Generated Narrative: Questionnaire MpoxTallySheet

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

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. Mpox Tally Sheet questionnaire for disease surveillanceQuestionnairehttp://example.org/Questionnaire/MpoxTallySheet#0.1.0
... 151479012557Reporting Site0..1group
.... 546255966914Hospital/Facility Location0..1display
.... 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
.... villageVillage1..1string
.... team_noTeam No1..1string
.... team_typeTeam type1..1choiceOptions: 3 options
.... campaign_dayCampaign Day1..1choiceOptions: 10 options
.... 728034137219Date1..1date
.... supervisor_nameSupervisor Name1..1string
.... supervisor_levelSupervisor Level1..1choiceOptions: 4 options
... target_populationNumber Reached0..1group
.... hcw_18_39_reportedWere any healthcare workers aged 18–39 years reported?1..1choiceiconiconOptions: 2 options
.... hcw_18_39_maleNumber of male healthcare workers aged 18–39 years reported0..1integerEnable When: hcw_18_39_reported = yes (yes)
.... hcw_18_39_femaleNumber of female healthcare workers aged 18–39 years reported0..1integerEnable When: hcw_18_39_reported = yes (yes)
.... hcw_18_39_male_noNumber of male healthcare workers aged 18–39 years reported0..1integericoniconEnable When: hcw_18_39_reported = no (no)
Initial Value: integer = 0
.... hcw_18_39_female_noNumber of female healthcare workers aged 18–39 years reported0..1integericoniconEnable When: hcw_18_39_reported = no (no)
Initial Value: integer = 0
.... hcw_40_59_reportedWere any healthcare workers aged 40–59 years reported?1..1choiceiconiconOptions: 2 options
.... hcw_40_59_maleNumber of male healthcare workers aged 40–59 years reported0..1integerEnable When: hcw_40_59_reported = yes (yes)
.... hcw_40_59_femaleNumber of female healthcare workers aged 40–59 years reported0..1integerEnable When: hcw_40_59_reported = yes (yes)
.... hcw_40_59_male_noNumber of male healthcare workers aged 40–59 years reported0..1integericoniconEnable When: hcw_40_59_reported = no (no)
Initial Value: integer = 0
.... hcw_40_59_female_noNumber of female healthcare workers aged 40–59 years reported0..1integericoniconEnable When: hcw_40_59_reported = no (no)
Initial Value: integer = 0
.... hcw_60_plus_reportedWere any healthcare workers aged 60+ years reported?1..1choiceiconiconOptions: 2 options
.... hcw_60_plus_maleNumber of male healthcare workers aged 60+ years reported0..1integerEnable When: hcw_60_plus_reported = yes (yes)
.... hcw_60_plus_femaleNumber of female healthcare workers aged 60+ years reported0..1integerEnable When: hcw_60_plus_reported = yes (yes)
.... hcw_60_plus_male_noNumber of male healthcare workers aged 60+ years reported0..1integericoniconEnable When: hcw_60_plus_reported = no (no)
Initial Value: integer = 0
.... hcw_60_plus_female_noNumber of female healthcare workers aged 60+ years reported0..1integericoniconEnable When: hcw_60_plus_reported = no (no)
Initial Value: integer = 0
.... sw_under_18_reportedWere any sex workers aged under 18 years reported?1..1choiceiconiconOptions: 2 options
.... sw_under_18_maleNumber of male sex workers under 18 years reported0..1integerEnable When: sw_under_18_reported = yes (yes)
.... sw_under_18_femaleNumber of female sex workers aged under 18 years reported0..1integerEnable When: sw_under_18_reported = yes (yes)
.... sw_under_18_male_noNumber of male sex workers aged under 18 years reported0..1integericoniconEnable When: sw_under_18_reported = no (no)
Initial Value: integer = 0
.... sw_under_18_female_noNumber of female sex workers aged under 18 years reported0..1integericoniconEnable When: sw_under_18_reported = no (no)
Initial Value: integer = 0
.... sw_18_39_reportedWere any sex workers aged 18–39 years reported?1..1choiceiconiconOptions: 2 options
.... sw_18_39_maleNumber of male sex workers aged 18–39 years reported0..1integerEnable When: sw_18_39_reported = yes (yes)
.... sw_18_39_femaleNumber of female sex workers aged 18–39 years reported0..1integerEnable When: sw_18_39_reported = yes (yes)
.... sw_18_39_male_noNumber of male sex workers aged 18–39 years reported0..1integericoniconEnable When: sw_18_39_reported = no (no)
Initial Value: integer = 0
.... sw_18_39_female_noNumber of female sex workers aged 18–39 years reported0..1integericoniconEnable When: sw_18_39_reported = no (no)
Initial Value: integer = 0
.... sw_40_59_reportedWere any sex workers aged 40–59 years reported?1..1choiceiconiconOptions: 2 options
.... sw_40_59_maleNumber of male sex workers aged 40–59 years reported0..1integerEnable When: sw_40_59_reported = yes (yes)
