Generated Narrative: Questionnaire Ccc.b18-21.signs.2m.m

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. Ccc.B18-21.Signs.2m.mQuestionnairehttps://smart.who.int/ccc/Questionnaire/Ccc.b18-21.signs.2m.m#0.1.0
... Fevernull0..1booleaniconiconiconicon
.... Fever-helpThe client is reported to have or has had fever0..1display
.... Fever-instructionhelp0..1displayiconicon
... zscorenull0..1decimaliconicon
... AgeInMonthsAge in Month0..1integericonicon
... AgeInDaysnull0..1integericonicon
... Ccc.B20S1.DE01Diarrhoea0..1booleaniconiconiconicon
... Ccc.A.DE31Biological Mother Vital Status0..1choiceiconiconOptions: 3 options
... Ccc.B21S1.DE01Breastfed0..1booleaniconiconiconicon
... Ccc.B18S1.DE02Difficulty with Feeding0..1choiceiconiconOptions: 3 options
... YI_sever_but_dheyYI severe classification other than severe dehydration0..1booleaniconiconiconicon
... YI_severYI severe classification0..1booleaniconiconiconicon
... Ccc.B7.DE03Convulsion(s) in this Illness0..1booleaniconiconiconicon
... Ccc.B22.RespiratoryRatenull0..1group
.... Ccc.B22.DE01Respiratory Rate (breaths per minute)1..1quantity
..... Ccc.B22.DE01-help<b>Count the number of breaths the child takes per minute</b> to determine if fast breathing is present.<br /> It is <b>very important that the child is calm</b> and still. If the child is moving or crying, you will not be able to get an accurate count of breaths. <br /> <b>To count the breaths per minute,</b> use a watch with a second hand or a digital watch. Look for the breathing movement anywhere on the child’s chest or abdomen. <br /> The number of breaths for <b>‘fast breathing’ depends on the child’s age.</b></p> <ul> <li>Under 2 months: More than 60 breaths per minute*</li> <li>2 to 11 months: More than 50 breaths per minute</li> <li>12 to 59 months: More than 40 breaths per minute</li> </ul> <p>*In young infants, a second measurement should be taken to confirm, unless there is already another sign of possible serious bacterial infection0..1display
.... Ccc.B22.DE02null0..*choiceOptions: 1 option
.... secondnull0..1group
..... Ccc.B22.DE04Respiratory Rate Second Count (breaths per minute)0..1quantity
...... Ccc.B22.DE04-help<b>Count the number of breaths the child takes per minute</b> to determine if fast breathing is present.<br /> It is <b>very important that the child is calm</b> and still. If the child is moving or crying, you will not be able to get an accurate count of breaths. <br /> <b>To count the breaths per minute,</b> use a watch with a second hand or a digital watch. Look for the breathing movement anywhere on the child’s chest or abdomen. <br /> The number of breaths for <b>‘fast breathing’ depends on the child’s age.</b></p> <ul> <li>Under 2 months: More than 60 breaths per minute*</li> <li>2 to 11 months: More than 50 breaths per minute</li> <li>12 to 59 months: More than 40 breaths per minute</li> </ul> <p>*In young infants, a second measurement should be taken to confirm, unless there is already another sign of possible serious bacterial infection0..1display
..... Ccc.B22.DE05null0..*choiceOptions: 1 option
.... Ccc.B22.DE07Fast Breathing0..1booleaniconiconiconicon
..... Ccc.B22.DE07-helpThe number of breaths for <b>‘fast breathing’ depends on the child’s age.</b> * Under 2 months: More than 60 breaths per minute* * 2 to 11 months: More than 50 breaths per minute * 12 to 59 months: More than 40 breaths per minute *In young infants, a second measurement should be taken to confirm, unless there is already another sign of possible serious bacterial infection0..1display
... Ccc.B18S2.DE07Severe Chest Indrawing1..1booleaniconicon
.... Ccc.B18S2.DE07-helpThe young infant must be calm while you assess for severe chest indrawing.  Lift the young infant’s shirt. </p> <p>Look for chest indrawing when the young infant breathes in. Lower chest wall indrawing is the inward movement of the bony structure of the chest wall <br /> when the child breathes in. Look at the lower chest wall (lower ribs). The child has chest indrawing if the lower chest wall goes IN when the child breathes IN.<br /> In normal breathing, the whole chest wall (upper and lower) and the abdomen move <span class="caps">OUT</span> when the child breathes IN. </p> <p>Mild chest indrawing is normal in a young infant because the chest wall is soft. Severe chest indrawing is very deep and easy to see.0..1display
... Ccc.B18S2.DE08Movements1..1choiceOptions: 3 options
.... Ccc.B18S2.DE08-helpLook at the young infant’s movements. Does the young infant move on his/her own? Does the infant move only when stimulated but then stops? Does the infant not move at all?<br /> Young infants often sleep most of the time, and this is not a sign of illness. It is not necessary for the infant to be awake if he/she is moving spontaneously. <br /> If a young infant is not moving spontaneously and does not wake up during the assessment, ask the mother to wake him. An awake young infant will normally move his arms or legs or turn his head several times in a  minute if you watch him closely. If the infant is awake but has no spontaneous movements, gently stimulate the young infant. Stimulation  is a gentle, painless touching of the baby with enough pressure that would evoke movements, sound making and eye opening. The presence of any movement such as a grimace of the face, eye-opening or movement of a limb will qualify &#8220;Movement only when stimulated but then stops&#8221;.  An infant who cannot be woken up even after stimulation is considered to have the sign &#8220;Does not move even with stimulation. &#8220; 0..1display
... Ccc.B18S2.DE12Umbilicus Red or Pus Draining1..1booleaniconicon
.... Ccc.B18S2.DE12-help&#8220;The umbilical cord usually separates one week after birth and the wound heals within 15 days. Redness of the end of the umbilicus or pus draining from the umbilicus are signs of umbilical infection.&#8221; 0..1display
... Ccc.B18S2.DE13Skin Pustules1..1booleaniconicon
.... Ccc.B18S2.DE13-helpExamine the skin on the entire body. Skin pustules are red spots or blisters which contain pus.0..1display
... Ccc.B19S2.DE01Yellow Skin1..1booleaniconicon
.... Ccc.B19S2.DE01-helpJaundice is a yellow discoloration of skin and mucus membranes. It is important to look for jaundice in natural light. To look for jaundice, press the infant’s skin over the forehead with your fingers to blanch, remove your fingers and look for yellow discolouration. If there is yellow discoloration, the infant has jaundice0..1display
... Ccc.B19S2.DE02Yellow Palms or Yellow Soles1..1booleaniconicon
.... Ccc.B19S2.DE02-helpJaundice is a yellow discoloration of skin and mucus membranes. Jaundice in the palms of hands or soles of feet is a sign of Severe Jaundice.  It is important to look for jaundice in natural light. To assess for severe jaundice, press the infant&#8217;s skin in the palm of there hand and then in the sole of their feet with your fingers to blanch, remove your finders and look for yellow dicoulouration in the palm or the sole. If there is yellow discoloration of the palm or sole, the infant has severe jaundice.0..1display
