VlCase
type: Questionnaire
node role: treeRoot
id:
  v: VlCase
meta:
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/Questionnaire
    l: Questionnaire
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Questionnaire VlCase 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"/> Visceral Leishmaniasis surveillance case questionnaire Questionnaire http://example.org/Questionnaire/VlCase#0.1.0 #xD; 151479012557 PRESENTATION PHASE 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 Ward 1..1 reference #xD; 819946803677_nat…
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/StructureDefinition/variable
  l: variable
value: Expression
  name:
    v: historyCountyName
  language:
    v: text/fhirpath
  expression:
    v: %resource.descendants().where(linkId='751649865991').answer.value.reference

url:
  v: http://hl7.org/fhir/StructureDefinition/variable
  l: variable
value: Expression
  name:
    v: historySubCountyName
  language:
    v: text/fhirpath
  expression:
    v: %resource.descendants().where(linkId='751649866545').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: VL Surveillance

v: draft

v: 2026-05-04T06:19:40+00:00

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: Visceral Leishmaniasis surveillance case questionnaire

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

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: PRESENTATION PHASE
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

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: yyyy-mm-dd
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: 185890957847
text:
  v: Date of Diagnosis
type:
  v: date
required:
  v: true

v: text/fhirpath

v: today()

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: 565301843046
text:
  v: Case Information
type:
  v: group
item:
  link id:
    v: 123103147447
  text:
    v: IP/OP Number
  type:
    v: string
  required:
    v: true
item:
  link id:
    v: 817903655885
  text:
    v: Patient First Name
  type:
    v: string
  required:
    v: true
item:
  link id:
    v: 164840483828
  text:
    v: Patient Middle Name
  type:
    v: string
item:
  link id:
    v: 606848143908
  text:
    v: Patient Family Name
  type:
    v: string
  required:
    v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    url:
      v: http://ehelse.no/fhir/StructureDefinition/validationtext
      l: validationtext
    value: String
      v: Enter a valid mobile number. Strings and special characters aren't allowed
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/regex
      l: regex
    value: String
      v: ^\d{10,10}$
  link id:
    v: 760016167922
  text:
    v: Patient Mobile Contact
  type:
    v: string
  item:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
        l: questionnaire-itemControl
      value: CodeableConcept
    link id:
      v: 123456678
    text:
      v: 07xxxxxxxx
    type:
      v: display
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: 442636360588
  text:
    v: Date of Birth known or unknown?
  type:
    v: choice
  answer option:
    value: Coding
      code:
        v: known
      display:
        v: Known
  answer option:
    value: Coding
      code:
        v: unknown
      display:
        v: Unknown
item:
  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: yyyy-mm-dd
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/maxValue
      l: maxValue
    value: Date
      extension:
        value: Expression
  link id:
    v: 257830485990
  text:
    v: Date of Birth
  type:
    v: date
  enable when:
    question:
      v: 442636360588
    operator:
      v: =
    answer: Coding
      code:
        v: known
      display:
        v: Known
  required:
    v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
      l: questionnaire-hidden
    value: Boolean
      v: true
  link id:
    v: age-at-onset
  text:
    v: Age at Onset
  type:
    v: string
  initial:
    value: String
      v: 0
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/maxValue
      l: maxValue
    value: Integer
      v: 999
  link id:
    v: 492731638700
  text:
    v: Age in Years
  type:
    v: integer
  enable when:
    question:
      v: 442636360588
    operator:
      v: =
    answer: Coding
      code:
        v: unknown
      display:
        v: Unknown
  required:
    v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/maxValue
      l: maxValue
    value: Integer

v: phone-number

v: Phone Number

system:
  v: http://hl7.org/fhir/questionnaire-item-control
  l: questionnaire-item-control
code:
  v: flyover
display:
  v: Fly-over

v: radio-button

v: Radio Button

Expression
language:
  v: text/fhirpath
expression:
  v: today()

Integer
v: 11

v: 185726989867

v: Age in Months

v: integer

question:
  v: 442636360588
operator:
  v: =
answer: Coding
  code:
    v: unknown
  display:
    v: Unknown

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 31
link id:
  v: 828303331247
text:
  v: Age in Days
type:
  v: integer
enable when:
  question:
    v: 442636360588
  operator:
    v: =
  answer: Coding
    code:
      v: unknown
    display:
      v: Unknown

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: radio-button
      display:
        v: Radio Button
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
    l: questionnaire-choiceOrientation
  value: Code
    v: horizontal
link id:
  v: 543806612685
text:
  v: Gender
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: male
    display:
      v: Male
answer option:
  value: Coding
    code:
      v: female
    display:
      v: Female