.... sw_40_59_femaleNumber of female sex workers aged 40–59 years reported0..1integerEnable When: sw_40_59_reported = yes (yes)
.... sw_40_59_male_noNumber of male sex workers aged 40–59 years reported0..1integericoniconEnable When: sw_40_59_reported = no (no)
Initial Value: integer = 0
.... sw_40_59_female_noNumber of female sex workers aged 40–59 years reported0..1integericoniconEnable When: sw_40_59_reported = no (no)
Initial Value: integer = 0
.... sw_60_plus_reportedWere any sex workers aged 60+ years reported?1..1choiceiconiconOptions: 2 options
.... sw_60_plus_maleNumber of male sex workers aged 60+ years reported0..1integerEnable When: sw_60_plus_reported = yes (yes)
.... sw_60_plus_femaleNumber of female sex workers aged 60+ years reported0..1integerEnable When: sw_60_plus_reported = yes (yes)
.... sw_60_plus_male_noNumber of male sex workers aged 60+ years reported0..1integericoniconEnable When: sw_60_plus_reported = no (no)
Initial Value: integer = 0
.... sw_60_plus_female_noNumber of female sex workers aged 60+ years reported0..1integericoniconEnable When: sw_60_plus_reported = no (no)
Initial Value: integer = 0
.... td_18_39_reportedWere any truck drivers aged 18–39 years reported?1..1choiceiconiconOptions: 2 options
.... td_18_39_maleNumber of male truck drivers aged 18–39 years reported0..1integerEnable When: td_18_39_reported = yes (yes)
.... td_18_39_femaleNumber of female truck drivers aged 18–39 years reported0..1integerEnable When: td_18_39_reported = yes (yes)
.... td_18_39_male_noNumber of male truck drivers aged 18–39 years reported0..1integericoniconEnable When: td_18_39_reported = no (no)
Initial Value: integer = 0
.... td_18_39_female_noNumber of female truck drivers aged 18–39 years reported0..1integericoniconEnable When: td_18_39_reported = no (no)
Initial Value: integer = 0
.... td_40_59_reportedWere any truck drivers aged 40–59 years reported?1..1choiceiconiconOptions: 2 options
.... td_40_59_maleNumber of male truck drivers aged 40–59 years reported0..1integerEnable When: td_40_59_reported = yes (yes)
.... td_40_59_femaleNumber of female truck drivers aged 40–59 years reported0..1integerEnable When: td_40_59_reported = yes (yes)
.... td_40_59_male_noNumber of male truck drivers aged 40–59 years reported0..1integericoniconEnable When: td_40_59_reported = no (no)
Initial Value: integer = 0
.... td_40_59_female_noNumber of female truck drivers aged 40–59 years reported0..1integericoniconEnable When: td_40_59_reported = no (no)
Initial Value: integer = 0
.... td_60_plus_reportedWere any truck drivers aged 60+ years reported?1..1choiceiconiconOptions: 2 options
.... td_60_plus_maleNumber of male truck drivers aged 60+ years reported0..1integerEnable When: td_60_plus_reported = yes (yes)
.... td_60_plus_femaleNumber of female truck drivers aged 60+ years reported0..1integerEnable When: td_60_plus_reported = yes (yes)
.... td_60_plus_male_noNumber of male truck drivers aged 60+ years reported0..1integericoniconEnable When: td_60_plus_reported = no (no)
Initial Value: integer = 0
.... td_60_plus_female_noNumber of female truck drivers aged 60+ years reported0..1integericoniconEnable When: td_60_plus_reported = no (no)
Initial Value: integer = 0
.... others_18_39_reportedWere any others aged 18–39 years reported?1..1choiceiconiconOptions: 2 options
.... others_18_39_maleNumber of male others aged 18–39 years reported0..1integerEnable When: others_18_39_reported = yes (yes)
.... others_18_39_femaleNumber of female others aged 18–39 years reported0..1integerEnable When: others_18_39_reported = yes (yes)
.... others_18_39_male_noNumber of male others aged 18–39 years reported0..1integericoniconEnable When: others_18_39_reported = no (no)
Initial Value: integer = 0
.... others_18_39_female_noNumber of female others aged 18–39 years reported0..1integericoniconEnable When: others_18_39_reported = no (no)
Initial Value: integer = 0
.... others_40_59_reportedWere any others aged 40–59 years reported?1..1choiceiconiconOptions: 2 options
.... others_40_59_maleNumber of male others aged 40–59 years reported0..1integerEnable When: others_40_59_reported = yes (yes)
.... others_40_59_femaleNumber of female others aged 40–59 years reported0..1integerEnable When: others_40_59_reported = yes (yes)
.... others_40_59_male_noNumber of male others aged 40–59 years reported0..1integericoniconEnable When: others_40_59_reported = no (no)
Initial Value: integer = 0
.... others_40_59_female_noNumber of female others aged 40–59 years reported0..1integericoniconEnable When: others_40_59_reported = no (no)
