Generated Narrative: Questionnaire MeaslesCaseReport

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

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. Measles Case Report questionnaire for disease surveillanceQuestionnairehttp://example.org/Questionnaire/MeaslesCaseReport#0.1.0
... 151479012557Reporting Site0..1group
.... user_roleUser Role0..1stringiconicon
.... user_facilityUser Facility0..1stringiconicon
.... user_wardUser Ward0..1stringiconicon
.... user_sub_countyUser Sub County0..1stringiconicon
.... user_countyUser County0..1stringiconicon
.... 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..1stringiconicon
... 670954892057Case Demographics0..1group
.... 873240407472First name1..1string
.... 246751846436Middle name0..1string
.... 486402457213Surname/Family name1..1string
.... 929966324957Sex1..1choiceiconiconOptions: 2 options
.... 442636360588Date of birth known or unknown1..1choiceiconiconOptions: 2 options
.... 257830485990Date of Birth1..1dateEnable When: 442636360588 = Known (known)
.... age-at-onsetAge at Onset0..1stringiconiconInitial Value: string = 0
.... 492731638700Age in Years1..1integerEnable When: 442636360588 = Unknown (unknown)
.... 185726989867Months0..1integerEnable When: 442636360588 = Unknown (unknown)
.... 828303331247Days0..1integerEnable When: 442636360588 = Unknown (unknown)
.... residenceResidence1..1choiceiconiconOptions: 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..1choiceiconiconOptions: 2 options
.... 340908984116Date of Admission1..1dateEnable When: 483042281962 = Yes (yes)
.... 755731625544IP/ OP No1..1string
.... 508745697175Outcome1..1choiceiconiconOptions: 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..1choiceiconiconOptions: 2 options
.... 566661890668If yes, date of visit1..1dateEnable When: 207408507040 = Yes (yes)
.... 865158268604Is this a Case or a Line List?1..1choiceiconiconOptions: 2 options
... 736291402384Vaccination History0..1group
.... 517772812375Was patient vaccinated against illness?1..1choiceiconiconOptions: 3 options
.... 886125589225If yes, number of doses1..1integerEnable When: 517772812375 = Yes (yes)
.... 308128177300MR vaccination given in last 30 days prior to onset of illness1..1choiceiconiconOptions: 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..1choiceiconiconOptions: 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

  • 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")
 <status value="draft"/> <date value="2026-04-04T09:09:24+00:00"/> <publisher value="Kenya National Public Health Institute"/> <contact> <name value="Kenya National Public Health Institute"/> <telecom> <system value="url"/> <value value="https://www.nphi.go.ke/"/> </telecom> </contact> <contact> <name value="Kenya National Public Health Institute"/> <telecom> <system value="url"/> <value value="https://www.nphi.go.ke/"/> <use value="work"/> </telecom> </contact> <description value="Measles Case Report questionnaire for disease surveillance"/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="KE"/> <display value="Kenya"/> </coding> </jurisdiction> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="page"/> <display value="Page"/> </coding> </valueCodeableConcept> </extension> <linkId value="151479012557"/> <text value="Reporting Site"/> <type value="group"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <linkId value="user_role"/> <text value="User Role"/> <type value="string"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <linkId value="user_facility"/> <text value="User Facility"/> <type value="string"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <linkId value="user_ward"/> <text value="User Ward"/> <type value="string"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <linkId value="user_sub_county"/> <text value="User Sub County"/> <type value="string"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <linkId value="user_county"/> <text value="User County"/> <type value="string"/> </item> <item> <linkId value="facility_level"/> <type value="group"/> <enableWhen> <question value="user_role"/> <operator value="="/> <answerString value="VACCINATOR"/> </enableWhen> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression"> <valueExpression> <language value="application/x-fhir-query"/> <expression value="Location?_id={{%assignedCounty}}&_sort=name"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"> <extension url="path"> <valueString value="name"/> </extension> <extension url="forDisplay"> <valueBoolean value="true"/> </extension> </extension> <linkId value="294367770999"/> <text value="County"/> <type value="reference"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression"> <valueExpression> <language value="application/x-fhir-query"/> <expression value="Location?_id={{%assignedSubCounty}}&_sort=name"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"> <extension url="path"> <valueString value="name"/> </extension> <extension url="forDisplay"> <valueBoolean value="true"/> </extension> </extension> <linkId value="819946803642"/> <text value="Sub County"/> <type value="reference"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression"> <valueExpression> <language value="application/x-fhir-query"/> <expression value="Location?_id={{%assignedWard}}&_sort=name"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"> <extension url="path"> <valueString value="name"/> </extension> <extension url="forDisplay"> <valueBoolean value="true"/> </extension> </extension> <linkId value="819943434"/> <text value="Ward"/> <type value="reference"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression"> <valueExpression> <language value="application/x-fhir-query"/> <expression value="Location?