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: 743522593349
text:
  v: Pregnancy Status
type:
  v: choice
enable when:
  question:
    v: 543806612685
  operator:
    v: =
  answer: Coding
    code:
      v: female
    display:
      v: Female
required:
  v: true
answer option:
  value: Coding
    code:
      v: notknown
    display:
      v: Not Known
answer option:
  value: Coding
    code:
      v: positive
    display:
      v: Positive
answer option:
  value: Coding
    code:
      v: negative
    display:
      v: Negative

link id:
  v: 832804021140
text:
  v: Weight (Kg)
type:
  v: decimal
required:
  v: true

link id:
  v: 856786488810
text:
  v: Height (cm)
type:
  v: decimal
required:
  v: true

link id:
  v: 361227700960
text:
  v: Temperature (°C)
type:
  v: decimal
required:
  v: true

link id:
  v: 350480749254
text:
  v: Patient Location
type:
  v: display

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: a4-county
text:
  v: County
type:
  v: reference
required:
  v: true

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={{%patientCountyName}}&_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: a3-sub-county
text:
  v: Sub County
type:
  v: reference
required:
  v: true

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: 754362784943
text:
  v: Ward
type:
  v: reference
required:
  v: true

link id:
  v: 116279465819
text:
  v: Village
type:
  v: string
required:
  v: true

link id:
  v: 845666899224
text:
  v: Nearest Health Facility
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: 999881476256
text:
  v: Occupation
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: occ-001
    display:
      v: None
answer option:
  value: Coding
    code:
      v: occ-002
    display:
      v: Student
answer option:
  value: Coding
    code:
      v: occ-003
    display:
      v: Animal Herder
answer option:
  value: Coding
    code:
      v: occ-004
    display:
      v: Self Employed
answer option:
  value: Coding
    code:
      v: occ-005
    display:
      v: Homemaker
answer option:
  value: Coding
    code:
      v: occ-006
    display:
      v: Other (Specify)

link id:
  v: 673073919688
text:
  v: Other Occupation(Specify)
type:
  v: string
enable when:
  question:
    v: 999881476256
  operator:
    v: =
  answer: Coding
    code:
      v: occ-006
    display:
      v: Other (Specify)
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: 899673957595
text:
  v: Education Level
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    code:
      v: edu-001
    display:
      v: None
answer option:
  value: Coding
    code:
      v: edu-002
    display:
      v: Primary
answer option:
  value: Coding
    code:
      v: edu-003
    display:
      v: Secondary
answer option:
  value: Coding
    code:
      v: edu-004
    display:
      v: Post–Secondary
answer option:
  value: Coding
    code:
      v: edu-005
    display:
      v: Other (Specify)

link id:
  v: 261509225024
text:
  v: Other Education ( Specify)
type:
  v: string
enable when:
  question:
    v: 899673957595
  operator:
    v: =
  answer: Coding
    code:
      v: edu-005
    display:
      v: Other (Specify)
required:
  v: true

link id:
  v: 657999955440
text:
  v: Name of Contact Person
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: phone-number
      display:
        v: Phone Number
extension:
  url:
    v: http://ehelse.no/fhir/StructureDefinition/validationtext
    l: validationtext
  value: String
    v: Enter a valid mobile number. Strings and special characters aren't allowed
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/regex
    l: regex
  value: String
    v: ^\d{10,10}$
link id:
  v: 354738003178
text:
  v: Mobile Contact (of Contact Person)
type:
  v: string
required:
  v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  link id:
    v: 984586235
  text:
    v: 07xxxxxxxx
  type:
    v: display

v: flyover

v: Fly-over

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: 682361027621
text:
  v: History of the disease
type:
  v: group
item:
  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/maxValue
      l: maxValue
    value: Date
      extension:
        value: Expression
  link id:
    v: 728034137219
  text:
    v: Date of Onset of Symptoms
  type:
    v: date
  required:
    v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
      l: questionnaire-hidden
    value: Boolean
      v: true
  link id:
    v: 920645761660
  text:
    v: Days Since Onset of Symptoms
  type:
    v: string
  initial:
    value: String
      v: 0
item:
  link id:
    v: 997694179371
  text:
    v: Name of Village Where Patient Probably Got Infected
  type:
    v: string
  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: 648643802331
  text:
    v: Is It an Imported Case (from outside the country)?
  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: 405254523776
  text:
    v: If Yes, Indicate Name of Country
  type:
    v: string
  enable when:
    question:
      v: 648643802331
    operator:
      v: =
    answer: Coding
      code:
        v: yes
      display:
        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: 241783748776
  text:
    v: Did Patient Travel to Endemic Area in Last 6 Months? (In country)
  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: 240876879827
  text:
    v: If yes, indicate the place(s) visited:
  type:
    v: display
  enable when:
    question:
      v: 241783748776
    operator:
      v: =
    answer: Coding
      code:
        v: yes
      display:
        v: Yes
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: 751649865991
  text:
    v: County
  type:
    v: reference
  enable when:
    question:
      v: 241783748776
    operator:
      v: =
    answer: Coding

