WHO FHIR Implementation Guide (IG): Integrated Management of Childhood Illness (IMCI) in emergencies
0.1.0 - release
WHO FHIR Implementation Guide (IG): Integrated Management of Childhood Illness (IMCI) in emergencies
0.1.0 - release
WHO FHIR Implementation Guide (IG): Integrated Management of Childhood Illness (IMCI) in emergencies, published by World Health Organization (WHO). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-emcare/tree/main and changes regularly. See the Directory of published versions
Built from commit 750268bd.
Profile: SDCBaseQuestionnaire
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  Ccc.B7.LTI-DangerSigns | Questionnaire | https://smart.who.int/ccc/Questionnaire/Ccc.b7.lti-dangersigns#0.1.0 | |||
  AgeInMonth.cql | null | 0..1 | integer |  | Value Set: |
  Ccc.B7.DE02 | Convulsing Now | 1..1 | boolean |  | Value Set: |
   Ccc.B7.DE02-help | During a convulsion, the child’s arms and legs stiffen because the muscles are contracting. The child may lose consciousness or not be able to respond to spoken directions. | 0..1 | display | Value Set: | |
 Ccc.B7-B8-B9.DE01 | Continue to Assess Sick Child | 1..1 | choice | Value Set: Options: 2 options | |
 stable-child | null | 0..1 | group | Value Set: | |
| Ccc.B7.DE03 | Convulsion(s) in this Illness | 1..1 | boolean | | Value Set: |
| Ccc.B7.DE03-help | During a convulsion, the child’s arms and legs stiffen because the muscles are contracting. The child may lose consciousness or not be able to respond to spoken directions. Use words the caregiver understands. For example, the caregiver may call convulsions “fits” or “spasms.” | 0..1 | display | Value Set: | |
| Ccc.B7.DE08b | Unconscious or Lethargic | 1..1 | boolean | | Value Set: |
| Ccc.B7.DE08b-help | A <b>lethargic child is not awake and alert when she should be.</b> The child is drowsy and does not show interest in what is happening around her.</p> <p>Often the lethargic child does not look at his caregiver or watch your face when you talk, or will not respond if you clap or snap your fingers. The child may stare blankly and appear not to notice what is going on around him.</p> <p>An <b>unconscious child cannot be wakened.</b> He does not respond when he is touched, shaken, or spoken to. Ask the caregiver if the child seems unusually sleepy or if she cannot wake the child. Look to see if the child wakens when the caregiver talks or shakes the child or when you clap your hands. | 0..1 | display | Value Set: | |
| Ccc.B7.DE08 | Unconscious | 1..1 | boolean | | Value Set: |
| Ccc.B7.DE08-help | An <b>unconscious child cannot be wakened</b>. He does not respond when he is touched, shaken, or spoken to. Ask the caregiver if the child seems unusually sleepy or if she cannot wake the child. Look to see if the child wakens when the caregiver talks or shakes the child or when you clap your hands. | 0..1 | display | Value Set: | |
| Ccc.B7.DE08a | Lethargic | 1..1 | boolean | | Value Set: |
| Ccc.B7.DE08a-help | A <b>lethargic child is not awake and alert when she should be.</b> The child is drowsy and does not show interest in what is happening around her.</p> <p>Often the lethargic child does not look at his caregiver or watch your face when you talk, or will not respond if you clap or snap your fingers. The child may stare blankly and appear not to notice what is going on around him. An unconscious child cannot be wakened. He does not respond when he is touched, shaken, or spoken to. Ask the caregiver if the child seems unusually sleepy or if she cannot wake the child. Look to see if the child wakens when the caregiver talks or shakes the child or when you clap your hands. | 0..1 | display | Value Set: | |
| Ccc.B7.DE09 | Not able to drink or breastfeed | 1..1 | boolean | | Value Set: |
| Ccc.B7.DE09-help | A child has the sign not able to drink or breastfeed <b>if the child is not able to suck or swallow when offered a drink or breast milk.</b></p> <p><b>When you ask the caregiver if the child is able to drink, make sure that she understands the question.</b> If she says that her child is not able to drink or breastfeed, ask her to describe what happens when she offers the child something to drink. For example, is the child able to take fluid into his mouth and swallow it?<br /> If you are not sure about the caregiver’s answer, <b>ask her to offer the child a drink of clean water or breast milk. Look to see if the child is swallowing the water or breast milk.</b></p> <p>A child who is breastfed may have difficulty sucking when his nose is blocked. <b>If the child’s nose is blocked, clear it.</b> If the child can breastfeed after the nose is cleared, the child does not have the danger sign, “not able to drink or breastfeed.” | 0..1 | display | Value Set: | |
| Ccc.B7.DE10 | Vomiting Everything | 1..1 | boolean | | Value Set: |
| Ccc.B7.DE10-help | A child who is <b>not able to hold anything down at all</b> has the sign “vomits everything” – everything that goes down comes back up. <b>A child who vomits everything will not be able to hold down food, fluids, or oral drugs. A child who vomits several times but can hold down some fluids does not have this general danger sign.</b> When you ask the question, use words that the caregiver understands. Give her time to answer. If the caregiver is not sure if the child is vomiting everything, help her to make her answer clear. For example, ask the caregiver how often the child vomits. Also ask if each time the child swallows food or fluids, does the child vomit? If you are not sure of the caregiver’s answers, <b>ask her to offer the child a drink. See if the child vomits.</b> | 0..1 | display | Value Set: | |
 Ccc.B22.FluidTest | null | 0..1 | group | Value Set: | |
 Ccc.B22.DE08 | Oral Fluid Test Results | 1..1 | choice | Value Set: 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 | Value Set: | |
| Ccc.B22.DE14 | null | 1..* | choice | Value Set: Options: 1 option | |
| Ccc.B22.DE14a | Completely Unable to Drink or Vomits Immediately / Everything | 0..1 | boolean | | Value Set: |
| Ccc.B22.DE15 | Has the Child had anything to drink today? | 0..1 | boolean | | Value Set: |
| Ccc.B22.DE16 | How did the child last drink | 0..1 | choice | Value Set: Options: 5 options | |
| DS | Danger Signs | 0..1 | boolean | | Value Set: |
 timestamp | null | 0..1 | dateTime | | Value Set: |
| Documentation for this format | |||||
Options Sets
Answer options for Ccc.B7-B8-B9.DE01
Answer options for Ccc.B22.DE08
Answer options for Ccc.B22.DE14
Answer options for Ccc.B22.DE16