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

Generated Narrative: Questionnaire Ccca.registration.p

Profile: SDCBaseQuestionnaire

Structure\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeFlagsDescription & Constraints\"doco\"
\".\"\".\" CccA.Registration.PQuestionnairehttps://smart.who.int/ccc/Questionnaire/Ccca.registration.p#0.1.0
\".\"\".\"\".\" Ccc.A.DE01National Unique identification0..1string
\".\"\".\"\".\" Ccc.A.DE03null0..*choiceOptions: 1 option
\".\"\".\"\".\" Ccc.A.DE04First Name1..1string
\".\"\".\"\".\" Ccc.A.DE05Middle Name0..1string
\".\"\".\"\".\" Ccc.A.DE06Last Name1..1string
\".\"\".\"\".\" dobDate of Birth0..1date
\".\"\".\"\".\" Ccc.A.DE11null0..*choiceOptions: 1 option
\".\"\".\"\".\" Ccc.A.DE12Provide an estimated age or estimated date of birth0..1choiceOptions: 3 options
\".\"\".\"\".\" Ccc.A.DE15.1Estimated Date of Birth0..1date
\".\"\".\"\".\" Ccc.A.DE14.dAge in days0..1quantity
\".\"\".\"\".\" Ccc.A.DE14.wAge in weeks0..1quantity
\".\"\".\"\".\" Ccc.A.DE13.moAge in months0..1quantity
\".\"\".\"\".\" Ccc.A.DE13.aAge in years0..1quantity
\".\"\".\"\".\" eweeknull0..1quantity\"icon\"/
\".\"\".\"\".\" Ccc.A.DE13.2.dEstimated age in days0..1quantity\"icon\"/
\".\"\".\"\".\" Ccc.A.DE13.2.moEstimated age in months0..1quantity\"icon\"/
\".\"\".\"\".\" Ccc.A.DE13.2.aEstimated age in year0..1quantity\"icon\"/
\".\"\".\"\".\" edobCalculated Date of Birth0..1date\"icon\"/\"icon\"/
\".\"\".\"\".\" Ccc.A.DE08Consolidated Date of Birth0..1date\"icon\"/
\".\"\".\"\".\" Ccc.A.DE16Sex1..1choiceOptions: 3 options
\".\"\".\"\".\" Ccc.A.DE48Caregiver0..1boolean\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\" newrelatedpersonnull0..*choiceOptions: 1 option
\".\"\".\"\".\" relatedpersonuuidnull0..1string\"icon\"/Initial Value: string = uuid()
\".\"\".\"\".\" Cccrelatedpersoncaregiveridnull0..1string\"icon\"/
\".\"\".\"\".\" Ccc.A.DE21.1null0..1group
\".\"\".\"\".\"\".\" Ccc.A.DE21Caregiver First Name1..1string
\".\"\".\"\".\"\".\" Ccc.A.DE22Caregiver Middle Name0..1string
\".\"\".\"\".\"\".\" Ccc.A.DE23Caregiver Last Name1..1string
\".\"\".\"\".\"\".\" Ccc.A.DE35Primary Caregiver’s Mobile telephone number0..1integer
\".\"\".\"\".\"\".\" relatedpersonidnull0..1string\"icon\"/
\".\"\".\"\".\"\".\" Ccc.A.DE24Caregiver’s Relationship to Client1..1choiceOptions: 6 options
\".\"\".\"\".\"\".\" Ccc.A.DE31Biological Mother Vital Status1..1choiceDefinition: https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes
Options: 3 options
\".\"\".\"\".\"\".\"\".\" Ccc.A.DE31-helpThe client’s mother and/or father’s vital status.0..1display
\".\"\".\"\".\"\".\" Ccc.A.DE32Biological Father Vital Status1..1choiceDefinition: https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes
Options: 3 options
\".\"\".\"\".\"\".\"\".\" Ccc.A.DE32-helpThe client’s mother and/or father’s vital status.0..1display
\".\"\".\"\".\"\".\" Ccc.A.DE38null0..*choiceOptions: 1 option
\".\"\".\"\".\" timestampnull0..1dateTime\"icon\"/

