<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="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="ageinmonths"/> </valueExpression> </extension> <linkId value="AgeInMonths"/> <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="a-breastfeedingtest"/> </valueExpression> </extension> <linkId value="a-BreastFeedingTest"/> <text value="applicability-BreastFeedingTest"/> <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="a-respiratoryrate"/> </valueExpression> </extension> <linkId value="a-RespiratoryRate"/> <text value="applicability-RespiratoryRate"/> <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="a-bronchodilatortest"/> </valueExpression> </extension> <linkId value="a-BronchodilatorTest"/> <text value="applicability-BronchodilatorTest"/> <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="a-hemoglobin"/> </valueExpression> </extension> <linkId value="a-Hemoglobin"/> <text value="applicability-Hemoglobin"/> <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="a-secondtemperature"/> </valueExpression> </extension> <linkId value="a-SecondTemperature"/> <text value="applicability-SecondTemperature"/> <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="a-fluidtest"/> </valueExpression> </extension> <linkId value="a-FluidTest"/> <text value="applicability-FluidTest"/> <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> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='a-RespiratoryRate').answer.first().value = true"/> </valueExpression> </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="Count the number of breaths the child takes per minute to determine if fast breathing is present. It 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. To 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. The number of breaths for ‘fast breathing’ depends on the child’s age. <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> *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="Count the number of breaths the child takes per minute to determine if fast breathing is present. It 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. To 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. The number of breaths for ‘fast breathing’ depends on the child’s age. <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> *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 ‘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 value="display"/> </item> </item> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire"> <valueCanonical value="https://smart.who.int/ccc/Questionnaire/Ccc.b22.fluidtest"/> </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='a-FluidTest').answer.first().value = true"/> </valueExpression> </extension> <linkId value="Ccc.B22.FluidTest"/> <type value="group"/> <required value="false"/> <repeats value="false"/> <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.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 )"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE08"/> <text value="Oral Fluid Test Results"/> <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.B22.DE09"/> <display value="Completely Unable to Drink"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B22.DE10"/> <display value="Vomits Immediately / Everything"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B22.DE11"/> <display value="Drinks Poorly"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B22.DE12"/> <display value="Drinks Eagerly / Thirstily"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B22.DE13"/> <display value="Drinks Normally"/> </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.B22.DE08-help"/> <text value="If a child is unconscious do not try to carry out an oral fluid test (Exact wording TBC) – Pop Up 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. Oral Fluid Test If it is not possible to perform an oral fluid test, the health care worker should assume that the child is vomiting everything For a child under 6 months the health care worker can offer for the mother to breastfeed instead of receiving fluids 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. Pop up box to be made available with instructions on how to carry out an oral fluid test. Additional information TBC"/> <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.FluidTest').repeat(item).where(linkId='Ccc.B22.DE08').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE14"/> <type value="choice"/> <required value="true"/> <repeats value="true"/> <answerOption> <valueCoding> <code value="Ccc.B22.DE14"/> <display value="Unable to Perform Oral Fluid Test"/> </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-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%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"/> </valueExpression> </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.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() )"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE14a"/> <text value="Completely Unable to Drink or Vomits Immediately / Everything"/> <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/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%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"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE15"/> <text value="Has the Child had anything to drink today?"/> <type value="boolean"/> <required value="false"/> <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.B22.FluidTest').repeat(item).where(linkId='Ccc.B22.DE15').answer.first().value = true"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE16"/> <text value="How did the child last drink"/> <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.B22.DE09"/> <display value="Completely Unable to Drink"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B22.DE10"/> <display value="Vomits Immediately / Everything"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B22.DE11"/> <display value="Drinks Poorly"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B22.DE12"/> <display value="Drinks Eagerly / Thirstily"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B22.DE13"/> <display value="Drinks Normally"/> </valueCoding> </answerOption> </item> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire"> <valueCanonical value="https://smart.who.int/ccc/Questionnaire/Ccc.b22.bronchodilatortest"/> </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='a-BronchodilatorTest').answer.first().value = true"/> </valueExpression> </extension> <linkId value="Ccc.B22.BronchodilatorTest"/> <type value="group"/> <required value="false"/> <repeats value="false"/> <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.B22.BronchodilatorTest').repeat(item).where(linkId='Ccc.B22.DE22').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE17"/> <text value="Inhaled Bronchodilator Trial Results"/> <type value="choice"/> <required value="false"/> <repeats value="true"/> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B22.DE18"/> <display value="Chest Indrawing (post inhaled bronchodilator trial)"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B22.DE19"/> <display value="Respiratory Rate (post inhaled bronchodilator trial)"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B22.DE20"/> <display value="Fast Breathing (post inhaled bronchodilator trial)"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B22.DE21"/> <display value="No Fast Breathing and No Chest Indrawing (post Inhaled Bronchodilator Trial)"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/> <code value="Ccc.B22.DE22"/> <display value="Inhaled Bronchodilator Trial Not Feasible or Available"/> </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.B22.DE17-help"/> <text value="Provide information on how to conduct an Inhaled Bronchodilator Trial as per IMCI training – TBC"/> <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.BronchodilatorTest').repeat(item).where(linkId='Ccc.B22.DE17').