Initial Value: integer = 0
.... others_60_plus_reportedWere any others aged 60+ years reported?1..1choiceiconiconOptions: 2 options
.... others_60_plus_maleNumber of male others aged 60+ years reported0..1integerEnable When: others_60_plus_reported = yes (yes)
.... others_60_plus_femaleNumber of female others aged 60+ years reported0..1integerEnable When: others_60_plus_reported = yes (yes)
.... others_60_plus_male_noNumber of male others aged 60+ years reported0..1integericoniconEnable When: others_60_plus_reported = no (no)
Initial Value: integer = 0
.... others_60_plus_female_noNumber of female others aged 60+ years reported0..1integericoniconEnable When: others_60_plus_reported = no (no)
Initial Value: integer = 0
.... contact_under_18_reportedWere any contacts aged under 18 years reported?1..1choiceiconiconOptions: 2 options
.... contact_under_18_maleNumber of male contacts aged under 18 years reported0..1integerEnable When: contact_under_18_reported = yes (yes)
.... contact_under_18_femaleNumber of female contacts aged under 18 years reported0..1integerEnable When: contact_under_18_reported = yes (yes)
.... contact_under_18_male_noNumber of male contacts aged under 18 years reported0..1integericoniconEnable When: contact_under_18_reported = no (no)
Initial Value: integer = 0
.... contact_under_18_female_noNumber of female contacts aged under 18 years reported0..1integericoniconEnable When: contact_under_18_reported = no (no)
Initial Value: integer = 0
.... contact_18_39_reportedWere any contacts aged 18–39 years reported?1..1choiceiconiconOptions: 2 options
.... contact_18_39_maleNumber of male contacts aged 18–39 years reported0..1integerEnable When: contact_18_39_reported = yes (yes)
.... contact_18_39_femaleNumber of female contacts aged 18–39 years reported0..1integerEnable When: contact_18_39_reported = yes (yes)
.... contact_18_39_male_noNumber of male contacts aged 18–39 years reported0..1integericoniconEnable When: contact_18_39_reported = no (no)
Initial Value: integer = 0
.... contact_18_39_female_noNumber of female contacts aged 18–39 years reported0..1integericoniconEnable When: contact_18_39_reported = no (no)
Initial Value: integer = 0
.... contact_40_59_reportedWere any contacts aged 40–59 years reported?1..1choiceiconiconOptions: 2 options
.... contact_40_59_maleNumber of male contacts aged 40–59 years reported0..1integerEnable When: contact_40_59_reported = yes (yes)
.... contact_40_59_femaleNumber of female contacts aged 40–59 years reported0..1integerEnable When: contact_40_59_reported = yes (yes)
.... contact_40_59_male_noNumber of male contacts aged 40–59 years reported0..1integericoniconEnable When: contact_40_59_reported = no (no)
Initial Value: integer = 0
.... contact_40_59_female_noNumber of female contacts aged 40–59 years reported0..1integericoniconEnable When: contact_40_59_reported = no (no)
Initial Value: integer = 0
.... contact_60_plus_reportedWere any contacts aged 60+ years reported?1..1choiceiconiconOptions: 2 options
.... contact_60_plus_maleNumber of male contacts aged 60+ years reported0..1integerEnable When: contact_60_plus_reported = yes (yes)
.... contact_60_plus_femaleNumber of female contacts aged 60+ years reported0..1integerEnable When: contact_60_plus_reported = yes (yes)
.... contact_60_plus_male_noNumber of male contacts aged 60+ years reported0..1integericoniconEnable When: contact_60_plus_reported = no (no)
Initial Value: integer = 0
.... contact_60_plus_female_noNumber of female contacts aged 60+ years reported0..1integericoniconEnable When: contact_60_plus_reported = no (no)
Initial Value: integer = 0
... utilization_aefi_mpox_surveilanceVaccine Utilization, AEFI and Mpox Surveillance0..1group
.... vaccine_receivedNumber of doses of vaccine received1..1integer
.... vaccine_usedNumber of vaccine doses used1..1integer
.... vaccine_remainingNumber of vaccine doses remaining1..1integer
.... aefiAEFI0..1display
.... aefi_yes_noReported AEFI?1..1choiceiconiconOptions: 2 options
.... aefi_countNumber of vaccinee with reported AEFI1..1integerEnable When: aefi_yes_no = yes (yes)
.... surveilanceSurveilance0..1display
.... mpox_suspected_case_countNo. of Mpox Suspected Case detected1..1integer
.... rumour_trackingRumour Tracking0..1display
.... rumour_reportedWere any rumours reported1..1choiceiconiconOptions: 2 options
.... rumour_detailsWhat was the rumour about1..1stringEnable When: rumour_reported = Yes (yes)
.... rumour_escalatedWere they escalated1..1choiceiconiconEnable When: rumour_reported = Yes (yes)
Options: 2 options