_id={{%assignedFacility}}&_sort=name"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"> <extension url="path"> <valueString value="name"/> </extension> <extension url="forDisplay"> <valueBoolean value="true"/> </extension> </extension> <linkId value="819946803677"/> <text value="Health Facility"/> <type value="reference"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="drop-down"/> <display value="Drop down"/> </coding> </valueCodeableConcept> </extension> <linkId value="438862163919"/> <text value="Type of health facility"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <code value="Private"/> <display value="Private"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="Public"/> <display value="Public"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="Faith Based"/> <display value="Faith Based"/> </valueCoding> </answerOption> </item> </item> <item> <linkId value="sub_county_level"/> <type value="group"/> <enableWhen> <question value="user_role"/> <operator value="="/> <answerString value="SUBCOUNTY_DISEASE_SURVEILLANCE_OFFICER"/> </enableWhen> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression"> <valueExpression> <language value="application/x-fhir-query"/> <expression value="Location?_id={{%assignedCounty}}&_sort=name"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"> <extension url="path"> <valueString value="name"/> </extension> <extension url="forDisplay"> <valueBoolean value="true"/> </extension> </extension> <linkId value="294367770999_sub_county"/> <text value="County"/> <type value="reference"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression"> <valueExpression> <language value="application/x-fhir-query"/> <expression value="Location?_id={{%assignedSubCounty}}&_sort=name"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"> <extension url="path"> <valueString value="name"/> </extension> <extension url="forDisplay"> <valueBoolean value="true"/> </extension> </extension> <linkId value="819946803642_sub_county"/> <text value="Sub County"/> <type value="reference"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression"> <valueExpression> <language value="application/x-fhir-query"/> <expression value="Location?partof={{%selectedSubCountyNameSubCounty}}&_sort=name"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"> <extension url="path"> <valueString value="name"/> </extension> <extension url="forDisplay"> <valueBoolean value="true"/> </extension> </extension> <linkId value="819943434_sub_county"/> <text value="Ward"/> <type value="reference"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression"> <valueExpression> <language value="application/x-fhir-query"/> <expression value="Location?partof={{%selectedWardNameSubCounty}}&_sort=name"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"> <extension url="path"> <valueString value="name"/> </extension> <extension url="forDisplay"> <valueBoolean value="true"/> </extension> </extension> <linkId value="819946803677_sub_county"/> <text value="Health Facility"/> <type value="reference"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="drop-down"/> <display value="Drop down"/> </coding> </valueCodeableConcept> </extension> <linkId value="438862163919_sub_county"/> <text value="Type of health facility"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <code value="Private"/> <display value="Private"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="Public"/> <display value="Public"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="Faith Based"/> <display value="Faith Based"/> </valueCoding> </answerOption> </item> </item> <item> <linkId value="county_level"/> <type value="group"/> <enableWhen> <question value="user_role"/> <operator value="="/> <answerString value="COUNTY_DISEASE_SURVEILLANCE_OFFICER"/> </enableWhen> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression"> <valueExpression> <language value="application/x-fhir-query"/> <expression value="Location?_id={{%assignedCounty}}&_sort=name"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"> <extension url="path"> <valueString value="name"/> </extension> <extension url="forDisplay"> <valueBoolean value="true"/> </extension> </extension> <linkId value="294367770999_county"/> <text value="County"/> <type value="reference"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression"> <valueExpression> <language value="application/x-fhir-query"/> <expression value="Location?partof={{%selectedCountyNameCounty}}&_sort=name"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"> <extension url="path"> <valueString value="name"/> </extension> <extension url="forDisplay"> <valueBoolean value="true"/> </extension> </extension> <linkId value="819946803642_county"/> <text value="Sub County"/> <type value="reference"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression"> <valueExpression> <language value="application/x-fhir-query"/> <expression value="Location?partof={{%selectedSubCountyNameCounty}}&_sort=name"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"> <extension url="path"> <valueString value="name"/> </extension> <extension url="forDisplay"> <valueBoolean value="true"/> </extension> </extension> <linkId value="819943434_county"/> <text value="Ward"/> <type value="reference"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression"> <valueExpression> <language