# Ccc.B22.BreastFeeding - WHO FHIR Implementation Guide (IG): Integrated Management of Childhood Illness (IMCI) in emergencies v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Ccc.B22.BreastFeeding**

## Questionnaire: Ccc.B22.BreastFeeding
Branch:



## Resource Content

```json
{
  "resourceType" : "Questionnaire",
  "id" : "Ccc.b22.breastfeeding",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"]
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
    "valueCode" : "shareable"
  },
  {
    "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
    "valueCode" : "computable"
  },
  {
    "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
    "valueCode" : "publishable"
  },
  {
    "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel",
    "valueCode" : "structured"
  },
  {
    "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap",
    "valueCanonical" : "https://smart.who.int/ccc/StructureMap/Ccc.b22.breastfeeding"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-library",
    "valueCanonical" : "https://smart.who.int/ccc/Library/Cccb22breastfeeding"
  }],
  "url" : "https://smart.who.int/ccc/Questionnaire/Ccc.b22.breastfeeding",
  "version" : "0.1.0",
  "name" : "Ccc.B22.BreastFeeding",
  "title" : "Ccc.B22.BreastFeeding",
  "status" : "active",
  "experimental" : false,
  "subjectType" : ["Patient"],
  "date" : "2026-04-07T13:42:05+00:00",
  "publisher" : "World Health Organization (WHO)",
  "contact" : [{
    "name" : "World Health Organization (WHO)",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.who.int"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.who.int"
    }]
  }],
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001"
    }]
  }],
  "item" : [{
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
      "valueBoolean" : true
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression" : {
        "language" : "text/cql-identifier",
        "expression" : "ageinmonths"
      }
    }],
    "linkId" : "AgeInMonths",
    "text" : "Age",
    "type" : "integer",
    "required" : false,
    "repeats" : false
  },
  {
    "linkId" : "Ccc.B22.DE27",
    "text" : "Breastfeeding Assessment",
    "type" : "display",
    "required" : false,
    "repeats" : false,
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help"
          }]
        }
      }],
      "linkId" : "Ccc.B22.DE27-help",
      "text" : "If a breastfeeding assessment and an Oral Fluid test is recommended for a child that is only breastfed then a pop up is required to ensure that the health care worker observes the signs for both and provides results for both tests.",
      "type" : "display"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "check-box",
          "display" : "Check-box"
        }],
        "text" : "Check-box"
      }
    }],
    "linkId" : "Ccc.B22.DE41",
    "type" : "choice",
    "required" : false,
    "repeats" : true,
    "answerOption" : [{
      "valueCoding" : {
        "code" : "Ccc.B22.DE41",
        "display" : "Breastfeeding Assessment Not Possible"
      }
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
      "valueCode" : "horizontal"
    }],
    "linkId" : "Ccc.B22.DE28",
    "text" : "Breastfed in the previous hour",
    "type" : "boolean",
    "required" : true,
    "repeats" : false
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
      "valueCode" : "horizontal"
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.DE28').answer.first().value=true"
      }
    }],
    "linkId" : "Ccc.B22.DE29",
    "text" : "Mother able to wait until young infant is willing to breastfeed again",
    "type" : "boolean",
    "required" : false,
    "repeats" : false
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
      "valueCode" : "horizontal"
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.DE41').answer.first().empty()"
      }
    }],
    "linkId" : "Ccc.B22.DE30",
    "text" : "Mother reports difficulty breastfeeding",
    "type" : "boolean",
    "required" : true,
    "repeats" : false,
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help"
          }]
        }
      }],
      "linkId" : "Ccc.B22.DE30-help",
      "text" : "Provide information on what difficulty breastfeeding may include, such as: the infant feeds too often, doesn&#8217;t feed often enough, she does not have enough milk, her nipples are sore, or she has flat or inverted nipples. After feeds, the infant may be restless, cry or try to suckle again, or continue to breastfeed for a long time.",
      "type" : "display"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
      "valueCode" : "horizontal"
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.DE41').answer.first().empty()"
      }
    }],
    "linkId" : "Ccc.B22.DE31",
    "text" : "Chin Touching Breast",
    "type" : "boolean",
    "required" : true,
    "repeats" : false
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
      "valueCode" : "horizontal"
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.DE41').answer.first().empty()"
      }
    }],
    "linkId" : "Ccc.B22.DE32",
    "text" : "Mouth Wide Open",
    "type" : "boolean",
    "required" : true,
    "repeats" : false
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
      "valueCode" : "horizontal"
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.DE41').answer.first().empty()"
