{ "resourceType" : "Questionnaire", "id" : "Ccc.b22.assessmentstests", "meta" : { "profile" : ["http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire Ccc.b22.assessmentstests

Profile: SDCBaseQuestionnaire

Structure\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeFlagsDescription & Constraints\"doco\"
\".\"\".\" Ccc.B22.AssessmentsTestsQuestionnairehttps://smart.who.int/ccc/Questionnaire/Ccc.b22.assessmentstests#0.1.0
\".\"\".\"\".\" force-collectionnull0..1boolean\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\" AgeInMonthsnull0..1integer\"icon\"/
\".\"\".\"\".\" AgeInDaysnull0..1integer\"icon\"/
\".\"\".\"\".\" a-BreastFeedingTestapplicability-BreastFeedingTest0..1boolean\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\" a-RespiratoryRateapplicability-RespiratoryRate0..1boolean\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\" a-BronchodilatorTestapplicability-BronchodilatorTest0..1boolean\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\" a-Hemoglobinapplicability-Hemoglobin0..1boolean\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\" a-SecondTemperatureapplicability-SecondTemperature0..1boolean\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\" a-FluidTestapplicability-FluidTest0..1boolean\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\" 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 />\nIt 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 />\n<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 />\nThe number of breaths for <b>‘fast breathing’ depends on the child’s age.</b></p>\n\n\t<ul>\n\t\t<li>Under 2 months: More than 60 breaths per minute*</li>\n\t\t<li>2 to 11 months: More than 50 breaths per minute</li>\n\t\t<li>12 to 59 months: More than 40 breaths per minute</li>\n\t</ul>\n\n\t<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 />\nIt 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 />\n<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 />\nThe number of breaths for <b>‘fast breathing’ depends on the child’s age.</b></p>\n\n\t<ul>\n\t\t<li>Under 2 months: More than 60 breaths per minute*</li>\n\t\t<li>2 to 11 months: More than 50 breaths per minute</li>\n\t\t<li>12 to 59 months: More than 40 breaths per minute</li>\n\t</ul>\n\n\t<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..1boolean\"icon\"/\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\"\".\" 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.B22.FluidTestnull0..1group
\".\"\".\"\".\"\".\" Ccc.B22.DE08Oral Fluid Test Results1..1choiceOptions: 5 options
\".\"\".\"\".\"\".\"\".\" Ccc.B22.DE08-helpIf a child is unconscious do not try to carry out an oral fluid test (Exact wording <span class="caps">TBC</span>) &#8211; Pop Up</p>\n\n\t<p>If a breastfeeding assessment and an Oral Fluid test is recommended for a child that is only breastfed then a pop up is required to ensure that the health care worker observes the signs for both and provides results for both tests. </p>\n\n\t<p>Oral Fluid Test<br />\nIf it is not possible to perform an oral fluid test, the health care worker should assume that the child is vomiting everything<br />\nFor a child under 6 months the health care worker can offer for the mother to breastfeed instead of receiving fluids</p>\n\n\t<p>Caution: Do not force fluids into an unconscious child , it can be dangerous. The fluid can cause them to choke or the fluid can go into their lungs. </p>\n\n\t<p>Pop up box to be made available with instructions on how to carry out an oral fluid test.<br />\nAdditional information <span class="caps">TBC</span>0..1display
\".\"\".\"\".\"\".\" Ccc.B22.DE14null1..*choiceOptions: 1 option
\".\"\".\"\".\"\".\" Ccc.B22.DE14aCompletely Unable to Drink or Vomits Immediately / Everything0..1boolean\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" Ccc.B22.DE15Has the Child had anything to drink today?0..1boolean\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" Ccc.B22.DE16How did the child last drink0..1choiceOptions: 5 options
\".\"\".\"\".\" Ccc.B22.BronchodilatorTestnull0..1group
\".\"\".\"\".\"\".\" Ccc.B22.DE17Inhaled Bronchodilator Trial Results0..*choiceOptions: 5 options
