WHO FHIR Implementation Guide (IG): Integrated Management of Childhood Illness (IMCI) in emergencies
0.1.0 - release International flag

WHO FHIR Implementation Guide (IG): Integrated Management of Childhood Illness (IMCI) in emergencies, published by World Health Organization (WHO). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-emcare/tree/220/merge and changes regularly. See the Directory of published versions
Built from commit 2185a543.   Branch: feature/rename.

Questionnaire: Ccc.B22.AssessmentsTests

Branch:

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. Ccc.B22.AssessmentsTestsQuestionnairehttps://smart.who.int/ccc/Questionnaire/Ccc.b22.assessmentstests#0.1.0
... force-collectionnull0..1booleaniconiconiconiconValue Set:
... AgeInMonthsnull0..1integericoniconValue Set:
... AgeInDaysnull0..1integericoniconValue Set:
... a-RespiratoryRateapplicability-RespiratoryRate0..1booleaniconiconiconiconValue Set:
... a-BronchodilatorTestapplicability-BronchodilatorTest0..1booleaniconiconiconiconValue Set:
... a-Hemoglobinapplicability-Hemoglobin0..1booleaniconiconiconiconValue Set:
... a-SecondTemperatureapplicability-SecondTemperature0..1booleaniconiconiconiconValue Set:
... a-FluidTestapplicability-FluidTest0..1booleaniconiconiconiconValue Set:
... Ccc.B22.RespiratoryRatenull0..1groupValue Set:
.... Ccc.B22.DE01Respiratory Rate (breaths per minute)1..1quantityValue Set:
..... Ccc.B22.DE01-help<b>Count the number of breaths the child takes per minute</b> to determine if fast breathing is present.<br /> It is <b>very important that the child is calm</b> and still. If the child is moving or crying, you will not be able to get an accurate count of breaths. <br /> <b>To count the breaths per minute,</b> use a watch with a second hand or a digital watch. Look for the breathing movement anywhere on the child’s chest or abdomen. <br /> The number of breaths for <b>‘fast breathing’ depends on the child’s age.</b></p> <ul> <li>Under 2 months: More than 60 breaths per minute*</li> <li>2 to 11 months: More than 50 breaths per minute</li> <li>12 to 59 months: More than 40 breaths per minute</li> </ul> <p>*In young infants, a second measurement should be taken to confirm, unless there is already another sign of possible serious bacterial infection0..1displayValue Set:
.... Ccc.B22.DE02null0..*choiceValue Set:
Options: 1 option
.... secondnull0..1groupValue Set:
..... Ccc.B22.DE04Respiratory Rate Second Count (breaths per minute)0..1quantityValue Set:
...... Ccc.B22.DE04-help<b>Count the number of breaths the child takes per minute</b> to determine if fast breathing is present.<br /> It is <b>very important that the child is calm</b> and still. If the child is moving or crying, you will not be able to get an accurate count of breaths. <br /> <b>To count the breaths per minute,</b> use a watch with a second hand or a digital watch. Look for the breathing movement anywhere on the child’s chest or abdomen. <br /> The number of breaths for <b>‘fast breathing’ depends on the child’s age.</b></p> <ul> <li>Under 2 months: More than 60 breaths per minute*</li> <li>2 to 11 months: More than 50 breaths per minute</li> <li>12 to 59 months: More than 40 breaths per minute</li> </ul> <p>*In young infants, a second measurement should be taken to confirm, unless there is already another sign of possible serious bacterial infection0..1displayValue Set:
..... Ccc.B22.DE05null0..*choiceValue Set:
Options: 1 option
.... Ccc.B22.DE07Fast Breathing0..1booleaniconiconiconiconValue Set:
..... Ccc.B22.DE07-helpThe number of breaths for <b>‘fast breathing’ depends on the child’s age.</b> * Under 2 months: More than 60 breaths per minute* * 2 to 11 months: More than 50 breaths per minute * 12 to 59 months: More than 40 breaths per minute *In young infants, a second measurement should be taken to confirm, unless there is already another sign of possible serious bacterial infection0..1displayValue Set:
... Ccc.B22.FluidTestnull0..1groupValue Set:
.... Ccc.B22.DE08Oral Fluid Test Results1..1choiceValue Set:
Options: 5 options
..... Ccc.B22.DE08-helpIf a child is unconscious do not try to carry out an oral fluid test (Exact wording <span class="caps">TBC</span>) &#8211; Pop Up</p> <p>If a breastfeeding assessment and an Oral Fluid test is recommended for a child that is only breastfed then a pop up is required to ensure that the health care worker observes the signs for both and provides results for both tests. </p> <p>Oral Fluid Test<br /> If it is not possible to perform an oral fluid test, the health care worker should assume that the child is vomiting everything<br /> For a child under 6 months the health care worker can offer for the mother to breastfeed instead of receiving fluids</p> <p>Caution: Do not force fluids into an unconscious child , it can be dangerous. The fluid can cause them to choke or the fluid can go into their lungs. </p> <p>Pop up box to be made available with instructions on how to carry out an oral fluid test.<br /> Additional information <span class="caps">TBC</span>0..1displayValue Set:
