Generated Narrative: Questionnaire MeaslesCaseReport Profile: http://hl7.org/fhir/4.0/StructureDefinition/Questionnaire Structure LinkID Text Cardinality Type Flags Description & Constraints Measles Case Report questionnaire for disease surveillance Questionnaire http://example.org/Questionnaire/MeaslesCaseReport#0.1.0 #xD; 151479012557 Reporting Site 0..1 group #xD; user_role User Role 0..1 string #xD; user_facility User Facility 0..1 string #xD; user_ward User Ward 0..1 string #xD; user_sub_county User Sub County 0..1 string #xD; user_county User County 0..1 string #xD; facility_level null 0..1 group Enable When: user_role = VACCINATOR #xD; 294367770999 County 1..1 reference #xD; 819946803642 Sub County 1..1 reference #xD; 819943434 Ward 1..1 reference #xD; 819946803677 Health Facility 1..1 reference #xD; 438862163919 Type of health facility 1..1 choice Options: 3 options #xD; sub_county_level null 0..1 group Enable When: user_role = SUBCOUNTY_DISEASE_SURVEILLANCE_OFFICER #xD; 294367770999_sub_county County 1..1 reference #xD; 819946803642_sub_county Sub County 1..1 reference #xD; 819943434_sub_county Ward 1..1 reference #xD; 819946803677_sub_county Health Facility 1..1 reference #xD; 438862163919_sub_county Type of health facility 1..1 choice Options: 3 options #xD; county_level null 0..1 group Enable When: user_role = COUNTY_DISEASE_SURVEILLANCE_OFFICER #xD; 294367770999_county County 1..1 reference #xD; 819946803642_county Sub County 1..1 reference #xD; 819943434_county Ward 1..1 reference #xD; 819946803677_county Health Facility 1..1 reference #xD; 438862163919_county Type of health facility 1..1 choice Options: 3 options #xD; national_level null 0..1 group Enable When: user_role = ADMINISTRATOR #xD; 294367770999_national County 1..1 reference #xD; 819946803642_national Sub County 1..1 reference #xD; 819943434_national Ward 1..1 reference #xD; 819946803677_national Health Facility 1..1 reference #xD; 438862163919_national Type of health facility 1..1 choice Options: 3 options #xD; 992818778559 EPID No 0..1 string #xD; 670954892057 Case Demographics 0..1 group #xD; 873240407472 First name 1..1 string #xD; 246751846436 Middle name 0..1 string #xD; 486402457213 Surname/Family name 1..1 string #xD; 929966324957 Sex 1..1 choice Options: 2 options #xD; 442636360588 Date of birth known or unknown 1..1 choice Options: 2 options #xD; 257830485990 Date of Birth 1..1 date Enable When: 442636360588 = Known (known) #xD; age-at-onset Age at Onset 0..1 string Initial Value: string = 0 #xD; 492731638700 Age in Years 1..1 integer Enable When: 442636360588 = Unknown (unknown) #xD; 185726989867 Months 0..1 integer Enable When: 442636360588 = Unknown (unknown) #xD; 828303331247 Days 0..1 integer Enable When: 442636360588 = Unknown (unknown) #xD; residence Residence 1..1 choice Options: 2 options #xD; 422935041274 Tracer Information 0..1 display #xD; parent Parent / Guardian Name 1..1 string #xD; a4-county County 1..1 reference #xD; a3-sub-county Sub County 1..1 reference #xD; a2-ward Ward 1..1 reference #xD; 242811643559 Residence or Village 0..1 string #xD; 946232932304 Neighborhood major landmark 1..1 string #xD; 424111786438 Street/Plot/Estate/S. location 1..1 string #xD; 754217593839 Telephone No of parent/guardian 0..1 string #xD; 2.1 07xxxxxxxx 0..1 display #xD; 216343227137 Case Information 0..1 group #xD; 554231819382 Date 1st seen at health facility 1..1 date #xD; 483042281962 Hospitalized? 1..1 choice Options: 2 options #xD; 340908984116 Date of Admission 1..1 date Enable When: 483042281962 = Yes (yes) #xD; 755731625544 IP/ OP No 1..1 string #xD; 508745697175 Outcome 1..1 choice Options: 3 options #xD; 477144604557 Clinical History 0..1 group #xD; 728034137219 Date of onset of illness 1..1 date #xD; 745196148424 Clinical symptoms 1..* choice Options: 5 options #xD; 576528567552 Date of Onset of rash 1..1 date Enable When: 745196148424 = Rash (Rash) #xD; 704922081985 Type of Rash 1..1 choice Enable When: 745196148424 = Rash (Rash) Options: 2 options #xD; 679340979918 If Other, specify 1..1 string Enable When: 704922081985 = Other (Other) #xD; 817978705295 Measles Surveilance 0..1 display #xD; 207408507040 Was home of patient visited for contact investigation 1..1 choice Options: 2 options #xD; 566661890668 If yes, date of visit 1..1 date Enable When: 207408507040 = Yes (yes) #xD; 865158268604 Is this a Case or a Line List? 1..1 choice Options: 2 options #xD; 736291402384 Vaccination History 0..1 group #xD; 517772812375 Was patient vaccinated against illness? 