\".\"\".\"\".\"\".\"\".\" Ccc.B22.DE17-helpProvide information on how to conduct an Inhaled Bronchodilator Trial as per <span class="caps">IMCI</span> training &#8211; <span class="caps">TBC</span>0..1display
\".\"\".\"\".\"\".\" Ccc.B22.DE22null0..*choiceOptions: 1 option
\".\"\".\"\".\"\".\" Ccc.B22.DE21No Fast Breathing and No Chest Indrawing (post Inhaled Bronchodilator Trial)0..1boolean\"icon\"/\"icon\"/
\".\"\".\"\".\" Ccc.B22.BreastFeedingnull0..1group
\".\"\".\"\".\"\".\" Ccc.B22.DE27Breastfeeding Assessment0..1display
\".\"\".\"\".\"\".\"\".\" Ccc.B22.DE27-helpIf a breastfeeding assessment and an Oral Fluid test is recommended for a child that is only breastfed then a pop up is required to ensure that the health care worker observes the signs for both and provides results for both tests.0..1display
\".\"\".\"\".\"\".\" Ccc.B22.DE41null0..*choiceOptions: 1 option
\".\"\".\"\".\"\".\" Ccc.B22.DE28Breastfed in the previous hour1..1boolean\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" Ccc.B22.DE29Mother able to wait until young infant is willing to breastfeed again0..1boolean\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" Ccc.B22.DE30Mother reports difficulty breastfeeding1..1boolean\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\"\".\" Ccc.B22.DE30-helpProvide information on what difficulty breastfeeding may include, such as: the infant feeds too often, doesn&#8217;t feed often enough, she does not have enough milk, her nipples are sore, or she has flat or inverted nipples. After feeds, the infant may be restless, cry or try to suckle again, or continue to breastfeed for a long time.0..1display
\".\"\".\"\".\"\".\" Ccc.B22.DE31Chin Touching Breast1..1boolean\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" Ccc.B22.DE32Mouth Wide Open1..1boolean\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" Ccc.B22.DE33Lower Lip Turned Outwards1..1boolean\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" Ccc.B22.DE34More Areola Visible above than below the Mouth1..1boolean\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" Ccc.B22.DE35Slow Deep Sucks, Sometimes Pausing1..1boolean\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" Ccc.B22.DE36Breastfeeding Assessment Results1..1string\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" Ccc.B22.DE37Not well Attached to Breast0..1boolean\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" Ccc.B22.DE38Good Attachment0..1boolean\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" Ccc.B22.DE39Not Sucking Effectively0..1boolean\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" Ccc.B22.DE40Sucking Effectively0..1boolean\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" Ccc.B22.DE42Difficulty Breastfeeding Reported0..1boolean\"icon\"/\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" Ccc.B22.DE44Difficulty Breastfeeding Observed0..1boolean\"icon\"/\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\" Ccc.B22.Hemoglobinnull0..1group
\".\"\".\"\".\"\".\" Ccc.B22.DE81Hemoglobin (Hb) g/dL1..1quantity
\".\"\".\"\".\"\".\" Ccc.B22.DE82null1..*choiceOptions: 1 option
\".\"\".\"\".\" Ccc.B22.SecondTemperaturenull0..1group
\".\"\".\"\".\"\".\" Ccc.B22.DE47Axillary Temperature (second measurement)0..1quantity
\".\"\".\"\".\"\".\"\".\" Ccc.B22.DE47-helpThe client&#8217;s axillary temperature in degrees Celcius (temperature taken under the armpit)<br />\nWarning/error if above 45 and below 32 degrees Celcius.0..1display
\".\"\".\"\".\"\".\" Ccc.B22.DE46null0..*choiceOptions: 1 option
\".\"\".\"\".\"\".\" Ccc.B22.DE50Measured Temperature (second measurement)0..1string\"icon\"/\"icon\"/
\".\"\".\"\".\" notesttodoNo assessments / tests to do0..1display
\".\"\".\"\".\" Respiratory Rate profilenull0..1quantity\"icon\"/
\".\"\".\"\".\" Respiratory Rate Second Count Profilenull0..1quantity\"icon\"/
\".\"\".\"\".\" Fast Breathing profilenull0..1boolean\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\" DSDanger Signs0..1boolean\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\" Ccc.B7.DE09Not able to drink or breastfeed0..1boolean\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\" Ccc.B7.DE10Vomiting Everything0..1boolean\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\" timestampnull0..1dateTime\"icon\"/

