Generated Narrative: Questionnaire Ccc.treatment

LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. Ccc.TreatmentQuestionnairehttps://smart.who.int/ccc/Questionnaire/Ccc.treatment#0.1.0
... AgeInMonthsnull0..1integericonicon
... childnull0..1group
.... Ccc.C10.IT.DE01<h1>Very Severe Disease</h1> <p>➢ <b>Give one dose of rectal diazepam if convulsing now, repeat after 10 minutes if convulsion has not stopped</b></p> <p>➢ <b>Give any pre-referral treatment immediately</b></p> <p>➢ <b>Treat to prevent low blood sugar</b></p> <p>➢ <b>Keep the child warm</b></p> <p>➢ <b>Refer <span class="caps">URGENTLY</span> to hospital*.</b></p> <p>*Exception: If lethargy is the only sign and child is dehydrated, rehydrated and assess.</p>0..1display
.... Ccc.C10.IT.DE02<h1>Severe Pneumonia or Very Severe Disease</h1> <p>➢ <b>Give first dose of intramuscular Cefotaxime</b></p> <p>➢If wheezing present, give one dose of rapid acting bronchodilator* pre-referral</p> <p>➢Treat the child to prevent low blood sugar</p> <p>➢Refer <span class="caps">URGENTLY</span> to hospital</p> <p>*Nebulized salbutamol, salbutamol inhaler with spacer, or subcutaneous epinephrine (adrenaline)</p>0..1display
.... Ccc.C10.IT.DE03<h1>Pneumonia</h1> <p>➢**Give oral Amoxicillin twice daily for 5 days**</p> <p>➢If wheezing (or disappeared after inhaled salbutamol) give inhaled or oral salbutamol three times a day for 5 days*</p> <p>➢Soothe the throat and relieve the cough with a safe remedy.</p> <p>➢If coughing for ≥14 days or recurrent wheeze, refer for possible TB or asthma assessment</p> <p>➢Advise mother when to return immediately</p> <p>➢Follow-up in 3 days</p> <p>➢Give oral Zinc once daily for 10-14 days.</p> <p>*If inhaled bronchodilator is not available, oral salbutamol may be tried but not recommended for treatment of severe acute wheeze.</p>0..1display
.... Ccc.C10.IT.DE04<h1>Cough or Cold</h1> <p>➢If wheezing (or disappeared after inhaled salbutamol) give inhaled or oral salbutamol three times a day for 5 days**</p> <p>➢Soothe the throat and relieve the cough with a safe remedy.</p> <p>➢If coughing for ≥14 days or recurrent wheeze, refer for possible TB or asthma assessment</p> <p>➢Advise mother when to return immediately</p> <p>➢Follow-up in 5 days if not improving</p>0..1display
.... Ccc.C10.IT.DE05<h1>Severe Dehydration</h1> <p>➢ If child has no other severe classification:* Give fluid for severe dehydration (plan C) OR</p> <p>➢ <b>If child also has another severe classification:</b></p> * <b>Refer <span class="caps">URGENTLY</span> to hospital with mother giving frequent sips of <span class="caps">ORS</span> on the way.</b> * <b>Advise the mother to continue breastfeeding.</b> <p>➢If child is 2 years or older and there is cholera in your area, give oral co-trimoxazole twice daily for 3 days or oral erythromycin 4 times a day for 3 days for cholera.</p>0..1display
.... Ccc.C10.IT.DE06<h1>Some Dehydration</h1> <p>➢Give Plan B for some dehydration:</p> <ul> <li>Give <span class="caps">ORS</span> over 4 hrs in clinic, reassess for dehydration and select appropriate plan to continue treatment</li> </ul> <ul> <li>If mother must leave before completing treatment, give <span class="caps">ORS</span> for 4 hr Plan B treatment plus 2 packets as recommended in Plan A</li> <li>At home, give extra fluid (as much as the child will take)</li> <li>Give oral Zinc once daily for 10 &#8211; 14 days</li> <li>Continue feeding (exclusive breastfeeding if under 6 months)</li> </ul> <p>➢ <b>If child also has another severe classification:</b></p> <ul> <li><b>Refer <span class="caps">URGENTLY</span> to hospital with mother giving frequent sips of <span class="caps">ORS</span> on the way.</b></li> <li><b>Advise the mother to continue breastfeeding.</b></li> </ul> <p>➢Advise mother when to return immediately.</p> <p>➢Follow-up in 5 days if not improving.</p>0..1display
.... Ccc.C10.IT.DE07<h1>No Dehydration</h1> <p>➢Give Plan A for no dehydration:</p> <ul> <li>Give extra fluid (as much as the child will take)</li> <li>Teach mother how to give <span class="caps">ORS</span> and give 2 packets to use at home</li> <li>Give oral Zinc once daily for 14 days</li> <li>Continue feeding (exclusive breastfeeding if under 6 months)</li> </ul> <p>➢ <b>If child also has another severe classification:</b></p> <ul> <li><b>Refer <span class="caps">URGENTLY</span> to hospital with mother giving frequent sips of <span class="caps">ORS</span> on the way.</b></li> <li><b>Advise the mother to continue breastfeeding.</b></li> </ul> <p>➢Advise mother when to return immediately.</p> <p>➢Follow-up in 5 days if not improving.</p>0..1display
.... Ccc.C10.IT.DE08<h1>Severe Persistent Diarrhoea</h1> <p>➢Treat dehydration before referral unless the child has another severe classification.</p> <p>➢Refer to hospital.</p>0..1display
.... Ccc.C10.IT.DE09<h1>Persistent Diarrhoea</h1> <p>➢Advise the mother on feeding a child who has persistent diarrhoea.</p> <p>➢Give multivitamins and minerals (including zinc once daily) for 14 days.</p> <p>➢Follow-up in 5 days.</p>0..1display
.... Ccc.C10.IT.DE10<h1>Possible Shigella</h1> <p>➢Treat dehydration before referral unless the child has another severe classification.</p> <p>➢Refer to hospital.</p>0..1display
.... Ccc.C10.IT.DE11<h1>Dysentery</h1> <p>➢Give Oral Metronidazole three times daily for 10 days.</p> <p>➢Treat dehydration if present.</p> <p>➢Follow-up in 3 days.</p>0..1display
.... Ccc.C10.IT.DE12<h1>Throat Abscess or Possible Diptheria</h1> <p>➢ <b>Give first dose of intramuscular Procaine Penicillin pre-referral; if unavailable or allergic to penicillin give first dose of oral Erythromycin pre-referral.</b></p> <p>➢ <b>Give one dose of oral Paracetamol for pain or high fever (38.5°C or above).</b></p> <p>➢ <b><span class="caps">REFER</span> <span class="caps">URGENTLY</span> to hospital.</b></p>0..1display
.... Ccc.C10.IT.DE13<h1>Streptococcal Sore Throat</h1> <p>➢ <b>Give single dose of intramuscular benzathine penicillin, or if unavailable give oral amoxicillin twice daily for 10 days; if allergic to penicillin give oral erythromycin 4 times daily for 10 days</b></p> <p>➢ **Give oral paracetamol for pain or high fever (38.5°C or above), continue to give every 6 hours (4 times / day) until pain and/or high fever gone. **</p> <p>➢ Soothe the throat with a safe remedy.</p> <p>➢ Follow-up in 5 days if not improving.</p> <p>➢ Advise the mother when to return immediately</p>0..1display
.... Ccc.C10.IT.DE14h1.Non-Streptococcal Sore Throat</p> <p>➢ <b>Give oral paracetamol for pain or high fever (38.5°C or above), continue to give every 6 hours (4 times / day) until pain/high fever gone.</b></p> <p>➢ Soothe the throat with a safe remedy.</p> <p>➢ Follow-up in 5 days if not improving.</p> <p>➢ Advise the mother when to return immediately0..1display
.... Ccc.C10.IT.DE15<h1>No Throat Problem</h1> <p>➢ <b>Give oral paracetamol for pain or high fever (38.5°C or above), continue to give every 6 hours (4 times / day) until pain /high fever gone.</b></p> <p>➢ Advise the mother when to return immediately</p>0..1display
.... Ccc.C10.IT.DE16<h1>Mastoiditis</h1> <p>➢ <b>Give first dose of intramuscular Cefotaxime</b></p> <p>➢ <b>Give one dose of oral Paracetamol for pain or high fever (38.5°C or above).</b></p> <p>➢ <b>Refer <span class="caps">URGENTLY</span> to hospital</b></p>0..1display
.... Ccc.C10.IT.DE17<h1>Acute Ear Infection</h1> <p>➢ <b>Give an appropriate oral antibiotic:</b></p> <p>     * <b>First-line: Oral Amoxicillin twice daily for 10 days</b>      * <b>Second-line: Oral Co-trimoxazole twice daily for 10 days</b>      * <b>If allergic to amoxicillin and co-trimoxazole, give Oral Erythromycin 4 times daily for 10 days</b></p> <p>➢ <b>Give oral paracetamol for pain or high fever (38.5°C or above), continue to give every 6 hours (4 times / day) until pain/high fever gone.</b></p> <p>➢ If ear discharge: Dry the ear by wicking at least 3 times daily</p> <p>➢ Advise the mother when to return immediately.</p> <p>➢ Follow-up in 5 days</p>0..1display
.... Ccc.C10.IT.DE18<h1>Chronic Ear Infection</h1> <p>➢ Dry the ear by wicking</p> <p>➢ Refer to <span class="caps">ENT</span> specialist.</p> <p>➢ <b>If ear pain or fever, give an appropriate oral antibiotic:</b></p> <ul> <li><b>First-line: Oral Amoxicillin twice daily for 10 days</b></li> <li><b>Second-line: Oral Co-trimoxazole twice daily for 10 days</b></li> <li><b>If allergic to amoxicillin and co-trimoxazole, give Oral Erythromycin 4 times daily for 10 days</b></li> </ul> <p>➢**Give one dose of oral Paracetamol in clinic for pain or high fever (38.5°C or above),** continue to give every 6 hours (4 times / day) until pain/high fever gone.</p>0..1display