... Ccc.B19S2.DE04When did the Jaundice first appear?0..1choiceOptions: 3 options
.... Ccc.B19S2.DE04-helpAsk the caregiver when the baby&#8217;s skin first turned yellowish. If the caregiver didn&#8217;t notice the yellow discolouration or can&#8217;t remember when it started, select &#8220;don&#8217;t know&#8221;. <br /> Jaundice that appears in less than 24 hours after birth is always due to an underlying disease. These babies should be referred urgently. <br /> Many normal babies, particularly small babies, may have jaundice during the first week of life. This jaundice usually appears on the third or fourth day of life and is mild and disappears before the age of two to  three weeks. It does not need any treatment.0..1display
... Ccc.B11S2.DE01Sunken Eyes1..1booleaniconicon
.... Ccc.B11S2.DE01-helpThe eyes of a dehydrated infant may look sunken. In a low-weight infant, the eyes may always look sunken, even if the young infant is not dehydrated. Even though the sign “sunken eyes” is less reliable in a low-weight infant, it can still be used to classify the young infant‘s dehydration. </p> <p>Decide if you think the eyes are sunken. Then ask the mother if she thinks her child’s eyes look unusual. Her opinion can help you confirm.0..1display
... Ccc.B11S2.DE02Skin pinch of Abdomen1..1choiceOptions: 3 options
.... Ccc.B11S2.DE02-helpLocate the area on the infant’s abdomen halfway between the umbilicus and the side of the abdomen. To do the skin pinch, use your thumb and first finger. Do not use your fingertips because this will cause pain. Place <br /> your hand so that when you pinch the skin, the fold of skin will be in a line up and down the child’s body and not across the child’s <br /> body. Firmly pick up all of the layers of skin and the tissue under them. Pinch the skin for <br /> one second and then release it. When you release the skin, look to see if the skin pinch <br /> goes back:</p> <p>• very slowly (longer than 2 seconds)<br /> • slowly<br /> • immediately<br /> If the skin stays up for even a brief time after you release it, decide that the skin pinch goes back slowly0..1display
... Ccc.B11S2.DE06Restless and Irritable1..1booleaniconicon
.... Ccc.B11S2.DE06-helpLook at the young infant&#8217;s general condition Is the infant restles and irritable? <br /> An infant has teh sign &#8220;restless and irritable&#8221; if the infant is restless and irritable all the time or every time he is touched and handled. If an infant is calm when breastfeeding but again <br /> restless and irritable when he stops breastfeeding, he has the sign “restless and irritable”. A healthy infant will be consoled when put on the breast.0..1display
... Ccc.B21S2.DE01Weight Status0..1stringiconicon
.... Ccc.B21S2.DE01-helpWeight status is calculated based on the young infant&#8217;s weight for age Z-score, which is determined from a standardized chart for weight -for-age for the infant&#8217;s sex. <br /> A young infant is low weight for age if the z-score is below -2. <br /> A young infant who is less than 7 days old and weighs less than 2 kg is considered very low weight.<br /> Some young infants who are low weight for age were born with low birth weight. Some did not gain weight well after birth.0..1display
... Ccc.B21S2.DE05Breastfed how many times in 24 hours?1..1integer
.... Ccc.B21S2.DE05-helpAsk the caregiver how many times in 24 hours (one day and one night) they usually breastfeed the young infant. The recommendation is that the young infant be breastfed as often and for as long as the <br /> infant wants, day and night. This should be 8 or more times in 24 hours.0..1display
... Ccc.B21S2.DE06Sufficient feeds0..1integericonicon
... Ccc.B21S2.DE08Young Infant receives food or fluids other than breast milk1..1booleaniconicon
.... Ccc.B21S2.DE08-helpFind out if the young infant is receiving any other foods or drinks such as other milk, juice, tea, thin porridge, dilute cereal, or even water. Ask how often he receives it and the amount. You need to know if the infant is mostly breastfed, or mostly fed on other foods0..1display
... Ccc.B21S2.DE09What milk is being given as a replacement feed?1..*choiceOptions: 2 options
.... Ccc.B21S2.DE09-helpAsk the mother questions to determine what replacement milk or milks are used. It may be a breastmilk replacement, animal milk or some other fluid or some combination. Determine if this type of replacement feed is appropriate or not appropriate in your setting.0..1display
... Ccc.B21S2.DE12How many replacement feeds during the day and night (24 hours)?1..1integer
.... Ccc.B21S2.DE12-helpA young infant up to one month of age should be fed 8 times and a young infant between 1 <br /> and 2 months of age should be fed 7 times in 24 hours.0..1display
... Ccc.B21S2.DE13Sufficient replacement feeds (in 24 hours)1..1booleaniconiconiconicon
... Ccc.B21S2.DE15How much milk is given at each feed (ml)?1..1quantity
.... Ccc.B21S2.DE15-helpA young infant up to one month of age should be given approximately 60 ml per feed, 8 times per day, and a young infant between 1 and 2 months of age approximately 90 ml at each feed, 7 times per day. It is helpful to have common bottles or cups available so that a mother can show you the amount that she gives.0..1display
... Ccc.B21S2.DE16Sufficient replacement feeds1..1booleaniconiconiconicon
... Ccc.B21S2.DE18How is the milk prepared?1..1choiceOptions: 2 options
.... Ccc.B21S2.DE18-helpLet mother demonstrate or explain how a feed is prepared and how she gives it to the infant. Determine if the breastmilk substitute is being prepared correctly and hygienically.0..1display
... Ccc.B21S2.DE21How is the milk given?1..1choiceOptions: 2 options
... Ccc.B21S2.DE24How are the feeding utensils cleaned?1..1choiceOptions: 2 options
.... Ccc.B21S2.DE24-helpAsk the caregiver how they clear the feeding utensils. Determine if this is a safe and hygienic cleaning method.0..1display
... Ccc.B21S2.DE27Do you give any breastmilk at all?1..1choiceOptions: 2 options
... Ccc.B21S2.DE30Ulcers or White Patches in Mouth1..1booleaniconicon
.... Ccc.B21S2.DE30-helpLook inside the mouth at the tongue and inside of the cheek. Thrush looks like milk curds on the inside of the cheek, or a thick white coating of the tongue. Try to wipe the white off. The white patches of thrush will remain.0..1display
... Ccc.B21S2.DE31null0..*choiceOptions: 1 option
... Respiratory Rate profilenull0..1quantityiconicon
... force-collectionnull0..1booleaniconiconiconicon
... Respiratory Rate Second Count Profilenull0..1quantityiconicon
... Fast Breathing profilenull0..1booleaniconiconiconicon
... timestampnull0..1dateTimeiconicon