\"doco\" Documentation for this format

Options Sets

Answer options for Ccc.B22.DE02

Answer options for Ccc.B22.DE05

Answer options for Ccc.B22.DE08

Answer options for Ccc.B22.DE14

Answer options for Ccc.B22.DE16

Answer options for Ccc.B22.DE17

Answer options for Ccc.B22.DE22

Answer options for Ccc.B22.DE41

Answer options for Ccc.B22.DE82

Answer options for Ccc.B22.DE46

" }, "extension" : [{ "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability", "valueCode" : "shareable" }, { "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability", "valueCode" : "computable" }, { "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability", "valueCode" : "publishable" }, { "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel", "valueCode" : "structured" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap", "valueCanonical" : "https://smart.who.int/ccc/StructureMap/Ccc.b22.assessmentstests" }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-library", "valueCanonical" : "https://smart.who.int/ccc/Library/Cccb22assessmentstests" }], "url" : "https://smart.who.int/ccc/Questionnaire/Ccc.b22.assessmentstests", "version" : "0.1.0", "name" : "Ccc.B22.AssessmentsTests", "title" : "Ccc.B22.AssessmentsTests", "status" : 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"extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/cql-identifier", "expression" : "ageinmonths" } }], "linkId" : "AgeInMonths", "type" : "integer", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/cql-identifier", "expression" : "ageindays" } }], "linkId" : "AgeInDays", "type" : "integer", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : 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"applicability-Hemoglobin", "type" : "boolean", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/cql-identifier", "expression" : "a-secondtemperature" } }], "linkId" : "a-SecondTemperature", "text" : "applicability-SecondTemperature", "type" : "boolean", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/cql-identifier", "expression" : "a-fluidtest" } }], "linkId" : "a-FluidTest", "text" : "applicability-FluidTest", "type" : "boolean", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire", "valueCanonical" : "https://smart.who.int/ccc/Questionnaire/Ccc.b22.respiratoryrate" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='a-RespiratoryRate').answer.first().value = true" } }], "linkId" : "Ccc.B22.RespiratoryRate", "type" : "group", "required" : false, "repeats" : false, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://unitsofmeasure.org", "code" : "{Breaths}/min" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%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()" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "iif(%resource.repeat(item).where(linkId='Respiratory Rate profile').answer.first().exists(), %resource.repeat(item).where(linkId='Respiratory Rate profile').answer.first().value,{})" } }], "linkId" : "Ccc.B22.DE01", "text" : "Respiratory Rate (breaths per minute)", "type" : "quantity", "required" : true, "repeats" : false, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "help" }] } }], "linkId" : "Ccc.B22.DE01-help", "text" : "Count the number of breaths the child takes per minute to determine if fast breathing is present.
\nIt is very important that the child is calm and still. If the child is moving or crying, you will not be able to get an accurate count of breaths.
\nTo count the breaths per minute, use a watch with a second hand or a digital watch. Look for the breathing movement anywhere on the child’s chest or abdomen.
\nThe number of breaths for ‘fast breathing’ depends on the child’s age.

