Kenya Disease Surveillance FHIR Implementation Guide., published by Kenya National Public Health Institute. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/Surveillance-FHIR-IG/ and changes regularly. See the Directory of published versions
| Official URL: http://example.org/Questionnaire/Moh505SectionAB | Version: 0.1.0 | |||
| Draft as of 2026-05-04 | Computable Name: | |||
MOH 505 Health Facility Weekly Reporting Form - Section A and B for disease surveillance
Profile: http://hl7.org/fhir/4.0/StructureDefinition/Questionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() | MOH 505 Health Facility Weekly Reporting Form - Section A and B for disease surveillance | Questionnaire | http://example.org/Questionnaire/Moh505SectionAB#0.1.0 | |
![]() ![]() | Diseases, Conditions or Events Information | 0..1 | group | Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 745196148424 = AEFI (AEFI) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 745196148424 = AEFI (AEFI) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 745196148424 = AEFI (AEFI) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 745196148424 = AEFI (AEFI) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: acute-jaundice = Acute Jaundice (Acute Jaundice) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: acute-jaundice = Acute Jaundice (Acute Jaundice) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: acute-jaundice = Acute Jaundice (Acute Jaundice) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: acute-jaundice = Acute Jaundice (Acute Jaundice) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: acute-malnutrition = Acute Malnutrition (Acute Malnutrition) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: acute-malnutrition = Acute Malnutrition (Acute Malnutrition) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: acute-malnutrition = Acute Malnutrition (Acute Malnutrition) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: acute-malnutrition = Acute Malnutrition (Acute Malnutrition) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: afp-poliomyelitis = AFP (Poliomyelitis) (AFP (Poliomyelitis)) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: afp-poliomyelitis = AFP (Poliomyelitis) (AFP (Poliomyelitis)) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: afp-poliomyelitis = AFP (Poliomyelitis) (AFP (Poliomyelitis)) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: afp-poliomyelitis = AFP (Poliomyelitis) (AFP (Poliomyelitis)) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: anthrax = Anthrax (Anthrax) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: anthrax = Anthrax (Anthrax) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: anthrax = Anthrax (Anthrax) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: anthrax = Anthrax (Anthrax) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: cholera = Cholera (Cholera) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: cholera = Cholera (Cholera) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: cholera = Cholera (Cholera) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: cholera = Cholera (Cholera) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: chikungunya = Chikungunya (Chikungunya) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: chikungunya = Chikungunya (Chikungunya) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: chikungunya = Chikungunya (Chikungunya) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: chikungunya = Chikungunya (Chikungunya) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: covid-19 = COVID-19 (COVID-19) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: covid-19 = COVID-19 (COVID-19) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: covid-19 = COVID-19 (COVID-19) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: covid-19 = COVID-19 (COVID-19) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: dengue = Dengue (Dengue) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: dengue = Dengue (Dengue) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: dengue = Dengue (Dengue) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: dengue = Dengue (Dengue) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: dysentery-bacillary = Dysentery (Bacillary) (Dysentery (Bacillary)) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: dysentery-bacillary = Dysentery (Bacillary) (Dysentery (Bacillary)) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: dysentery-bacillary = Dysentery (Bacillary) (Dysentery (Bacillary)) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: dysentery-bacillary = Dysentery (Bacillary) (Dysentery (Bacillary)) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: guinea-worm-disease = Guinea Worm Disease (Guinea Worm Disease) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: guinea-worm-disease = Guinea Worm Disease (Guinea Worm Disease) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: guinea-worm-disease = Guinea Worm Disease (Guinea Worm Disease) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: guinea-worm-disease = Guinea Worm Disease (Guinea Worm Disease) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: measles = Measles (Measles) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: measles = Measles (Measles) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: measles = Measles (Measles) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: measles = Measles (Measles) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: suspected-malaria = Suspected Malaria (Suspected Malaria) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: suspected-malaria = Suspected Malaria (Suspected Malaria) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: suspected-malaria = Suspected Malaria (Suspected Malaria) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: suspected-malaria = Suspected Malaria (Suspected Malaria) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: deaths-due-to-malaria = Deaths due to Malaria (Deaths due to Malaria) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: deaths-due-to-malaria = Deaths due to Malaria (Deaths