doco Documentation for this format

Options Sets

Answer options for Ccc.A.DE31

  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.A.DE46 ("Dead")
  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.A.DE34 ("Alive")
  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.A.DE33 ("Unknown")

Answer options for Ccc.B18S1.DE02

  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B18S1.DE03 ("Not Able to Feed At All")
  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B18S1.DE04 ("Not Feeding Well")
  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B18S1.DE05 ("Feeding Well")

Answer options for Ccc.B22.DE02

  • null#Ccc.B22.DE02 ("Unable to perform Respiratory Rate at this time")

Answer options for Ccc.B22.DE05

  • null#Ccc.B22.DE05 ("Respiratory Rate Second Count Not Possible")

Answer options for Ccc.B18S2.DE08

  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B18S2.DE11 ("Moves on his or her own or moves spontaneously or without stimulation")
  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B18S2.DE10 ("Movement only when stimulated but then stops")
  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B18S2.DE09 ("No movement at all")

Answer options for Ccc.B19S2.DE04

  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B19S2.DE05 ("Within less than 24 hours of birth")
  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B19S2.DE06 ("24 hours or more after birth")
  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B19S2.DE07 ("Unknown when Jaundice first appeared")

Answer options for Ccc.B11S2.DE02

  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B20S2.DE03 ("Skin Pinch goes back very slowly (More than 2 seconds)")
  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B20S2.DE04 ("Skin Pinch goes back slowly (2 seconds or fewer, but not immediately)")
  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B20S2.DE05 ("Skin Pinch goes back Normally (immediately)")

Answer options for Ccc.B21S2.DE09

  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B21S2.DE11 ("Inappropriate replacement milk")
  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B21S2.DE10 ("Appropriate replacement milk")

Answer options for Ccc.B21S2.DE18

  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B21S2.DE19 ("Correct and hygienic feed preparation")
  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B21S2.DE20 ("Incorrect or unhygienic feed preparation")

Answer options for Ccc.B21S2.DE21

  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B21S2.DE22 ("Cup")
  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B21S2.DE23 ("Bottle")

Answer options for Ccc.B21S2.DE24

  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B21S2.DE26 ("Feeding utensils not cleaned hygienically")
  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B21S2.DE25 ("Feeding utensils cleaned hygienically")

Answer options for Ccc.B21S2.DE27

  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B21S2.DE28 ("Breastmilk also given")
  • https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B21S2.DE29 ("No Breastmilk at all")