.... Ccc.C10.IT.DE19<h1>No Ear Infection</h1> <p>➢No treatment</p> <p>➢Refer to <span class="caps">ENT</span> specialist.</p>0..1display
.... Ccc.C10.IT.DE20<h1>Very Severe Febrile Disease</h1> <p>➢ <b>Give first dose of intramuscular Cefotaxime</b></p> <p>➢ <b>Treat the child to prevent low blood sugar</b></p> <p>➢ <b>Give one dose of oral Paracetamol for high fever (38.5°C or above).</b></p> <p>➢ <b>Refer <span class="caps">URGENTLY</span> to hospital</b></p>0..1display
.... Ccc.C10.IT.DE21<h1>Fever: Possible Bacterial Infection</h1> <p>➢ Treat apparent cause of fever.</p> <p>➢ <b>Give one dose of oral Paracetamol in clinic for high fever (38.5°C or above).</b> continue to give every 6 hours (4 times / day) until high fever gone. </p> <p>➢ Follow up in 3 days if fever persists</p> <p>➢ Advise the mother when to return immediately</p> <p>➢ If fever present every day for more than 7 days, refer for assessment</p>0..1display
.... Ccc.C10.IT.DE22<h1>Fever: Bacterial Infection Unlikely</h1> <p>➢ <b>Give one dose of oral Paracetamol in clinic for high fever (38.5°C or above).</b> continue to give every 6 hours (4 times / day) until high fever gone. </p> <p>➢ Follow up in 3 days if fever persists</p> <p>➢ Advise the mother when to return immediately</p> <p>➢ If fever present every day for more than 7 days, refer for assessment</p>0..1display
.... Ccc.C10.IT.DE23<h1>Severe Complicated Measles</h1> <p>➢ <b>Give first dose of oral Vitamin A if the child has not had a dose within the past month and is not on <span class="caps">RUTF</span></b></p> <p>➢ <b>Give first dose of Intramuscular Cefotaxime</b></p> <p>➢ <b>Give one dose of oral Paracetamol for high fever (38.5°C or above).</b></p> <p>➢ <b>If clouding of the of cornea or pus draining from the eye, apply Tetracycline eye ointment 4 times daily until there is no pus discharge</b></p> <p>➢ <b>Treat to prevent low blood sugar.</b></p> <p>➢ <b>Refer <span class="caps">URGENTLY</span> to hospital.</b></p>0..1display
.... Ccc.C10.IT.DE24<h1>Measles with eye or mouth complication</h1> <p>➢ <b>Give oral Vitamin A if the child has not had a dose within the past month and is not on <span class="caps">RUTF</span> &#8211; first dose in clinic</b> and one dose to give at home the next day</p> <p>➢ <b>If pus draining from the eye, apply Tetracycline eye ointment 4 times daily until there is no pus discharge</b></p> <p>➢ If mouth ulcers, treat twice daily with gentian violet until 48 hrs after the ulcers have been cured</p> <p>➢ **Give one dose of oral Paracetamol in clinic for pain or high fever (38.5°C or above), continue to give every 6 hours (4 times / day) until pain/high fever gone. </p> <p>➢ Follow up in 3 days</p> <p>➢ Advise mother when to return immediately</p>0..1display
.... Ccc.C10.IT.DE25<h1>Possible Measles</h1> <p>➢ Send for blood sample</p> <p>➢ <b>Give oral Vitamin A if the child has not had a dose within the past month and is not on <span class="caps">RUTF</span> &#8211; first dose in clinic</b> and one dose to give at home the next day</p> <p>➢ Advise mother when to return immediately.</p>0..1display
.... Ccc.C10.IT.DE42<h1>Severe Anaemia</h1> <p>➢Treat to prevent low blood sugar</p> <p>➢Refer <b><span class="caps">URGENTLY</span></b> to hospital.</p>0..1display
.... Ccc.C10.IT.DE43<h1>Anaemia</h1> <p>➢Give oral Iron* once daily for 14 days</p> <p>➢Assess the child`s feeding and counsel the mother on feeding according to the <span class="caps">FOOD</span> box or the <span class="caps">COUNSEL</span> <span class="caps">THE</span> <span class="caps">MOTHER</span> chart.</p> <p>➢Advise mother when to return immediately</p> <p>➢If feeding problem, follow-up in 5 days.</p> <p>➢Follow -up in 14 days &amp; do Hb;</p> <p>➢If no improvement or rise in Hb refer.</p> <p>*Except if the child has sickle cell aneamia or thalassaemia or family history of any hemolytic disease e.g., G6PD which need urgent treatment. <ul> <li>Signs of hemolysis: Jaundice, change color of urine, sudden severe pallor, weakness.</li> </ul></li></p>0..1display
.... Ccc.C10.IT.DE44<h1>No Anaemia</h1> <p>➢Counsel the mother on feeding.</p>0..1display
.... Ccc.C10.IT.DE26<h1>Eye Infection</h1> <p>➢ <b>If pus draining from the eye, apply Tetracycline eye ointment 4 times daily until there is no pus discharge</b></p>0..1display
.... Ccc.C10.IT.DE27<h1>Clouding of the Cornea</h1> <p>➢If clouding of the cornea is new or not previously treated, <span class="caps">REFER</span></p>0..1display
.... Ccc.C10.IT.DE28<h1>Papular Urticaria or Papular Pruritic Eruptions</h1> <p>➢Trim finger nails and avoid scratching.</p> <ul> <li>Apply 1% hydrocortisone to new, inflamed lesions for five days.</li> <li>Give oral antihistamine to relieve itch: <ul> <li>Short term use: Chlorphenamine, oral, 0.1mg/kg/ dose 6-8 hourly</li> <li>Long term use for children 2-6 years: Cetirizine,oral, 5mg once daily</li> <li>Caution: Do not give antihistamines to children< 2 years of age.</li> </ul></li> </ul> <p>➢Refer if no improvement after 2 weeks or if underlying malignancy or systemic disease is suspected.</p>0..1display
.... Ccc.C10.IT.DE29<h1>Ringworm (tinea)</h1> <p>➢Avoid sharing clothes, towels and toiletries (e.g. brushes and combs) to prevent spreading the infection to others.</p> <ul> <li>Wash and dry skin well before applying treatment.</li> <li>Apply an imidazole (e.g. clotrimazole 1% cream) three times daily until two weeks after lesions have cleared.</li> <li>For scalp infections (tinea capitis) give oral fluconazole 6mg/kg once daily for 28 days</li> </ul>0..1display
.... Ccc.C10.IT.DE30<h1>Scabies</h1> <p>➢All close contacts should be treated simultaneously (even if not itchy).</p> <ul> <li>Wash all bed linen and underwear in hot water</li> <li>Expose all bedding to direct sunlight.</li> <li>Put on clean clothes after treatment.  <br /> ➢Treat the child and contacts under 6 years of age with Permethrin:</li> </ul> <ul> <li>Apply permethrin 5% lotion. Leave on overnight and washoff in the morning (may be repeated after one week).</li> <li>Treatment may need to be repeated after one week.</li> <li>Treat secondary bacterial infection, if present, with Oral Cephalexin 12-25mg/kg/dose 6 hourly for 5 days</li> </ul> <p>➢Treat contacts over 6 years of age with Benzyl Benzoate:</p> <ul> <li>Apply benzyl benzoate 25% from the neck to the toes. Allow the lotion to remain on the body for 24 hours, then wash off using soap and water</li> <li>Treatment may need to be repeated after one week.</li> </ul>0..1display
.... Ccc.C10.IT.DE31<h1>Chickenpox</h1> <p>➢Limit contact with other children and pregnant women until all lesions have crusted.</p> <ul> <li>Ensure adequate hydration.</li> <li>Cut fingernails short and discourage scratching.</li> <li>Treat itching: <ul> <li>Apply calamine lotion</li> <li>In severe cases, give an oral antihistamine:Chlorphenamine 0.1 mg/kg/dose 6–8 hourly NB: Only children >2 years.</li> </ul></li> </ul> <p>➢Refer urgently if severe rash or complications (e.g. pneumonia, jaundice, meningitis, myocarditis, hepatitis).</p>0..1display
.... Ccc.C10.IT.DE32<h1>Herpes Zoster</h1> <p>➢Keep lesions clean and dry. <ul> <li>Acyclovir 20 mg/kg 4 times daily for 7 days.</li> <li>Give oral Paracetamol for pain relief, continue to give every 6 hours (4 times / day) until pain gone</li> <li>Follow up in 7 days.</li> <li>Refer if disseminated disease, involvement of the eye, pneumonia or features meningitis.</li> <li>Monitor for secondary bacterial infection &#8211; if present, treat with Oral Cephalexin 12-25mg/kg/dose 6 hourly for 5 days</li> </ul></p>0..1display
.... Ccc.C10.IT.DE33<h1>Impetigo</h1> <p>➢Good personal and household hygiene to avoid spread of infection.</p> <p>➢Wash and soak sores in soapy water to soften and remove crusts.</p> <p>➢Apply antiseptic 8 hourly: Povidone iodine 5% cream or 10% ointment.</p> <p>➢Drain pus if fluctuant.</p> <p>➢Give antibiotic if extensive lesions: Cephalexin, oral, 12-25mg/kg/dose 6 hourly for 5 days</p> <p>➢Refer urgently if child has fever and or if infection extends to the muscles.</p>0..1display
.... Ccc.C10.IT.DE34<h1>Molluscum Contagiosum</h1> <p>➢Allow to heal spontaneously if few in number. <ul> <li>Apply a tincture of iodine BP to the core of individual lesions using an applicator.</li> <li>Refer children with: <ul> <li>Extensive lesions</li> </ul></li> </ul></p> <p>   &#8211; No response to treatment</p> <p>   &#8211; Lesions close to the eye (to an ophthalmologist).</p>0..1display