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 team_type

  • null#static ("Static")
  • null#temporary_fixed ("Temporary Fixed")
  • null#mobile_sites ("Mobile sites")

Answer options for campaign_day

  • null#1 ("Day 1")
  • null#2 ("Day 2")
  • null#3 ("Day 3")
  • null#4 ("Day 4")
  • null#5 ("Day 5")
  • null#6 ("Day 6")
  • null#7 ("Day 7")
  • null#8 ("Day 8")
  • null#9 ("Day 9")
  • null#10 ("Day 10")

Answer options for supervisor_level

  • null#National ("National")
  • null#County ("County")
  • null#Sub County ("Sub County")
  • null#Partner ("Partner")

Answer options for hcw_18_39_reported

  • null#yes ("Yes")
  • null#no ("No")

Answer options for hcw_40_59_reported

  • null#yes ("Yes")
  • null#no ("No")

Answer options for hcw_60_plus_reported

  • null#yes ("Yes")
  • null#no ("No")

Answer options for sw_under_18_reported

  • null#yes ("Yes")
  • null#no ("No")

Answer options for sw_18_39_reported

  • null#yes ("Yes")
  • null#no ("No")

Answer options for sw_40_59_reported

  • null#yes ("Yes")
  • null#no ("No")

Answer options for sw_60_plus_reported

  • null#yes ("Yes")
  • null#no ("No")

Answer options for td_18_39_reported

  • null#yes ("Yes")
  • null#no ("No")

Answer options for td_40_59_reported

  • null#yes ("Yes")
  • null#no ("No")

Answer options for td_60_plus_reported

  • null#yes ("Yes")
  • null#no ("No")

Answer options for others_18_39_reported

  • null#yes ("Yes")
  • null#no ("No")

Answer options for others_40_59_reported

  • null#yes ("Yes")
  • null#no ("No")

Answer options for others_60_plus_reported

  • null#yes ("Yes")
  • null#no ("No")

Answer options for contact_under_18_reported

  • null#yes ("Yes")
  • null#no ("No")

Answer options for contact_18_39_reported

  • null#yes ("Yes")
  • null#no ("No")

Answer options for contact_40_59_reported

  • null#yes ("Yes")
  • null#no ("No")

Answer options for contact_60_plus_reported

  • null#yes ("Yes")
  • null#no ("No")

Answer options for aefi_yes_no

  • null#yes ("Yes")
  • null#no ("No")

Answer options for rumour_reported

  • null#yes ("Yes")
  • null#no ("No")

