Generated Narrative: Questionnaire VlCaseHospitalization

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

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. Hospitalization and treatment information for Visceral Leishmaniasis casesQuestionnairehttp://example.org/Questionnaire/VlCaseHospitalization#0.1.0
... 782742635664Treatment/Hospitilazation0..1group
.... 428237064956IP No1..1string
.... 272556667885Hospital Ward1..1string
.... 885705999856Date of Admission1..1date
.... 150613899880Date Leishmaniasis Treatment Started1..1date
.... 733604782646Treatment Regimen1..1choiceOptions: 5 options
.... 498949031326Other Treatment Regimen ( Specify)1..1stringEnable When: 733604782646 = Other (Specify). (reg-005)
.... regimen-dosageTreatment Regimen Dosage1..1decimal
.... 175945763878Number of Treatment Days1..1choiceOptions: 4 options
.... 686824046139Number of treatment days (Specify)1..1integerEnable When: 175945763878 = Other (Specify) (trtemnt-004)
.... 723427815459Was Treatment Completed?0..1choiceiconiconOptions: 2 options
.... 342763225855Reason for Incomplete Treatment1..1stringEnable When: 723427815459 = No (no)
.... 708058904265Initial Treatment Outcome1..1choiceOptions: 5 options
.... 131738268669Cause of Death1..1choiceEnable When: 708058904265 = Death (outcome-005)
Options: 6 options
.... 884379481934Was there any reported severe adverse event of drug(s) used?1..1choiceiconiconOptions: 2 options
.... 560909523868Input Name(s) of Drug Causing Adverse Event1..1stringEnable When: 884379481934 = Yes (yes)
.... 396444399071Indicate Description of Severe Adverse Event1..1stringEnable When: 884379481934 = Yes (yes)
.... 904748389038Any other condition(s) treated during Initial VL treatment?1..1choiceiconiconOptions: 2 options
.... 922498480736Name of Other Condition1..1stringEnable When: 904748389038 = Yes (yes)

doco Documentation for this format

Options Sets

Answer options for 733604782646

  • null#reg-001 ("Combination (SSG + Paramomycin)(17 days)")
  • null#reg-002 ("Pentostam (SSG) (30 days)")
  • null#reg-003 ("Glucantime")
  • null#reg-004 ("Liposomal Amphotericin B (6-10 days)")
  • null#reg-005 ("Other (Specify).")

Answer options for 175945763878

  • null#trtemnt-001 ("6-10 Days")
  • null#trtemnt-002 ("17 Days")
  • null#trtemnt-003 ("30 Days")
  • null#trtemnt-004 ("Other (Specify)")

Answer options for 723427815459

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

Answer options for 708058904265

  • null#outcome-001 ("Initial cure")
  • null#outcome-002 ("Probable non-response")
  • null#outcome-003 ("Confirmed non-response")
  • null#outcome-004 ("Default")
  • null#outcome-005 ("Death")

Answer options for 131738268669

  • null#death-cause-001 ("Unknown")
  • null#death-cause-002 ("VL")
  • null#death-cause-003 ("HIV")
  • null#death-cause-004 ("Other disease")
  • null#death-cause-005 ("SAE")
  • null#death-cause-006 ("Non-medical condition")

