MpoxSupervisorChecklist
type: Questionnaire
node role: treeRoot
id:
  v: MpoxSupervisorChecklist
meta:
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/Questionnaire
    l: Questionnaire
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Questionnaire MpoxSupervisorChecklist Profile: http://hl7.org/fhir/4.0/StructureDefinition/Questionnaire Structure LinkID Text Cardinality Type Flags Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Mpox Supervisor Checklist questionnaire for disease surveillance Questionnaire http://example.org/Questionnaire/MpoxSupervisorChecklist#0.1.0 #xD; 151479012557 Reporting Site 0..1 group #xD; 546255966914 Hospital/Facility Location 0..1 display #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 W…
extension:
  extension:
    url:
      v: name
      l: name
    value: Coding
      system:
        v: http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext
        l: launchContext
      code:
        v: patient
  extension:
    url:
      v: type
      l: type
    value: Code
      v: Patient
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext
    l: sdc-questionnaire-launchContext
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression
    name:
      v: countyName
    language:
      v: text/fhirpath
    expression:
      v: %resource.descendants().where(linkId='294367770999').answer.value.reference
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression
    name:
      v: patientCountyName
    language:
      v: text/fhirpath
    expression:
      v: %resource.descendants().where(linkId='a4-county').answer.value.reference
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression
    name:
      v: patientSubCountyName
    language:
      v: text/fhirpath
    expression:
      v: %resource.descendants().where(linkId='a3-sub-county').answer.value.reference
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression
    name:
      v: selectedSubCountyName
    language:
      v: text/fhirpath
    expression:
      v: %resource.descendants().where(linkId='819946803642').answer.value.reference
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression
    name:
      v: selectedWardName
    language:
      v: text/fhirpath
    expression:
      v: %resource.descendants().where(linkId='819943434').answer.value.reference
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression
    name:
      v: selectedFacilityName
    language:
      v: text/fhirpath
    expression:
      v: %resource.descendants().where(linkId='819943434').answer.value.reference
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression
    name:
      v: assignedCounty
    language:
      v: text/fhirpath
    expression:
      v: %resource.descendants().where(linkId='user_county').answer.value
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression
    name:
      v: assignedRole
    language:
      v: text/fhirpath
    expression:
      v: %resource.descendants().where(linkId='user_role').answer.value
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression
    name:
      v: assignedSubCounty
    language:
      v: text/fhirpath
    expression:
      v: %resource.descendants().where(linkId='user_sub_county').answer.value
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression
    name:
      v: assignedWard
    language:
      v: text/fhirpath
    expression:
      v: %resource.descendants().where(linkId='user_ward').answer.value
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression
    name:
      v: assignedFacility
    language:
      v: text/fhirpath
    expression:
      v: %resource.descendants().where(linkId='user_facility').answer.value
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression
    name:
      v: selectedCountyNameCounty
    language:
      v: text/fhirpath
    expression:
      v: %resource.descendants().where(linkId='294367770999_county').answer.value.reference
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression
    name:
      v: selectedSubCountyNameCounty
    language:
      v: text/fhirpath
    expression:
      v: %resource.descendants().where(linkId='819946803642_county').answer.value.reference
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression
    name:
      v: selectedWardNameCounty
    language:
      v: text/fhirpath
    expression:
      v: %resource.descendants().where(linkId='819943434_county').answer.value.reference
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression
    name:
      v: selectedCountyNameNational
    language:
      v: text/fhirpath
    expression:
      v: %resource.descendants().where(linkId='294367770999_national').answer.value.reference
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
    l: variable
  value: Expression