\n\n\t\n\n\t

*In young infants, a second measurement should be taken to confirm, unless there is already another sign of possible serious bacterial infection", "type" : "display" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "check-box", "display" : "Check-box" }], "text" : "Check-box" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%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" } }], "linkId" : "Ccc.B22.DE02", "type" : "choice", "required" : false, "repeats" : true, "answerOption" : [{ "valueCoding" : { "code" : "Ccc.B22.DE02", "display" : "Unable to perform Respiratory Rate at this time" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%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()" } }], "linkId" : "second", "type" : "group", "required" : false, "repeats" : false, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://unitsofmeasure.org", "code" : "{Breaths}/min" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.RespiratoryRate').repeat(item).where(linkId='second').repeat(item).where(linkId='Ccc.B22.DE05').answer.first().empty()" } }], "linkId" : "Ccc.B22.DE04", "text" : "Respiratory Rate Second Count (breaths per minute)", "type" : "quantity", "required" : false, "repeats" : false, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "help" }] } }], "linkId" : "Ccc.B22.DE04-help", "text" : "Count the number of breaths the child takes per minute to determine if fast breathing is present.
\nIt is very important that the child is calm and still. If the child is moving or crying, you will not be able to get an accurate count of breaths.
\nTo count the breaths per minute, use a watch with a second hand or a digital watch. Look for the breathing movement anywhere on the child’s chest or abdomen.
\nThe number of breaths for ‘fast breathing’ depends on the child’s age.

\n\n\t\n\n\t

*In young infants, a second measurement should be taken to confirm, unless there is already another sign of possible serious bacterial infection", "type" : "display" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "check-box", "display" : "Check-box" }], "text" : "Check-box" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.RespiratoryRate').repeat(item).where(linkId='second').repeat(item).where(linkId='Ccc.B22.DE04').answer.first().empty()" } }], "linkId" : "Ccc.B22.DE05", "type" : "choice", "required" : false, "repeats" : true, "answerOption" : [{ "valueCoding" : { "code" : "Ccc.B22.DE05", "display" : "Respiratory Rate Second Count Not Possible" } }] }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%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')" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "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),{})" } }], "linkId" : "Ccc.B22.DE07", "text" : "Fast Breathing", "type" : "boolean", "required" : false, "repeats" : false, "readOnly" : true, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "help" }] } }], "linkId" : "Ccc.B22.DE07-help", "text" : "The number of breaths for ‘fast breathing’ depends on the child’s age. * 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" : "display" }] }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire", "valueCanonical" : "https://smart.who.int/ccc/Questionnaire/Ccc.b22.fluidtest" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='a-FluidTest').answer.first().value = true" } }], "linkId" : "Ccc.B22.FluidTest", "type" : "group", "required" : false, "repeats" : false, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.FluidTest').repeat(item).where(linkId='Ccc.B22.DE14').answer.first().empty() and ( %resource.repeat(item).where(linkId='oftrp').answer.empty() or %resource.repeat(item).where(linkId='oftrp').answer.first().value=true )" } }], "linkId" : "Ccc.B22.DE08", "text" : "Oral Fluid Test Results", "type" : "choice", "required" : true, "repeats" : false, "answerOption" : [{ "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.B22.DE09", "display" : "Completely Unable to Drink" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.B22.DE10", "display" : "Vomits Immediately / Everything" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.B22.DE11", "display" : "Drinks Poorly" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.B22.DE12", "display" : "Drinks Eagerly / Thirstily" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.B22.DE13", "display" : "Drinks Normally" } }], "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "help" }] } }], "linkId" : "Ccc.B22.DE08-help", "text" : "If a child is unconscious do not try to carry out an oral fluid test (Exact wording TBC) – Pop Up

\n\n\t

If a breastfeeding assessment and an Oral Fluid test is recommended for a child that is only breastfed then a pop up is required to ensure that the health care worker observes the signs for both and provides results for both tests.

