<?xml version="1.0" encoding="UTF-8"?>

<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="Ccc.b7.lti-dangersigns"/>
  <meta>
    <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"/>
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  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire Ccc.b7.lti-dangersigns</b></p><a name="Ccc.b7.lti-dangersigns"> </a><a name="hcCcc.b7.lti-dangersigns"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire.html">SDCBaseQuestionnaire</a></p></div><b>Structure</b><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Other attributes of the item">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; Constraints</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireRoot" class="hierarchy"/> Ccc.B7.LTI-DangerSigns</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">https://smart.who.int/ccc/Questionnaire/Ccc.b7.lti-dangersigns#0.1.0</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.AgeInMonth.cql" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-integer.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="integer" class="hierarchy"/> AgeInMonth.cql</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">null</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer">integer</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/extension-questionnaire-hidden.html" title="Is a hidden item"><img src="icon-qi-hidden.png" alt="icon"/></a><img src="icon-qi-hidden.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.Ccc.B7.DE02" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> Ccc.B7.DE02</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Convulsing Now</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html" title="Orientation: horizontal "><img src="icon-qi-horizontal.png" alt="icon"/></a><img src="icon-qi-horizontal.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" id="item.Ccc.B7.DE02-help" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-display.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="display" class="hierarchy"/> Ccc.B7.DE02-help</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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.</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.Ccc.B7-B8-B9.DE01" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> Ccc.B7-B8-B9.DE01</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Continue to Assess Sick Child</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.Ccc.B7-B8-B9.DE01">2 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.stable-child" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> stable-child</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">null</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.Ccc.B7.DE03" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> Ccc.B7.DE03</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Convulsion(s) in this Illness</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html" title="Orientation: horizontal "><img src="icon-qi-horizontal.png" alt="icon"/></a><img src="icon-qi-horizontal.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.Ccc.B7.DE03-help" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-display.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="display" class="hierarchy"/> Ccc.B7.DE03-help</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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.”</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.Ccc.B7.DE08b" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> Ccc.B7.DE08b</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Unconscious or Lethargic</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html" title="Orientation: horizontal "><img src="icon-qi-horizontal.png" alt="icon"/></a><img src="icon-qi-horizontal.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.Ccc.B7.DE08b-help" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-display.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="display" class="hierarchy"/> Ccc.B7.DE08b-help</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A &lt;b&gt;lethargic child is not awake and alert when she should be.&lt;/b&gt; The child is drowsy and does not show interest in what is happening around her.&lt;/p&gt;

	&lt;p&gt;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.&lt;/p&gt;

	&lt;p&gt;An &lt;b&gt;unconscious child cannot be wakened.&lt;/b&gt; 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.</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.Ccc.B7.DE08" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> Ccc.B7.DE08</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Unconscious</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html" title="Orientation: horizontal "><img src="icon-qi-horizontal.png" alt="icon"/></a><img src="icon-qi-horizontal.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.Ccc.B7.DE08-help" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-display.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="display" class="hierarchy"/> Ccc.B7.DE08-help</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">An &lt;b&gt;unconscious child cannot be wakened&lt;/b&gt;. 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.</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.Ccc.B7.DE08a" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> Ccc.B7.DE08a</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Lethargic</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html" title="Orientation: horizontal "><img src="icon-qi-horizontal.png" alt="icon"/></a><img src="icon-qi-horizontal.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.Ccc.B7.DE08a-help" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-display.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="display" class="hierarchy"/> Ccc.B7.DE08a-help</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A &lt;b&gt;lethargic child is not awake and alert when she should be.&lt;/b&gt; The child is drowsy and does not show interest in what is happening around her.&lt;/p&gt;

	&lt;p&gt;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.</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.Ccc.B7.DE09" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> Ccc.B7.DE09</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Not able to drink or breastfeed</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html" title="Orientation: horizontal "><img src="icon-qi-horizontal.png" alt="icon"/></a><img src="icon-qi-horizontal.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.Ccc.B7.DE09-help" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-display.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="display" class="hierarchy"/> Ccc.B7.DE09-help</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A child has the sign not able to drink or breastfeed &lt;b&gt;if the child is not able to suck or swallow when offered a drink or breast milk.&lt;/b&gt;&lt;/p&gt;

	&lt;p&gt;&lt;b&gt;When you ask the caregiver if the child is able to drink, make sure that she understands the question.&lt;/b&gt; 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?&lt;br /&gt;
If you are not sure about the caregiver’s answer, &lt;b&gt;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.&lt;/b&gt;&lt;/p&gt;