Expression
name:
  v: selectedSubCountyNameNational
language:
  v: text/fhirpath
expression:
  v: %resource.descendants().where(linkId='819946803642_national').answer.value.reference

url:
  v: http://hl7.org/fhir/StructureDefinition/variable
  l: variable
value: Expression
  name:
    v: selectedWardNameNational
  language:
    v: text/fhirpath
  expression:
    v: %resource.descendants().where(linkId='819943434_national').answer.value.reference

url:
  v: http://hl7.org/fhir/StructureDefinition/variable
  l: variable
value: Expression
  name:
    v: selectedCountyNameSubCounty
  language:
    v: text/fhirpath
  expression:
    v: %resource.descendants().where(linkId='294367770999_sub_county').answer.value.reference

url:
  v: http://hl7.org/fhir/StructureDefinition/variable
  l: variable
value: Expression
  name:
    v: selectedSubCountyNameSubCounty
  language:
    v: text/fhirpath
  expression:
    v: %resource.descendants().where(linkId='819946803642_sub_county').answer.value.reference

url:
  v: http://hl7.org/fhir/StructureDefinition/variable
  l: variable
value: Expression
  name:
    v: selectedWardNameSubCounty
  language:
    v: text/fhirpath
  expression:
    v: %resource.descendants().where(linkId='819943434_sub_county').answer.value.reference

url:
  v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode
  l: sdc-questionnaire-entryMode
value: Code
  v: prior-edit

v: 0.1.0

v: Supervisor Checklist

v: active

v: 2025-08-09

v: Kenya National Public Health Institute

name:
  v: Kenya National Public Health Institute
telecom:
  system:
    v: url
  value:
    v: https://www.nphi.go.ke/

name:
  v: Kenya National Public Health Institute
telecom:
  system:
    v: url
  value:
    v: https://www.nphi.go.ke/
  use:
    v: work

v: Mpox Supervisor Checklist questionnaire for disease surveillance

coding:
  system:
    v: urn:iso:std:iso:3166
    l: 3166
  code:
    v: KE
  display:
    v: Kenya

v: Record all supervisor related activities

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: page
      display:
        v: Page
link id:
  v: 151479012557
text:
  v: Reporting Site
type:
  v: group
item:
  link id:
    v: 546255966914
  text:
    v: Hospital/Facility Location
  type:
    v: display
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
      l: questionnaire-hidden
    value: Boolean
      v: true
  link id:
    v: user_role
  text:
    v: User Role
  type:
    v: string
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
      l: questionnaire-hidden
    value: Boolean
      v: true
  link id:
    v: user_facility
  text:
    v: User Facility
  type:
    v: string
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
      l: questionnaire-hidden
    value: Boolean
      v: true
  link id:
    v: user_ward
  text:
    v: User Ward
  type:
    v: string
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
      l: questionnaire-hidden
    value: Boolean
      v: true
  link id:
    v: user_sub_county
  text:
    v: User Sub County
  type:
    v: string
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
      l: questionnaire-hidden
    value: Boolean
      v: true
  link id:
    v: user_county
  text:
    v: User County
  type:
    v: string
item:
  link id:
    v: facility_level
  type:
    v: group
  enable when:
    question:
      v: user_role
    operator:
      v: =
    answer: String
      v: VACCINATOR
  item:
    extension:
      url:
        v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression
        l: sdc-questionnaire-answerExpression
      value: Expression
    extension:
      extension:
        value: String
      extension:
        value: Boolean
      url:
        v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn
        l: sdc-questionnaire-choiceColumn
    link id:
      v: 294367770999
    text:
      v: County
    type:
      v: reference
    required:
      v: true
  item:
    extension:
      url:
        v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression
        l: sdc-questionnaire-answerExpression
      value: Expression
    extension:
      extension:
        value: String
      extension:
        value: Boolean
      url:
        v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn
        l: sdc-questionnaire-choiceColumn
    link id:
      v: 819946803642
    text:
      v: Sub County
    type:
      v: reference
    required:
      v: true
  item:
    extension:
      url:
        v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression
        l: sdc-questionnaire-answerExpression
      value: Expression
    extension:
      extension:
        value: String
      extension:
        value: Boolean
      url:
        v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn
        l: sdc-questionnaire-choiceColumn
    link id:
      v: 819943434
    text:
      v: Ward
    type:
      v: reference
    required:
      v: true
  item:
    extension:
      url:
        v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression
        l: sdc-questionnaire-answerExpression
      value: Expression
    extension:
      extension:
        value: String
      extension:
        value: Boolean
      url:
        v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn
        l: sdc-questionnaire-choiceColumn
    link id:
      v: 819946803677
    text:
      v: Health Facility
    type:
      v: reference
    required:
      v: true
  item:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
        l: questionnaire-itemControl
      value: CodeableConcept
    link id:
      v: 438862163919
    text:
      v: Type of health facility
    type:
      v: choice

