Kenya Disease Surveillance FHIR Implementation Guide., published by Kenya National Public Health Institute. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/Surveillance-FHIR-IG/ and changes regularly. See the Directory of published versions
| Official URL: http://example.org/Questionnaire/VlCase | Version: 0.1.0 | |||
| Draft as of 2026-05-04 | Computable Name: | |||
Visceral Leishmaniasis surveillance case questionnaire
Profile: http://hl7.org/fhir/4.0/StructureDefinition/Questionnaire
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints![]() |
|---|---|---|---|---|---|
![]() | Visceral Leishmaniasis surveillance case questionnaire | Questionnaire | http://example.org/Questionnaire/VlCase#0.1.0 | ||
![]() ![]() | PRESENTATION PHASE | 0..1 | group | Value Set: | |
![]() ![]() ![]() | Hospital/Facility Location | 0..1 | display | Value Set: | |
![]() ![]() ![]() | User Role | 0..1 | string | Value Set: | |
![]() ![]() ![]() | User Facility | 0..1 | string | Value Set: | |
![]() ![]() ![]() | User Ward | 0..1 | string | Value Set: | |
![]() ![]() ![]() | User Sub County | 0..1 | string | Value Set: | |
![]() ![]() ![]() | User County | 0..1 | string | Value Set: | |
![]() ![]() ![]() | null | 0..1 | group | Enable When: user_role = VACCINATOR Value Set: | |
![]() ![]() ![]() ![]() | County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Sub County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Ward | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Health Facility | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Type of health facility | 1..1 | choice | Value Set: Options: 3 options | |
![]() ![]() ![]() | null | 0..1 | group | Enable When: user_role = SUBCOUNTY_DISEASE_SURVEILLANCE_OFFICER Value Set: | |
![]() ![]() ![]() ![]() | County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Sub County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Ward | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Health Facility | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Type of health facility | 1..1 | choice | Value Set: Options: 3 options | |
![]() ![]() ![]() | null | 0..1 | group | Enable When: user_role = COUNTY_DISEASE_SURVEILLANCE_OFFICER Value Set: | |
![]() ![]() ![]() ![]() | County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Sub County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Ward | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Health Facility | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Type of health facility | 1..1 | choice | Value Set: Options: 3 options | |
![]() ![]() ![]() | null | 0..1 | group | Enable When: user_role = ADMINISTRATOR Value Set: | |
![]() ![]() ![]() ![]() | County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Sub County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Ward | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Health Facility | 1..1 | reference | Value Set: | |
![]() ![]() ![]() ![]() | Type of health facility | 1..1 | choice | Value Set: Options: 3 options | |
![]() ![]() ![]() | Date of Diagnosis | 1..1 | date | Value Set: | |
![]() ![]() | Case Information | 0..1 | group | Value Set: | |
![]() ![]() ![]() | IP/OP Number | 1..1 | string | Value Set: | |
![]() ![]() ![]() | Patient First Name | 1..1 | string | Value Set: | |
![]() ![]() ![]() | Patient Middle Name | 0..1 | string | Value Set: | |
![]() ![]() ![]() | Patient Family Name | 1..1 | string | Value Set: | |
![]() ![]() ![]() | Patient Mobile Contact | 0..1 | string | Value Set: | |
![]() ![]() ![]() ![]() | 07xxxxxxxx | 0..1 | display | Value Set: | |
![]() ![]() ![]() | Date of Birth known or unknown? | 0..1 | choice | Value Set: Options: 2 options | |
![]() ![]() ![]() | Date of Birth | 1..1 | date | Enable When: 442636360588 = Known (known) Value Set: | |
![]() ![]() ![]() | Age at Onset | 0..1 | string | Value Set: Initial Value: string = 0 | |
![]() ![]() ![]() | Age in Years | 1..1 | integer | Enable When: 442636360588 = Unknown (unknown) Value Set: | |
![]() ![]() ![]() | Age in Months | 0..1 | integer | Enable When: 442636360588 = Unknown (unknown) Value Set: | |
![]() ![]() ![]() | Age in Days | 0..1 | integer | Enable When: 442636360588 = Unknown (unknown) Value Set: | |
![]() ![]() ![]() | Gender | 1..1 | choice | Value Set: Options: 2 options | |
![]() ![]() ![]() | Pregnancy Status | 1..1 | choice | Enable When: 543806612685 = Female (female) Value Set: Options: 3 options | |
![]() ![]() ![]() | Weight (Kg) | 1..1 | decimal | Value Set: | |
![]() ![]() ![]() | Height (cm) | 1..1 | decimal | Value Set: | |
![]() ![]() ![]() | Temperature (°C) | 1..1 | decimal | Value Set: | |
![]() ![]() ![]() | Patient Location | 0..1 | display | Value Set: | |
