Generated Narrative: Questionnaire Ccc.b22.breastfeeding

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. Ccc.B22.BreastFeedingQuestionnairehttps://smart.who.int/ccc/Questionnaire/Ccc.b22.breastfeeding#0.1.0
... AgeInMonthsAge0..1integericonicon
... Ccc.B22.DE27Breastfeeding Assessment0..1display
.... Ccc.B22.DE27-helpIf a breastfeeding assessment and an Oral Fluid test is recommended for a child that is only breastfed then a pop up is required to ensure that the health care worker observes the signs for both and provides results for both tests.0..1display
... Ccc.B22.DE41null0..*choiceOptions: 1 option
... Ccc.B22.DE28Breastfed in the previous hour1..1booleaniconicon
... Ccc.B22.DE29Mother able to wait until young infant is willing to breastfeed again0..1booleaniconicon
... Ccc.B22.DE30Mother reports difficulty breastfeeding1..1booleaniconicon
.... Ccc.B22.DE30-helpProvide information on what difficulty breastfeeding may include, such as: the infant feeds too often, doesn’t feed often enough, she does not have enough milk, her nipples are sore, or she has flat or inverted nipples. After feeds, the infant may be restless, cry or try to suckle again, or continue to breastfeed for a long time.0..1display
... Ccc.B22.DE31Chin Touching Breast1..1booleaniconicon
... Ccc.B22.DE32Mouth Wide Open1..1booleaniconicon
... Ccc.B22.DE33Lower Lip Turned Outwards1..1booleaniconicon
... Ccc.B22.DE34More Areola Visible above than below the Mouth1..1booleaniconicon
... Ccc.B22.DE35Slow Deep Sucks, Sometimes Pausing1..1booleaniconicon
... Ccc.B22.DE36Breastfeeding Assessment Results1..1stringiconicon
... Ccc.B22.DE37Not well Attached to Breast0..1booleaniconiconiconicon
... Ccc.B22.DE38Good Attachment0..1booleaniconiconiconicon
... Ccc.B22.DE39Not Sucking Effectively0..1booleaniconiconiconicon
... Ccc.B22.DE40Sucking Effectively0..1booleaniconiconiconicon
... Ccc.B22.DE42Difficulty Breastfeeding Reported0..1booleaniconiconiconicon
... Ccc.B22.DE44Difficulty Breastfeeding Observed0..1booleaniconiconiconicon
... timestampnull0..1dateTimeiconicon