v: application/x-fhir-query

v: Location?_id={{%assignedCounty}}&_sort=name

v: path
l: path

String
v: name

v: forDisplay
l: forDisplay

Boolean
v: true

v: application/x-fhir-query

v: Location?_id={{%assignedSubCounty}}&_sort=name

v: path
l: path

String
v: name

v: forDisplay
l: forDisplay

Boolean
v: true

v: application/x-fhir-query

v: Location?_id={{%assignedWard}}&_sort=name

v: path
l: path

String
v: name

v: forDisplay
l: forDisplay

Boolean
v: true

v: application/x-fhir-query

v: Location?_id={{%assignedFacility}}&_sort=name

v: path
l: path

String
v: name

v: forDisplay
l: forDisplay

Boolean
v: true

system:
  v: http://hl7.org/fhir/questionnaire-item-control
  l: questionnaire-item-control
code:
  v: drop-down
display:
  v: Drop down

v: true

value: Coding
  code:
    v: Private
  display:
    v: Private

value: Coding
  code:
    v: Public
  display:
    v: Public

value: Coding
  code:
    v: Faith Based
  display:
    v: Faith Based

link id:
  v: sub_county_level
type:
  v: group
enable when:
  question:
    v: user_role
  operator:
    v: =
  answer: String
    v: SUBCOUNTY_DISEASE_SURVEILLANCE_OFFICER
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression
      l: sdc-questionnaire-answerExpression
    value: Expression
      language:
        v: application/x-fhir-query
      expression:
        v: Location?_id={{%assignedCounty}}&_sort=name
  extension:
    extension:
      url:
        v: path
        l: path
      value: String
        v: name
    extension:
      url:
        v: forDisplay
        l: forDisplay
      value: Boolean
        v: true
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn
      l: sdc-questionnaire-choiceColumn
  link id:
    v: 294367770999_sub_county
  text:
    v: County
  type:
    v: reference
  required:
    v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression
      l: sdc-questionnaire-answerExpression
    value: Expression
      language:
        v: application/x-fhir-query
      expression:
        v: Location?_id={{%assignedSubCounty}}&_sort=name
  extension:
    extension:
      url:
        v: path
        l: path
      value: String
        v: name
    extension:
      url:
        v: forDisplay
        l: forDisplay
      value: Boolean
        v: true
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn
      l: sdc-questionnaire-choiceColumn
  link id:
    v: 819946803642_sub_county
  text:
    v: Sub County
  type:
    v: reference
  required:
    v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression
      l: sdc-questionnaire-answerExpression
    value: Expression
      language:
        v: application/x-fhir-query
  extension:
    extension:
      url:
        v: path
        l: path
      value: String
        v: name
    extension:
      url:
        v: forDisplay
        l: forDisplay
      value: Boolean
        v: true
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn
      l: sdc-questionnaire-choiceColumn
  link id:
    v: 819943434_sub_county
  text:
    v: Ward
  type:
    v: reference
  required:
    v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression
      l: sdc-questionnaire-answerExpression
    value: Expression
      language:
        v: application/x-fhir-query
  extension:
    extension:
      url:
        v: path
        l: path
      value: String
        v: name
    extension:
      url:
        v: forDisplay
        l: forDisplay
      value: Boolean
        v: true
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn
      l: sdc-questionnaire-choiceColumn
  link id:
    v: 819946803677_sub_county
  text:
    v: Health Facility
  type:
    v: reference
  required:
    v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  link id:
    v: 438862163919_sub_county
  text:
    v: Type of health facility
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: Private
      display:
        v: Private
  answer option:
    value: Coding
      code:
        v: Public
      display:
        v: Public
  answer option:
    value: Coding
      code:
        v: Faith Based
      display:
        v: Faith Based