1..1 choice Options: 3 options #xD; 886125589225 If yes, number of doses 1..1 integer Enable When: 517772812375 = Yes (yes) #xD; 308128177300 MR vaccination given in last 30 days prior to onset of illness 1..1 choice Options: 3 options #xD; 544290619304 Date of last vaccination 1..1 date Enable When: 308128177300 = Yes (yes) #xD; 271053545237 Sample/Specimen Collection 0..1 group Enable When: 865158268604 = Case (Case) #xD; 412689284625 Please select specimen collected 1..* choice Options: 3 options #xD; 8962468583341 Date of specimen collection 1..1 date Enable When: 412689284625 exists true #xD; 258912872921 Were other specimen types collected? 1..1 choice Options: 2 options #xD; 340507649387 If yes, specify other specimen type 1..1 string Enable When: 258912872921 = Yes (yes) #xD; 699353598445 Date of other specimen type collection 1..1 date Enable When: 258912872921 = Yes (yes) #xD; 718251724172 Date specimen sent to lab 1..1 date #xD; Documentation for this format Options Sets Answer options for 438862163919 null#Private ("Private") null#Public ("Public") null#Faith Based ("Faith Based") Answer options for 438862163919_sub_county null#Private ("Private") null#Public ("Public") null#Faith Based ("Faith Based") Answer options for 438862163919_county null#Private ("Private") null#Public ("Public") null#Faith Based ("Faith Based") Answer options for 438862163919_national null#Private ("Private") null#Public ("Public") null#Faith Based ("Faith Based") Answer options for 929966324957 null#male ("Male") null#female ("Female") Answer options for 442636360588 null#known ("Known") null#unknown ("Unknown") Answer options for residence null#Urban ("Urban") null#Rural ("Rural") Answer options for 483042281962 null#yes ("Yes") null#no ("No") Answer options for 508745697175 null#Alive ("Alive") null#Dead ("Dead") null#Unknown ("Unknown") Answer options for 745196148424 null#Fever ("Fever") null#Rash ("Rash") null#Cough ("Cough") null#Coryza ("Coryza") null#Conjunctivitis ("Conjunctivitis") Answer options for 704922081985 null#Maculopapular ("Maculopapular") null#Other ("Other") Answer options for 207408507040 null#yes ("Yes") null#no ("No") Answer options for 865158268604 null#Case ("Case") null#Line List ("Line List") Answer options for 517772812375 null#yes ("Yes") null#no ("No") null#unknown ("Unknown") Answer options for 308128177300 null#yes ("Yes") null#no ("No") null#unknown ("Unknown") Answer options for 412689284625 null#Blood ("Blood") null#Urine ("Urine") null#Respiratory Sample ("Respiratory Sample") Answer options for 258912872921 null#yes ("Yes") null#no ("No")
Measles Case Report questionnaire for disease surveillance
Enter a valid mobile number. Strings and special characters aren't allowed
Date 1st seen at the facility should be after date of birth
%context.answer.value >= %resource.descendants().where(linkId='257830485990').answer.value
Date of Admission should be after the date 1st seen at the facility
%context.answer.value >= %resource.descendants().where(linkId='554231819382').answer.value
Date of Admission should be after date 1st seen at the facility
Date of Onset of illness should be before the date 1st seen at the facility
%context.answer.value <= %resource.descendants().where(linkId='554231819382').answer.value
Date of Onset of rash should be after the onset of illness
%context.answer.value >= %resource.descendants().where(linkId='728034137219').answer.value
Was home of patient visited for contact investigation
Date of Home visit should be after the date 1st seen at the facility
MR vaccination given in last 30 days prior to onset of illness
Date of last vaccination should be before Date of onset of illness
%context.answer.value <= %resource.descendants().where(linkId='728034137219').answer.value
Date of Specimen Collection should be after the date 1st seen at the facility
The date should be after the specimen collection date
%context.answer.value >= %resource.descendants().where(linkId='8962468583341').answer.value