Answer options for Ccc.B21S2.DE31

  • null#Ccc.B21S2.DE31 ("Unable to check if Ulcers or White Patches in Mouth")
 <status value="active"/> <experimental value="false"/> <subjectType value="Patient"/> <date value="2026-04-07T13:45:53+00:00"/> <publisher value="World Health Organization (WHO)"/> <contact> <name value="World Health Organization (WHO)"/> <telecom> <system value="url"/> <value value="https://www.who.int"/> </telecom> </contact> <contact> <telecom> <system value="url"/> <value value="https://www.who.int"/> </telecom> </contact> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> </coding> </jurisdiction> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="fever"/> </valueExpression> </extension> <linkId value="Fever"/> <type value="boolean"/> <required value="false"/> <repeats value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Fever-help"/> <text value="The client is reported to have or has had fever"/> <type value="display"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-displayCategory"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-display-category"/> <code value="instructions"/> </coding> </valueCodeableConcept> </extension> <linkId value="Fever-instruction"/> <text value="help"/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="zscore"/> </valueExpression> </extension> <linkId value="zscore"/> <type value="decimal"/> <required value="false"/> <repeats value="false"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="ageinmonths"/> </valueExpression> </extension> <linkId value="AgeInMonths"/> <text value="Age in Month"/> <type value="integer"/> <required value="false"/> <repeats value="false"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="ageindays"/> </valueExpression> </extension> <linkId value="AgeInDays"/> <type value="integer"/> <required value="false"/> <repeats value="false"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="Ccc.b20s1.de01"/> </valueExpression> </extension> <linkId value="Ccc.B20S1.DE01"/> <text value="Diarrhoea"/> <type value="boolean"/> <required value="false"/> <repeats value="false"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="Ccc.a.de31"/> </valueExpression> </extension> <linkId value="Ccc.A.DE31"/> <text value="Biological Mother Vital Status"/> <type value="choice"/> <required value="false"/> <repeats value="false"/> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.A.DE46"/> <display value="Dead"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.A.DE34"/> <display value="Alive"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.A.DE33"/> <display value="Unknown"/> </valueCoding> </answerOption> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="Ccc.b21s1.de01"/> </valueExpression> </extension> <linkId value="Ccc.B21S1.DE01"/> <text value="Breastfed"/> <type value="boolean"/> <required value="false"/> <repeats value="false"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="Ccc.b18s1.de02"/> </valueExpression> </extension> <linkId value="Ccc.B18S1.DE02"/> <text value="Difficulty with Feeding"/> <type value="choice"/> <required value="false"/> <repeats value="false"/> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B18S1.DE03"/> <display value="Not Able to Feed At All"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B18S1.DE04"/> <display value="Not Feeding Well"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B18S1.DE05"/> <display value="Feeding Well"/> </valueCoding> </answerOption> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="yi_sever_but_dhey"/> </valueExpression> </extension> <linkId value="YI_sever_but_dhey"/> <text value="YI severe classification other than severe dehydration"/> <type value="boolean"/> <required value="false"/> <repeats value="false"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="yi_sever"/> </valueExpression> </extension> <linkId value="YI_sever"/> <text value="YI severe classification"/> <type value="boolean"/> <required value="false"/> <repeats value="false"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="Ccc.b7.de03"/> </valueExpression> </extension> <linkId value="Ccc.B7.DE03"/> <text value="Convulsion(s) in this Illness"/> <type value="boolean"/> <required value="false"/> <repeats value="false"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire"> <valueCanonical value="https://smart.who.int/ccc/Questionnaire/Ccc.b22.respiratoryrate"/> </extension> <linkId value="Ccc.B22.RespiratoryRate"/> <type value="group"/> <required value="false"/> <repeats value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="{Breaths}/min"/> </valueCoding> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B22.RespiratoryRate').repeat(item).where(linkId='Ccc.B22.DE02').answer.first().empty() and %resource.repeat(item).where(linkId='Respiratory Rate profile').answer.first().empty()"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="iif(%resource.repeat(item).where(linkId='Respiratory Rate profile').answer.first().exists(), %resource.repeat(item).where(linkId='Respiratory Rate profile').answer.first().value,{})"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE01"/> <text value="Respiratory Rate (breaths per minute)"/> <type value="quantity"/> <required value="true"/> <repeats value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B22.DE01-help"/> <text value="<b>Count the number of breaths the child takes per minute</b> to determine if fast breathing is present.<br /> It is <b>very important that the child is calm</b> and still. If the child is moving or crying, you will not be able to get an accurate count of breaths. <br /> <b>To count the breaths per minute,</b> use a watch with a second hand or a digital watch. Look for the breathing movement anywhere on the child’s chest or abdomen. <br /> The number of breaths for <b>‘fast breathing’ depends on the child’s age.</b></p> <ul> <li>Under 2 months: More than 60 breaths per minute*</li> <li>2 to 11 months: More than 50 breaths per minute</li> <li>12 to 59 months: More than 40 breaths per minute</li> </ul> <p>*In young infants, a second measurement should be taken to confirm, unless there is already another sign of possible serious bacterial infection"/> <type value="display"/> </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="check-box"/> <display value="Check-box"/> </coding> <text value="Check-box"/> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B22.RespiratoryRate').repeat(item).where(linkId='Ccc.B22.DE01').answer.first().empty() and %resource.repeat(item).where(linkId='Respiratory Rate profile').answer.first().empty() and %resource.repeat(item).where(linkId='force-collection').answer.first().value = false"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE02"/> <type value="choice"/> <required value="false"/> <repeats value="true"/> <answerOption> <valueCoding> <code value="Ccc.B22.DE02"/> <display value="Unable to perform Respiratory Rate at this time"/> </valueCoding> </answerOption> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='AgeInMonths').answer.first().value < 2 and (%resource.repeat(item).where(linkId='Respiratory Rate profile').answer.first().value > 60 '{Breaths}/min' or %resource.repeat(item).where(linkId='Ccc.B22.RespiratoryRate').repeat(item).where(linkId='Ccc.B22.DE01').answer.first().value >= 60 '{Breaths}/min') and %resource.repeat(item).where(linkId='Respiratory Rate Second Count Profile').answer.first().empty()"/> </valueExpression> </extension> <linkId value="second"/> <type value="group"/> <required value="false"/> <repeats value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="{Breaths}/min"/> </valueCoding> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B22.RespiratoryRate').repeat(item).where(linkId='second').repeat(item).where(linkId='Ccc.B22.DE05').