v: drop-down

v: Drop down

link id:
  v: county_level
type:
  v: group
enable when:
  question:
    v: user_role
  operator:
    v: =
  answer: String
    v: COUNTY_DISEASE_SURVEILLANCE_OFFICER
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression
      l: sdc-questionnaire-answerExpression
    value: Expression
      language:
        v: application/x-fhir-query
      expression:
        v: Location?_id={{%assignedCounty}}&_sort=name
  extension:
    extension:
      url:
        v: path
        l: path
      value: String
        v: name
    extension:
      url:
        v: forDisplay
        l: forDisplay
      value: Boolean
        v: true
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn
      l: sdc-questionnaire-choiceColumn
  link id:
    v: 294367770999_county
  text:
    v: County
  type:
    v: reference
  required:
    v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression
      l: sdc-questionnaire-answerExpression
    value: Expression
      language:
        v: application/x-fhir-query
  extension:
    extension:
      url:
        v: path
        l: path
      value: String
        v: name
    extension:
      url:
        v: forDisplay
        l: forDisplay
      value: Boolean
        v: true
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn
      l: sdc-questionnaire-choiceColumn
  link id:
    v: 819946803642_county
  text:
    v: Sub County
  type:
    v: reference
  required:
    v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression
      l: sdc-questionnaire-answerExpression
    value: Expression
      language:
        v: application/x-fhir-query
  extension:
    extension:
      url:
        v: path
        l: path
      value: String
        v: name
    extension:
      url:
        v: forDisplay
        l: forDisplay
      value: Boolean
        v: true
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn
      l: sdc-questionnaire-choiceColumn
  link id:
    v: 819943434_county
  text:
    v: Ward
  type:
    v: reference
  required:
    v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression
      l: sdc-questionnaire-answerExpression
    value: Expression
      language:
        v: application/x-fhir-query
  extension:
    extension:
      url:
        v: path
        l: path
      value: String
        v: name
    extension:
      url:
        v: forDisplay
        l: forDisplay
      value: Boolean
        v: true
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn
      l: sdc-questionnaire-choiceColumn
  link id:
    v: 819946803677_county
  text:
    v: Health Facility
  type:
    v: reference
  required:
    v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  link id:
    v: 438862163919_county
  text:
    v: Type of health facility
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: Private
      display:
        v: Private
  answer option:
    value: Coding
      code:
        v: Public
      display:
        v: Public
  answer option:
    value: Coding
      code:
        v: Faith Based
      display:
        v: Faith Based

v: drop-down

v: Drop down

link id:
  v: national_level
type:
  v: group
enable when:
  question:
    v: user_role
  operator:
    v: =
  answer: String
    v: ADMINISTRATOR
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression
      l: sdc-questionnaire-answerExpression
    value: Expression
      language:
        v: application/x-fhir-query
      expression:
        v: Location?partof=Location/0&_sort=name
  extension:
    extension:
      url:
        v: path
        l: path
      value: String
        v: name
    extension:
      url:
        v: forDisplay
        l: forDisplay
      value: Boolean
        v: true
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn
      l: sdc-questionnaire-choiceColumn
  link id:
    v: 294367770999_national
  text:
    v: County
  type:
    v: reference
  required:
    v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression
      l: sdc-questionnaire-answerExpression
    value: Expression
      language:
        v: application/x-fhir-query
  extension:
    extension:
      url:
        v: path
        l: path
      value: String
        v: name
    extension:
      url:
        v: forDisplay
        l: forDisplay
      value: Boolean
        v: true
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn
      l: sdc-questionnaire-choiceColumn
  link id:
    v: 819946803642_national
  text:
    v: Sub County
  type:
    v: reference
  required:
    v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression
      l: sdc-questionnaire-answerExpression
    value: Expression
      language:
        v: application/x-fhir-query
  extension:
    extension:
      url:
        v: path
        l: path
      value: String
        v: name
    extension:
      url:
        v: forDisplay
        l: forDisplay
      value: Boolean
        v: true
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn
      l: sdc-questionnaire-choiceColumn
  link id:
    v: 819943434_national
  text:
    v: Ward
  type:
    v: reference
  required:
    v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression
      l: sdc-questionnaire-answerExpression
    value: Expression
      language:
        v: application/x-fhir-query
  extension:
    extension:
      url:
        v: path
        l: path
      value: String
        v: name
    extension:
      url:
        v: forDisplay
        l: forDisplay
      value: Boolean
        v: true
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn
      l: sdc-questionnaire-choiceColumn
  link id:
    v: 819946803677_national
  text:
    v: Health Facility
  type:
    v: reference
  required:
    v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  link id:
    v: 438862163919_national
  text:
    v: Type of health facility
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: Private
      display:
        v: Private
  answer option:
    value: Coding
      code:
        v: Public
      display:
        v: Public
  answer option:
    value: Coding
      code:
        v: Faith Based
      display:
        v: Faith Based