\"doco\" Documentation for this format

Options Sets

Answer options for Ccc.A.DE03

Answer options for Ccc.A.DE11

Answer options for Ccc.A.DE12

Answer options for Ccc.A.DE16

Answer options for newrelatedperson

Answer options for Ccc.A.DE24

Answer options for Ccc.A.DE31

Answer options for Ccc.A.DE32

Answer options for Ccc.A.DE38

" }, "extension" : [{ "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability", "valueCode" : "shareable" }, { "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability", "valueCode" : "computable" }, { "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability", "valueCode" : "publishable" }, { "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel", "valueCode" : "structured" }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "AgeInDays", "language" : "text/fhirpath", "expression" : "iif(%resource.repeat(item).where(linkId='dob').answer.first().exists(),(today() -%resource.repeat(item).where(linkId='dob').answer.first().value),{})" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "AgeInMonths", "language" : "text/fhirpath", "expression" : "iif(%resource.repeat(item).where(linkId='dob').answer.first().exists(),(today()-%resource.repeat(item).where(linkId='dob').answer.first().value)-(today()-%resource.repeat(item).where(linkId='dob').answer.first().value),{})" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "AgeInYears", "language" : "text/fhirpath", "expression" : "iif(%resource.repeat(item).where(linkId='dob').answer.first().exists(),(today()-%resource.repeat(item).where(linkId='dob').answer.first().value),{})" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "dol", "language" : "text/fhirpath", "expression" : "iif( %resource.repeat(item).where(linkId='Ccc.A.DE14.d').answer.first().exists() ,%resource.repeat(item).where(linkId='Ccc.A.DE14.d').answer.first().value , 0 days)" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "wol", "language" : "text/fhirpath", "expression" : "iif( %resource.repeat(item).where(linkId='Ccc.A.DE14.w').answer.first().exists(),%resource.repeat(item).where(linkId='Ccc.A.DE14.w').answer.first().value , 0 weeks)" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "mol", "language" : "text/fhirpath", "expression" : "iif( %resource.repeat(item).where(linkId='Ccc.A.DE13.mo').answer.first().exists(),%resource.repeat(item).where(linkId='Ccc.A.DE13.mo').answer.first().value , 0 months)" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "yol", "language" : "text/fhirpath", "expression" : "iif( %resource.repeat(item).where(linkId='Ccc.A.DE13.a').answer.first().exists(),%resource.repeat(item).where(linkId='Ccc.A.DE13.a').answer.first().value, 0 years)" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "cdob", "language" : "text/fhirpath", "expression" : "today() -%dol -%wol -%mol - %yol" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap", "valueCanonical" : "https://smart.who.int/ccc/StructureMap/Ccca.registration.p" }], "url" : "https://smart.who.int/ccc/Questionnaire/Ccca.registration.p", "version" : "0.1.0", "name" : "CccA.Registration.P", "title" : "CccA.Registration.P", "status" : "active", "experimental" : false, "subjectType" : ["Patient"], "date" : "2026-04-07T13:45:53+00:00", "publisher" : "World Health Organization (WHO)", "contact" : [{ "name" : "World Health Organization (WHO)", "telecom" : [{ "system" : "url", "value" : "https://www.who.int" }] }, { "telecom" : [{ "system" : "url", "value" : "https://www.who.int" }] }], "jurisdiction" : [{ "coding" : [{ "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm", "code" : "001" }] }], "item" : [{ "linkId" : "Ccc.A.DE01", "text" : "National Unique identification", "type" : "string", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "check-box", "display" : "Check-box" }], "text" : "Check-box" } }], "linkId" : "Ccc.A.DE03", "type" : "choice", "required" : false, "repeats" : true, "answerOption" : [{ "valueCoding" : { "code" : "Ccc.A.DE03", "display" : "Child's Identity unknown/prefer to remain anonymous" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.A.DE03').answer.first().empty()" } }], "linkId" : "Ccc.A.DE04", "text" : "First Name", "type" : "string", "required" : true, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.A.DE03').answer.first().empty()" } }], "linkId" : "Ccc.A.DE05", "text" : "Middle