Answer options for rumour_escalated

  • null#yes ("Yes")
  • null#no ("No")
 <status value="active"/> <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="Mpox Tally Sheet 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> <linkId value="546255966914"/> <text value="Hospital/Facility Location"/> <type value="display"/> </item> <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 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<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="village"/> <text value="Village"/> <type value="string"/> <required value="true"/> </item> <item> <linkId value="team_no"/> <text value="Team No"/> <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="drop-down"/> <display value="Drop down"/> </coding> </valueCodeableConcept> </extension> <linkId value="team_type"/> <text value="Team type"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <code value="static"/> <display value="Static"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="temporary_fixed"/> <display value="Temporary Fixed"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="mobile_sites"/> <display value="Mobile sites"/> </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="drop-down"/> <display value="Drop down"/> </coding> </valueCodeableConcept> </extension> <linkId value="campaign_day"/> <text value="Campaign Day"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <code value="1"/> <display value="Day 1"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="2"/> <display value="Day 2"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="3"/> <display value="Day 3"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="4"/> <display value="Day 4"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="5"/> <display value="Day 5"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="6"/> <display value="Day 6"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="7"/> <display value="Day 7"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="8"/> <display value="Day 8"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="9"/> <display value="Day 9"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="10"/> <display value="Day 10"/> </valueCoding> </answerOption> </item> <item> <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/entryFormat"> <valueString value="dd-mm-yyyy"/> </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="728034137219"/> <text value="Date"/> <type value="date"/> <required value="true"/> </item> <item> <linkId value="supervisor_name"/> <text value="Supervisor 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="drop-down"/> <display value="Drop down"/> </coding> </valueCodeableConcept> </extension> <linkId value="supervisor_level"/> <text value="Supervisor Level"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <code value="National"/> <display value="National"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="County"/> <display value="County"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="Sub County"/> <display value="Sub County"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="Partner"/> <display value="Partner"/> </valueCoding> </answerOption> </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="target_population"/> <text value="Number Reached"/> <type value="group"/> <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="hcw_18_39_reported"/> <text value="Were any healthcare workers aged 18–39 years reported?"/> <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="hcw_18_39_male"/> <text value="Number of male healthcare workers aged 18–39 years reported"/> <type value="integer"/> <enableWhen> <question value="hcw_18_39_reported"/> <operator value="="/> <answerCoding> <code value="yes"/> </answerCoding> </enableWhen> </item> <item> <linkId value="hcw_18_39_female"/> <text value="Number of female healthcare workers aged 18–39 years reported"/> <type value="integer"/> <enableWhen> <question value="hcw_18_39_reported"/> <operator value="="/> <answerCoding> <code value="yes"/> </answerCoding> </enableWhen> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <linkId value="hcw_18_39_male_no"/> <text value="Number of male healthcare workers aged 18–39 years reported"/> <type value="integer"/> <enableWhen> <question value="hcw_18_39_reported"/> <operator value="="/> <answerCoding> <code value="no"/> </answerCoding> </enableWhen> <initial> <valueInteger value="0"/> </initial> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <linkId value="hcw_18_39_female_no"/> <text value="Number of female healthcare workers aged 18–39 years reported"/> <type value="integer"/> <enableWhen> <question value="hcw_18_39_reported"/> <operator value="="/> <answerCoding> <code value="no"/> </answerCoding> </enableWhen> <initial> <valueInteger value="0"/> </initial> </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="hcw_40_59_reported"/> <text value="Were any healthcare workers aged 40–59 years reported?"