.... Ccc.C10.IT.DE35<h1>Warts</h1> <p>➢May be left alone to wait for improvement</p> <p>➢Apply salicylic acid 15-20% to the warts <ul> <li>Protect surrounding skin with petroleum jelly</li> <li>Apply daily to the wart and allow to dry</li> <li>Occlude for 24 hours-Soften lesions by soaking in warm water, and remove loosened keratin.</li> <li>Repeat process daily until the warts disappear.</li> </ul></li></p> <p>➢Refer if extensive</p>0..1display
.... Ccc.C10.IT.DE36<h1>Seborrhoeic Dermatitis</h1> <p>➢Apply hydrocortisone 1% cream to the face and flexures.</p> <ul> <li>For scalp itching, scaling and dandruff: wash hair and scalp 2-3 times a week with selenium suphide 2.5% suspension.</li> <li>If severe, <span class="caps">REFER</span>.</li> </ul>0..1display
.... Ccc.C10.IT.DE37<h1>Fixed Drug Reaction</h1> <p>➢ Stop the offending medication.</p> <ul> <li>In mild cases, apply 1% hydrocortisone for five days.</li> <li>Discuss all cases with a doctor.</li> </ul>0..1display
.... Ccc.C10.IT.DE38<h1>Eczema</h1> <p>➢ Bath in warm water using soap substitutes only once daily.</p> <ul> <li>Dry skin gently.</li> <li>Apply Hydrocortisone 1% cream followed by application of moisturizer (emulsifying ointment).</li> <li>If over 2 years of age treat itching oral chlorphenamine 0.1 mg/kg/dose 6–8hourly</li> <li>Treat secondary infection: Oral Cephalexin, 12–25 mg/kg/dose 6 hourly for 5 days OR: Oral Flucloxacillin, 12–25mg/kg/dose 6 hourly for 5 days.</li> <li>Refer if: <ul> <li>severe acute moist or weeping eczema is present</li> <li>no improvement after two weeks</li> <li>Secondary herpes infection (eczema herpeticum) is suspected</li> </ul></li> </ul>0..1display
.... Ccc.C10.IT.DE39<h1>Steven Johnson Syndrome (<span class="caps">SJS</span>)</h1> <p>➢ Stop medication</p> <ul> <li><span class="caps">REFER</span> <span class="caps">URGENTLY</span></li> <li>Give frequent sips of <span class="caps">ORS</span> on way to hospital</li> <li>Give one dose of oral Paracetamol for pain pre-referral</li> </ul>0..1display
.... Ccc.C10.IT.DE40h1.Mouth Sores or Ulcer</p> <p>➢ Treat mouth ulcers twice daily with gentian violet until 48 hrs after the ulcers have been cured</p> <p>➢ Give oral Paracetamol every 6 hours (4 times / day) for pain until pain is gone</p> <p>➢ Refer if mouth ulcers deep or extensive0..1display
.... Ccc.C10.IT.DE41<h1>Oral Thrush</h1> <p>➢ Give half-strength gentian violet (0.25%) 4 times daily for 7 days.</p>0..1display
.... Ccc.C10.IT.DE45<h1>Very Low Weight for Age</h1> <p>➢ Refer to nutrition clinic for further assessment</p>0..1display
.... Ccc.C10.IT.DE46<h1>Low Weight for Age</h1> <p>➢ Refer to nutrition clinic for further assessment</p>0..1display
.... Ccc.C10.IT.DE47<h1>How Muac or Visual Report of Wasting</h1> <p>➢ Refer to nutrition clinic for further assessment</p>0..1display
... yinull0..1group
.... Ccc.C10.IT.DE48<h1>Possible Serious Bacterial Infection or Very Severe Disease</h1> <p>➢ <b>Give first dose of intramuscuar (IM) antibiotics</b></p> <ul> <li><b>Give a first dose of intramuscular gentamicin</b></li> </ul> <span class="caps">AND</span> <ul> <li><b>Give a first dose of intramuscular ampicillin. OR, if IM ampicillin is not avaialble, give a first dose of oral amoxicillin, at the dose indicated for Pneumonia</b></li> </ul> <p>➢ <b>Treat to prevent low blood sugar</b></p> <p>➢ <b>Advise the mother on how to keep infant warm on the way to hospital</b></p> <p>➢ <b>Refer <span class="caps">URGENTLY</span> to hospital</b> </p> <p>OR</p> <p>➢ <b>If referral <span class="caps">REFUSED</span> or <span class="caps">NOT</span> <span class="caps">FEASIBLE</span> treat in the clinic untill referral is feasible  (see charts on pages 12-13, and 19-20 and Treat Possible Serious Bacterial Infection or Very Severe Disease if referral is refused or is not feasible)</b></p>0..1display
.... Ccc.C10.IT.DE49<h1>Pneumonia</h1> <p>➢ <b>Give oral amoxicillin 2 times per day, for 7 days</b></p> <p>➢ Advise the mother to give home care</p> <p>➢ Follow up in 3 days</p>0..1display
.... Ccc.C10.IT.DE50<h1>Local Infection</h1> <p>➢ <b>Give oral amoxicillin 2 times per day, for 5 days</b></p> <p>➢ Teach the mother how to treat local infections at home</p> <p>➢ Advise the mother to give home care</p> <p>➢ Follow up in 2 days</p>0..1display
.... Ccc.C10.IT.DE51<h1>Infection Unlikely</h1> <p>➢Advise the mother on giving home care to the young infant</p>0..1display
.... Ccc.C10.IT.DE52Severe Jaundice</p> <p>➢ <b>Treat to prevent low blood sugar</b></p> <p>➢ <b>Advise the mother how to keep the infant warm on the way to the hospital</b></p> <p>➢ <b>Refer <span class="caps">URGENTLY</span> to hospital</b>0..1display
.... Ccc.C10.IT.DE53<h1>Jaundice</h1> <p>➢Advise the mother to give home care</p> <p>➢Advise the mother to return immediately if the infant&#8217;s palms or soles appear yellow</p> <p>➢If young infant is older than 3 weeks, refer to hospital for assessment</p> <p>➢Follow-up in 1 day</p>0..1display
.... Ccc.C10.IT.DE54<h1>No Jaundice</h1> <p>➢Advise the mother on giving home care to the young infant</p>0..1display
.... Ccc.C10.IT.DE55<h1>Severe Dehydration</h1> <p>➢ <b>If infant has no other severe classification:</b></p> <ul> <li><b>Give fluid for Severe Dehydration (Plan A ) OR</b></li> </ul> <p>➢ <b>If infant has another severe classification:</b></p> <ul> <li><b>Refer <span class="caps">URGENTLY</span> to hospital with the mother giving frequent sips of oral rehydration salts (<span class="caps">ORS</span>) on the way.</b></li> <li><b>Advise the mother to continue breastfeeding.</b></li> </ul> <p>➢ <b>Advise the mother how to keep the infant warm on the way to the hospital.</b></p>0..1display
.... Ccc.C10.IT.DE56<h1>Some Dehydration</h1> <p>➢Give fluid and breastmilk for Some Dehydration (Plan B)</p> <p>OR</p> <p>➢ <b>If the infant has another severe classification:</b></p> <ul> <li><b>Refer <span class="caps">URGENTLY</span> to hospital with the mother giving frequent sips of <span class="caps">ORS</span> on the way</b></li> <li><b>Advise the mother to continue breast feeding</b></li> </ul> <p>➢Advise the mother when to return immediately</p> <p>➢Follow-up in 2 days if no improvement</p>0..1display
.... Ccc.C10.IT.DE57<h1>No Dehydration</h1> <p>➢Give fluids and breastmilk to treat diarrhoea at home (Plan A)</p> <p>➢Advise the mother when to return immediately</p> <p>➢Follow-up in 2 days if no improvement</p>0..1display
.... Ccc.C10.IT.DE58<h1>Very Low Weight for Age</h1> <p>➢ <b><span class="caps">REFER</span> to hospital for Kangaroo Mother Care</b></p> <p>➢ <b>Treat to prevent low blood sugar</b></p> <p>➢ <b>Advise the mother to keep the young infant warm on the way to hospital</b></p>0..1display
.... Ccc.C10.IT.DE59<h1>No Feeding Problem</h1> <p>➢Advise mother on giving home care to the young infant</p> <p>➢Praise the mother for feeding the infant well</p> <p>➢If not breastfed, advise mother to continue feeding, and ensure good hygiene</p>0..1display
.... Ccc.C10.IT.DE60<h1>Feeding Problem and / or Low Weight for Age</h1> <p>➢Among infants who are breastfed:</p> <ul> <li>If not well attached or not sucking effectively, teach correct positioning and attachment</li> <li>If not able to attach well immediately, teach the mother to express breastmilk and feed from a cup</li> <li>If breastfeeding less than 8 times in 24 hours, advise the mother to increase the frequency and to breastfeed as often and for as long as the infant wants, day and night</li> <li>If the infant is receiving other foods or drinks, counsel the mother to increase breastfeeding, reduce other foods and drink and use a cup</li> </ul> <p>➢Among infants who are not breastfed: </p> <ul> <li>Counsel about feeding</li> <li>Explain the guidelines for safe replacement feeding and correct preparation of breastmilk substitutes</li> <li>Identify concerns of mother and family about feeding</li> <li>If mother is using a bottle, teach cup feeding</li> <li>Refer for breastfeeding counselling and possible relactation if the mother is alive and caring for the infant</li> </ul> <p>➢If Low Weight for Age, advise the mother on how to feed and keep the low-weight infant warm at home</p> <p>➢If the infant has thrush, teach the mother to treat thrush at home</p> <ul> <li>Give half-strength gentian violet (0.25%) 4 times daily for 7 days. Paint the mouth with gentian violet using a clean soft cloth wrapped around the finger. If gentian violet is not  avaialble, write a prescription for the medication for the mother and urge her to visit a pharmacy to purchase the medication.  <br /> ➢Advise the mother on giving home care to the young infant</li> </ul> <p>➢Follow up Feeding Problem or Thrush in 2 days</p> <p>➢Among infants who are breastfed, follow up infants who have Low Weight for Age within 14 days</p> <p>➢Among infants who are not breastfed, follow up infants who have Low Weight for Age within 7 days</p>0..1display