Name", "type" : "string", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.A.DE03').answer.first().empty()" } }], "linkId" : "Ccc.A.DE06", "text" : "Last Name", "type" : "string", "required" : true, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.A.DE11').answer.first().empty()" } }], "linkId" : "dob", "text" : "Date of Birth", "type" : "date", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "check-box", "display" : "Check-box" }], "text" : "Check-box" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='dob').answer.first().empty()" } }], "linkId" : "Ccc.A.DE11", "type" : "choice", "required" : false, "repeats" : true, "answerOption" : [{ "valueCoding" : { "code" : "Ccc.A.DE11", "display" : "Date of Birth not known" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "drop-down", "display" : "Drop down" }], "text" : "Drop down" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.A.DE11').answer.first().exists()" } }], "linkId" : "Ccc.A.DE12", "text" : "Provide an estimated age or estimated date of birth", "type" : "choice", "required" : false, "repeats" : false, "answerOption" : [{ "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.A.DE13", "display" : "Estimated age in years/months for child (2 months or older)" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.A.DE14", "display" : "Estimated age in weeks/days for young infant (under 2 months old)" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.A.DE15", "display" : "Estimated Date of Birth" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.A.DE12').answer.first().value.code = 'Ccc.A.DE15'" } }], "linkId" : "Ccc.A.DE15.1", "text" : "Estimated Date of Birth", "type" : "date", "required" : false, "repeats" : false }, { "extension" : [{ "extension" : [{ "url" : "key", "valueId" : "Ccc.A.DE14.d" }, { "url" : "expression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "answer.first() >= 1 and answer.first() <= 8" } }, { "url" : "severity", "valueCode" : "error" }, { "url" : "human", "valueString" : "Seven day maximum" }], "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-constraint" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://unitsofmeasure.org", "code" : "d" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.A.DE12').answer.first().value.code = 'Ccc.A.DE14'" } }], "linkId" : "Ccc.A.DE14.d", "text" : "Age in days", "type" : "quantity", "required" : false, "repeats" : false }, { "extension" : [{ "extension" : [{ "url" : "key", "valueId" : "Ccc.A.DE14.w" }, { "url" : "expression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "answer.first() >= 1 and answer.first() <= 8" } }, { "url" : "severity", "valueCode" : "error" }, { "url" : "human", "valueString" : "Eight weeks maximum" }], "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-constraint" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://unitsofmeasure.org", "code" : "wk" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.A.DE12').answer.first().value.code = 'Ccc.A.DE14'" } }], "linkId" : "Ccc.A.DE14.w", "text" : "Age in weeks", "type" : "quantity", "required" : false, "repeats" : false }, { "extension" : [{ "extension" : [{ "url" : "key", "valueId" : "Ccc.A.DE13.mo" }, { "url" : "expression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "answer.first() >= 1 and answer.first() <= 12" } }, { "url" : "severity", "valueCode" : "error" }, { "url" : "human", "valueString" : "Twelve months maximum" }], "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-constraint" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://hl7.org/fhirpath/CodeSystem/calendar-units", "code" : "month" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.A.DE12').answer.first().value.code = 'Ccc.A.DE13'" } }], "linkId" : "Ccc.A.DE13.mo", "text" : "Age in months", "type" : "quantity", "required" : false, "repeats" : false }, { "extension" : [{ "extension" : [{ "url" : "key", "valueId" : "Ccc.A.DE13.a" }, { "url" : "expression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "answer.first() >= 1 and answer.first() <= 4" } }, { "url" : "severity", "valueCode" : "error" }, { "url" : "human", "valueString" : "Four years maximum" }], "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-constraint" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://hl7.org/fhirpath/CodeSystem/calendar-units", "code" : "year" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.A.DE12').answer.first().value.code = 