value="application/x-fhir-query"/> <expression value="Location?partof={{%selectedWardNameCounty}}&_sort=name"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"> <extension url="path"> <valueString value="name"/> </extension> <extension url="forDisplay"> <valueBoolean value="true"/> </extension> </extension> <linkId value="819946803677_county"/> <text value="Health Facility"/> <type value="reference"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="drop-down"/> <display value="Drop down"/> </coding> </valueCodeableConcept> </extension> <linkId value="438862163919_county"/> <text value="Type of health facility"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <code value="Private"/> <display value="Private"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="Public"/> <display value="Public"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="Faith Based"/> <display value="Faith Based"/> </valueCoding> </answerOption> </item> </item> <item> <linkId value="national_level"/> <type value="group"/> <enableWhen> <question value="user_role"/> <operator value="="/> <answerString value="ADMINISTRATOR"/> </enableWhen> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression"> <valueExpression> <language value="application/x-fhir-query"/> <expression value="Location?partof=Location/0&_sort=name"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"> <extension url="path"> <valueString value="name"/> </extension> <extension url="forDisplay"> <valueBoolean value="true"/> </extension> </extension> <linkId value="294367770999_national"/> <text value="County"/> <type value="reference"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression"> <valueExpression> <language value="application/x-fhir-query"/> <expression value="Location?partof={{%selectedCountyNameNational}}&_sort=name"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"> <extension url="path"> <valueString value="name"/> </extension> <extension url="forDisplay"> <valueBoolean value="true"/> </extension> </extension> <linkId value="819946803642_national"/> <text value="Sub County"/> <type value="reference"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression"> <valueExpression> <language value="application/x-fhir-query"/> <expression value="Location?partof={{%selectedSubCountyNameNational}}&_sort=name"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"> <extension url="path"> <valueString value="name"/> </extension> <extension url="forDisplay"> <valueBoolean value="true"/> </extension> </extension> <linkId value="819943434_national"/> <text value="Ward"/> <type value="reference"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression"> <valueExpression> <language value="application/x-fhir-query"/> <expression value="Location?partof={{%selectedWardNameNational}}&_sort=name"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"> <extension url="path"> <valueString value="name"/> </extension> <extension url="forDisplay"> <valueBoolean value="true"/> </extension> </extension> <linkId value="819946803677_national"/> <text value="Health Facility"/> <type value="reference"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="drop-down"/> <display value="Drop down"/> </coding> </valueCodeableConcept> </extension> <linkId value="438862163919_national"/> <text value="Type of health facility"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <code value="Private"/> <display value="Private"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="Public"/> <display value="Public"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="Faith Based"/> <display value="Faith Based"/> </valueCoding> </answerOption> </item> </item> <item> <linkId value="992818778559"/> <text value="EPID No"/> <type value="string"/> <readOnly value="true"/> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="page"/> <display value="Page"/> </coding> </valueCodeableConcept> </extension> <linkId value="670954892057"/> <text value="Case Demographics"/> <type value="group"/> <item> <linkId value="873240407472"/> <text value="First name"/> <type value="string"/> <required value="true"/> </item> <item> <linkId value="246751846436"/> <text value="Middle name"/> <type value="string"/> </item> <item> <linkId value="486402457213"/> <text value="Surname/Family name"/> <type value="string"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="radio-button"/> <display value="Radio Button"/> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <linkId value="929966324957"/> <text value="Sex"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <code value="male"/> <display value="Male"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="female"/> <display value="Female"/> </valueCoding> </answerOption> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="radio-button"/> <display value="Radio Button"/> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <linkId value="442636360588"/> <text value="Date of birth known or unknown"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <code value="known"/> <display value="Known"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="unknown"/> <display value="Unknown"/> </valueCoding> </answerOption> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/entryFormat"> <valueString value="d/M/y"/> </extension> <extension url="http://ehelse.no/fhir/StructureDefinition/validationtext"> <valueString value="Cannot be a date in the future"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/maxValue"> <valueDate> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue"> <valueExpression> <language