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE04"/> <text value="Respiratory Rate Second Count (breaths per minute)"/> <type value="quantity"/> <required value="false"/> <repeats value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B22.DE04-help"/> <text value="<b>Count the number of breaths the child takes per minute</b> to determine if fast breathing is present.<br /> It is <b>very important that the child is calm</b> and still. If the child is moving or crying, you will not be able to get an accurate count of breaths. <br /> <b>To count the breaths per minute,</b> use a watch with a second hand or a digital watch. Look for the breathing movement anywhere on the child’s chest or abdomen. <br /> The number of breaths for <b>‘fast breathing’ depends on the child’s age.</b></p> <ul> <li>Under 2 months: More than 60 breaths per minute*</li> <li>2 to 11 months: More than 50 breaths per minute</li> <li>12 to 59 months: More than 40 breaths per minute</li> </ul> <p>*In young infants, a second measurement should be taken to confirm, unless there is already another sign of possible serious bacterial infection"/> <type value="display"/> </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="check-box"/> <display value="Check-box"/> </coding> <text value="Check-box"/> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B22.RespiratoryRate').repeat(item).where(linkId='second').repeat(item).where(linkId='Ccc.B22.DE04').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE05"/> <type value="choice"/> <required value="false"/> <repeats value="true"/> <answerOption> <valueCoding> <code value="Ccc.B22.DE05"/> <display value="Respiratory Rate Second Count Not Possible"/> </valueCoding> </answerOption> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Fast Breathing profile').answer.first().empty() and (%resource.repeat(item).where(linkId='AgeInMonths').answer.first().value >= 2 or %resource.repeat(item).where(linkId='Ccc.B22.RespiratoryRate').repeat(item).where(linkId='second').repeat(item).where(linkId='Ccc.B22.DE04').answer.first().exists() or %resource.repeat(item).where(linkId='Ccc.B22.RespiratoryRate').repeat(item).where(linkId='second').repeat(item).where(linkId='Ccc.B22.DE05').answer.first().exists() or %resource.repeat(item).where(linkId='Ccc.B22.RespiratoryRate').repeat(item).where(linkId='Ccc.B22.DE01').answer.first().value < 60 '{Breaths}/min')"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="iif(%resource.repeat(item).where(linkId='Fast Breathing profile').answer.first().empty() and (%resource.repeat(item).where(linkId='AgeInMonths').answer.first().value >= 2 or %resource.repeat(item).where(linkId='Ccc.B22.RespiratoryRate').repeat(item).where(linkId='second').repeat(item).where(linkId='Ccc.B22.DE04').answer.first().exists() or %resource.repeat(item).where(linkId='Ccc.B22.RespiratoryRate').repeat(item).where(linkId='second').repeat(item).where(linkId='Ccc.B22.DE05').answer.first().exists() or %resource.repeat(item).where(linkId='Ccc.B22.RespiratoryRate').repeat(item).where(linkId='Ccc.B22.DE01').answer.first().value < 60 '{Breaths}/min'),iif(%resource.repeat(item).where(linkId='AgeInMonths').answer.first().value<2 and (%resource.repeat(item).where(linkId='Ccc.B22.RespiratoryRate').repeat(item).where(linkId='second').repeat(item).where(linkId='Ccc.B22.DE04').answer.first().value >= 60 '{Breaths}/min' or (%resource.repeat(item).where(linkId='Ccc.B22.RespiratoryRate').repeat(item).where(linkId='second').repeat(item).where(linkId='Ccc.B22.DE05').answer.first().exists() and ( %resource.repeat(item).where(linkId='Ccc.B22.RespiratoryRate').repeat(item).where(linkId='Ccc.B22.DE01').answer.first().value >= 60 '{Breaths}/min' or %resource.repeat(item).where(linkId='Respiratory Rate profile').answer.first().value >= 60 '{Breaths}/min' ) ) ) or %resource.repeat(item).where(linkId='Ccc.B22.RespiratoryRate').repeat(item).where(linkId='Ccc.B22.DE01').answer.first().value >= 50 '{Breaths}/min' and %resource.repeat(item).where(linkId='AgeInMonths').answer.first().value < 12 and %resource.repeat(item).where(linkId='AgeInMonths').answer.first().value >= 2or %resource.repeat(item).where(linkId='Ccc.B22.RespiratoryRate').repeat(item).where(linkId='Ccc.B22.DE01').answer.first().value >= 40 '{Breaths}/min' and %resource.repeat(item).where(linkId='AgeInMonths').answer.first().value>=12 and %resource.repeat(item).where(linkId='AgeInMonths').answer.first().value < 60, true, false),{})"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE07"/> <text value="Fast Breathing"/> <type value="boolean"/> <required value="false"/> <repeats value="false"/> <readOnly value="true"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B22.DE07-help"/> <text value="The number of breaths for <b>‘fast breathing’ depends on the child’s age.</b> * Under 2 months: More than 60 breaths per minute* * 2 to 11 months: More than 50 breaths per minute * 12 to 59 months: More than 40 breaths per minute *In young infants, a second measurement should be taken to confirm, unless there is already another sign of possible serious bacterial infection"/> <type value="display"/> </item> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <linkId value="Ccc.B18S2.DE07"/> <text value="Severe Chest Indrawing"/> <type value="boolean"/> <required value="true"/> <repeats value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B18S2.DE07-help"/> <text value="The young infant must be calm while you assess for severe chest indrawing.  Lift the young infant’s shirt. </p> <p>Look for chest indrawing when the young infant breathes in. Lower chest wall indrawing is the inward movement of the bony structure of the chest wall <br /> when the child breathes in. Look at the lower chest wall (lower ribs). The child has chest indrawing if the lower chest wall goes IN when the child breathes IN.<br /> In normal breathing, the whole chest wall (upper and lower) and the abdomen move <span class="caps">OUT</span> when the child breathes IN. </p> <p>Mild chest indrawing is normal in a young infant because the chest wall is soft. Severe chest indrawing is very deep and easy to see."