... load-Ccc.C10.IT.DE01null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE02null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE03null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE04null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE05null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE06null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE07null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE08null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE09null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE10null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE11null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE12null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE13null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE14null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE15null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE16null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE17null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE18null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE19null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE20null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE21null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE22null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE23null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE24null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE25null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE42null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE43null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE44null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE26null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE27null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE28null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE29null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE30null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE31null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE32null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE33null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE34null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE35null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE36null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE37null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE38null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE39null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE40null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE41null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE45null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE46null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE47null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE48null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE49null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE50null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE51null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE52null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE53null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE54null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE55null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE56null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE57null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE58null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE59null0..1booleaniconiconiconicon
... load-Ccc.C10.IT.DE60null0..1booleaniconiconiconicon
... timestampnull0..1dateTimeiconicon

doco Documentation for this format
 <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"/> <type value="integer"/> <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='AgeInMonths').answer.first().value>=2"/> </valueExpression> </extension> <linkId value="child"/> <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='load-Ccc.C10.IT.DE01').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE01"/> <text value="<h1>Very Severe Disease</h1> <p>➢ <b>Give one dose of rectal diazepam if convulsing now, repeat after 10 minutes if convulsion has not stopped</b></p> <p>➢ <b>Give any pre-referral treatment immediately</b></p> <p>➢ <b>Treat to prevent low blood sugar</b></p> <p>➢ <b>Keep the child warm</b></p> <p>➢ <b>Refer <span class="caps">URGENTLY</span> to hospital*.</b></p> <p>*Exception: If lethargy is the only sign and child is dehydrated, rehydrated and assess.</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE02').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE02"/> <text value="<h1>Severe Pneumonia or Very Severe Disease</h1> <p>➢ <b>Give first dose of intramuscular Cefotaxime</b></p> <p>➢If wheezing present, give one dose of rapid acting bronchodilator* pre-referral</p> <p>➢Treat the child to prevent low blood sugar</p> <p>➢Refer <span class="caps">URGENTLY</span> to hospital</p> <p>*Nebulized salbutamol, salbutamol inhaler with spacer, or subcutaneous epinephrine (adrenaline)</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE03').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE03"/> <text value="<h1>Pneumonia</h1> <p>➢**Give oral Amoxicillin twice daily for 5 days**</p> <p>➢If wheezing (or disappeared after inhaled salbutamol) give inhaled or oral salbutamol three times a day for 5 days*</p> <p>➢Soothe the throat and relieve the cough with a safe remedy.</p> <p>➢If coughing for ≥14 days or recurrent wheeze, refer for possible TB or asthma assessment</p> <p>➢Advise mother when to return immediately</p> <p>➢Follow-up in 3 days</p> <p>➢Give oral Zinc once daily for 10-14 days.</p> <p>*If inhaled bronchodilator is not available, oral salbutamol may be tried but not recommended for treatment of severe acute wheeze.</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE04').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE04"/> <text value="<h1>Cough or Cold</h1> <p>➢If wheezing (or disappeared after inhaled salbutamol) give inhaled or oral salbutamol three times a day for 5 days**</p> <p>➢Soothe the throat and relieve the cough with a safe remedy.</p> <p>➢If coughing for ≥14 days or recurrent wheeze, refer for possible TB or asthma assessment</p> <p>➢Advise mother when to return immediately</p> <p>➢Follow-up in 5 days if not improving</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE05').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE05"/> <text value="<h1>Severe Dehydration</h1> <p>➢ If child has no other severe classification:* Give fluid for severe dehydration (plan C) OR</p> <p>➢ <b>If child also has another severe classification:</b></p> * <b>Refer <span class="caps">URGENTLY</span> to hospital with mother giving frequent sips of <span class="caps">ORS</span> on the way.</b> * <b>Advise the mother to continue breastfeeding.</b> <p>➢If child is 2 years or older and there is cholera in your area, give oral co-trimoxazole twice daily for 3 days or oral erythromycin 4 times a day for 3 days for cholera.</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE06').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE06"/> <text value="<h1>Some Dehydration</h1> <p>➢Give Plan B for some dehydration:</p> <ul> <li>Give <span class="caps">ORS</span> over 4 hrs in clinic, reassess for dehydration and select appropriate plan to continue treatment</li> </ul> <ul> <li>If mother must leave before completing treatment, give <span class="caps">ORS</span> for 4 hr Plan B treatment plus 2 packets as recommended in Plan A</li> <li>At home, give extra fluid (as much as the child will take)</li> <li>Give oral Zinc once daily for 10 &#8211; 14 days</li> <li>Continue feeding (exclusive breastfeeding if under 6 months)</li> </ul> <p>➢ <b>If child also has another severe classification:</b></p> <ul> <li><b>Refer <span class="caps">URGENTLY</span> to hospital with mother giving frequent sips of <span class="caps">ORS</span> on the way.</b></li> <li><b>Advise the mother to continue breastfeeding.</b></li> </ul> <p>➢Advise mother when to return immediately.</p> <p>➢Follow-up in 5 days if not improving.</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE07').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE07"/> <text value="<h1>No Dehydration</h1> <p>➢Give Plan A for no dehydration:</p> <ul> <li>Give extra fluid (as much as the child will take)</li> <li>Teach mother how to give <span class="caps">ORS</span> and give 2 packets to use at home</li> <li>Give oral Zinc once daily for 14 days</li> <li>Continue feeding (exclusive breastfeeding if under 6 months)</li> </ul> <p>➢ <b>If child also has another severe classification:</b></p> <ul> <li><b>Refer <span class="caps">URGENTLY</span> to hospital with mother giving frequent sips of <span class="caps">ORS</span> on the way.