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <code value="yes"/> <display value="Yes"/> 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<question value="hcw_40_59_reported"/> <operator value="="/> <answerCoding> <code value="no"/> </answerCoding> </enableWhen> <initial> <valueInteger value="0"/> </initial> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <linkId value="hcw_40_59_female_no"/> <text value="Number of female healthcare workers aged 40–59 years reported"/> <type value="integer"/> <enableWhen> <question value="hcw_40_59_reported"/> <operator value="="/> <answerCoding> <code value="no"/> </answerCoding> </enableWhen> <initial> <valueInteger value="0"/> </initial> </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="hcw_60_plus_reported"/> <text value="Were any healthcare workers aged 60+ years reported?"/> <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="hcw_60_plus_male"/> <text value="Number of male healthcare workers aged 60+ years reported"/> <type value="integer"/> <enableWhen> <question value="hcw_60_plus_reported"/> <operator value="="/> <answerCoding> <code value="yes"/> </answerCoding> </enableWhen> </item> <item> <linkId value="hcw_60_plus_female"/> <text value="Number of female healthcare workers aged 60+ years reported"/> <type value="integer"/> <enableWhen> <question value="hcw_60_plus_reported"/> <operator value="="/> <answerCoding> <code value="yes"/> </answerCoding> </enableWhen> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <linkId value="hcw_60_plus_male_no"/> <text value="Number of male healthcare workers aged 60+ years reported"/> <type value="integer"/> <enableWhen> <question value="hcw_60_plus_reported"/> <operator value="="/> <answerCoding> <code value="no"/> </answerCoding> </enableWhen> <initial> <valueInteger value="0"/> </initial> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <linkId value="hcw_60_plus_female_no"/> <text value="Number of female healthcare workers aged 60+ years reported"/> <type value="integer"/> <enableWhen> <question value="hcw_60_plus_reported"/> <operator value="="/> <answerCoding> <code value="no"/> </answerCoding> </enableWhen> <initial> <valueInteger value="0"/> </initial> </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="sw_under_18_reported"/> <text value="Were any sex workers aged under 18 years reported?"/> <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="sw_under_18_male"/> <text value="Number of male sex workers under 18 years reported"/> <type value="integer"/> <enableWhen> <question value="sw_under_18_reported"/> <operator 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<text value="Number of female sex workers aged under 18 years reported"/> <type value="integer"/> <enableWhen> <question value="sw_under_18_reported"/> <operator value="="/> <answerCoding> <code value="no"/> </answerCoding> </enableWhen> <initial> <valueInteger value="0"/> </initial> </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="sw_18_39_reported"/> <text value="Were any sex workers aged 18–39 years reported?"/> <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="sw_18_39_male"/> <text value="Number of male sex workers aged 18–39 years reported"/> <type value="integer"/> <enableWhen> <question value="sw_18_39_reported"/> <operator value="="/> <answerCoding> <code value="yes"/> </answerCoding> </enableWhen> </item> <item> <linkId value="sw_18_39_female"/> <text value="Number of female sex workers aged 18–39 years reported"/> <type value="integer"/> <enableWhen> <question value="sw_18_39_reported"/> <operator value="="/> <answerCoding> <code value="yes"/> </answerCoding> </enableWhen> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <linkId value="sw_18_39_male_no"/> <text value="Number of male sex workers aged 18–39 years reported"/> <type value="integer"/> <enableWhen> <question value="sw_18_39_reported"/> <operator value="="/> <answerCoding> 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<initial> <valueInteger value="0"/> </initial> </item> </item> <item> <linkId