/> <type value="display"/> </item> </item> <item> <linkId value="Ccc.B18S2.DE08"/> <text value="Movements"/> <type value="choice"/> <required value="true"/> <repeats value="false"/> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B18S2.DE11"/> <display value="Moves on his or her own or moves spontaneously or without stimulation"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B18S2.DE10"/> <display value="Movement only when stimulated but then stops"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B18S2.DE09"/> <display value="No movement at all"/> </valueCoding> </answerOption> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B18S2.DE08-help"/> <text value="Look at the young infant’s movements. Does the young infant move on his/her own? Does the infant move only when stimulated but then stops? Does the infant not move at all?<br /> Young infants often sleep most of the time, and this is not a sign of illness. It is not necessary for the infant to be awake if he/she is moving spontaneously. <br /> If a young infant is not moving spontaneously and does not wake up during the assessment, ask the mother to wake him. An awake young infant will normally move his arms or legs or turn his head several times in a  minute if you watch him closely. If the infant is awake but has no spontaneous movements, gently stimulate the young infant. Stimulation  is a gentle, painless touching of the baby with enough pressure that would evoke movements, sound making and eye opening. The presence of any movement such as a grimace of the face, eye-opening or movement of a limb will qualify &#8220;Movement only when stimulated but then stops&#8221;.  An infant who cannot be woken up even after stimulation is considered to have the sign &#8220;Does not move even with stimulation. &#8220; "/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <linkId value="Ccc.B18S2.DE12"/> <text value="Umbilicus Red or Pus Draining"/> <type value="boolean"/> <required value="true"/> <repeats value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B18S2.DE12-help"/> <text value="&#8220;The umbilical cord usually separates one week after birth and the wound heals within 15 days. Redness of the end of the umbilicus or pus draining from the umbilicus are signs of umbilical infection.&#8221; "/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <linkId value="Ccc.B18S2.DE13"/> <text value="Skin Pustules"/> <type value="boolean"/> <required value="true"/> <repeats value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B18S2.DE13-help"/> <text value="Examine the skin on the entire body. Skin pustules are red spots or blisters which contain pus."/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <linkId value="Ccc.B19S2.DE01"/> <text value="Yellow Skin"/> <type value="boolean"/> <required value="true"/> <repeats value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B19S2.DE01-help"/> <text value="Jaundice is a yellow discoloration of skin and mucus membranes. It is important to look for jaundice in natural light. To look for jaundice, press the infant’s skin over the forehead with your fingers to blanch, remove your fingers and look for yellow discolouration. If there is yellow discoloration, the infant has jaundice"/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <linkId value="Ccc.B19S2.DE02"/> <text value="Yellow Palms or Yellow Soles"/> <type value="boolean"/> <required value="true"/> <repeats value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B19S2.DE02-help"/> <text value="Jaundice is a yellow discoloration of skin and mucus membranes. Jaundice in the palms of hands or soles of feet is a sign of Severe Jaundice.  It is important to look for jaundice in natural light. To assess for severe jaundice, press the infant&#8217;s skin in the palm of there hand and then in the sole of their feet with your fingers to blanch, remove your finders and look for yellow dicoulouration in the palm or the sole. If there is yellow discoloration of the palm or sole, the infant has severe jaundice."/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='AgeInDays').answer.first().value >1 and %resource.repeat(item).where(linkId='Ccc.B19S2.DE01').answer.first().value = true and %resource.repeat(item).where(linkId='Ccc.B19S2.DE02').answer.first().value = false and %resource.repeat(item).where(linkId='AgeInDays').answer.first().value < 21"/> </valueExpression> </extension> <linkId value="Ccc.B19S2.DE04"/> <text value="When did the Jaundice first appear?"/> <type value="choice"/> <required value="false"/> <repeats value="false"/> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B19S2.DE05"/> <display value="Within less than 24 hours of birth"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B19S2.DE06"/> <display value="24 hours or more after birth"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B19S2.DE07"/> <display value="Unknown when Jaundice first appeared"/> </valueCoding> </answerOption> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B19S2.DE04-help"/> <text value="Ask the caregiver when the baby&#8217;s skin first turned yellowish. If the caregiver didn&#8217;t notice the yellow discolouration or can&#8217;t remember when it started, select &#8220;don&#8217;t know&#8221;. <br /> Jaundice that appears in less than 24 hours after birth is always due to an underlying disease. These babies should be referred urgently. <br /> Many normal babies, particularly small babies, may have jaundice during the first week of life. This jaundice usually appears on the third or fourth day of life and is mild and disappears before the age of two to  three weeks. It does not need any treatment."/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B20S1.DE01').answer.first().value = true"/> </valueExpression> </extension> <linkId value="Ccc.B11S2.DE01"/> <text value="Sunken Eyes"/> <type value="boolean"/> <required value="true"/> <repeats value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B11S2.DE01-help"/> <text value="The eyes of a dehydrated infant may look sunken. In a low-weight infant, the eyes may always look sunken, even if the young infant is not dehydrated. Even though the sign “sunken eyes” is less reliable in a low-weight infant, it can still be used to classify the young infant‘s dehydration. </p> <p>Decide if you think the eyes are sunken. Then ask the mother if she thinks her child’s eyes look unusual. Her opinion can help you confirm."