</b></li> <li><b>Advise the mother to continue breastfeeding.</b></li> </ul> <p>➢Advise mother when to return immediately.</p> <p>➢Follow-up in 5 days if not improving.</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE08').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE08"/> <text value="<h1>Severe Persistent Diarrhoea</h1> <p>➢Treat dehydration before referral unless the child has another severe classification.</p> <p>➢Refer to hospital.</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE09').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE09"/> <text value="<h1>Persistent Diarrhoea</h1> <p>➢Advise the mother on feeding a child who has persistent diarrhoea.</p> <p>➢Give multivitamins and minerals (including zinc once daily) for 14 days.</p> <p>➢Follow-up in 5 days.</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE10').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE10"/> <text value="<h1>Possible Shigella</h1> <p>➢Treat dehydration before referral unless the child has another severe classification.</p> <p>➢Refer to hospital.</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE11').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE11"/> <text value="<h1>Dysentery</h1> <p>➢Give Oral Metronidazole three times daily for 10 days.</p> <p>➢Treat dehydration if present.</p> <p>➢Follow-up in 3 days.</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE12').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE12"/> <text value="<h1>Throat Abscess or Possible Diptheria</h1> <p>➢ <b>Give first dose of intramuscular Procaine Penicillin pre-referral; if unavailable or allergic to penicillin give first dose of oral Erythromycin pre-referral.</b></p> <p>➢ <b>Give one dose of oral Paracetamol for pain or high fever (38.5°C or above).</b></p> <p>➢ <b><span class="caps">REFER</span> <span class="caps">URGENTLY</span> to hospital.</b></p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE13').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE13"/> <text value="<h1>Streptococcal Sore Throat</h1> <p>➢ <b>Give single dose of intramuscular benzathine penicillin, or if unavailable give oral amoxicillin twice daily for 10 days; if allergic to penicillin give oral erythromycin 4 times daily for 10 days</b></p> <p>➢ **Give oral paracetamol for pain or high fever (38.5°C or above), continue to give every 6 hours (4 times / day) until pain and/or high fever gone. **</p> <p>➢ Soothe the throat with a safe remedy.</p> <p>➢ Follow-up in 5 days if not improving.</p> <p>➢ Advise the mother when to return immediately</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE14').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE14"/> <text value="h1.Non-Streptococcal Sore Throat</p> <p>➢ <b>Give oral paracetamol for pain or high fever (38.5°C or above), continue to give every 6 hours (4 times / day) until pain/high fever gone.</b></p> <p>➢ Soothe the throat with a safe remedy.</p> <p>➢ Follow-up in 5 days if not improving.</p> <p>➢ Advise the mother when to return immediately"/> <type value="display"/> <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='load-Ccc.C10.IT.DE15').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE15"/> <text value="<h1>No Throat Problem</h1> <p>➢ <b>Give oral paracetamol for pain or high fever (38.5°C or above), continue to give every 6 hours (4 times / day) until pain /high fever gone.</b></p> <p>➢ Advise the mother when to return immediately</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE16').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE16"/> <text value="<h1>Mastoiditis</h1> <p>➢ <b>Give first dose of intramuscular Cefotaxime</b></p> <p>➢ <b>Give one dose of oral Paracetamol for pain or high fever (38.5°C or above).</b></p> <p>➢ <b>Refer <span class="caps">URGENTLY</span> to hospital</b></p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE17').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE17"/> <text value="<h1>Acute Ear Infection</h1> <p>➢ <b>Give an appropriate oral antibiotic:</b></p> <p>     * <b>First-line: Oral Amoxicillin twice daily for 10 days</b>      * <b>Second-line: Oral Co-trimoxazole twice daily for 10 days</b>      * <b>If allergic to amoxicillin and co-trimoxazole, give Oral Erythromycin 4 times daily for 10 days</b></p> <p>➢ <b>Give oral paracetamol for pain or high fever (38.5°C or above), continue to give every 6 hours (4 times / day) until pain/high fever gone.</b></p> <p>➢ If ear discharge: Dry the ear by wicking at least 3 times daily</p> <p>➢ Advise the mother when to return immediately.</p> <p>➢ Follow-up in 5 days</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE18').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE18"/> <text value="<h1>Chronic Ear Infection</h1> <p>➢ Dry the ear by wicking</p> <p>➢ Refer to <span class="caps">ENT</span> specialist.</p> <p>➢ <b>If ear pain or fever, give an appropriate oral antibiotic:</b></p> <ul> <li><b>First-line: Oral Amoxicillin twice daily for 10 days</b></li> <li><b>Second-line: Oral Co-trimoxazole twice daily for 10 days</b></li> <li><b>If allergic to amoxicillin and co-trimoxazole, give Oral Erythromycin 4 times daily for 10 days</b></li> </ul> <p>➢**Give one dose of oral Paracetamol in clinic for pain or high fever (38.5°C or above),** continue to give every 6 hours (4 times / day) until pain/high fever gone.</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE19').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE19"/> <text value="<h1>No Ear Infection</h1> <p>➢No treatment</p> <p>➢Refer to <span class="caps">ENT</span> specialist.</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE20').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE20"/> <text value="<h1>Very Severe Febrile Disease</h1> <p>➢ <b>Give first dose of intramuscular Cefotaxime</b></p> <p>➢ <b>Treat the child to prevent low blood sugar</b></p> <p>➢ <b>Give one dose of oral Paracetamol for high fever (38.5°C or above).</b></p> <p>➢ <b>Refer <span class="caps">URGENTLY</span> to hospital</b></p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE21').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE21"/> <text value="<h1>Fever: Possible Bacterial Infection</h1> <p>➢ Treat apparent cause of fever.</p> <p>➢ <b>Give one dose of oral Paracetamol in clinic for high fever (38.5°C or above).</b> continue to give every 6 hours (4 times / day) until high fever gone. </p> <p>➢ Follow up in 3 days if fever persists</p> <p>➢ Advise the mother when to return immediately</p> <p>➢ If fever present every day for more than 7 days, refer for assessment</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE22').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE22"/> <text value="<h1>Fever: Bacterial Infection Unlikely</h1> <p>➢ <b>Give one dose of oral Paracetamol in clinic for high fever (38.5°C or above).</b> continue to give every 6 hours (4 times / day) until high fever gone. </p> <p>➢ Follow up in 3 days if fever persists</p> <p>➢ Advise the mother when to return immediately</p> <p>➢ If fever present every day for more than 7 days, refer for assessment</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE23').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE23"/> <text value="<h1>Severe Complicated Measles</h1> <p>➢ <b>Give first dose of oral Vitamin A if the child has not had a dose within the past month and is not on <span class="caps">RUTF</span></b></p> <p>➢ <b>Give first dose of Intramuscular Cefotaxime</b></p> <p>➢ <b>Give one dose of oral Paracetamol for high fever (38.5°C or above).</b></p> <p>➢ <b>If clouding of the of cornea or pus draining from the eye, apply Tetracycline eye ointment 4 times daily until there is no pus discharge</b></p> <p>➢ <b>Treat to prevent low blood sugar.</b></p> <p>➢ <b>Refer <span class="caps">URGENTLY</span> to hospital.</b></p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE24').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE24"/> <text value="<h1>Measles with eye or mouth complication</h1> <p>➢ <b>Give oral Vitamin A if the child has not had a dose within the past month and is not on <span class="caps">RUTF</span> &#8211; first dose in clinic</b> and one dose to give at home the next day</p> <p>➢ <b>If pus draining from the eye, apply Tetracycline eye ointment 4 times daily until there is no pus discharge</b></p> <p>➢ If mouth ulcers, treat twice daily with gentian violet until 48 hrs after the ulcers have been cured</p> <p>➢ **Give one dose of oral Paracetamol in clinic for pain or high fever (38.5°C or above), continue to give every 6 hours (4 times / day) until pain/high fever gone. </p> <p>➢ Follow up in 3 days</p> <p>➢ Advise mother when to return immediately</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE25').