v: drop-down

v: Drop down

link id:
  v: site_name
text:
  v: Vaccination Site Name
type:
  v: string
required:
  v: true

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: drop-down
      display:
        v: Drop down
link id:
  v: site_type
text:
  v: Vaccination Site Type
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: static
    display:
      v: Static
answer option:
  value: Coding
    code:
      v: temporary_fixed
    display:
      v: Temporary Fixed
answer option:
  value: Coding
    code:
      v: mobile_sites
    display:
      v: Mobile sites

extension:
  url:
    v: http://ehelse.no/fhir/StructureDefinition/validationtext
    l: validationtext
  value: String
    v: Cannot be a date in the future
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/entryFormat
    l: entryFormat
  value: String
    v: d/M/y
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Date
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue
        l: cqf-calculatedValue
      value: Expression
link id:
  v: 728034137219
text:
  v: Date
type:
  v: date
required:
  v: true

v: text/fhirpath

v: today()

extension:
  url:
    v: https://github.com/google/android-fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: https://github.com/google/android-fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: location-widget
link id:
  v: location_widget
text:
  v: GPS Coordinate
type:
  v: group
item:
  extension:
    url:
      v: gps-coordinate
      l: gps-coordinate
    value: String
      v: latitude
  link id:
    v: latitude
  text:
    v: Latitude
  type:
    v: decimal
item:
  extension:
    url:
      v: gps-coordinate
      l: gps-coordinate
    value: String
      v: longitude
  link id:
    v: longitude
  text:
    v: Longitude
  type:
    v: decimal

link id:
  v: supervisor_name
text:
  v: Supervisor Name
type:
  v: string
required:
  v: true

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: drop-down
      display:
        v: Drop down
link id:
  v: supervisor_level
text:
  v: Supervisor Level
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: National
    display:
      v: National
answer option:
  value: Coding
    code:
      v: County
    display:
      v: County
answer option:
  value: Coding
    code:
      v: Sub County
    display:
      v: Sub County
answer option:
  value: Coding
    code:
      v: Partner
    display:
      v: Partner