doco Documentation for this format

Options Sets

Answer options for Ccc.B22.DE41

  • null#Ccc.B22.DE41 ("Breastfeeding Assessment Not Possible")
 <status value="active"/> <experimental value="false"/> <subjectType value="Patient"/> <date value="2026-04-07T13:42:05+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="ageinmonths"/> </valueExpression> </extension> <linkId value="AgeInMonths"/> <text value="Age"/> <type value="integer"/> <required value="false"/> <repeats value="false"/> </item> <item> <linkId value="Ccc.B22.DE27"/> <text value="Breastfeeding Assessment"/> <type value="display"/> <required value="false"/> <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.B22.DE27-help"/> <text value="If a breastfeeding assessment and an Oral Fluid test is recommended for a child that is only breastfed then a pop up is required to ensure that the health care worker observes the signs for both and provides results for both tests."/> <type 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> <linkId value="Ccc.B22.DE41"/> <type value="choice"/> <required value="false"/> <repeats value="true"/> <answerOption> <valueCoding> <code value="Ccc.B22.DE41"/> <display value="Breastfeeding Assessment Not Possible"/> </valueCoding> </answerOption> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCode value="horizontal"/> </extension> <linkId value="Ccc.B22.DE28"/> <text value="Breastfed in the previous hour"/> <type value="boolean"/> <required value="true"/> <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='Ccc.B22.DE28').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE29"/> <text value="Mother able to wait until young infant is willing to breastfeed again"/> <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='Ccc.B22.DE41').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE30"/> <text value="Mother reports difficulty breastfeeding"/> <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.B22.DE30-help"/> <text value="Provide 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."/> <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='Ccc.B22.DE41').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE31"/> <text value="Chin Touching Breast"/> <type value="boolean"/> <required value="true"/> <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='Ccc.B22.DE41').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE32"/> <text value="Mouth Wide Open"/> <type value="boolean"/> <required value="true"/> <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='Ccc.B22.DE41').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE33"/> <text value="Lower Lip Turned Outwards"/> <type value="boolean"/> <required value="true"/> <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='Ccc.B22.DE41').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE34"/> <text value="More Areola Visible above than below the Mouth"/> <type value="boolean"/> <required value="true"/> <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='Ccc.B22.DE41').answer.first().empty()"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE35"/> <text value="Slow Deep Sucks, Sometimes Pausing"/> <type value="boolean"/> <required value="true"/> <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='Ccc.B22.DE40').answer.first().exists() and %resource.repeat(item).where(linkId='Ccc.B22.DE35').answer.first().exists() and %resource.repeat(item).where(linkId='Ccc.B22.DE31').answer.first().exists() and %resource.repeat(item).where(linkId='Ccc.B22.DE32').answer.first().exists() and %resource.repeat(item).where(linkId='Ccc.B22.DE33').answer.first().exists() and %resource.repeat(item).where(linkId='Ccc.B22.DE34').answer.first().exists()"/> </valueExpression> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="iif(%resource.repeat(item).where(linkId='Ccc.B22.DE37').answer.first().value=true,'Not well Attached to Breast',iif( %resource.repeat(item).where(linkId='Ccc.B22.DE38').answer.first().value=true , 'Good Attachment',iif( %resource.repeat(item).where(linkId='Ccc.B22.DE39').answer.first().value=true,'Not Sucking Effectively',iif( %resource.repeat(item).where(linkId='Ccc.B22.DE40').answer.first().value=true, 'Sucking Effectively',{}))))"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE36"/> <text value="Breastfeeding Assessment Results"/> <type value="string"/> <required value="true"/> <repeats value="false"/> <readOnly value="true"/> </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-calculatedExpression"> <valueExpression> <language value="text/fhirpath"/> <expression value="%resource.repeat(item).where(linkId='Ccc.B22.DE31').answer.first().value = false or %resource.repeat(item).where(linkId='Ccc.B22.DE32').answer.first().value = false or %resource.repeat(item).where(linkId='Ccc.B22.DE33').answer.first().value = false or %resource.repeat(item).where(linkId='Ccc.B22.DE34').answer.first().value = false"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE37"/> <text value="Not well Attached to Breast"/> <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/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </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='Ccc.B22.DE31').answer.first().value = true and %resource.repeat(item).where(linkId='Ccc.B22.DE32').answer.first().value = true and %resource.repeat(item).where(linkId='Ccc.B22.DE33').answer.first().value = true and %resource.repeat(item).where(linkId='Ccc.B22.DE34').answer.first().value = true"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE38"/> <text value="Good Attachment"/> <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/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </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='Ccc.B22.DE35').answer.first().value = false"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE39"/> <text value="Not Sucking Effectively"/> <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/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true"/> </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='Ccc.B22.DE35').answer.first().value = true"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE40"/> <text value="Sucking Effectively"/> <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='Ccc.B22.DE30').answer.first().value = true"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE42"/> <text value="Difficulty Breastfeeding Reported"/> <type value="boolean"/> <required value="false"/> <repeats value="false"/> <readOnly value="true"/> </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='Ccc.B22.DE39').answer.first().value = true or %resource.repeat(item).where(linkId='Ccc.B22.DE37').answer.first().value =true"/> </valueExpression> </extension> <linkId value="Ccc.B22.DE44"/> <text value="Difficulty Breastfeeding Observed"/> <type value="boolean"/> <required value="false"/> <repeats value="false"/> <readOnly value="true"/> </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>