/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B20S1.DE01').answer.first().value = true"/> </valueExpression> </extension> <linkId value="Ccc.B11S2.DE02"/> <text value="Skin pinch of Abdomen"/> <type value="choice"/> <required value="true"/> <repeats value="false"/> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B20S2.DE03"/> <display value="Skin Pinch goes back very slowly (More than 2 seconds)"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B20S2.DE04"/> <display value="Skin Pinch goes back slowly (2 seconds or fewer, but not immediately)"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B20S2.DE05"/> <display value="Skin Pinch goes back Normally (immediately)"/> </valueCoding> </answerOption> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B11S2.DE02-help"/> <text value="Locate the area on the infant’s abdomen halfway between the umbilicus and the side of the abdomen. To do the skin pinch, use your thumb and first finger. Do not use your fingertips because this will cause pain. Place <br /> your hand so that when you pinch the skin, the fold of skin will be in a line up and down the child’s body and not across the child’s <br /> body. Firmly pick up all of the layers of skin and the tissue under them. Pinch the skin for <br /> one second and then release it. When you release the skin, look to see if the skin pinch <br /> goes back:</p> <p>• very slowly (longer than 2 seconds)<br /> • slowly<br /> • immediately<br /> If the skin stays up for even a brief time after you release it, decide that the skin pinch goes back slowly"/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B20S1.DE01').answer.first().value = true and %resource.repeat(item).where(linkId='Ccc.B18S2.DE08').answer.first().value.code = 'Ccc.B18S2.DE11'"/> </valueExpression> </extension> <linkId value="Ccc.B11S2.DE06"/> <text value="Restless and Irritable"/> <type value="boolean"/> <required value="true"/> <repeats value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B11S2.DE06-help"/> <text value="Look at the young infant&#8217;s general condition Is the infant restles and irritable? <br /> An infant has teh sign &#8220;restless and irritable&#8221; if the infant is restless and irritable all the time or every time he is touched and handled. If an infant is calm when breastfeeding but again <br /> restless and irritable when he stops breastfeeding, he has the sign “restless and irritable”. A healthy infant will be consoled when put on the breast."/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='zscore').answer.first().exists()"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="iif(%resource.repeat(item).where(linkId='zscore').answer.first().exists(), iif( %resource.repeat(item).where(linkId='zscore').answer.first().value >= (-2.0), 'Normal Weight for Age', iif( %resource.repeat(item).where(linkId='zscore').answer.first().value < (-3.0), 'Very Low Weight for Age','Low Weight for Age')), {})"/> </valueExpression> </extension> <linkId value="Ccc.B21S2.DE01"/> <text value="Weight Status"/> <type value="string"/> <required value="false"/> <repeats value="false"/> <readOnly value="true"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B21S2.DE01-help"/> <text value="Weight status is calculated based on the young infant&#8217;s weight for age Z-score, which is determined from a standardized chart for weight -for-age for the infant&#8217;s sex. <br /> A young infant is low weight for age if the z-score is below -2. <br /> A young infant who is less than 7 days old and weighs less than 2 kg is considered very low weight.<br /> Some young infants who are low weight for age were born with low birth weight. Some did not gain weight well after birth."/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B21S1.DE01').answer.first().value = true and ( %resource.repeat(item).where(linkId='YI_sever_but_dhey').answer.empty() or %resource.repeat(item).where(linkId='YI_sever_but_dhey').answer.first().value=false )"/> </valueExpression> </extension> <linkId value="Ccc.B21S2.DE05"/> <text value="Breastfed how many times in 24 hours?"/> <type value="integer"/> <required value="true"/> <repeats value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B21S2.DE05-help"/> <text value="Ask the caregiver how many times in 24 hours (one day and one night) they usually breastfeed the young infant. The recommendation is that the young infant be breastfed as often and for as long as the <br /> infant wants, day and night. This should be 8 or more times in 24 hours."/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B21S2.DE05').answer.first().value>= 8"/> </valueExpression> </extension> <linkId value="Ccc.B21S2.DE06"/> <text value="Sufficient feeds"/> <type value="integer"/> <required value="false"/> <repeats value="false"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B21S1.DE01').answer.first().value = true and ( %resource.repeat(item).where(linkId='YI_sever').answer.empty() or %resource.repeat(item).where(linkId='YI_sever').answer.first().value=false )"/> </valueExpression> </extension> <linkId value="Ccc.B21S2.DE08"/> <text value="Young Infant receives food or fluids other than breast milk"/> <type value="boolean"/> <required value="true"/> <repeats value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B21S2.DE08-help"/> <text value="Find out if the young infant is receiving any other foods or drinks such as other milk, juice, tea, thin porridge, dilute cereal, or even water. Ask how often he receives it and the amount. You need to know if the infant is mostly breastfed, or mostly fed on other foods"/> <type value="display"/> </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="check-box"/> <display value="Check-box"/> </coding> <text value="Check-box"/> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B21S1.DE01').answer.first().value= false and ( %resource.repeat(item).where(linkId='YI_sever').answer.empty() or %resource.repeat(item).where(linkId='YI_sever').answer.first().value=false ) and ( %resource.repeat(item).where(linkId='YI_sever').answer.empty() or %resource.repeat(item).where(linkId='YI_sever').answer.first().value=false )"/> </valueExpression> </extension> <linkId value="Ccc.B21S2.DE09"/> <text value="What milk is being given as a replacement feed?"/> <type value="choice"/> <required value="true"/> <repeats value="true"/> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B21S2.DE11"/> <display value="Inappropriate replacement milk"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B21S2.DE10"/> <display value="Appropriate replacement milk"/> </valueCoding> </answerOption> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B21S2.DE09-help"/> <text value="Ask the mother questions to determine what replacement milk or milks are used. It may be a breastmilk replacement, animal milk or some other fluid or some combination. Determine if this type of replacement feed is appropriate or not appropriate in your setting."/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B21S1.DE01').answer.first().value= false"/> </valueExpression> </extension> <linkId value="Ccc.B21S2.DE12"/> <text value="How many replacement feeds during the day and night (24 hours)?"/> <type value="integer"/> <required value="true"/> <repeats value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B21S2.DE12-help"/> <text value="A young infant up to one month of age should be fed 8 times and a young infant between 1 <br /> and 2 months of age should be fed 7 times in 24 hours."