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: page
      display:
        v: Page
link id:
  v: planning
text:
  v: Planning
type:
  v: group
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: team_movement_plan_available
  text:
    v: Team Movement Plan Available?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: rcce_strategy_in_place
  text:
    v: Risk communication & community engagement (RCCE) strategy in place?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: page
      display:
        v: Page
link id:
  v: healthcare_worker_preparedness
text:
  v: Healthcare Worker Preparedness
type:
  v: group
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: trained_on_mpox_vaccine_admin
  text:
    v: Vaccinators trained on Mpox vaccine administration?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: trained_on_aefi_recognition_reporting
  text:
    v: Vaccinators trained on AEFI recognition & reporting?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: trained_on_infection_prevention
  text:
    v: Vaccinators trained on infection prevention (hard hygiene, waste disposal)?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: page
      display:
        v: Page
link id:
  v: vaccine_supplies_and_cold_chain
text:
  v: Vaccine supplies and Cold Chain Management
type:
  v: group
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: vaccines_with_valid_vvm
  text:
    v: Vaccines carrier with foam pad?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: cold_chain_maintained_temp_logs
  text:
    v: Cold chain maintained (2–8°C) with temperature logs?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: sufficient_supplies_available
  text:
    v: Sufficient AD syringes, safety boxes?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: emergency_stock_reserved
  text:
    v: Emergency stock reserved for high-risk areas?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: backup_generator_or_solar_available
  text:
    v: Backup generator/solar system available?
  type:
    v: choice
  enable when:
    question:
      v: site_type
    operator:
      v: =
    answer: Coding
      code:
        v: static
      display:
        v: Static
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: page
      display:
        v: Page
link id:
  v: vaccination_site_setup
text:
  v: Vaccination Site Setup
type:
  v: group
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: site_meets_infection_standards
  text:
    v: Site meets infection prevention standards (handwashing, distancing)?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: separate_zones_present
  text:
    v: Separate zones: Registration, Screening, Vaccination, Observation?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: privacy_ensured
  text:
    v: Privacy ensured (e.g., curtains for undressing if intradermal)?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: emergency_kit_available
  text:
    v: Emergency kit with adrenaline, 2ml Syringe and needle available?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: page
      display:
        v: Page
link id:
  v: vaccination_process
text:
  v: Vaccination Process
type:
  v: group
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: correct_site
  text:
    v: Did the vaccinators administer Mpox vaccine in the correct site as per the guidelines (Observation)?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: correct_route_used
  text:
    v: Vaccine administered via correct route?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: aseptic_technique_followed
  text:
    v: Aseptic technique (Dry cotton swap, sterile syringe and needle)?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: page
      display:
        v: Page
link id:
  v: reporting
text:
  v: Reporting
type:
  v: group
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: data_entered_in_nphiis
  text:
    v: Vaccination data entered in National Public Health Intelligence platform daily (NPHIIS)?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: any_aefis
  text:
    v: Was there an AEFI?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: aefi_reported_immediately
  text:
    v: AEFIs reported immediately to the team supervisor?
  type:
    v: choice
  enable when:
    question:
      v: any_aefis
    operator:
      v: =
    answer: Coding
      code:
        v: yes
      display:
        v: Yes
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: data_collection_tools_available
  text:
    v: Data Collection tools available and adequate?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  link id:
    v: which_tool
  text:
    v: Which Tool?
  type:
    v: choice
  enable when:
    question:
      v: data_collection_tools_available
    operator:
      v: =
    answer: Coding
      code:
        v: yes
      display:
        v: Yes
  required:
    v: true
  repeats:
    v: true
  answer option:
    value: Coding
      code:
        v: Tally_Sheet
      display:
        v: Tally Sheet
  answer option:
    value: Coding
      code:
        v: AEFI_form
      display:
        v: AEFI form