Answer options for 884379481934

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

Answer options for 904748389038

  • null#yes ("Yes")
  • null#no ("No")
 <status value="draft"/> <date value="2026-05-04T06:19:40+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="Hospitalization and treatment information for Visceral Leishmaniasis cases"/> <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="782742635664"/> <text value="Treatment/Hospitilazation"/> <type value="group"/> <item> <linkId value="428237064956"/> <text value="IP No"/> <type value="string"/> <required value="true"/> </item> <item> <linkId value="272556667885"/> <text value="Hospital Ward"/> <type value="string"/> <required value="true"/> </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/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="885705999856"/> <text value="Date of Admission"/> <type value="date"/> <required value="true"/> </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/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="150613899880"/> <text value="Date Leishmaniasis Treatment Started"/> <type value="date"/> <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="733604782646"/> <text value="Treatment Regimen"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <code value="reg-001"/> <display value="Combination (SSG + Paramomycin)(17 days)"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="reg-002"/> <display value="Pentostam (SSG) (30 days)"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="reg-003"/> <display value="Glucantime"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="reg-004"/> <display value="Liposomal Amphotericin B (6-10 days)"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="reg-005"/> <display value="Other (Specify)."/> </valueCoding> </answerOption> </item> <item> <linkId value="498949031326"/> <text value="Other Treatment Regimen ( Specify)"/> <type value="string"/> <enableWhen> <question value="733604782646"/> <operator value="="/> <answerCoding> <code value="reg-005"/> <display value="Other (Specify)."/> </answerCoding> </enableWhen> <required value="true"/> </item> <item> <linkId value="regimen-dosage"/> <text value="Treatment Regimen Dosage"/> <type value="decimal"/> <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="175945763878"/> <text value="Number of Treatment Days"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <code value="trtemnt-001"/> <display value="6-10 Days"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="trtemnt-002"/> <display value="17 Days"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="trtemnt-003"/> <display value="30 Days"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="trtemnt-004"/> <display value="Other (Specify)"/> </valueCoding> </answerOption> </item> <item> <linkId value="686824046139"/> <text value="Number of treatment days (Specify)"/> <type value="integer"/> <enableWhen> <question value="175945763878"/> <operator value="="/> <answerCoding> <code value="trtemnt-004"/> <display value="Other (Specify)"/> </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="723427815459"/> <text value="Was Treatment Completed?"/> <type value="choice"/> <answerOption> <valueCoding> <code value="yes"/> <display value="Yes"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="no"/> <display value="No"/> </valueCoding> </answerOption> </item> <item> <linkId value="342763225855"/> <text value="Reason for Incomplete Treatment"/> <type value="string"/> <enableWhen> <question value="723427815459"/> <operator value="="/> <answerCoding> <code value="no"/> <display value="No"/> </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="drop-down"/> <display value="Drop down"/> </coding> </valueCodeableConcept> </extension> <linkId value="708058904265"/> <text value="Initial Treatment Outcome"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <code value="outcome-001"/> <display value="Initial cure"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="outcome-002"/> <display value="Probable non-response"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="outcome-003"/> <display value="Confirmed non-response"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="outcome-004"/> <display value="Default"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="outcome-005"/> <display value="Death"/> </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="131738268669"/> <text value="Cause of Death"/> <type value="choice"/> <enableWhen> <question value="708058904265"/> <operator value="="/> <answerCoding> <code value="outcome-005"/> <display value="Death"/> </answerCoding> </enableWhen> <required value="true"/> <answerOption> <valueCoding> <code value="death-cause-001"/> <display value="Unknown"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="death-cause-002"/> <display value="VL"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="death-cause-003"/> <display value="HIV"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="death-cause-004"/> <display value="Other disease"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="death-cause-005"/> <display value="SAE"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="death-cause-006"/> <display value="Non-medical condition"/> </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="radio-button"/> <display value="Radio Button"/> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <linkId value="884379481934"/> <text value="Was there any reported severe adverse event of drug(s) used?"/> <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="560909523868"/> <text value="Input Name(s) of Drug Causing Adverse Event"/> <type value="string"/> <enableWhen> <question value="884379481934"/> <operator value="="/> <answerCoding> <code value="yes"/> <display value="Yes"/> </answerCoding> </enableWhen> <required value="true"/> </item> <item> <linkId value="396444399071"/> <text value="Indicate Description of Severe Adverse Event"/> <type value="string"/> <enableWhen> <question value="884379481934"/> <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="904748389038"/> <text value="Any other condition(s) treated during Initial VL treatment?"/> <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="922498480736"/> <text value="Name of Other Condition"/> <type value="string"/> <enableWhen> <question value="904748389038"/> <operator value="="/> <answerCoding> <code value="yes"/> <display value="Yes"/> </answerCoding> </enableWhen> <required value="true"/> </item> </item> </Questionnaire>