/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B21S2.DE12').answer.first().value>=8"/> </valueExpression> </extension> <linkId value="Ccc.B21S2.DE13"/> <text value="Sufficient replacement feeds (in 24 hours)"/> <type value="boolean"/> <required value="true"/> <repeats value="false"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="ml"/> </valueCoding> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B21S1.DE01').answer.first().value= false"/> </valueExpression> </extension> <linkId value="Ccc.B21S2.DE15"/> <text value="How much milk is given at each feed (ml)?"/> <type value="quantity"/> <required value="true"/> <repeats value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B21S2.DE15-help"/> <text value="A young infant up to one month of age should be given approximately 60 ml per feed, 8 times per day, and a young infant between 1 and 2 months of age approximately 90 ml at each feed, 7 times per day. It is helpful to have common bottles or cups available so that a mother can show you the amount that she gives."/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="iif(%resource.repeat(item).where(linkId='AgeInDays').answer.first().value < 29, %resource.repeat(item).where(linkId='Ccc.B21S2.DE15').answer.first().value>=60 'ml', %resource.repeat(item).where(linkId='Ccc.B21S2.DE15').answer.first().value>=90 'ml' )"/> </valueExpression> </extension> <linkId value="Ccc.B21S2.DE16"/> <text value="Sufficient replacement feeds"/> <type value="boolean"/> <required value="true"/> <repeats value="false"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B21S1.DE01').answer.first().value= false"/> </valueExpression> </extension> <linkId value="Ccc.B21S2.DE18"/> <text value="How is the milk prepared?"/> <type value="choice"/> <required value="true"/> <repeats value="false"/> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B21S2.DE19"/> <display value="Correct and hygienic feed preparation"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B21S2.DE20"/> <display value="Incorrect or unhygienic feed preparation"/> </valueCoding> </answerOption> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B21S2.DE18-help"/> <text value="Let mother demonstrate or explain how a feed is prepared and how she gives it to the infant. Determine if the breastmilk substitute is being prepared correctly and hygienically."/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B21S2.DE08').answer.first().value = true or %resource.repeat(item).where(linkId='Ccc.B21S1.DE01').answer.first().value = false"/> </valueExpression> </extension> <linkId value="Ccc.B21S2.DE21"/> <text value="How is the milk given?"/> <type value="choice"/> <required value="true"/> <repeats value="false"/> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B21S2.DE22"/> <display value="Cup"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B21S2.DE23"/> <display value="Bottle"/> </valueCoding> </answerOption> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B21S2.DE08').answer.first().value = true or %resource.repeat(item).where(linkId='Ccc.B21S1.DE01').answer.first().value = false"/> </valueExpression> </extension> <linkId value="Ccc.B21S2.DE24"/> <text value="How are the feeding utensils cleaned?"/> <type value="choice"/> <required value="true"/> <repeats value="false"/> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B21S2.DE26"/> <display value="Feeding utensils not cleaned hygienically"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B21S2.DE25"/> <display value="Feeding utensils cleaned hygienically"/> </valueCoding> </answerOption> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B21S2.DE24-help"/> <text value="Ask the caregiver how they clear the feeding utensils. Determine if this is a safe and hygienic cleaning method."/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B21S1.DE01').answer.first().value = false and ( %resource.repeat(item).where(linkId='YI_sever').answer.empty() or %resource.repeat(item).where(linkId='YI_sever').answer.first().value=false )"/> </valueExpression> </extension> <linkId value="Ccc.B21S2.DE27"/> <text value="Do you give any breastmilk at all?"/> <type value="choice"/> <required value="true"/> <repeats value="false"/> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B21S2.DE28"/> <display value="Breastmilk also given"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B21S2.DE29"/> <display value="No Breastmilk at all"/> </valueCoding> </answerOption> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="( %resource.repeat(item).where(linkId='YI_sever').answer.empty() or %resource.repeat(item).where(linkId='YI_sever').answer.first().value=false ) and %resource.repeat(item).where(linkId='Ccc.B21S2.DE31').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B21S2.DE30"/> <text value="Ulcers or White Patches in Mouth"/> <type value="boolean"/> <required value="true"/> <repeats value="false"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="Ccc.B21S2.DE30-help"/> <text value="Look inside the mouth at the tongue and inside of the cheek. Thrush looks like milk curds on the inside of the cheek, or a thick white coating of the tongue. Try to wipe the white off. The white patches of thrush will remain."/> <type value="display"/> </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="check-box"/> <display value="Check-box"/> </coding> <text value="Check-box"/> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="( %resource.repeat(item).where(linkId='YI_sever').answer.empty() or %resource.repeat(item).where(linkId='YI_sever').answer.first().value=false ) and %resource.repeat(item).where(linkId='Ccc.B21S2.DE30').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B21S2.DE31"/> <type value="choice"/> <required value="false"/> <repeats value="true"/> <answerOption> <valueCoding> <code value="Ccc.B21S2.DE31"/> <display value="Unable to check if Ulcers or White Patches in Mouth"/> </valueCoding> </answerOption> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="respiratory rate profile"/> </valueExpression> </extension> <linkId value="Respiratory Rate profile"/> <type value="quantity"/> <required value="false"/> <repeats value="false"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="force-collection"/> </valueExpression> </extension> <linkId value="force-collection"/> <type value="boolean"/> <required value="false"/> <repeats value="false"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="respiratory rate second count profile"/> </valueExpression> </extension> <linkId value="Respiratory Rate Second Count Profile"/> <type value="quantity"/> <required value="false"/> <repeats value="false"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="fast breathing profile"/> </valueExpression> </extension> <linkId value="Fast Breathing profile"/> <type value="boolean"/> <required value="false"/> <repeats value="false"/> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="now()"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </extension> <linkId value="timestamp"/> <type value="dateTime"/> <required value="false"/> </item> </Questionnaire>