", "display" : "Radio Button" }] } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }], "linkId" : "442636360588", "text" : "Date of birth known or unknown", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "code" : "known", "display" : "Known" } }, { "valueCoding" : { "code" : "unknown", "display" : "Unknown" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/entryFormat", "valueString" : "d/M/y" }, { "url" : "http://ehelse.no/fhir/StructureDefinition/validationtext", "valueString" : "Cannot be a date in the future" }, { "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "_valueDate" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue", "valueExpression" : { "language" : "text/fhirpath", "expression" : "today()" } }] } }], "linkId" : "257830485990", "text" : "Date of Birth", "type" : "date", "enableWhen" : [{ "question" : "442636360588", "operator" : "=", "answerCoding" : { "code" : "known", "display" : "Known" } }], "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }], "linkId" : "age-at-onset", "text" : "Age at Onset", "type" : "string", "initial" : [{ "valueString" : "0" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "valueInteger" : 120 }], "linkId" : "492731638700", "text" : "Age in Years", "type" : "integer", "enableWhen" : [{ "question" : "442636360588", "operator" : "=", "answerCoding" : { "code" : "unknown", "display" : "Unknown" } }], "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "valueInteger" : 11 }], "linkId" : "185726989867", "text" : "Months", "type" : "integer", "enableWhen" : [{ "question" : "442636360588", "operator" : "=", "answerCoding" : { "code" : "unknown", "display" : "Unknown" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "valueInteger" : 31 }], "linkId" : "828303331247", "text" : "Days", "type" : "integer", "enableWhen" : [{ "question" : "442636360588", "operator" : "=", "answerCoding" : { "code" : "unknown", "display" : "Unknown" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "radio-button", "display" : "Radio Button" }] } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }], "linkId" : "residence", "text" : "Residence", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "code" : "Urban", "display" : "Urban" } }, { "valueCoding" : { "code" : "Rural", "display" : "Rural" } }] }, { "linkId" : "422935041274", "text" : "Tracer Information", "type" : "display" }, { "linkId" : "parent", "text" : "Parent / Guardian Name", "type" : "string", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?partof=Location/0&_sort=name" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "a4-county", "text" : "County", "type" : "reference", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?partof={{%patientCountyName}}" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "a3-sub-county", "text" : "Sub County", "type" : "reference", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression", "valueExpression" : { "language" : "application/x-fhir-query", "expression" : "Location?partof={{%patientSubCountyName}}" } }, { "extension" : [{ "url" : "path", "valueString" : "name" }, { "url" : "forDisplay", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" }], "linkId" : "a2-ward", "text" : "Ward", "type" : "reference", "required" : true }, { "linkId" : "242811643559", "text" : "Residence or Village", "type" : "string" }, { "linkId" : "946232932304", "text" : "Neighborhood major landmark", "type" : "string", "required" : true }, { "linkId" : "424111786438", "text" : "Street/Plot/Estate/S. location", "type" : "string", "required" : true }, { "extension" : [{ "url" : "http://ehelse.no/fhir/StructureDefinition/validationtext", "valueString" : "Enter a valid mobile number. Strings and special characters aren't allowed" }, { "url" : "http://hl7.org/fhir/StructureDefinition/regex", "valueString" : "^\\d{10,10}$" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "phone-number", "display" : "Phone Number" }] } }], "linkId" : "754217593839", "text" : "Telephone No of parent/guardian", "type" : "string", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "flyover", "display" : "Fly-over" }] } }], "linkId" : "2.1", "text" : "07xxxxxxxx", "type" : "display" }] }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "page", "display" : "Page" }] } }], "linkId" : "216343227137", "text" : "Case Information", "type" : "group", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/entryFormat", "valueString" : "d/M/y" }, { "url" : "http://ehelse.no/fhir/StructureDefinition/validationtext", "valueString" : "Cannot be a date in the future" }, { "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "_valueDate" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue", "valueExpression" : { "language" : "text/fhirpath", "expression" : "today()" } }] } }, { "extension" : [{ "url" : "key", "valueId" : "constraint-1" }, { "url" : "requirements", "valueString" : "Date 1st seen at the facility should be after date of birth" }, { "url" : "severity", "valueCode" : "error" }, { "url" : "expression", "valueString" : "%context.answer.value >= %resource.descendants().where(linkId='257830485990').answer.value" }, { "url" : "human", "valueString" : "Date 1st seen at the facility should be after date of