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE25"/> <text value="<h1>Possible Measles</h1> <p>➢ Send for blood sample</p> <p>➢ <b>Give oral Vitamin A if the child has not had a dose within the past month and is not on <span class="caps">RUTF</span> &#8211; first dose in clinic</b> and one dose to give at home the next day</p> <p>➢ Advise mother when to return immediately.</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE42').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE42"/> <text value="<h1>Severe Anaemia</h1> <p>➢Treat to prevent low blood sugar</p> <p>➢Refer <b><span class="caps">URGENTLY</span></b> to hospital.</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE43').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE43"/> <text value="<h1>Anaemia</h1> <p>➢Give oral Iron* once daily for 14 days</p> <p>➢Assess the child`s feeding and counsel the mother on feeding according to the <span class="caps">FOOD</span> box or the <span class="caps">COUNSEL</span> <span class="caps">THE</span> <span class="caps">MOTHER</span> chart.</p> <p>➢Advise mother when to return immediately</p> <p>➢If feeding problem, follow-up in 5 days.</p> <p>➢Follow -up in 14 days &amp; do Hb;</p> <p>➢If no improvement or rise in Hb refer.</p> <p>*Except if the child has sickle cell aneamia or thalassaemia or family history of any hemolytic disease e.g., G6PD which need urgent treatment. <ul> <li>Signs of hemolysis: Jaundice, change color of urine, sudden severe pallor, weakness.</li> </ul></li></p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE44').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE44"/> <text value="<h1>No Anaemia</h1> <p>➢Counsel the mother on feeding.</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE26').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE26"/> <text value="<h1>Eye Infection</h1> <p>➢ <b>If pus draining from the eye, apply Tetracycline eye ointment 4 times daily until there is no pus discharge</b></p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE27').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE27"/> <text value="<h1>Clouding of the Cornea</h1> <p>➢If clouding of the cornea is new or not previously treated, <span class="caps">REFER</span></p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE28').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE28"/> <text value="<h1>Papular Urticaria or Papular Pruritic Eruptions</h1> <p>➢Trim finger nails and avoid scratching.</p> <ul> <li>Apply 1% hydrocortisone to new, inflamed lesions for five days.</li> <li>Give oral antihistamine to relieve itch: <ul> <li>Short term use: Chlorphenamine, oral, 0.1mg/kg/ dose 6-8 hourly</li> <li>Long term use for children 2-6 years: Cetirizine,oral, 5mg once daily</li> <li>Caution: Do not give antihistamines to children< 2 years of age.</li> </ul></li> </ul> <p>➢Refer if no improvement after 2 weeks or if underlying malignancy or systemic disease is suspected.</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE29').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE29"/> <text value="<h1>Ringworm (tinea)</h1> <p>➢Avoid sharing clothes, towels and toiletries (e.g. brushes and combs) to prevent spreading the infection to others.</p> <ul> <li>Wash and dry skin well before applying treatment.</li> <li>Apply an imidazole (e.g. clotrimazole 1% cream) three times daily until two weeks after lesions have cleared.</li> <li>For scalp infections (tinea capitis) give oral fluconazole 6mg/kg once daily for 28 days</li> </ul>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE30').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE30"/> <text value="<h1>Scabies</h1> <p>➢All close contacts should be treated simultaneously (even if not itchy).</p> <ul> <li>Wash all bed linen and underwear in hot water</li> <li>Expose all bedding to direct sunlight.</li> <li>Put on clean clothes after treatment.  <br /> ➢Treat the child and contacts under 6 years of age with Permethrin:</li> </ul> <ul> <li>Apply permethrin 5% lotion. Leave on overnight and washoff in the morning (may be repeated after one week).</li> <li>Treatment may need to be repeated after one week.</li> <li>Treat secondary bacterial infection, if present, with Oral Cephalexin 12-25mg/kg/dose 6 hourly for 5 days</li> </ul> <p>➢Treat contacts over 6 years of age with Benzyl Benzoate:</p> <ul> <li>Apply benzyl benzoate 25% from the neck to the toes. Allow the lotion to remain on the body for 24 hours, then wash off using soap and water</li> <li>Treatment may need to be repeated after one week.</li> </ul>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE31').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE31"/> <text value="<h1>Chickenpox</h1> <p>➢Limit contact with other children and pregnant women until all lesions have crusted.</p> <ul> <li>Ensure adequate hydration.</li> <li>Cut fingernails short and discourage scratching.</li> <li>Treat itching: <ul> <li>Apply calamine lotion</li> <li>In severe cases, give an oral antihistamine:Chlorphenamine 0.1 mg/kg/dose 6–8 hourly NB: Only children >2 years.</li> </ul></li> </ul> <p>➢Refer urgently if severe rash or complications (e.g. pneumonia, jaundice, meningitis, myocarditis, hepatitis).</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE32').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE32"/> <text value="<h1>Herpes Zoster</h1> <p>➢Keep lesions clean and dry. <ul> <li>Acyclovir 20 mg/kg 4 times daily for 7 days.</li> <li>Give oral Paracetamol for pain relief, continue to give every 6 hours (4 times / day) until pain gone</li> <li>Follow up in 7 days.</li> <li>Refer if disseminated disease, involvement of the eye, pneumonia or features meningitis.</li> <li>Monitor for secondary bacterial infection &#8211; if present, treat with Oral Cephalexin 12-25mg/kg/dose 6 hourly for 5 days</li> </ul></p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE33').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE33"/> <text value="<h1>Impetigo</h1> <p>➢Good personal and household hygiene to avoid spread of infection.</p> <p>➢Wash and soak sores in soapy water to soften and remove crusts.</p> <p>➢Apply antiseptic 8 hourly: Povidone iodine 5% cream or 10% ointment.</p> <p>➢Drain pus if fluctuant.</p> <p>➢Give antibiotic if extensive lesions: Cephalexin, oral, 12-25mg/kg/dose 6 hourly for 5 days</p> <p>➢Refer urgently if child has fever and or if infection extends to the muscles.</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE34').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE34"/> <text value="<h1>Molluscum Contagiosum</h1> <p>➢Allow to heal spontaneously if few in number. <ul> <li>Apply a tincture of iodine BP to the core of individual lesions using an applicator.</li> <li>Refer children with: <ul> <li>Extensive lesions</li> </ul></li> </ul></p> <p>   &#8211; No response to treatment</p> <p>   &#8211; Lesions close to the eye (to an ophthalmologist).</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE35').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE35"/> <text value="<h1>Warts</h1> <p>➢May be left alone to wait for improvement</p> <p>➢Apply salicylic acid 15-20% to the warts <ul> <li>Protect surrounding skin with petroleum jelly</li> <li>Apply daily to the wart and allow to dry</li> <li>Occlude for 24 hours-Soften lesions by soaking in warm water, and remove loosened keratin.</li> <li>Repeat process daily until the warts disappear.</li> </ul></li></p> <p>➢Refer if extensive</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE36').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE36"/> <text value="<h1>Seborrhoeic Dermatitis</h1> <p>➢Apply hydrocortisone 1% cream to the face and flexures.</p> <ul> <li>For scalp itching, scaling and dandruff: wash hair and scalp 2-3 times a week with selenium suphide 2.5% suspension.</li> <li>If severe, <span class="caps">REFER</span>.</li> </ul>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE37').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE37"/> <text value="<h1>Fixed Drug Reaction</h1> <p>➢ Stop the offending medication.</p> <ul> <li>In mild cases, apply 1% hydrocortisone for five days.</li> <li>Discuss all cases with a doctor.</li> </ul>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE38').