      }
    }],
    "linkId" : "Ccc.B22.DE33",
    "text" : "Lower Lip Turned Outwards",
    "type" : "boolean",
    "required" : true,
    "repeats" : false
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
      "valueCode" : "horizontal"
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.DE41').answer.first().empty()"
      }
    }],
    "linkId" : "Ccc.B22.DE34",
    "text" : "More Areola Visible above than below the Mouth",
    "type" : "boolean",
    "required" : true,
    "repeats" : false
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
      "valueCode" : "horizontal"
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.DE41').answer.first().empty()"
      }
    }],
    "linkId" : "Ccc.B22.DE35",
    "text" : "Slow Deep Sucks, Sometimes Pausing",
    "type" : "boolean",
    "required" : true,
    "repeats" : false
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.DE40').answer.first().exists() and %resource.repeat(item).where(linkId='Ccc.B22.DE35').answer.first().exists() and %resource.repeat(item).where(linkId='Ccc.B22.DE31').answer.first().exists() and %resource.repeat(item).where(linkId='Ccc.B22.DE32').answer.first().exists() and %resource.repeat(item).where(linkId='Ccc.B22.DE33').answer.first().exists()  and %resource.repeat(item).where(linkId='Ccc.B22.DE34').answer.first().exists()"
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "iif(%resource.repeat(item).where(linkId='Ccc.B22.DE37').answer.first().value=true,'Not well Attached to Breast',iif(  %resource.repeat(item).where(linkId='Ccc.B22.DE38').answer.first().value=true , 'Good Attachment',iif(  %resource.repeat(item).where(linkId='Ccc.B22.DE39').answer.first().value=true,'Not Sucking Effectively',iif( %resource.repeat(item).where(linkId='Ccc.B22.DE40').answer.first().value=true, 'Sucking Effectively',{}))))"
      }
    }],
    "linkId" : "Ccc.B22.DE36",
    "text" : "Breastfeeding Assessment Results",
    "type" : "string",
    "required" : true,
    "repeats" : false,
    "readOnly" : true
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
      "valueCode" : "horizontal"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
      "valueBoolean" : true
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.DE31').answer.first().value = false or %resource.repeat(item).where(linkId='Ccc.B22.DE32').answer.first().value = false or %resource.repeat(item).where(linkId='Ccc.B22.DE33').answer.first().value = false or %resource.repeat(item).where(linkId='Ccc.B22.DE34').answer.first().value = false"
      }
    }],
    "linkId" : "Ccc.B22.DE37",
    "text" : "Not well Attached to Breast",
    "type" : "boolean",
    "required" : false,
    "repeats" : false
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
      "valueCode" : "horizontal"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
      "valueBoolean" : true
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.DE31').answer.first().value = true and %resource.repeat(item).where(linkId='Ccc.B22.DE32').answer.first().value = true and %resource.repeat(item).where(linkId='Ccc.B22.DE33').answer.first().value = true and %resource.repeat(item).where(linkId='Ccc.B22.DE34').answer.first().value = true"
      }
    }],
    "linkId" : "Ccc.B22.DE38",
    "text" : "Good Attachment",
    "type" : "boolean",
    "required" : false,
    "repeats" : false
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
      "valueCode" : "horizontal"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
      "valueBoolean" : true
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.DE35').answer.first().value = false"
      }
    }],
    "linkId" : "Ccc.B22.DE39",
    "text" : "Not Sucking Effectively",
    "type" : "boolean",
    "required" : false,
    "repeats" : false
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
      "valueCode" : "horizontal"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
      "valueBoolean" : true
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.DE35').answer.first().value = true"
      }
    }],
    "linkId" : "Ccc.B22.DE40",
    "text" : "Sucking Effectively",
    "type" : "boolean",
    "required" : false,
    "repeats" : false
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
      "valueCode" : "horizontal"
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.DE30').answer.first().value = true"
      }
    }],
    "linkId" : "Ccc.B22.DE42",
    "text" : "Difficulty Breastfeeding Reported",
    "type" : "boolean",
    "required" : false,
    "repeats" : false,
    "readOnly" : true
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
      "valueCode" : "horizontal"
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "%resource.repeat(item).where(linkId='Ccc.B22.DE39').answer.first().value = true or %resource.repeat(item).where(linkId='Ccc.B22.DE37').answer.first().value =true"
      }
    }],
    "linkId" : "Ccc.B22.DE44",
    "text" : "Difficulty Breastfeeding Observed",
    "type" : "boolean",
    "required" : false,
    "repeats" : false,
    "readOnly" : true
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "now()"
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
      "valueBoolean" : true
    }],
    "linkId" : "timestamp",
    "type" : "dateTime",
    "required" : false
  }]
}

```