'Ccc.A.DE13'" } }], "linkId" : "Ccc.A.DE13.a", "text" : "Age in years", "type" : "quantity", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://unitsofmeasure.org", "code" : "wk" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }], "linkId" : "eweek", "type" : "quantity", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://unitsofmeasure.org", "code" : "d" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "(%resource.repeat(item).where(linkId='Ccc.A.DE08').answer.first().exists() or %resource.repeat(item).where(linkId='Ccc.A.DE12').answer.first().value.code = 'Ccc.A.DE15') and %resource.repeat(item).where(linkId='eweek').answer.first().value < 4 'weeks'" } }], "linkId" : "Ccc.A.DE13.2.d", "text" : "Estimated age in days", "type" : "quantity", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://hl7.org/fhirpath/CodeSystem/calendar-units", "code" : "month" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "(%resource.repeat(item).where(linkId='Ccc.A.DE08').answer.first().exists() or %resource.repeat(item).where(linkId='Ccc.A.DE12').answer.first().value.code = 'Ccc.A.DE15') and %resource.repeat(item).where(linkId='eweek').answer.first().value >= 4 'weeks' and %resource.repeat(item).where(linkId='eweek').answer.first().value< 104 'weeks'" } }], "linkId" : "Ccc.A.DE13.2.mo", "text" : "Estimated age in months", "type" : "quantity", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://hl7.org/fhirpath/CodeSystem/calendar-units", "code" : "year" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "(%resource.repeat(item).where(linkId='Ccc.A.DE08').answer.first().exists() or %resource.repeat(item).where(linkId='Ccc.A.DE12').answer.first().value.code = 'Ccc.A.DE15') and %resource.repeat(item).where(linkId='eweek').answer.first().value >= 104 'weeks'" } }], "linkId" : "Ccc.A.DE13.2.a", "text" : "Estimated age in year", "type" : "quantity", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.A.DE12').answer.first().value.code = 'Ccc.A.DE13' or %resource.repeat(item).where(linkId='Ccc.A.DE12').answer.first().value.code = 'Ccc.A.DE14'" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%cdob" } }], "linkId" : "edob", "text" : "Calculated Date of Birth", "type" : "date", "required" : false, "repeats" : false, "readOnly" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "iif( %resource.repeat(item).where(linkId='dob').answer.first().exists(),%resource.repeat(item).where(linkId='dob').answer.first().value,iif( %resource.repeat(item).where(linkId='Ccc.A.DE15.1').answer.first().exists(),%resource.repeat(item).where(linkId='Ccc.A.DE15.1').answer.first().value, %cdob ))" } }], "linkId" : "Ccc.A.DE08", "text" : "Consolidated Date of Birth", "type" : "date", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia", "valueAttachment" : { "contentType" : "png", "url" : "https://www.clipartmax.com/png/middle/136-1360801_caillou.png" } }], "linkId" : "Ccc.A.DE16", "text" : "Sex", "type" : "choice", "required" : true, "repeats" : false, "answerOption" : [{ "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.A.DE17", "display" : "Female" } }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia", "valueAttachment" : { "contentType" : "png", "url" : "https://www.clipartmax.com/png/small/47-470461_man-gender-sex-male-gender-symbol-comments-male-gender-icon-png.png" } }], "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.A.DE18", "display" : "Male" } }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia", "valueAttachment" : { "contentType" : "png", "url" : "https://www.clipartmax.com/png/small/193-1937816_clipart-female-symbol-female-gender-icon-png.png" } }], "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.A.DE19", "display" : "Not Specified" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }], "linkId" : "Ccc.A.DE48", "text" : "Caregiver", "type" : "boolean", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "check-box", "display" : "Check-box" }], "text" : "Check-box" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.A.DE48').answer.first().empty() and %resource.repeat(item).where(linkId='Ccc.A.DE03').answer.first().empty()" } }], "linkId" : "newrelatedperson", "type" : "choice", "required" : false, "repeats" : true, "answerOption" : [{ "valueCoding" : { "code" : "newrelatedperson", "display" : "Register a new Caregiver" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }], "linkId" : "relatedpersonuuid", "type" : "string", "required" : false, "repeats" : false, "initial" : [{ "valueString" : "uuid()" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "iif(%resource.repeat(item).where(linkId='newrelatedperson').answer.first().exists(), %resource.repeat(item).where(linkId='relatedpersonuuid').answer.first().value,{})" } }], "linkId" : "Cccrelatedpersoncaregiverid", "type" : "string", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Cccrelatedpersoncaregiverid').answer.first().exists()" } }], "linkId" : "Ccc.A.DE21.1", "type" : "group", "required" : false, "repeats" : false, "item" : [{ "linkId" : "Ccc.A.DE21", "text" : "Caregiver First Name", "type" : "string", "required" : true, "repeats" : false }, { "linkId" : "Ccc.A.DE22", "text" : "Caregiver Middle Name", "type" : "string", "required" : false, "repeats" : false }, { "linkId" : "Ccc.A.DE23", "text" : "Caregiver Last Name", "type" : "string", "required" : true, "repeats" : false }, { "linkId" : "Ccc.A.DE35", "text" : "Primary Caregiver’s Mobile telephone number", "type" : "integer", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='newrelatedperson').answer.first().exists()" } }], "linkId" : "relatedpersonid", "type" : "string", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.A.DE48').answer.first().empty()" } }], "linkId" : "Ccc.A.DE24", "text" : "Caregiver’s Relationship to Client", "type" : "choice", "required" : true, "repeats" : false, "answerOption" : [{ "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.A.DE25", "display" : "Mother" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.A.DE26", "display" : "Father" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.A.DE27", "display" : "Sibling" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.A.DE28", "display" : "Extended family" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.A.DE29", "display" : "Legal Guardian" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.A.DE30", "display" : "Not Related" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.A.DE21.1').repeat(item).where(linkId='Ccc.A.DE24').answer.first().value.code != 'Ccc.A.DE25'" } }], "linkId" : "Ccc.A.DE31", "definition" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "text" : "Biological Mother Vital Status", "type" : "choice", "required" : true, "repeats" : false, "answerOption" : [{ "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.A.DE46", "display" : "Dead" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.A.DE34", "display" : "Alive" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.A.DE33", "display" : "Unknown" } }], "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "help" }] } }], "linkId" : "Ccc.A.DE31-help", "text" : "The client’s mother and/or father’s vital status.", "type" : "display" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Ccc.A.DE21.1').repeat(item).where(linkId='Ccc.A.DE24').answer.first().value.code != 'Ccc.A.DE26'" } }], "linkId" : "Ccc.A.DE32", "definition" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "text" : "Biological Father Vital Status", "type" : "choice", "required" : true, "repeats" : false, "answerOption" : [{ "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.A.DE46", "display" : "Dead" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.A.DE34", "display" : "Alive" } }, { "valueCoding" : { "system" : "https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes", "code" : "Ccc.A.DE33", "display" : "Unknown" } }], "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "help" }] } }], "linkId" : "Ccc.A.DE32-help", "text" : "The client’s mother and/or father’s vital status.", "type" : "display" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "check-box", "display" : "Check-box" }], "text" : "Check-box" } }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='Cccrelatedpersoncaregiverid').answer.first().value.code = 'newCaregiver' or %resource.repeat(item).where(linkId='Ccc.A.DE48').answer.first().exists()" } }], "linkId" : "Ccc.A.DE38", "type" : "choice", "required" : false, "repeats" : true, "answerOption" : [{ "valueCoding" : { "code" : "Ccc.A.DE38", "display" : "Caregiver wants to receive SMS or other messages regarding the child's visits and health status" } }] }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "now()" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }], "linkId" : "timestamp", "type" : "dateTime", "required" : false }] }