	&lt;p&gt;A child who is breastfed may have difficulty sucking when his nose is blocked. &lt;b&gt;If the child’s nose is blocked, clear it.&lt;/b&gt; If the child can breastfeed after the nose is cleared, the child does not have the danger sign, “not able to drink or breastfeed.”</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.Ccc.B7.DE10" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> Ccc.B7.DE10</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Vomiting Everything</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html" title="Orientation: horizontal "><img src="icon-qi-horizontal.png" alt="icon"/></a><img src="icon-qi-horizontal.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.Ccc.B7.DE10-help" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-display.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="display" class="hierarchy"/> Ccc.B7.DE10-help</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A child who is &lt;b&gt;not able to hold anything down at all&lt;/b&gt; has the sign “vomits everything” – everything that goes down comes back up. &lt;b&gt;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.&lt;/b&gt;  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, &lt;b&gt;ask her to offer the child a drink. See if the child vomits.&lt;/b&gt;</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" id="item.Ccc.B22.FluidTest" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> Ccc.B22.FluidTest</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">null</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1011.png)" id="item.Ccc.B22.DE08" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> Ccc.B22.DE08</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Oral Fluid Test Results</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.Ccc.B22.DE08">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10100.png)" id="item.Ccc.B22.DE08-help" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-display.png" alt="." style="background-color: white; background-color: inherit" title="display" class="hierarchy"/> Ccc.B22.DE08-help</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">If a child is unconscious do not try to carry out an oral fluid test (Exact wording &lt;span class=&quot;caps&quot;&gt;TBC&lt;/span&gt;) &amp;#8211; Pop Up&lt;/p&gt;

	&lt;p&gt;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. &lt;/p&gt;

	&lt;p&gt;Oral Fluid Test&lt;br /&gt;
If it is not possible to perform an oral fluid test, the health care worker should assume that the child is vomiting everything&lt;br /&gt;
For a child under 6 months the health care worker can offer for the mother to breastfeed instead of receiving fluids&lt;/p&gt;

	&lt;p&gt;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. &lt;/p&gt;