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE22"/> <type value="choice"/> <required value="false"/> <repeats value="true"/> <answerOption> <valueCoding> <code value="Ccc.B22.DE22"/> <display value="Inhaled Bronchodilator Trial Not Feasible or Available"/> </valueCoding> </answerOption> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <linkId value="Ccc.B22.DE21"/> <text value="No Fast Breathing and No Chest Indrawing (post Inhaled Bronchodilator Trial)"/> <type value="boolean"/> <required value="false"/> <repeats value="false"/> </item> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire"> <valueCanonical value="https://smart.who.int/ccc/Questionnaire/Ccc.b22.breastfeeding"/> </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='a-BreastFeedingTest').answer.first().value = true"/> </valueExpression> </extension> <linkId value="Ccc.B22.BreastFeeding"/> <type value="group"/> <required value="false"/> <repeats value="false"/> <item> <linkId value="Ccc.B22.DE27"/> <text value="Breastfeeding Assessment"/> <type value="display"/> <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.DE27-help"/> <text value="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 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> <linkId value="Ccc.B22.DE41"/> <type value="choice"/> <required value="false"/> <repeats value="true"/> <answerOption> <valueCoding> <code value="Ccc.B22.DE41"/> <display value="Breastfeeding Assessment Not Possible"/> </valueCoding> </answerOption> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <linkId value="Ccc.B22.DE28"/> <text value="Breastfed in the previous hour"/> <type value="boolean"/> <required value="true"/> <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.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE28').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE29"/> <text value="Mother able to wait until young infant is willing to breastfeed again"/> <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/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE41').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE30"/> <text value="Mother reports difficulty breastfeeding"/> <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.B22.DE30-help"/> <text value="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 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.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE41').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE31"/> <text value="Chin Touching Breast"/> <type value="boolean"/> <required value="true"/> <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.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE41').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE32"/> <text value="Mouth Wide Open"/> <type value="boolean"/> <required value="true"/> <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.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE41').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE33"/> <text value="Lower Lip Turned Outwards"/> <type value="boolean"/> <required value="true"/> <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.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE41').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE34"/> <text value="More Areola Visible above than below the Mouth"/> <type value="boolean"/> <required value="true"/> <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.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE41').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE35"/> <text value="Slow Deep Sucks, Sometimes Pausing"/> <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.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()"/> </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='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',{}))))"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE36"/> <text value="Breastfeeding Assessment Results"/> <type value="string"/> <required value="true"/> <repeats value="false"/> <readOnly value="true"/> </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.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"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE37"/> <text value="Not well Attached to Breast"/> <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-calculatedExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%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"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE38"/> <text value="Good Attachment"/> <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-calculatedExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE35').answer.first().value = false"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE39"/> <text value="Not Sucking Effectively"/> <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-calculatedExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE35').answer.first().value = true"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE40"/> <text value="Sucking Effectively"/> <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/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B22.BreastFeeding').repeat(item).where(linkId='Ccc.B22.DE30').answer.first().value = true"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE42"/> <text value="Difficulty Breastfeeding Reported"/> <type value="boolean"/> <required value="false"/> <repeats value="false"/> <readOnly value="true"/> </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.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"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE44"/> <text value="Difficulty Breastfeeding Observed"/> <type value="boolean"/> <required value="false"/> <repeats value="false"/> <readOnly value="true"/> </item> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire"> <valueCanonical value="https://smart.who.int/ccc/Questionnaire/Ccc.b22.hemoglobin"/> </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='a-Hemoglobin').answer.first().value = true"/> </valueExpression> </extension> <linkId value="Ccc.B22.Hemoglobin"/> <type value="group"/> <required value="false"/> <repeats value="false"/> <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.B22.Hemoglobin').repeat(item).where(linkId='Ccc.B22.DE82').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE81"/> <text value="Hemoglobin (Hb) g/dL"/> <type value="quantity"/> <required value="true"/> <repeats value="false"/> </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.Hemoglobin').repeat(item).where(linkId='Ccc.B22.DE81').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE82"/> <type value="choice"/> <required value="true"/> <repeats value="true"/> <answerOption> <valueCoding> <code value="Ccc.B22.DE82"/> <display value="Hemoglobin Test Not Available"/> </valueCoding> </answerOption> </item> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire"> <valueCanonical value="https://smart.who.int/ccc/Questionnaire/Ccc.b22.secondtemperature"/> </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='a-SecondTemperature').answer.first().value = true"/> </valueExpression> </extension> <linkId value="Ccc.B22.SecondTemperature"/> <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="Cel"/> </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.SecondTemperature').repeat(item).where(linkId='Ccc.B22.DE46').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE47"/> <text value="Axillary Temperature (second measurement)"/> <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.DE47-help"/> <text value="The client’s axillary temperature in degrees Celcius (temperature taken under the armpit) Warning/error if above 45 and below 32 degrees Celcius."/> <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.SecondTemperature').repeat(item).where(linkId='Ccc.B22.DE47').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE46"/> <type value="choice"/> <required value="false"/> <repeats value="true"/> <answerOption> <valueCoding> <code value="Ccc.B22.DE46"/> <display value="Second Temperature Measurement Not Feasible"/> </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.B22.SecondTemperature').repeat(item).where(linkId='Ccc.B22.DE47').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='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',{}))))"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE50"/> <text value="Measured Temperature (second measurement)"/> <type value="string"/> <required value="false"/> <repeats value="false"/> <readOnly value="true"/> </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='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 ) )"/> </valueExpression> </extension> <linkId value="notesttodo"/> <text value="No assessments / tests to do"/> <type value="display"/> <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 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-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/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="ds"/> </valueExpression> </extension> <linkId value="DS"/> <text value="Danger Signs"/> <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.de09"/> </valueExpression> </extension> <linkId value="Ccc.B7.DE09"/> <text value="Not able to drink or breastfeed"/> <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.de10"/> </valueExpression> </extension> <linkId value="Ccc.B7.DE10"/> <text value="Vomiting Everything"/> <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>