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE38"/> <text value="<h1>Eczema</h1> <p>➢ Bath in warm water using soap substitutes only once daily.</p> <ul> <li>Dry skin gently.</li> <li>Apply Hydrocortisone 1% cream followed by application of moisturizer (emulsifying ointment).</li> <li>If over 2 years of age treat itching oral chlorphenamine 0.1 mg/kg/dose 6–8hourly</li> <li>Treat secondary infection: Oral Cephalexin, 12–25 mg/kg/dose 6 hourly for 5 days OR: Oral Flucloxacillin, 12–25mg/kg/dose 6 hourly for 5 days.</li> <li>Refer if: <ul> <li>severe acute moist or weeping eczema is present</li> <li>no improvement after two weeks</li> <li>Secondary herpes infection (eczema herpeticum) is suspected</li> </ul></li> </ul>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE39').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE39"/> <text value="<h1>Steven Johnson Syndrome (<span class="caps">SJS</span>)</h1> <p>➢ Stop medication</p> <ul> <li><span class="caps">REFER</span> <span class="caps">URGENTLY</span></li> <li>Give frequent sips of <span class="caps">ORS</span> on way to hospital</li> <li>Give one dose of oral Paracetamol for pain pre-referral</li> </ul>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE40').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE40"/> <text value="h1.Mouth Sores or Ulcer</p> <p>➢ Treat mouth ulcers twice daily with gentian violet until 48 hrs after the ulcers have been cured</p> <p>➢ Give oral Paracetamol every 6 hours (4 times / day) for pain until pain is gone</p> <p>➢ Refer if mouth ulcers deep or extensive"/> <type value="display"/> <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='load-Ccc.C10.IT.DE41').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE41"/> <text value="<h1>Oral Thrush</h1> <p>➢ Give half-strength gentian violet (0.25%) 4 times daily for 7 days.</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE45').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE45"/> <text value="<h1>Very Low Weight for Age</h1> <p>➢ Refer to nutrition clinic for further assessment</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE46').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE46"/> <text value="<h1>Low Weight for Age</h1> <p>➢ Refer to nutrition clinic for further assessment</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE47').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE47"/> <text value="<h1>How Muac or Visual Report of Wasting</h1> <p>➢ Refer to nutrition clinic for further assessment</p>"/> <type value="display"/> <required value="false"/> <repeats value="false"/> </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='AgeInMonths').answer.first().value<2"/> </valueExpression> </extension> <linkId value="yi"/> <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='load-Ccc.C10.IT.DE48').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE48"/> <text value="<h1>Possible Serious Bacterial Infection or Very Severe Disease</h1> <p>➢ <b>Give first dose of intramuscuar (IM) antibiotics</b></p> <ul> <li><b>Give a first dose of intramuscular gentamicin</b></li> </ul> <span class="caps">AND</span> <ul> <li><b>Give a first dose of intramuscular ampicillin. OR, if IM ampicillin is not avaialble, give a first dose of oral amoxicillin, at the dose indicated for Pneumonia</b></li> </ul> <p>➢ <b>Treat to prevent low blood sugar</b></p> <p>➢ <b>Advise the mother on how to keep infant warm on the way to hospital</b></p> <p>➢ <b>Refer <span class="caps">URGENTLY</span> to hospital</b> </p> <p>OR</p> <p>➢ <b>If referral <span class="caps">REFUSED</span> or <span class="caps">NOT</span> <span class="caps">FEASIBLE</span> treat in the clinic untill referral is feasible  (see charts on pages 12-13, and 19-20 and Treat Possible Serious Bacterial Infection or Very Severe Disease if referral is refused or is not feasible)</b></p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE49').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE49"/> <text value="<h1>Pneumonia</h1> <p>➢ <b>Give oral amoxicillin 2 times per day, for 7 days</b></p> <p>➢ Advise the mother to give home care</p> <p>➢ Follow up in 3 days</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE50').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE50"/> <text value="<h1>Local Infection</h1> <p>➢ <b>Give oral amoxicillin 2 times per day, for 5 days</b></p> <p>➢ Teach the mother how to treat local infections at home</p> <p>➢ Advise the mother to give home care</p> <p>➢ Follow up in 2 days</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE51').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE51"/> <text value="<h1>Infection Unlikely</h1> <p>➢Advise the mother on giving home care to the young infant</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE52').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE52"/> <text value="Severe Jaundice</p> <p>➢ <b>Treat to prevent low blood sugar</b></p> <p>➢ <b>Advise the mother how to keep the infant warm on the way to the hospital</b></p> <p>➢ <b>Refer <span class="caps">URGENTLY</span> to hospital</b>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE53').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE53"/> <text value="<h1>Jaundice</h1> <p>➢Advise the mother to give home care</p> <p>➢Advise the mother to return immediately if the infant&#8217;s palms or soles appear yellow</p> <p>➢If young infant is older than 3 weeks, refer to hospital for assessment</p> <p>➢Follow-up in 1 day</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE54').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE54"/> <text value="<h1>No Jaundice</h1> <p>➢Advise the mother on giving home care to the young infant</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE55').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE55"/> <text value="<h1>Severe Dehydration</h1> <p>➢ <b>If infant has no other severe classification:</b></p> <ul> <li><b>Give fluid for Severe Dehydration (Plan A ) OR</b></li> </ul> <p>➢ <b>If infant has another severe classification:</b></p> <ul> <li><b>Refer <span class="caps">URGENTLY</span> to hospital with the mother giving frequent sips of oral rehydration salts (<span class="caps">ORS</span>) on the way.</b></li> <li><b>Advise the mother to continue breastfeeding.</b></li> </ul> <p>➢ <b>Advise the mother how to keep the infant warm on the way to the hospital.</b></p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE56').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE56"/> <text value="<h1>Some Dehydration</h1> <p>➢Give fluid and breastmilk for Some Dehydration (Plan B)</p> <p>OR</p> <p>➢ <b>If the infant has another severe classification:</b></p> <ul> <li><b>Refer <span class="caps">URGENTLY</span> to hospital with the mother giving frequent sips of <span class="caps">ORS</span> on the way</b></li> <li><b>Advise the mother to continue breast feeding</b></li> </ul> <p>➢Advise the mother when to return immediately</p> <p>➢Follow-up in 2 days if no improvement</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE57').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE57"/> <text value="<h1>No Dehydration</h1> <p>➢Give fluids and breastmilk to treat diarrhoea at home (Plan A)</p> <p>➢Advise the mother when to return immediately</p> <p>➢Follow-up in 2 days if no improvement</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE58').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE58"/> <text value="<h1>Very Low Weight for Age</h1> <p>➢ <b><span class="caps">REFER</span> to hospital for Kangaroo Mother Care</b></p> <p>➢ <b>Treat to prevent low blood sugar</b></p> <p>➢ <b>Advise the mother to keep the young infant warm on the way to hospital</b></p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE59').