birth" }, { "url" : "location", "valueString" : "257830485990" }], "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-constraint" }], "linkId" : "554231819382", "text" : "Date 1st seen at health facility", "type" : "date", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "radio-button", "display" : "Radio Button" }] } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }], "linkId" : "483042281962", "text" : "Hospitalized? ", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "code" : "yes", "display" : "Yes" } }, { "valueCoding" : { "code" : "no", "display" : "No" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/entryFormat", "valueString" : "d/M/y" }, { "url" : "http://ehelse.no/fhir/StructureDefinition/validationtext", "valueString" : "Cannot be a date in the future" }, { "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "_valueDate" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue", "valueExpression" : { "language" : "text/fhirpath", "expression" : "today()" } }] } }, { "extension" : [{ "url" : "key", "valueId" : "constraint-1" }, { "url" : "requirements", "valueString" : "Date of Admission should be after the date 1st seen at the facility" }, { "url" : "severity", "valueCode" : "error" }, { "url" : "expression", "valueString" : "%context.answer.value >= %resource.descendants().where(linkId='554231819382').answer.value" }, { "url" : "human", "valueString" : "Date of Admission should be after date 1st seen at the facility" }, { "url" : "location", "valueString" : "554231819382" }], "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-constraint" }], "linkId" : "340908984116", "text" : "Date of Admission", "type" : "date", "enableWhen" : [{ "question" : "483042281962", "operator" : "=", "answerCoding" : { "code" : "yes", "display" : "Yes" } }], "required" : true }, { "linkId" : "755731625544", "text" : "IP/ OP No", "type" : "string", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "radio-button", "display" : "Radio Button" }] } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }], "linkId" : "508745697175", "text" : "Outcome", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "code" : "Alive", "display" : "Alive" } }, { "valueCoding" : { "code" : "Dead", "display" : "Dead" } }, { "valueCoding" : { "code" : "Unknown", "display" : "Unknown" } }] }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "page", "display" : "Page" }] } }], "linkId" : "477144604557", "text" : "Clinical History", "type" : "group", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/entryFormat", "valueString" : "d/M/y" }, { "url" : "http://ehelse.no/fhir/StructureDefinition/validationtext", "valueString" : "Cannot be a date in the future" }, { "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "_valueDate" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue", "valueExpression" : { "language" : "text/fhirpath", "expression" : "today()" } }] } }, { "extension" : [{ "url" : "key", "valueId" : "constraint-1" }, { "url" : "requirements", "valueString" : "Date of Onset of illness should be before the date 1st seen at the facility" }, { "url" : "severity", "valueCode" : "error" }, { "url" : "expression", "valueString" : "%context.answer.value <= %resource.descendants().where(linkId='554231819382').answer.value" }, { "url" : "human", "valueString" : "Date of Onset of illness should be before the date 1st seen at the facility" }, { "url" : "location", "valueString" : "554231819382" }], "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-constraint" }], "linkId" : "728034137219", "text" : "Date of onset of illness", "type" : "date", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "check-box", "display" : "Check-box" }] } }], "linkId" : "745196148424", "text" : "Clinical symptoms", "type" : "choice", "required" : true, "repeats" : true, "answerOption" : [{ "valueCoding" : { "code" : "Fever", "display" : "Fever" } }, { "valueCoding" : { "code" : "Rash", "display" : "Rash" } }, { "valueCoding" : { "code" : "Cough", "display" : "Cough" } }, { "valueCoding" : { "code" : "Coryza", "display" : "Coryza" } }, { "valueCoding" : { "code" : "Conjunctivitis", "display" : "Conjunctivitis" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/entryFormat", "valueString" : "d/M/y" }, { "url" : "http://ehelse.no/fhir/StructureDefinition/validationtext", "valueString" : "Cannot be a date in the future" }, { "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "_valueDate" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue", "valueExpression" : { "language" : "text/fhirpath", "expression" : "today()" } }] } }, { "extension" : [{ "url" : "key", "valueId" : "constraint-1" }, { "url" : "requirements", "valueString" : "Date of Onset of rash should be after the onset of illness" }, { "url" : "severity", "valueCode" : "error" }, { "url" : "expression", "valueString" : "%context.answer.value >= %resource.descendants().where(linkId='728034137219').answer.value" }, { "url" : "human", "valueString" : "Date of Onset of rash should be after the onset of illness" }, { "url" : "location", "valueString" : "728034137219" }], "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-constraint" }], "linkId" : "576528567552", "text" : "Date of Onset of