Expression
language:
  v: text/fhirpath
expression:
  v: today()

v: radio-button

v: Radio Button

v: radio-button

v: Radio Button

Coding
code:
  v: yes
display:
  v: Yes

v: true

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={{%historyCountyName}}&_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: 751649866545
text:
  v: Sub-county
type:
  v: reference
enable when:
  question:
    v: 241783748776
  operator:
    v: =
  answer: Coding
    code:
      v: yes
    display:
      v: Yes
required:
  v: true

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: 683913433621
text:
  v: Ward
type:
  v: reference
enable when:
  question:
    v: 241783748776
  operator:
    v: =
  answer: Coding
    code:
      v: yes
    display:
      v: Yes

link id:
  v: 304570397907
text:
  v: Village
type:
  v: string
enable when:
  question:
    v: 241783748776
  operator:
    v: =
  answer: Coding
    code:
      v: yes
    display:
      v: Yes
required:
  v: true

link id:
  v: 201707720724
text:
  v: Location
type:
  v: string
enable when:
  question:
    v: 241783748776
  operator:
    v: =
  answer: Coding
    code:
      v: yes
    display:
      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: radio-button
      display:
        v: Radio Button
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
    l: questionnaire-choiceOrientation
  value: Code
    v: horizontal
link id:
  v: 742577347417
text:
  v: Did Patient Visit Traditional Healer before visiting Health Facility?
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

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: radio-button
      display:
        v: Radio Button
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
    l: questionnaire-choiceOrientation
  value: Code
    v: horizontal
link id:
  v: 291919290357
text:
  v: Previous Admission Due to Visceral Leishmaniasis?
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

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: 653200828098
text:
  v: If Yes, When Admitted?
type:
  v: choice
enable when:
  question:
    v: 291919290357
  operator:
    v: =
  answer: Coding
    code:
      v: yes
    display:
      v: Yes
required:
  v: true
answer option:
  value: Coding
    code:
      v: admin-001
    display:
      v: 3 months ago
answer option:
  value: Coding
    code:
      v: admin-002
    display:
      v: 6 months ago
answer option:
  value: Coding
    code:
      v: admin-003
    display:
      v: 1 year ago
answer option:
  value: Coding
    code:
      v: admin-004
    display:
      v: More than 1 year ago

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: 119408288668
text:
  v: Physical Examination
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: 699010843343
  text:
    v: Has Patient Had Fever for Last 2 Weeks?
  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: clinician-action
  text:
    v: Clinician should perform spleen and liver palpation
  type:
    v: display
  enable when:
    question:
      v: 699010843343
    operator:
      v: =
    answer: Coding
      code:
        v: yes
      display:
        v: Yes
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: 458194698702
  text:
    v: Abdominal Distension Present?
  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: 788908031336
  text:
    v: Organ Enlargement
  type:
    v: display
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: 594158306957
  text:
    v: Liver Enlarged?
  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/minValue
      l: minValue
    value: Decimal
      v: 0
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/maxValue
      l: maxValue
    value: Decimal
      v: 20
  link id:
    v: 754134389540
  text:
    v: Liver Measurement below Costal Margin (cm)
  type:
    v: decimal
  enable when:
    question:
      v: 594158306957
    operator:
      v: =
    answer: Coding
      code:
        v: yes
      display:
        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: 433410405758
  text:
    v: Spleen Enlarged?
  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/minValue
    l: minValue
  value: Decimal
    v: 0
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Decimal
    v: 20
link id:
  v: 808046746150
text:
  v: Spleen Measurement below Costal Margin (cm)
type:
  v: decimal
enable when:
  question:
    v: 433410405758
  operator:
    v: =
  answer: Coding
    code:
      v: yes
    display:
      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: radio-button
      display:
        v: Radio Button
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
    l: questionnaire-choiceOrientation
  value: Code
    v: horizontal
link id:
  v: 496596553090
text:
  v: Presence of Concomitant Infections at presentation?
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

link id:
  v: 968034282530
text:
  v: Name(s) of Concomitant Infections
type:
  v: string
enable when:
  question:
    v: 496596553090
  operator:
    v: =
  answer: Coding
    code:
      v: yes
    display:
      v: Yes
required:
  v: true

link id:
  v: 332723314026
text:
  v: Clinician's Name
type:
  v: string
required:
  v: true

link id:
  v: 493012943787
text:
  v: Clinician's Signature
type:
  v: string
required:
  v: true