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE59"/> <text value="<h1>No Feeding Problem</h1> <p>➢Advise mother on giving home care to the young infant</p> <p>➢Praise the mother for feeding the infant well</p> <p>➢If not breastfed, advise mother to continue feeding, and ensure good hygiene</p>"/> <type value="display"/> <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='load-Ccc.C10.IT.DE60').answer.first().value=true"/> </valueExpression> </extension> <linkId value="Ccc.C10.IT.DE60"/> <text value="<h1>Feeding Problem and / or Low Weight for Age</h1> <p>➢Among infants who are breastfed:</p> <ul> <li>If not well attached or not sucking effectively, teach correct positioning and attachment</li> <li>If not able to attach well immediately, teach the mother to express breastmilk and feed from a cup</li> <li>If breastfeeding less than 8 times in 24 hours, advise the mother to increase the frequency and to breastfeed as often and for as long as the infant wants, day and night</li> <li>If the infant is receiving other foods or drinks, counsel the mother to increase breastfeeding, reduce other foods and drink and use a cup</li> </ul> <p>➢Among infants who are not breastfed: </p> <ul> <li>Counsel about feeding</li> <li>Explain the guidelines for safe replacement feeding and correct preparation of breastmilk substitutes</li> <li>Identify concerns of mother and family about feeding</li> <li>If mother is using a bottle, teach cup feeding</li> <li>Refer for breastfeeding counselling and possible relactation if the mother is alive and caring for the infant</li> </ul> <p>➢If Low Weight for Age, advise the mother on how to feed and keep the low-weight infant warm at home</p> <p>➢If the infant has thrush, teach the mother to treat thrush at home</p> <ul> <li>Give half-strength gentian violet (0.25%) 4 times daily for 7 days. Paint the mouth with gentian violet using a clean soft cloth wrapped around the finger. If gentian violet is not  avaialble, write a prescription for the medication for the mother and urge her to visit a pharmacy to purchase the medication.  <br /> ➢Advise the mother on giving home care to the young infant</li> </ul> <p>➢Follow up Feeding Problem or Thrush in 2 days</p> <p>➢Among infants who are breastfed, follow up infants who have Low Weight for Age within 14 days</p> <p>➢Among infants who are not breastfed, follow up infants who have Low Weight for Age within 7 days</p>"/> <type value="display"/> <required value="false"/> <repeats value="false"/> </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="load-Ccc.c10.it.de01"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE01"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de02"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE02"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de03"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE03"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de04"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE04"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de05"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE05"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de06"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE06"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de07"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE07"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de08"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE08"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de09"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE09"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de10"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE10"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de11"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE11"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de12"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE12"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de13"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE13"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de14"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE14"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de15"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE15"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de16"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE16"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de17"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE17"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de18"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE18"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de19"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE19"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de20"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE20"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de21"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE21"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de22"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE22"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de23"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE23"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de24"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE24"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de25"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE25"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de42"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE42"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de43"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE43"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de44"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE44"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de26"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE26"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de27"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE27"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de28"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE28"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de29"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE29"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de30"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE30"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de31"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE31"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de32"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE32"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de33"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE33"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de34"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE34"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de35"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE35"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de36"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE36"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de37"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE37"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de38"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE38"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de39"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE39"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de40"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE40"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de41"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE41"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de45"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE45"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de46"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE46"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de47"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE47"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de48"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE48"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de49"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE49"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de50"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE50"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de51"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE51"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de52"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE52"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de53"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE53"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de54"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE54"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de55"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE55"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de56"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE56"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de57"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE57"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de58"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE58"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de59"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE59"/> <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-initialExpression"> <valueExpression> <language value="text/cql-identifier"/> <expression value="load-Ccc.c10.it.de60"/> </valueExpression> </extension> <linkId value="load-Ccc.C10.IT.DE60"/> <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>