rash", "type" : "date", "enableWhen" : [{ "question" : "745196148424", "operator" : "=", "answerCoding" : { "code" : "Rash", "display" : "Rash" } }], "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "drop-down", "display" : "Drop down" }] } }], "linkId" : "704922081985", "text" : "Type of Rash", "type" : "choice", "enableWhen" : [{ "question" : "745196148424", "operator" : "=", "answerCoding" : { "code" : "Rash", "display" : "Rash" } }], "required" : true, "answerOption" : [{ "valueCoding" : { "code" : "Maculopapular", "display" : "Maculopapular" } }, { "valueCoding" : { "code" : "Other", "display" : "Other" } }] }, { "linkId" : "679340979918", "text" : "If Other, specify", "type" : "string", "enableWhen" : [{ "question" : "704922081985", "operator" : "=", "answerCoding" : { "code" : "Other", "display" : "Other" } }], "required" : true }, { "linkId" : "817978705295", "text" : "Measles Surveilance", "type" : "display" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "radio-button", "display" : "Radio Button" }] } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }], "linkId" : "207408507040", "text" : "Was home of patient visited for contact investigation", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "code" : "yes", "display" : "Yes" } }, { "valueCoding" : { "code" : "no", "display" : "No" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/entryFormat", "valueString" : "d/M/y" }, { "url" : "http://ehelse.no/fhir/StructureDefinition/validationtext", "valueString" : "Cannot be a date in the future" }, { "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "_valueDate" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue", "valueExpression" : { "language" : "text/fhirpath", "expression" : "today()" } }] } }, { "extension" : [{ "url" : "key", "valueId" : "constraint-1" }, { "url" : "requirements", "valueString" : "Date of Home visit should be after the date 1st seen at the facility" }, { "url" : "severity", "valueCode" : "error" }, { "url" : "expression", "valueString" : "%context.answer.value >= %resource.descendants().where(linkId='554231819382').answer.value" }, { "url" : "human", "valueString" : "Date of Home visit should be after the date 1st seen at the facility" }, { "url" : "location", "valueString" : "554231819382" }], "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-constraint" }], "linkId" : "566661890668", "text" : "If yes, date of visit", "type" : "date", "enableWhen" : [{ "question" : "207408507040", "operator" : "=", "answerCoding" : { "code" : "yes", "display" : "Yes" } }], "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "radio-button", "display" : "Radio Button" }] } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }], "linkId" : "865158268604", "text" : "Is this a Case or a Line List?", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "code" : "Case", "display" : "Case" } }, { "valueCoding" : { "code" : "Line List", "display" : "Line List" } }] }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "page", "display" : "Page" }] } }], "linkId" : "736291402384", "text" : "Vaccination History", "type" : "group", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "radio-button", "display" : "Radio Button" }] } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }], "linkId" : "517772812375", "text" : "Was patient vaccinated against illness?", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "code" : "yes", "display" : "Yes" } }, { "valueCoding" : { "code" : "no", "display" : "No" } }, { "valueCoding" : { "code" : "unknown", "display" : "Unknown" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "valueInteger" : 8 }], "linkId" : "886125589225", "text" : "If yes, number of doses", "type" : "integer", "enableWhen" : [{ "question" : "517772812375", "operator" : "=", "answerCoding" : { "code" : "yes", "display" : "Yes" } }], "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "radio-button", "display" : "Radio Button" }] } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }], "linkId" : "308128177300", "text" : "MR vaccination given in last 30 days prior to onset of illness", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "code" : "yes", "display" : "Yes" } }, { "valueCoding" : { "code" : "no", "display" : "No" } }, { "valueCoding" : { "code" : "unknown", "display" : "Unknown" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/entryFormat", "valueString" : "d/M/y" }, { "url" : "http://ehelse.no/fhir/StructureDefinition/validationtext", "valueString" : "Cannot be a date in the future" }, { "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "_valueDate" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue", "valueExpression" : { "language" : "text/fhirpath", "expression" : "today()" } }] } }, { "extension" : [{ "url" : "key", "valueId" : "constraint-1" }, { "url" : "requirements", "valueString" : "Date of last vaccination should be before Date of onset of illness" }, { "url" : "severity", "valueCode" : "error" }, { "url" : "expression", "valueString" : "%context.answer.value <= %resource.descendants().where(linkId='728034137219').answer.value" }, { "url" : "human", "valueString" : "Date of last vaccination should be before Date of onset of