value="utilization_aefi_mpox_surveilance"/> <text value="Vaccine Utilization, AEFI and Mpox Surveillance"/> <type value="group"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/maxValue"> <valueInteger value="9999"/> </extension> <linkId value="vaccine_received"/> <text value="Number of doses of vaccine received"/> <type value="integer"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/maxValue"> <valueInteger value="9999"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-constraint"> <extension url="key"> <valueId value="constraint-1"/> </extension> <extension url="requirements"> <valueString value="vaccine_used <= vaccine_received"/> </extension> <extension url="severity"> <valueCode value="error"/> </extension> <extension url="expression"> <valueString value="%context.answer.value <= %resource.descendants().where(linkId='vaccine_received').answer.value"/> </extension> <extension url="human"> <valueString value="Doses used cannot be more than the doses received"/> </extension> <extension url="location"> <valueString value="1"/> </extension> </extension> <linkId value="vaccine_used"/> <text value="Number of vaccine doses used"/> <type value="integer"/> <required value="true"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/maxValue"> <valueInteger value="9999"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-constraint"> <extension url="key"> <valueId value="constraint-1"/> </extension> <extension url="requirements"> <valueString value="vaccine_used <= vaccine_received"/> </extension> <extension url="severity"> <valueCode value="error"/> </extension> <extension url="expression"> <valueString value="%context.answer.value <= %resource.descendants().where(linkId='vaccine_received').answer.value"/> </extension> <extension url="human"> <valueString value="Doses used cannot be more than the doses received"/> </extension> <extension url="location"> <valueString value="1"/> </extension> </extension> <linkId value="vaccine_remaining"/> <text value="Number of vaccine doses remaining"/> <type value="integer"/> <required value="true"/> </item> <item> <linkId value="aefi"/> <text value="AEFI"/> <type value="display"/> </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="aefi_yes_no"/> <text value="Reported AEFI?"/> <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> <extension url="http://hl7.org/fhir/StructureDefinition/maxValue"> <valueInteger value="9999"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-constraint"> <extension url="key"> <valueId value="constraint-1"/> </extension> <extension url="requirements"> <valueString value="aefi_count <= vaccine_used"/> </extension> <extension url="severity"> <valueCode value="error"/> </extension> <extension url="expression"> <valueString value="%context.answer.value <= %resource.descendants().where(linkId='vaccine_used').answer.value"/> </extension> <extension url="human"> <valueString value="AEFI count cannot be more than the doses used"/> </extension> <extension url="location"> <valueString value="1"/> </extension> </extension> <linkId value="aefi_count"/> <text value="Number of vaccinee with reported AEFI"/> <type value="integer"/> <enableWhen> <question value="aefi_yes_no"/> <operator value="="/> <answerCoding> <code value="yes"/> </answerCoding> </enableWhen> <required value="true"/> </item> <item> <linkId value="surveilance"/> <text value="Surveilance"/> <type value="display"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/maxValue"> <valueInteger value="9999"/> </extension> <linkId value="mpox_suspected_case_count"/> <text value="No. of Mpox Suspected Case detected"/> <type value="integer"/> <required value="true"/> </item> <item> <linkId value="rumour_tracking"/> <text value="Rumour Tracking"/> <type value="display"/> </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="rumour_reported"/> <text value="Were any rumours reported"/> <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="rumour_details"/> <text value="What was the rumour about"/> <type value="string"/> <enableWhen> <question value="rumour_reported"/> <operator value="="/> <answerCoding> <code value="yes"/> <display value="Yes"/> </answerCoding> </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="rumour_escalated"/> <text value="Were they escalated"/> <type value="choice"/> <enableWhen> <question value="rumour_reported"/> <operator value="="/> <answerCoding> <code value="yes"/> <display value="Yes"/> </answerCoding> </enableWhen> <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> </Questionnaire>