\n\n\t

Oral Fluid Test
\nIf it is not possible to perform an oral fluid test, the health care worker should assume that the child is vomiting everything
\nFor a child under 6 months the health care worker can offer for the mother to breastfeed instead of receiving fluids

\n\n\t

Caution: Do not force fluids into an unconscious child , it can be dangerous. The fluid can cause them to choke or the fluid can go into their lungs.

\n\n\t

Pop up box to be made available with instructions on how to carry out an oral fluid test.
\nAdditional information TBC", "type" : "display" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "check-box", "display" : "Check-box" }], "text" : "Check-box" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.FluidTest').repeat(item).where(linkId='Ccc.B22.DE08').answer.first().empty()" } }], "linkId" : "Ccc.B22.DE14", "type" : "choice", "required" : true, "repeats" : true, "answerOption" : [{ "valueCoding" : { "code" : "Ccc.B22.DE14", "display" : "Unable to Perform Oral Fluid Test" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B7.DE09').answer.first().value = true or %resource.repeat(item).where(linkId='Ccc.B7.DE10').answer.first().value = true" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.FluidTest').repeat(item).where(linkId='Ccc.B22.DE14').answer.first().exists() and (%resource.repeat(item).where(linkId='DS').answer.first().value = true or %resource.repeat(item).where(linkId='Ccc.B22.FluidTest').repeat(item).where(linkId='Ccc.B22.DE08').answer.where(value.code='Ccc.B22.DE09').exists() or %resource.repeat(item).where(linkId='Ccc.B22.FluidTest').repeat(item).where(linkId='Ccc.B22.DE08').answer.where(value.code='Ccc.B22.DE10').exists() )" } }], "linkId" : "Ccc.B22.DE14a", "text" : "Completely Unable to Drink or Vomits Immediately / Everything", "type" : "boolean", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.FluidTest').repeat(item).where(linkId='Ccc.B22.DE14').answer.first().value = true and %resource.repeat(item).where(linkId='Ccc.B7.DE09').answer.first().value= false and %resource.repeat(item).where(linkId='Ccc.B7.DE10').answer.first().value = false" } }], "linkId" : "Ccc.B22.DE15", "text" : "Has the Child had anything to drink today?", "type" : "boolean", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.FluidTest').repeat(item).where(linkId='Ccc.B22.DE15').answer.first().value = true" } }], "linkId" : "Ccc.B22.DE16", "text" : "How did the child last drink", "type" : "choice", "required" : false, "repeats" : false, "answerOption" : [{ "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.B22.DE09", "display" : "Completely Unable to Drink" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.B22.DE10", "display" : "Vomits Immediately / Everything" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.B22.DE11", "display" : "Drinks Poorly" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.B22.DE12", "display" : "Drinks Eagerly / Thirstily" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.B22.DE13", "display" : "Drinks Normally" } }] }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire", "valueCanonical" : "https://smart.who.int/ccc/Questionnaire/Ccc.b22.bronchodilatortest" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='a-BronchodilatorTest').answer.first().value = true" } }], "linkId" : "Ccc.B22.BronchodilatorTest", "type" : "group", "required" : false, "repeats" : false, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.BronchodilatorTest').repeat(item).where(linkId='Ccc.B22.DE22').answer.first().empty()" } }], "linkId" : "Ccc.B22.DE17", "text" : "Inhaled Bronchodilator Trial Results", "type" : "choice", "required" : false, "repeats" : true, "answerOption" : [{ "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.B22.DE18", "display" : "Chest Indrawing (post inhaled bronchodilator trial)" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.B22.DE19", "display" : "Respiratory Rate (post inhaled bronchodilator trial)" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.B22.DE20", "display" : "Fast Breathing (post inhaled bronchodilator trial)" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.B22.DE21", "display" : "No Fast Breathing and No Chest Indrawing (post Inhaled Bronchodilator Trial)" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.B22.DE22", "display" : "Inhaled Bronchodilator Trial Not Feasible or Available" } }], "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "help" }] } }], "linkId" : "Ccc.B22.DE17-help", "text" : "Provide