	&lt;p&gt;Pop up box to be made available with instructions on how to carry out an oral fluid test.&lt;br /&gt;
Additional information &lt;span class=&quot;caps&quot;&gt;TBC&lt;/span&gt;</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.Ccc.B22.DE14" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> Ccc.B22.DE14</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">null</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.Ccc.B22.DE14">1 option</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.Ccc.B22.DE14a" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> Ccc.B22.DE14a</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Completely Unable to Drink or Vomits Immediately / Everything</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/extension-questionnaire-hidden.html" title="Is a hidden item"><img src="icon-qi-hidden.png" alt="icon"/></a><img src="icon-qi-hidden.png" alt="icon"/><a href="https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html" title="Orientation: horizontal "><img src="icon-qi-horizontal.png" alt="icon"/></a><img src="icon-qi-horizontal.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.Ccc.B22.DE15" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="boolean" class="hierarchy"/> Ccc.B22.DE15</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Has the Child had anything to drink today?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html" title="Orientation: horizontal "><img src="icon-qi-horizontal.png" alt="icon"/></a><img src="icon-qi-horizontal.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)" id="item.Ccc.B22.DE16" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> Ccc.B22.DE16</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How did the child last drink</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.Ccc.B22.DE16">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.DS" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="boolean" class="hierarchy"/> DS</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Danger Signs</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/extension-questionnaire-hidden.html" title="Is a hidden item"><img src="icon-qi-hidden.png" alt="icon"/></a><img src="icon-qi-hidden.png" alt="icon"/><a href="https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html" title="Orientation: horizontal "><img src="icon-qi-horizontal.png" alt="icon"/></a><img src="icon-qi-horizontal.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" id="item.timestamp" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-datetime.png" alt="." style="background-color: white; background-color: inherit" title="dateTime" class="hierarchy"/> timestamp</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">null</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-dateTime">dateTime</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/extension-questionnaire-hidden.html" title="Is a hidden item"><img src="icon-qi-hidden.png" alt="icon"/></a><img src="icon-qi-hidden.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr><td colspan="6" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name="opt-item.Ccc.B7-B8-B9.DE01"> </a><p><b>Answer options for Ccc.B7-B8-B9.DE01 </b></p><ul><li style="font-size: 11px">https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B7-B8-B9.DE03 (&quot;End consultation&quot;)</li><li style="font-size: 11px">https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B7-B8-B9.DE02 (&quot;Stabilised, continue consultation&quot;)</li></ul><a name="opt-item.Ccc.B22.DE08"> </a><p><b>Answer options for Ccc.B22.DE08 </b></p><ul><li style="font-size: 11px">https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE09 (&quot;Completely Unable to Drink&quot;)</li><li style="font-size: 11px">https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE10 (&quot;Vomits Immediately / Everything&quot;)</li><li style="font-size: 11px">https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE11 (&quot;Drinks Poorly&quot;)</li><li style="font-size: 11px">https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE12 (&quot;Drinks Eagerly / Thirstily&quot;)</li><li style="font-size: 11px">https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE13 (&quot;Drinks Normally&quot;)</li></ul><a name="opt-item.Ccc.B22.DE14"> </a><p><b>Answer options for Ccc.B22.DE14 </b></p><ul><li style="font-size: 11px">null#Ccc.B22.DE14 (&quot;Unable to Perform Oral Fluid Test&quot;)</li></ul><a name="opt-item.Ccc.B22.DE16"> </a><p><b>Answer options for Ccc.B22.DE16 </b></p><ul><li style="font-size: 11px">https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE09 (&quot;Completely Unable to Drink&quot;)</li><li style="font-size: 11px">https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE10 (&quot;Vomits Immediately / Everything&quot;)</li><li style="font-size: 11px">https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE11 (&quot;Drinks Poorly&quot;)</li><li style="font-size: 11px">https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE12 (&quot;Drinks Eagerly / Thirstily&quot;)</li><li style="font-size: 11px">https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B22.DE13 (&quot;Drinks Normally&quot;)</li></ul></div>
  </text>
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    <valueCode value="shareable"/>
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  <extension url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
    <valueCode value="computable"/>
  </extension>
  <extension url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
    <valueCode value="publishable"/>
  </extension>
  <extension url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel">
    <valueCode value="structured"/>
  </extension>
  <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap">
    <valueCanonical value="https://smart.who.int/ccc/StructureMap/Ccc.b7.lti-dangersigns"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-library">
    <valueCanonical value="https://smart.who.int/ccc/Library/Cccb7ltidangersigns"/>
  </extension>
  <url value="https://smart.who.int/ccc/Questionnaire/Ccc.b7.lti-dangersigns"/>
  <version value="0.1.0"/>
  <name value="Ccc.B7.LTI-DangerSigns"/>
  <title value="Ccc.B7.LTI-DangerSigns"/>
  <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-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="ageinmonth.cql"/>
      </valueExpression>
    </extension>
    <linkId value="AgeInMonth.cql"/>
    <type value="integer"/>
    <required value="false"/>
    <repeats value="false"/>
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation">
      <valueCode value="horizontal"/>
    </extension>
    <linkId value="Ccc.B7.DE02"/>
    <text value="Convulsing Now"/>
    <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>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="popup"/>
            <display value="Popup"/>
          </coding>
          <text value="Popup"/>
        </valueCodeableConcept>
      </extension>
      <linkId value="Ccc.B7.DE02-help"/>
      <text value="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."/>
      <type value="display"/>
    </item>
  </item>
  <item>
    <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression">
      <valueExpression>
        <language value="text/fhirpath"/>
        <expression value="%resource.repeat(item).where(linkId='Ccc.B7.DE02').answer.first().value =  true"/>
      </valueExpression>
    </extension>
