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

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

## Questionnaire: Ccc.B18-21.Symptoms.2m.m

Branch:

Profile: SDCBaseQuestionnaire

Structure

LinkID | Text | Cardinality | Type | Flags | Description & Constraints
--- | --- | --- | --- | --- | ---
Ccc.B18-21.Symptoms.2m.m |  |  | Questionnaire |  | https://smart.who.int/ccc/Questionnaire/Ccc.b18-21.symptoms.2m.m#0.1.0
Convulsing Now | null | 0..1 | boolean |  | Value Set:
Ccc.B7.DE03 | Convulsion(s) in this Illness | 0..1 | boolean |  | Value Set:
Ccc.B7.DE03-help | Use words the caregiver understands. For example, the caregiver may know<br /> convulsions as “fits” or “spasms”.<br /> During a convulsion, the young infant’s arms and legs may become stiff. The infant<br /> may stop breathing and become blue. Many times there may only be rhythmic<br /> movements of a part of the body, such as rhythmic twitching of the mouth or<br /> blinking of eyes. The young infant may lose consciousness | 0..1 | display |  | Value Set:
Ccc.B18S1.DE02 | Difficulty with Feeding | 1..1 | choice |  | Value Set: Options: 3 options
Ccc.B18S1.DE02-help | Any difficulty mentioned by the mother is important. A newborn that has not been able to feed since birth may be premature or may have<br /> complications such as birth asphyxia. These infants who are either not able to<br /> feed or are not feeding well should be referred urgently to hospital.</p> <p>The caregiver may also mention difficulties such as: her infant feeds too frequently<br /> (or not frequently enough), she does not have enough milk, her nipples are sore,<br /> or she has flat or inverted nipples. You will assess these difficulties later during<br /> breastfeeding assessment. These problems do not mean the infant is not feeding well or not feeding at all. | 0..1 | display |  | Value Set:
Ccc.B11S1.DE01 | Diarrhoea | 1..1 | boolean |  | Value Set:
Ccc.B11S1.DE01-help | A young infant has diarrhoea if the stools have changed from the usual pattern, and are many and watery. This means more water than faecal matter. The normally frequent or semi-solid stools of a breastfed baby are not diarrhoea.<br /> The mother of a breastfed young infant can recognize diarrhoea because the consistency or frequency of the stools is different than normal. | 0..1 | display |  | Value Set:
Ccc.B21S1.DE06 | Breastfed | 1..1 | boolean |  | Value Set:
Ccc.B21S1.DE06-help | Ask the caregiver if the infant is breastfed. This includes both exclusive breastfeeding or receiving breast milk and other foods/fluids. | 0..1 | display |  | Value Set:
timestamp | null | 0..1 | dateTime |  | Value Set:
Documentation for this format

Options Sets

Answer options for Ccc.B18S1.DE02

- https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B18S1.DE03 ("Not Able to Feed At All")
- https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B18S1.DE04 ("Not Feeding Well")
- https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes#Ccc.B18S1.DE05 ("Feeding Well")