information on how to conduct an Inhaled Bronchodilator Trial as per IMCI training – TBC", "type" : "display" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "check-box", "display" : "Check-box" }], "text" : "Check-box" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.BronchodilatorTest').repeat(item).where(linkId='Ccc.B22.DE17').answer.first().empty()" } }], "linkId" : "Ccc.B22.DE22", "type" : "choice", "required" : false, "repeats" : true, "answerOption" : [{ "valueCoding" : { "code" : "Ccc.B22.DE22", "display" : "Inhaled Bronchodilator Trial Not Feasible or Available" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }], "linkId" : "Ccc.B22.DE21", "text" : "No Fast Breathing and No Chest Indrawing (post Inhaled Bronchodilator Trial)", "type" : "boolean", "required" : false, "repeats" : false }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire", "valueCanonical" : "https://smart.who.int/ccc/Questionnaire/Ccc.b22.breastfeeding" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='a-BreastFeedingTest').answer.first().value = true" } }], "linkId" : "Ccc.B22.BreastFeeding", "type" : "group", "required" : false, "repeats" : false, "item" : [{ "linkId" : "Ccc.B22.DE27", "text" : "Breastfeeding Assessment", "type" : "display", "required" : false, "repeats" : false, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "help" }] } }], "linkId" : "Ccc.B22.DE27-help", "text" : "If a breastfeeding assessment and an Oral Fluid test is recommended for a child that is only breastfed then a pop up is required to ensure that the health care worker observes the signs for both and provides results for both tests.", "type" : "display" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "check-box", "display" : "Check-box" }], "text" : "Check-box" } }], "linkId" : "Ccc.B22.DE41", "type" : "choice", "required" : false, "repeats" : true, "answerOption" : [{ "valueCoding" : { "code" : "Ccc.B22.DE41", "display" : "Breastfeeding Assessment Not Possible" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }], "linkId" : "Ccc.B22.DE28", "text" : "Breastfed in the previous hour", "type" : "boolean", "required" : true, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE28').answer.first().value=true" } }], "linkId" : "Ccc.B22.DE29", "text" : "Mother able to wait until young infant is willing to breastfeed again", "type" : "boolean", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE41').answer.first().empty()" } }], "linkId" : "Ccc.B22.DE30", "text" : "Mother reports difficulty breastfeeding", "type" : "boolean", "required" : true, "repeats" : false, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "help" }] } }], "linkId" : "Ccc.B22.DE30-help", "text" : "Provide information on what difficulty breastfeeding may include, such as: the infant feeds too often, doesn’t feed often enough, she does not have enough milk, her nipples are sore, or she has flat or inverted nipples. After feeds, the infant may be restless, cry or try to suckle again, or continue to breastfeed for a long time.", "type" : "display" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE41').answer.first().empty()" } }], "linkId" : "Ccc.B22.DE31", "text" : "Chin Touching Breast", "type" : "boolean", "required" : true, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE41').answer.first().empty()" } }], "linkId" : "Ccc.B22.DE32", "text" : "Mouth Wide Open", "type" : "boolean", "required" : true, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE41').answer.first().empty()" } }], "linkId" : "Ccc.B22.DE33", "text" : "Lower Lip Turned Outwards", "type" : "boolean", "required" : true, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE41').answer.first().empty()" } }], "linkId" : "Ccc.B22.DE34", "text" : "More Areola Visible above than below the Mouth", "type" : "boolean", "required" : true, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE41').answer.first().empty()" } }], "linkId" : "Ccc.B22.DE35", "text" : "Slow Deep Sucks, Sometimes Pausing", "type" : "boolean", "required" : true, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE40').answer.first().exists() and %resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE35').answer.first().exists() and %resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE31').answer.first().exists() and %resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE32').answer.first().exists() and %resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE33').answer.first().exists() and %resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE34').answer.first().exists()" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "iif(%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE37').answer.first().value=true,'Not well Attached to Breast',iif( %resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE38').answer.first().value=true , 'Good Attachment',iif( %resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE39').answer.first().value=true,'Not Sucking Effectively',iif( %resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE40').answer.first().value=true, 'Sucking Effectively',{}))))" } }], "linkId" : "Ccc.B22.DE36", "text" : "Breastfeeding Assessment Results", "type" : "string", "required" : true, "repeats" : false, "readOnly" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE31').answer.first().value = false or %resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE32').answer.first().value = false or %resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE33').answer.first().value = false or %resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE34').answer.first().value = false" } }], "linkId" : "Ccc.B22.DE37", "text" : "Not well Attached to Breast", "type" : "boolean", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE31').answer.first().value = true and %resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE32').answer.first().value = true and %resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE33').answer.first().value = true and %resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE34').answer.first().value = true" } }], "linkId" : "Ccc.B22.DE38", "text" : "Good Attachment", "type" : "boolean", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE35').answer.first().value = false" } }], "linkId" : "Ccc.B22.DE39", "text" : "Not Sucking Effectively", "type" : "boolean", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE35').answer.first().value = true" } }], "linkId" : "Ccc.B22.DE40", "text" : "Sucking Effectively", "type" : "boolean", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE30').answer.first().value = true" } }], "linkId" : "Ccc.B22.DE42", "text" : "Difficulty Breastfeeding Reported", "type" : "boolean", "required" : false, "repeats" : false, "readOnly" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE39').answer.first().value = true or %resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE37').answer.first().value =true" } }], "linkId" : "Ccc.B22.DE44", "text" : "Difficulty Breastfeeding Observed", "type" : "boolean", "required" : false, "repeats" : false, "readOnly" : true }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire", "valueCanonical" : "https://smart.who.int/ccc/Questionnaire/Ccc.b22.hemoglobin" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='a-Hemoglobin').answer.first().value = true" } }], "linkId" : "Ccc.B22.Hemoglobin", "type" : "group", "required" : false, "repeats" : false, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.Hemoglobin').repeat(item).where(linkId='Ccc.B22.DE82').answer.first().empty()" } }], "linkId" : "Ccc.B22.DE81", "text" : "Hemoglobin (Hb) g/dL", "type" : "quantity", "required" : true, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "check-box", "display" : "Check-box" }], "text" : "Check-box" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.Hemoglobin').repeat(item).where(linkId='Ccc.B22.DE81').answer.first().empty()" } }], "linkId" : "Ccc.B22.DE82", "type" : "choice", "required" : true, "repeats" : true, "answerOption" : [{ "valueCoding" : { "code" : "Ccc.B22.DE82", "display" : "Hemoglobin Test Not Available" } }] }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire", "valueCanonical" : "https://smart.who.int/ccc/Questionnaire/Ccc.b22.secondtemperature" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='a-SecondTemperature').answer.first().value = true" } }], "linkId" : "Ccc.B22.SecondTemperature", "type" : "group", "required" : false, "repeats" : false, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://unitsofmeasure.org", "code" : "Cel" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.SecondTemperature').repeat(item).where(linkId='Ccc.B22.DE46').answer.first().empty()" } }], "linkId" : "Ccc.B22.DE47", "text" : "Axillary Temperature (second measurement)", "type" : "quantity", "required" : false, "repeats" : false, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "help" }] } }], "linkId" : "Ccc.B22.DE47-help", "text" : "The client’s axillary temperature in degrees Celcius (temperature taken under the armpit)