due to Malaria) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 912271576972 = Bacterial Meningitis (bacterial-001) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 912271576972 = Bacterial Meningitis (bacterial-001) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 912271576972 = Bacterial Meningitis (bacterial-001) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 912271576972 = Bacterial Meningitis (bacterial-001) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 475346107884 = Neonatal deaths (neonatal-deaths-01) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 328118347844 = Neonatal Tetanus (neonatal-tetanus-01) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 328118347844 = Neonatal Tetanus (neonatal-tetanus-01) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 579664664652 = Onchocerciasis (onchocerciasis-01) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 579664664652 = Onchocerciasis (onchocerciasis-01) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 579664664652 = Onchocerciasis (onchocerciasis-01) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 579664664652 = Onchocerciasis (onchocerciasis-01) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 308989393594 = Plague (plague-001) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 308989393594 = Plague (plague-001) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 308989393594 = Plague (plague-001) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 308989393594 = Plague (plague-001) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 530042020681 = Rabies (rabies-01) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 530042020681 = Rabies (rabies-01) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 530042020681 = Rabies (rabies-01) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 530042020681 = Rabies (rabies-01) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 275577537077 = Rift Valley Fever (rvalley-001) Value Set: |
![]() ![]() ![]() | < 5 years - Death | 0..1 | integer | Enable When: 275577537077 = Rift Valley Fever (rvalley-001) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 275577537077 = Rift Valley Fever (rvalley-001) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 275577537077 = Rift Valley Fever (rvalley-001) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 190531820152 = SARI (Cluster ≥3 cases) (sari-001) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 190531820152 = SARI (Cluster ≥3 cases) (sari-001) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 190531820152 = SARI (Cluster ≥3 cases) (sari-001) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 190531820152 = SARI (Cluster ≥3 cases) (sari-001) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 247259460116 = Suspected MDR/XDR TB (sus-mdrtb-01) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 247259460116 = Suspected MDR/XDR TB (sus-mdrtb-01) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 247259460116 = Suspected MDR/XDR TB (sus-mdrtb-01) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 247259460116 = Suspected MDR/XDR TB (sus-mdrtb-01) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 999646592522 = Typhoid (typhoid-01) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 999646592522 = Typhoid (typhoid-01) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 999646592522 = Typhoid (typhoid-01) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 999646592522 = Typhoid (typhoid-01) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 253208219241 = VHF (vhf-001) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 253208219241 = VHF (vhf-001) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 253208219241 = VHF (vhf-001) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 253208219241 = VHF (vhf-001) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 927616098552 = Yellow Fever (yellow-fever-01) Value Set: |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 927616098552 = Yellow Fever (yellow-fever-01) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 927616098552 = Yellow Fever (yellow-fever-01) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 927616098552 = Yellow Fever (yellow-fever-01) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 751930533175 = Zika Virus (zika-001) Value Set: |
![]() ![]() ![]() | < 5 years - Death | 0..1 | integer | Enable When: 751930533175 = Zika Virus (zika-001) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 751930533175 = Zika Virus (zika-001) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Death | 0..1 | integer | Enable When: 751930533175 = Zika Virus (zika-001) Value Set: |
![]() ![]() ![]() | null | 0..* | choice | Value Set: Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 373223788626 = Others (Specify) (others-Specify-01) Value Set: |
![]() ![]() ![]() | < 5 years - Death | 0..1 | integer | Enable When: 373223788626 = Others (Specify) (others-Specify-01) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 373223788626 = Others (Specify) (others-Specify-01) Value Set: |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 373223788626 = Others (Specify) (others-Specify-01) Value Set: |
Documentation for this format | ||||
Options Sets
Answer options for 745196148424
Answer options for acute-jaundice
Answer options for acute-malnutrition
Answer options for afp-poliomyelitis
Answer options for anthrax
Answer options for cholera
Answer options for chikungunya
Answer options for covid-19
Answer options for dengue
Answer options for dysentery-bacillary
Answer options for guinea-worm-disease
Answer options for measles
Answer options for suspected-malaria
Answer options for deaths-due-to-malaria
Answer options for 912271576972
Answer options for 475346107884
Answer options for 328118347844
Answer options for 579664664652
Answer options for 308989393594
Answer options for 530042020681
Answer options for 275577537077
Answer options for 190531820152
Answer options for 247259460116
Answer options for 999646592522
Answer options for 253208219241
Answer options for 927616098552
Answer options for 751930533175
Answer options for 373223788626