Generated Narrative: Questionnaire Ccc.b22.assessmentstests

Structure

LinkID	Text	Cardinality	Type	Description & Constraints
Ccc.B22.AssessmentsTests			Questionnaire	https://smart.who.int/ccc/Questionnaire/Ccc.b22.assessmentstests#0.1.0
force-collection	null	0..1	boolean
AgeInMonths	null	0..1	integer
AgeInDays	null	0..1	integer
a-BreastFeedingTest	applicability-BreastFeedingTest	0..1	boolean
a-RespiratoryRate	applicability-RespiratoryRate	0..1	boolean
a-BronchodilatorTest	applicability-BronchodilatorTest	0..1	boolean
a-Hemoglobin	applicability-Hemoglobin	0..1	boolean
a-SecondTemperature	applicability-SecondTemperature	0..1	boolean
a-FluidTest	applicability-FluidTest	0..1	boolean
Ccc.B22.RespiratoryRate	null	0..1	group
Ccc.B22.DE01	Respiratory Rate (breaths per minute)	1..1	quantity
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 infection	0..1	display
Ccc.B22.DE02	null	0..*	choice	Options: 1 option
second	null	0..1	group
Ccc.B22.DE04	Respiratory Rate Second Count (breaths per minute)	0..1	quantity
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 infection	0..1	display
Ccc.B22.DE05	null	0..*	choice	Options: 1 option
Ccc.B22.DE07	Fast Breathing	0..1	boolean
Ccc.B22.DE07-help	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	0..1	display
Ccc.B22.FluidTest	null	0..1	group
Ccc.B22.DE08	Oral Fluid Test Results	1..1	choice	Options: 5 options
Ccc.B22.DE08-help	If a child is unconscious do not try to carry out an oral fluid test (Exact wording <span class="caps">TBC</span>) – Pop Up</p> <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> <p>Oral Fluid Test<br /> If it is not possible to perform an oral fluid test, the health care worker should assume that the child is vomiting everything<br /> For a child under 6 months the health care worker can offer for the mother to breastfeed instead of receiving fluids</p> <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> <p>Pop up box to be made available with instructions on how to carry out an oral fluid test.<br /> Additional information <span class="caps">TBC</span>	0..1	display
Ccc.B22.DE14	null	1..*	choice	Options: 1 option
Ccc.B22.DE14a	Completely Unable to Drink or Vomits Immediately / Everything	0..1	boolean
Ccc.B22.DE15	Has the Child had anything to drink today?	0..1	boolean
Ccc.B22.DE16	How did the child last drink	0..1	choice	Options: 5 options
Ccc.B22.BronchodilatorTest	null	0..1	group
Ccc.B22.DE17	Inhaled Bronchodilator Trial Results	0..*	choice	Options: 5 options
Ccc.B22.DE17-help	Provide information on how to conduct an Inhaled Bronchodilator Trial as per <span class="caps">IMCI</span> training – <span class="caps">TBC</span>	0..1	display
Ccc.B22.DE22	null	0..*	choice	Options: 1 option
Ccc.B22.DE21	No Fast Breathing and No Chest Indrawing (post Inhaled Bronchodilator Trial)	0..1	boolean
Ccc.B22.BreastFeeding	null	0..1	group
Ccc.B22.DE27	Breastfeeding Assessment	0..1	display
Ccc.B22.DE27-help	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.	0..1	display
Ccc.B22.DE41	null	0..*	choice	Options: 1 option
Ccc.B22.DE28	Breastfed in the previous hour	1..1	boolean
Ccc.B22.DE29	Mother able to wait until young infant is willing to breastfeed again	0..1	boolean
Ccc.B22.DE30	Mother reports difficulty breastfeeding	1..1	boolean
Ccc.B22.DE30-help	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.	0..1	display
Ccc.B22.DE31	Chin Touching Breast	1..1	boolean
Ccc.B22.DE32	Mouth Wide Open	1..1	boolean
Ccc.B22.DE33	Lower Lip Turned Outwards	1..1	boolean
Ccc.B22.DE34	More Areola Visible above than below the Mouth	1..1	boolean
