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

Generated Narrative: Questionnaire Ccc.b22.breastfeeding

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
LinkIDTextCardinalityTypeFlagsDescription & Constraints\"doco\"
\".\"\".\" Ccc.B22.BreastFeedingQuestionnairehttps://smart.who.int/ccc/Questionnaire/Ccc.b22.breastfeeding#0.1.0
\".\"\".\"\".\" AgeInMonthsAge0..1integer\"icon\"/
\".\"\".\"\".\" 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’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\"/
\".\"\".\"\".\" timestampnull0..1dateTime\"icon\"/

\"doco\" Documentation for this format

Options Sets

Answer options for Ccc.B22.DE41

" }, "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.breastfeeding" }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-library", "valueCanonical" : "https://smart.who.int/ccc/Library/Cccb22breastfeeding" }], "url" : "https://smart.who.int/ccc/Questionnaire/Ccc.b22.breastfeeding", "version" : "0.1.0", "name" : "Ccc.B22.BreastFeeding", "title" : "Ccc.B22.BreastFeeding", "status" : "active", "experimental" : false, "subjectType" : ["Patient"], "date" : "2026-04-07T13:45:53+00:00", "publisher" : "World Health Organization (WHO)", "contact" : [{ "name" : "World Health Organization (WHO)", "telecom" : [{ "system" : "url", "value" : "https://www.who.int" }] }, { "telecom" : [{ "system" : "url", "value" : "https://www.who.int" }] }], "jurisdiction" : [{ "coding" : [{ "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm", "code" : "001" }] }], "item" : [{ "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", "text" : "Age", "type" : "integer", "required" : false, "repeats" : false }, { "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.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.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.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.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.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.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.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.DE40').answer.first().exists() and %resource.repeat(item).where(linkId='Ccc.B22.DE35').answer.first().exists() and %resource.repeat(item).where(linkId='Ccc.B22.DE31').answer.first().exists() and %resource.repeat(item).where(linkId='Ccc.B22.DE32').answer.first().exists() and %resource.repeat(item).where(linkId='Ccc.B22.DE33').answer.first().exists() and %resource.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.DE37').answer.first().value=true,'Not well Attached to Breast',iif( %resource.repeat(item).where(linkId='Ccc.B22.DE38').answer.first().value=true , 'Good Attachment',iif( %resource.repeat(item).where(linkId='Ccc.B22.DE39').answer.first().value=true,'Not Sucking Effectively',iif( %resource.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.DE31').answer.first().value = false or %resource.repeat(item).where(linkId='Ccc.B22.DE32').answer.first().value = false or %resource.repeat(item).where(linkId='Ccc.B22.DE33').answer.first().value = false or %resource.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.DE31').answer.first().value = true and %resource.repeat(item).where(linkId='Ccc.B22.DE32').answer.first().value = true and %resource.repeat(item).where(linkId='Ccc.B22.DE33').answer.first().value = true and %resource.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.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.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.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.DE39').answer.first().value = true or %resource.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-calculatedExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "now()" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }], "linkId" : "timestamp", "type" : "dateTime", "required" : false }] }