value="text/fhirpath"/> <expression value="today()"/> </valueExpression> </extension> </valueDate> </extension> <linkId value="257830485990"/> <text value="Date of Birth"/> <type value="date"/> <enableWhen> <question value="442636360588"/> <operator value="="/> <answerCoding> <code value="known"/> <display value="Known"/> </answerCoding> </enableWhen> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <linkId value="age-at-onset"/> <text value="Age at Onset"/> <type value="string"/> <initial> <valueString value="0"/> </initial> </item> <item> <extension 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url="http://ehelse.no/fhir/StructureDefinition/validationtext"> <valueString value="Cannot be a date in the future"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/maxValue"> <valueDate> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue"> <valueExpression> <language value="text/fhirpath"/> <expression value="today()"/> </valueExpression> </extension> </valueDate> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-constraint"> <extension url="key"> <valueId value="constraint-1"/> </extension> <extension url="requirements"> <valueString value="Date of Specimen Collection should be after the date 1st seen at the facility"/> </extension> <extension url="severity"> <valueCode value="error"/> </extension> <extension url="expression"> <valueString value="%context.answer.value >= %resource.descendants().where(linkId='554231819382').answer.value"/> </extension> <extension url="human"> <valueString value="Date of Specimen Collection should be after the date 1st seen at the facility"/> </extension> <extension url="location"> <valueString value="554231819382"/> </extension> </extension> <linkId value="8962468583341"/> <text value="Date of specimen collection"/> <type value="date"/> <enableWhen> <question value="412689284625"/> <operator value="exists"/> <answerBoolean value="true"/> </enableWhen> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="radio-button"/> <display value="Radio Button"/> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <linkId value="258912872921"/> <text value="Were other specimen types collected?"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <code value="yes"/> <display value="Yes"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="no"/> <display value="No"/> </valueCoding> </answerOption> </item> <item> <linkId value="340507649387"/> <text value="If yes, specify other specimen type"/> <type value="string"/> <enableWhen> <question value="258912872921"/> <operator value="="/> <answerCoding> <code value="yes"/> <display value="Yes"/> </answerCoding> </enableWhen> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/entryFormat"> <valueString value="d/M/y"/> </extension> <extension url="http://ehelse.no/fhir/StructureDefinition/validationtext"> <valueString value="Cannot be a date in the future"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/maxValue"> <valueDate> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue"> <valueExpression> <language value="text/fhirpath"/> <expression value="today()"/> </valueExpression> </extension> </valueDate> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-constraint"> <extension url="key"> <valueId value="constraint-1"/> </extension> <extension url="requirements"> <valueString value="Date of Specimen Collection should be after the date 1st seen at the facility"/> </extension> <extension url="severity"> <valueCode value="error"/> </extension> <extension url="expression"> <valueString value="%context.answer.value >= %resource.descendants().where(linkId='554231819382').answer.value"/> </extension> <extension url="human"> <valueString value="Date of Specimen Collection should be after the date 1st seen at the facility"/> </extension> <extension url="location"> <valueString value="554231819382"/> </extension> </extension> <linkId value="699353598445"/> <text value="Date of other specimen type collection"/> <type value="date"/> <enableWhen> <question value="258912872921"/> <operator value="="/> <answerCoding> <code value="yes"/> <display value="Yes"/> </answerCoding> </enableWhen> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/entryFormat"> <valueString value="d/M/y"/> </extension> <extension url="http://ehelse.no/fhir/StructureDefinition/validationtext"> <valueString value="Cannot be a date in the future"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/maxValue"> <valueDate> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue"> <valueExpression> <language value="text/fhirpath"/> <expression value="today()"/> </valueExpression> </extension> </valueDate> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-constraint"> <extension url="key"> <valueId value="constraint-1"/> </extension> <extension url="requirements"> <valueString value="The date should be after the specimen collection date"/> </extension> <extension url="severity"> <valueCode value="error"/> </extension> <extension url="expression"> <valueString value="%context.answer.value >= %resource.descendants().where(linkId='8962468583341').answer.value"/> </extension> <extension url="human"> <valueString value="The date should be after the specimen collection date"/> </extension> <extension url="location"> <valueString value="8962468583341"/> </extension> </extension> <linkId value="718251724172"/> <text value="Date specimen sent to lab"/> <type value="date"/> <required value="true"/> </item> </item> </Questionnaire>