    <linkId value="Ccc.B7-B8-B9.DE01"/>
    <text value="Continue to Assess Sick Child"/>
    <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.B7-B8-B9.DE03"/>
        <display value="End consultation"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes"/>
        <code value="Ccc.B7-B8-B9.DE02"/>
        <display value="Stabilised, continue consultation"/>
      </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.B7.DE02').answer.first().value =  false or %resource.repeat(item).where(linkId='Ccc.B7-B8-B9.DE01').answer.first().value.code =  'Ccc.B7-B8-B9.DE02'"/>
      </valueExpression>
    </extension>
    <linkId value="stable-child"/>
    <type value="group"/>
    <required value="false"/>
    <repeats value="false"/>
    <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.B7.DE02').answer.first().value = false and AgeInMonth.cql &gt;=2"/>
        </valueExpression>
      </extension>
      <linkId value="Ccc.B7.DE03"/>
      <text value="Convulsion(s) in this Illness"/>
      <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.B7.DE03-help"/>
        <text value="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.”"/>
        <type value="display"/>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation">
        <valueCode value="horizontal"/>
      </extension>
      <linkId value="Ccc.B7.DE08b"/>
      <text value="Unconscious or Lethargic"/>
      <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.B7.DE08b-help"/>
        <text value="A &lt;b&gt;lethargic child is not awake and alert when she should be.&lt;/b&gt; The child is drowsy and does not show interest in what is happening around her.&lt;/p&gt;&#xA;&#xA;&#x9;&lt;p&gt;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.&lt;/p&gt;&#xA;&#xA;&#x9;&lt;p&gt;An &lt;b&gt;unconscious child cannot be wakened.&lt;/b&gt; 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."/>
        <type value="display"/>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation">
        <valueCode value="horizontal"/>
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      <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression">
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          <language value="text/fhirpath"/>
          <expression value="%resource.repeat(item).where(linkId='stable-child').repeat(item).where(linkId='Ccc.B7.DE08b').answer.first().value = true"/>
        </valueExpression>
      </extension>
      <linkId value="Ccc.B7.DE08"/>
      <text value="Unconscious"/>
      <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.B7.DE08-help"/>
        <text value="An &lt;b&gt;unconscious child cannot be wakened&lt;/b&gt;. 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."/>
        <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='stable-child').repeat(item).where(linkId='Ccc.B7.DE08b').answer.first().value = true"/>
        </valueExpression>
      </extension>
      <linkId value="Ccc.B7.DE08a"/>
      <text value="Lethargic"/>
      <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.B7.DE08a-help"/>
        <text value="A &lt;b&gt;lethargic child is not awake and alert when she should be.&lt;/b&gt; The child is drowsy and does not show interest in what is happening around her.&lt;/p&gt;&#xA;&#xA;&#x9;&lt;p&gt;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."/>
        <type value="display"/>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation">
        <valueCode value="horizontal"/>
      </extension>
      <linkId value="Ccc.B7.DE09"/>
      <text value="Not able to drink or breastfeed"/>
      <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.B7.DE09-help"/>
        <text value="A child has the sign not able to drink or breastfeed &lt;b&gt;if the child is not able to suck or swallow when offered a drink or breast milk.&lt;/b&gt;&lt;/p&gt;&#xA;&#xA;&#x9;&lt;p&gt;&lt;b&gt;When you ask the caregiver if the child is able to drink, make sure that she understands the question.&lt;/b&gt; 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?&lt;br /&gt;&#xA;If you are not sure about the caregiver’s answer, &lt;b&gt;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.&lt;/b&gt;&lt;/p&gt;&#xA;&#xA;&#x9;&lt;p&gt;A child who is breastfed may have difficulty sucking when his nose is blocked. &lt;b&gt;If the child’s nose is blocked, clear it.&lt;/b&gt; If the child can breastfeed after the nose is cleared, the child does not have the danger sign, “not able to drink or breastfeed.”"/>
        <type value="display"/>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation">
        <valueCode value="horizontal"/>
      </extension>
      <linkId value="Ccc.B7.DE10"/>
      <text value="Vomiting Everything"/>
      <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.B7.DE10-help"/>
        <text value="A child who is &lt;b&gt;not able to hold anything down at all&lt;/b&gt; has the sign “vomits everything” – everything that goes down comes back up. &lt;b&gt;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.&lt;/b&gt;  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, &lt;b&gt;ask her to offer the child a drink. See if the child vomits.&lt;/b&gt;"/>
        <type value="display"/>
      </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='stable-child').repeat(item).where(linkId='Ccc.B7.DE09').answer.first().value = true or %resource.repeat(item).where(linkId='stable-child').repeat(item).where(linkId='Ccc.B7.DE10').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='stable-child').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 &lt;span class=&quot;caps&quot;&gt;TBC&lt;/span&gt;) &amp;#8211; Pop Up&lt;/p&gt;&#xA;&#xA;&#x9;&lt;p&gt;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. &lt;/p&gt;&#xA;&#xA;&#x9;&lt;p&gt;Oral Fluid Test&lt;br /&gt;&#xA;If it is not possible to perform an oral fluid test, the health care worker should assume that the child is vomiting everything&lt;br /&gt;&#xA;For a child under 6 months the health care worker can offer for the mother to breastfeed instead of receiving fluids&lt;/p&gt;&#xA;&#xA;&#x9;&lt;p&gt;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. &lt;/p&gt;&#xA;&#xA;&#x9;&lt;p&gt;Pop up box to be made available with instructions on how to carry out an oral fluid test.&lt;br /&gt;&#xA;Additional information &lt;span class=&quot;caps&quot;&gt;TBC&lt;/span&gt;"/>
          <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='stable-child').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='stable-child').repeat(item).where(linkId='Ccc.B7.DE09').answer.first().value = true or %resource.repeat(item).where(linkId='stable-child').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='stable-child').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='stable-child').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='stable-child').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='stable-child').repeat(item).where(linkId='Ccc.B22.FluidTest').repeat(item).where(linkId='Ccc.B22.DE14').answer.first().value = true and %resource.repeat(item).where(linkId='stable-child').repeat(item).where(linkId='Ccc.B7.DE09').answer.first().value= false and %resource.repeat(item).where(linkId='stable-child').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='stable-child').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>
  <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/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>