.... Ccc.B22.DE14null1..*choiceValue Set:
Options: 1 option
.... Ccc.B22.DE14aCompletely Unable to Drink or Vomits Immediately / Everything0..1booleaniconiconiconiconValue Set:
.... Ccc.B22.DE15Has the Child had anything to drink today?0..1booleaniconiconValue Set:
.... Ccc.B22.DE16How did the child last drink0..1choiceValue Set:
Options: 5 options
... Ccc.B22.BronchodilatorTestnull0..1groupValue Set:
.... Ccc.B22.DE17Inhaled Bronchodilator Trial Results0..*choiceValue Set:
Options: 5 options
..... Ccc.B22.DE17-helpProvide information on how to conduct an Inhaled Bronchodilator Trial as per <span class="caps">IMCI</span> training &#8211; <span class="caps">TBC</span>0..1displayValue Set:
.... Ccc.B22.DE22null0..*choiceValue Set:
Options: 1 option
.... Ccc.B22.DE21No Fast Breathing and No Chest Indrawing (post Inhaled Bronchodilator Trial)0..1booleaniconiconValue Set:
... Ccc.B22.BreastFeedingnull0..1groupValue Set:
.... Ccc.B22.DE27Breastfeeding Assessment0..1displayValue Set:
..... Ccc.B22.DE27-helpIf a breastfeeding assessment and an Oral Fluid test is recommended for a child that is only breastfed then a pop up is required to ensure that the health care worker observes the signs for both and provides results for both tests.0..1displayValue Set:
.... Ccc.B22.DE41null0..*choiceValue Set:
Options: 1 option
.... Ccc.B22.DE28Breastfed in the previous hour1..1booleaniconiconValue Set:
.... Ccc.B22.DE29Mother able to wait until young infant is willing to breastfeed again0..1booleaniconiconValue Set:
.... Ccc.B22.DE30Mother reports difficulty breastfeeding1..1booleaniconiconValue Set:
..... Ccc.B22.DE30-helpProvide information on what difficulty breastfeeding may include, such as: the infant feeds too often, doesn&#8217;t feed often enough, she does not have enough milk, her nipples are sore, or she has flat or inverted nipples. After feeds, the infant may be restless, cry or try to suckle again, or continue to breastfeed for a long time.0..1displayValue Set:
.... Ccc.B22.DE31Chin Touching Breast1..1booleaniconiconValue Set:
.... Ccc.B22.DE32Mouth Wide Open1..1booleaniconiconValue Set:
.... Ccc.B22.DE33Lower Lip Turned Outwards1..1booleaniconiconValue Set:
.... Ccc.B22.DE34More Areola Visible above than below the Mouth1..1booleaniconiconValue Set:
.... Ccc.B22.DE35Slow Deep Sucks, Sometimes Pausing1..1booleaniconiconValue Set:
.... Ccc.B22.DE36Breastfeeding Assessment Results1..1stringiconiconValue Set:
.... Ccc.B22.DE37Not well Attached to Breast0..1booleaniconiconiconiconValue Set:
.... Ccc.B22.DE38Good Attachment0..1booleaniconiconiconiconValue Set:
.... Ccc.B22.DE39Not Sucking Effectively0..1booleaniconiconiconiconValue Set:
.... Ccc.B22.DE40Sucking Effectively0..1booleaniconiconiconiconValue Set:
.... Ccc.B22.DE42Difficulty Breastfeeding Reported0..1booleaniconiconiconiconValue Set:
.... Ccc.B22.DE44Difficulty Breastfeeding Observed0..1booleaniconiconiconiconValue Set:
... Ccc.B22.Hemoglobinnull0..1groupValue Set:
.... Ccc.B22.DE81Hemoglobin (Hb) g/dL1..1quantityValue Set:
.... Ccc.B22.DE82null1..*choiceValue Set:
Options: 1 option
... Ccc.B22.SecondTemperaturenull0..1groupValue Set:
.... Ccc.B22.DE47Axillary Temperature (second measurement)0..1quantityValue Set:
..... Ccc.B22.DE47-helpThe client&#8217;s axillary temperature in degrees Celcius (temperature taken under the armpit)<br /> Warning/error if above 45 and below 32 degrees Celcius.0..1displayValue Set:
.... Ccc.B22.DE46null0..*choiceValue Set:
Options: 1 option
.... Ccc.B22.DE50Measured Temperature (second measurement)0..1stringiconiconValue Set:
... notesttodoNo assessments / tests to do0..1displayValue Set:
... Respiratory Rate profilenull0..1quantityiconiconValue Set:
... Respiratory Rate Second Count Profilenull0..1quantityiconiconValue Set:
... Fast Breathing profilenull0..1booleaniconiconiconiconValue Set:
... DSDanger Signs0..1booleaniconiconiconiconValue Set:
... Ccc.B7.DE09Not able to drink or breastfeed0..1booleaniconiconiconiconValue Set:
... Ccc.B7.DE10Vomiting Everything0..1booleaniconiconiconiconValue Set:
... timestampnull0..1dateTimeiconiconValue Set:

doco Documentation for this format

Options Sets

Answer options for Ccc.B22.DE02

  • null#Ccc.B22.DE02 ("Unable to perform Respiratory Rate at this time")

Answer options for Ccc.B22.DE05

  • null#Ccc.B22.DE05 ("Respiratory Rate Second Count Not Possible")

Answer options for Ccc.B22.DE08

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

Answer options for Ccc.B22.DE14

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

Answer options for Ccc.B22.DE16

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

Answer options for Ccc.B22.DE17

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

Answer options for Ccc.B22.DE22

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

Answer options for Ccc.B22.DE41

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

Answer options for Ccc.B22.DE82

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

Answer options for Ccc.B22.DE46

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