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

v: check-box

v: Check Box

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: page
      display:
        v: Page
link id:
  v: infection_prevention_and_waste
text:
  v: Infection Prevention & Waste Disposal
type:
  v: group
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: ppe_used
  text:
    v: PPE used by all vaccinators (gowns)?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: sharps_in_safety_boxes
  text:
    v: Sharps in WHO-approved safety boxes?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: biomedical_waste_disposed_correctly
  text:
    v: Is the generated healthcare waste properly segregated?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: page
      display:
        v: Page
link id:
  v: community_engagement
text:
  v: Community Engagement
type:
  v: group
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: rumors_addressed
  text:
    v: Rumors addressed via hotline/community leaders?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: sensitization_materials_local_languages
  text:
    v: Sensitization materials in local languages (Swahili, vernacular)?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: page
      display:
        v: Page
link id:
  v: post_vaccination
text:
  v: Post-Vaccination
type:
  v: group
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: observation_after_vaccination
  text:
    v: Recipients observed for 15+ minutes post-vaccination?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: aefi_forms_ready
  text:
    v: Have the AEFI forms been filled at the facility level and cascaded to the sub-county?
  type:
    v: choice
  enable when:
    question:
      v: any_aefis
    operator:
      v: =
    answer: Coding
      code:
        v: yes
      display:
        v: Yes
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: page
      display:
        v: Page
link id:
  v: rumour_tracking
text:
  v: Rumor Tracking
type:
  v: group
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: mpox_rumor_heard
  text:
    v: Have you heard any rumors / hesitancy on Mpox vaccine?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  link id:
    v: mpox_rumor_options
  text:
    v: If yes, select all that apply
  type:
    v: choice
  enable when:
    question:
      v: mpox_rumor_heard
    operator:
      v: =
    answer: Coding
      code:
        v: yes
  required:
    v: true
  repeats:
    v: true
  answer option:
    value: Coding
      code:
        v: death
      display:
        v: Mpox vaccine can cause death
  answer option:
    value: Coding
      code:
        v: infertility
      display:
        v: Mpox vaccine can cause infertility
  answer option:
    value: Coding
      code:
        v: depopulation
      display:
        v: Mpox vaccine is Bill and Melinda depopulation agenda
  answer option:
    value: Coding
      code:
        v: unsafe
      display:
        v: Mpox vaccine is not safe and can cause serious side effects
  answer option:
    value: Coding
      code:
        v: covid_finish
      display:
        v: Mpox vaccine is a way of finishing the COVID-19 vaccine
  answer option:
    value: Coding
      code:
        v: other
      display:
        v: Other
item:
  link id:
    v: mpox_rumor_other_specify
  text:
    v: If other kindly specify
  type:
    v: string
  enable when:
    question:
      v: mpox_rumor_options
    operator:
      v: =
    answer: Coding
      code:
        v: other
  required:
    v: true
item:
  link id:
    v: mpox_rumor_action
  text:
    v: State what you did with the rumor
  type:
    v: string
  enable when:
    question:
      v: mpox_rumor_heard
    operator:
      v: =
    answer: Coding
      code:
        v: yes
  required:
    v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: mpox_rumor_source_trusted
  text:
    v: Did you trust the source of the rumor?
  type:
    v: choice
  enable when:
    question:
      v: mpox_rumor_heard
    operator:
      v: =
    answer: Coding
      code:
        v: yes
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: mpox_rumor_investigated
  text:
    v: Was the rumor investigated?
  type:
    v: choice
  enable when:
    question:
      v: mpox_rumor_heard
    operator:
      v: =
    answer: Coding

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

Coding
code:
  v: yes

v: true

value: Coding
  code:
    v: yes
  display:
    v: Yes

value: Coding
  code:
    v: no
  display:
    v: No

link id:
  v: mpox_rumor_steps_taken
text:
  v: Which steps did you take to address the rumor?
type:
  v: text
enable when:
  question:
    v: mpox_rumor_heard
  operator:
    v: =
  answer: Coding
    code:
      v: yes
required:
  v: true

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: page
      display:
        v: Page
link id:
  v: supervisors_final_assessment
text:
  v: Supervisor's Final Assessment
type:
  v: group
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
      l: questionnaire-choiceOrientation
    value: Code
      v: horizontal
  link id:
    v: any_challenges
  text:
    v: Were there any challenges?
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      code:
        v: yes
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: no
      display:
        v: No
item:
  link id:
    v: key_challenges
  text:
    v: Key challenges:
  type:
    v: string
  enable when:
    question:
      v: any_challenges
    operator:
      v: =
    answer: Coding
      code:
        v: yes
  required:
    v: true
item:
  link id:
    v: corrective_actions_taken
  text:
    v: Corrective actions taken for gaps.
  type:
    v: string
  enable when:
    question:
      v: key_challenges
    operator:
      v: exists
    answer: Boolean
      v: true
  required:
    v: true
item:
  link id:
    v: recommendations_for_next_phase
  text:
    v: Recommendations for next phase
  type:
    v: string
  required:
    v: true

v: radio-button

v: Radio Button