Ccc.B22.DE35	Slow Deep Sucks, Sometimes Pausing	1..1	boolean
Ccc.B22.DE36	Breastfeeding Assessment Results	1..1	string
Ccc.B22.DE37	Not well Attached to Breast	0..1	boolean
Ccc.B22.DE38	Good Attachment	0..1	boolean
Ccc.B22.DE39	Not Sucking Effectively	0..1	boolean
Ccc.B22.DE40	Sucking Effectively	0..1	boolean
Ccc.B22.DE42	Difficulty Breastfeeding Reported	0..1	boolean
Ccc.B22.DE44	Difficulty Breastfeeding Observed	0..1	boolean
Ccc.B22.Hemoglobin	null	0..1	group
Ccc.B22.DE81	Hemoglobin (Hb) g/dL	1..1	quantity
Ccc.B22.DE82	null	1..*	choice	Options: 1 option
Ccc.B22.SecondTemperature	null	0..1	group
Ccc.B22.DE47	Axillary Temperature (second measurement)	0..1	quantity
Ccc.B22.DE47-help	The client’s axillary temperature in degrees Celcius (temperature taken under the armpit)<br /> Warning/error if above 45 and below 32 degrees Celcius.	0..1	display
Ccc.B22.DE46	null	0..*	choice	Options: 1 option
Ccc.B22.DE50	Measured Temperature (second measurement)	0..1	string
notesttodo	No assessments / tests to do	0..1	display
Respiratory Rate profile	null	0..1	quantity
Respiratory Rate Second Count Profile	null	0..1	quantity
Fast Breathing profile	null	0..1	boolean
DS	Danger Signs	0..1	boolean
Ccc.B7.DE09	Not able to drink or breastfeed	0..1	boolean
Ccc.B7.DE10	Vomiting Everything	0..1	boolean
timestamp	null	0..1	dateTime
Documentation for this format

Options Sets

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.B22.DE08

https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE09 ("Completely Unable to Drink")
https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE10 ("Vomits Immediately / Everything")
https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE11 ("Drinks Poorly")
https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE12 ("Drinks Eagerly / Thirstily")
https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE13 ("Drinks Normally")

Answer options for Ccc.B22.DE14

null#Ccc.B22.DE14 ("Unable to Perform Oral Fluid Test")

Answer options for Ccc.B22.DE16

https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE09 ("Completely Unable to Drink")
https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE10 ("Vomits Immediately / Everything")
https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE11 ("Drinks Poorly")
https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE12 ("Drinks Eagerly / Thirstily")
https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE13 ("Drinks Normally")

Answer options for Ccc.B22.DE17

https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE18 ("Chest Indrawing (post inhaled bronchodilator trial)")
https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE19 ("Respiratory Rate (post inhaled bronchodilator trial)")
https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE20 ("Fast Breathing (post inhaled bronchodilator trial)")
https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE21 ("No Fast Breathing and No Chest Indrawing (post Inhaled Bronchodilator Trial)")
https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE22 ("Inhaled Bronchodilator Trial Not Feasible or Available")

Answer options for Ccc.B22.DE22

null#Ccc.B22.DE22 ("Inhaled Bronchodilator Trial Not Feasible or Available")

Answer options for Ccc.B22.DE41

null#Ccc.B22.DE41 ("Breastfeeding Assessment Not Possible")

Answer options for Ccc.B22.DE82

null#Ccc.B22.DE82 ("Hemoglobin Test Not Available")

Answer options for Ccc.B22.DE46

null#Ccc.B22.DE46 ("Second Temperature Measurement Not Feasible")