![]() ![]() ![]() | County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() | Sub County | 1..1 | reference | Value Set: | |
![]() ![]() ![]() | Ward | 1..1 | reference | Value Set: | |
![]() ![]() ![]() | Village | 1..1 | string | Value Set: | |
![]() ![]() ![]() | Nearest Health Facility | 1..1 | string | Value Set: | |
![]() ![]() ![]() | Occupation | 1..1 | choice | Value Set: Options: 6 options | |
![]() ![]() ![]() | Other Occupation(Specify) | 1..1 | string | Enable When: 999881476256 = Other (Specify) (occ-006) Value Set: | |
![]() ![]() ![]() | Education Level | 1..1 | choice | Value Set: Options: 5 options | |
![]() ![]() ![]() | Other Education ( Specify) | 1..1 | string | Enable When: 899673957595 = Other (Specify) (edu-005) Value Set: | |
![]() ![]() ![]() | Name of Contact Person | 1..1 | string | Value Set: | |
![]() ![]() ![]() | Mobile Contact (of Contact Person) | 1..1 | string | Value Set: | |
![]() ![]() ![]() ![]() | 07xxxxxxxx | 0..1 | display | Value Set: | |
![]() ![]() | History of the disease | 0..1 | group | Value Set: | |
![]() ![]() ![]() | Date of Onset of Symptoms | 1..1 | date | Value Set: | |
![]() ![]() ![]() | Days Since Onset of Symptoms | 0..1 | string | Value Set: Initial Value: string = 0 | |
![]() ![]() ![]() | Name of Village Where Patient Probably Got Infected | 1..1 | string | Value Set: | |
![]() ![]() ![]() | Is It an Imported Case (from outside the country)? | 1..1 | choice | Value Set: Options: 2 options | |
![]() ![]() ![]() | If Yes, Indicate Name of Country | 1..1 | string | Enable When: 648643802331 = Yes (yes) Value Set: | |
![]() ![]() ![]() | Did Patient Travel to Endemic Area in Last 6 Months? (In country) | 1..1 | choice | Value Set: Options: 2 options | |
![]() ![]() ![]() | If yes, indicate the place(s) visited: | 0..1 | display | Enable When: 241783748776 = Yes (yes) Value Set: | |
![]() ![]() ![]() | County | 1..1 | reference | Enable When: 241783748776 = Yes (yes) Value Set: | |
![]() ![]() ![]() | Sub-county | 1..1 | reference | Enable When: 241783748776 = Yes (yes) Value Set: | |
![]() ![]() ![]() | Ward | 0..1 | reference | Enable When: 241783748776 = Yes (yes) Value Set: | |
![]() ![]() ![]() | Village | 1..1 | string | Enable When: 241783748776 = Yes (yes) Value Set: | |
![]() ![]() ![]() | Location | 1..1 | string | Enable When: 241783748776 = Yes (yes) Value Set: | |
![]() ![]() ![]() | Did Patient Visit Traditional Healer before visiting Health Facility? | 1..1 | choice | Value Set: Options: 2 options | |
![]() ![]() ![]() | Previous Admission Due to Visceral Leishmaniasis? | 1..1 | choice | Value Set: Options: 2 options | |
![]() ![]() ![]() | If Yes, When Admitted? | 1..1 | choice | Enable When: 291919290357 = Yes (yes) Value Set: Options: 4 options | |
![]() ![]() | Physical Examination | 0..1 | group | Value Set: | |
![]() ![]() ![]() | Has Patient Had Fever for Last 2 Weeks? | 1..1 | choice | Value Set: Options: 2 options | |
![]() ![]() ![]() | Clinician should perform spleen and liver palpation | 0..1 | display | Enable When: 699010843343 = Yes (yes) Value Set: | |
![]() ![]() ![]() | Abdominal Distension Present? | 1..1 | choice | Value Set: Options: 2 options | |
![]() ![]() ![]() | Organ Enlargement | 0..1 | display | Value Set: | |
![]() ![]() ![]() | Liver Enlarged? | 1..1 | choice | Value Set: Options: 2 options | |
![]() ![]() ![]() | Liver Measurement below Costal Margin (cm) | 1..1 | decimal | Enable When: 594158306957 = Yes (yes) Value Set: | |
![]() ![]() ![]() | Spleen Enlarged? | 1..1 | choice | Value Set: Options: 2 options | |
![]() ![]() ![]() | Spleen Measurement below Costal Margin (cm) | 1..1 | decimal | Enable When: 433410405758 = Yes (yes) Value Set: | |
![]() ![]() ![]() | Presence of Concomitant Infections at presentation? | 1..1 | choice | Value Set: Options: 2 options | |
![]() ![]() ![]() | Name(s) of Concomitant Infections | 1..1 | string | Enable When: 496596553090 = Yes (yes) Value Set: | |
![]() ![]() ![]() | Clinician's Name | 1..1 | string | Value Set: | |
![]() ![]() ![]() | Clinician's Signature | 1..1 | string | Value Set: | |
Documentation for this format | |||||
Options Sets
Answer options for 438862163919
Answer options for 438862163919_sub_county
Answer options for 438862163919_county
Answer options for 438862163919_national
Answer options for 442636360588
Answer options for 543806612685
Answer options for 743522593349
Answer options for 999881476256
Answer options for 899673957595
Answer options for 648643802331
Answer options for 241783748776
Answer options for 742577347417
Answer options for 291919290357
Answer options for 653200828098
Answer options for 699010843343
Answer options for 458194698702
Answer options for 594158306957
Answer options for 433410405758
Answer options for 496596553090