\nWarning/error if above 45 and below 32 degrees Celcius.", "type" : "display" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "check-box", "display" : "Check-box" }], "text" : "Check-box" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.SecondTemperature').repeat(item).where(linkId='Ccc.B22.DE47').answer.first().empty()" } }], "linkId" : "Ccc.B22.DE46", "type" : "choice", "required" : false, "repeats" : true, "answerOption" : [{ "valueCoding" : { "code" : "Ccc.B22.DE46", "display" : "Second Temperature Measurement Not Feasible" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.SecondTemperature').repeat(item).where(linkId='Ccc.B22.DE47').answer.first().exists()" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "iif(%resource.repeat(item).where(linkId='Ccc.B22.SecondTemperature').repeat(item).where(linkId='Ccc.B22.DE47').answer.first().value >= 38.5 'Cel' and %resource.repeat(item).where(linkId='AgeInMonths').answer.first().value >= 2, '2',iif(%resource.repeat(item).where(linkId='Ccc.B22.SecondTemperature').repeat(item).where(linkId='Ccc.B22.DE47').answer.first().value >= 38 'Cel' and %resource.repeat(item).where(linkId='AgeInMonths').answer.first().value< 2 or %resource.repeat(item).where(linkId='Ccc.B22.SecondTemperature').repeat(item).where(linkId='Ccc.B22.DE47').answer.first().value >= 37.5 'Cel' and %resource.repeat(item).where(linkId='AgeInMonths').answer.first().value >= 2, 'High',iif(%resource.repeat(item).where(linkId='Ccc.B22.SecondTemperature').repeat(item).where(linkId='Ccc.B22.DE47').answer.first().value < 35.5 'Cel' , 'Low',iif(%resource.repeat(item).where(linkId='Ccc.B22.SecondTemperature').repeat(item).where(linkId='Ccc.B22.DE47').answer.first().value.exists(), 'Normal',{}))))" } }], "linkId" : "Ccc.B22.DE50", "text" : "Measured Temperature (second measurement)", "type" : "string", "required" : false, "repeats" : false, "readOnly" : true }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "(( %resource.repeat(item).where(linkId='a-RespiratoryRate').answer.empty() or %resource.repeat(item).where(linkId='a-RespiratoryRate').answer.first().value=false ) ) and( ( %resource.repeat(item).where(linkId='a-FluidTest').answer.empty() or %resource.repeat(item).where(linkId='a-FluidTest').answer.first().value=false ) ) and ( ( %resource.repeat(item).where(linkId='a-BronchodilatorTest').answer.empty() or %resource.repeat(item).where(linkId='a-BronchodilatorTest').answer.first().value=false ) ) and (( %resource.repeat(item).where(linkId='a-BreastFeedingTest').answer.empty() or %resource.repeat(item).where(linkId='a-BreastFeedingTest').answer.first().value=false ) ) and ( ( %resource.repeat(item).where(linkId='a-Hemoglobin').answer.empty() or %resource.repeat(item).where(linkId='a-Hemoglobin').answer.first().value=false ) ) and (( %resource.repeat(item).where(linkId='a-SecondTemperature').answer.empty() or %resource.repeat(item).where(linkId='a-SecondTemperature').answer.first().value=false ) )" } }], "linkId" : "notesttodo", "text" : "No assessments / tests to do", "type" : "display", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/cql-identifier", "expression" : "respiratory rate profile" } }], "linkId" : "Respiratory Rate profile", "type" : "quantity", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/cql-identifier", "expression" : "respiratory rate second count profile" } }], "linkId" : "Respiratory Rate Second Count Profile", "type" : "quantity", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/cql-identifier", "expression" : "fast breathing profile" } }], "linkId" : "Fast Breathing profile", "type" : "boolean", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/cql-identifier", "expression" : "ds" } }], "linkId" : "DS", "text" : "Danger Signs", "type" : "boolean", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/cql-identifier", "expression" : "Ccc.b7.de09" } }], "linkId" : "Ccc.B7.DE09", "text" : "Not able to drink or breastfeed", "type" : "boolean", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/cql-identifier", "expression" : "Ccc.b7.de10" } }], "linkId" : "Ccc.B7.DE10", "text" : "Vomiting Everything", "type" : "boolean", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "now()" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }], "linkId" : "timestamp", "type" : "dateTime", "required" : false }] }