illness" }, { "url" : "location", "valueString" : "728034137219" }], "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-constraint" }], "linkId" : "544290619304", "text" : "Date of last vaccination", "type" : "date", "enableWhen" : [{ "question" : "308128177300", "operator" : "=", "answerCoding" : { "code" : "yes", "display" : "Yes" } }], "required" : true }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "page", "display" : "Page" }] } }], "linkId" : "271053545237", "text" : "Sample/Specimen Collection", "type" : "group", "enableWhen" : [{ "question" : "865158268604", "operator" : "=", "answerCoding" : { "code" : "Case", "display" : "Case" } }], "item" : [{ "linkId" : "412689284625", "text" : "Please select specimen collected", "type" : "choice", "required" : true, "repeats" : true, "answerOption" : [{ "valueCoding" : { "code" : "Blood", "display" : "Blood" } }, { "valueCoding" : { "code" : "Urine", "display" : "Urine" } }, { "valueCoding" : { "code" : "Respiratory Sample", "display" : "Respiratory Sample" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/entryFormat", "valueString" : "d/M/y" }, { "url" : "http://ehelse.no/fhir/StructureDefinition/validationtext", "valueString" : "Cannot be a date in the future" }, { "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "_valueDate" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue", "valueExpression" : { "language" : "text/fhirpath", "expression" : "today()" } }] } }, { "extension" : [{ "url" : "key", "valueId" : "constraint-1" }, { "url" : "requirements", "valueString" : "Date of Specimen Collection should be after the date 1st seen at the facility" }, { "url" : "severity", "valueCode" : "error" }, { "url" : "expression", "valueString" : "%context.answer.value >= %resource.descendants().where(linkId='554231819382').answer.value" }, { "url" : "human", "valueString" : "Date of Specimen Collection should be after the date 1st seen at the facility" }, { "url" : "location", "valueString" : "554231819382" }], "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-constraint" }], "linkId" : "8962468583341", "text" : "Date of specimen collection", "type" : "date", "enableWhen" : [{ "question" : "412689284625", "operator" : "exists", "answerBoolean" : true }], "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "radio-button", "display" : "Radio Button" }] } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }], "linkId" : "258912872921", "text" : "Were other specimen types collected?", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "code" : "yes", "display" : "Yes" } }, { "valueCoding" : { "code" : "no", "display" : "No" } }] }, { "linkId" : "340507649387", "text" : "If yes, specify other specimen type", "type" : "string", "enableWhen" : [{ "question" : "258912872921", "operator" : "=", "answerCoding" : { "code" : "yes", "display" : "Yes" } }], "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/entryFormat", "valueString" : "d/M/y" }, { "url" : "http://ehelse.no/fhir/StructureDefinition/validationtext", "valueString" : "Cannot be a date in the future" }, { "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "_valueDate" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue", "valueExpression" : { "language" : "text/fhirpath", "expression" : "today()" } }] } }, { "extension" : [{ "url" : "key", "valueId" : "constraint-1" }, { "url" : "requirements", "valueString" : "Date of Specimen Collection should be after the date 1st seen at the facility" }, { "url" : "severity", "valueCode" : "error" }, { "url" : "expression", "valueString" : "%context.answer.value >= %resource.descendants().where(linkId='554231819382').answer.value" }, { "url" : "human", "valueString" : "Date of Specimen Collection should be after the date 1st seen at the facility" }, { "url" : "location", "valueString" : "554231819382" }], "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-constraint" }], "linkId" : "699353598445", "text" : "Date of other specimen type collection", "type" : "date", "enableWhen" : [{ "question" : "258912872921", "operator" : "=", "answerCoding" : { "code" : "yes", "display" : "Yes" } }], "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/entryFormat", "valueString" : "d/M/y" }, { "url" : "http://ehelse.no/fhir/StructureDefinition/validationtext", "valueString" : "Cannot be a date in the future" }, { "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "_valueDate" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue", "valueExpression" : { "language" : "text/fhirpath", "expression" : "today()" } }] } }, { "extension" : [{ "url" : "key", "valueId" : "constraint-1" }, { "url" : "requirements", "valueString" : "The date should be after the specimen collection date" }, { "url" : "severity", "valueCode" : "error" }, { "url" : "expression", "valueString" : "%context.answer.value >= %resource.descendants().where(linkId='8962468583341').answer.value" }, { "url" : "human", "valueString" : "The date should be after the specimen collection date" }, { "url" : "location", "valueString" : "8962468583341" }], "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-constraint" }], "linkId" : "718251724172", "text" : "Date specimen sent to lab", "type" : "date", "required" : true }] }] }