WHO Clinical Care in Crisis Implementation Guide for Children
0.1.0 - ci-build

WHO Clinical Care in Crisis Implementation Guide for Children - Local Development build (v0.1.0). See the Directory of published versions

: CHE Valueset - XML Representation

Draft as of 2023-10-04

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="chevalueset"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Include these codes as defined in <a href="CodeSystem-che-custom-codes.html"><code>https://fhir.dk.swisstph-mis.ch/matchbox/fhir/CodeSystem/che-custom-codes</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46A.46DE17">CHE.A.DE17</a></td><td>Female</td><td>The client is Female</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46A.46DE18">CHE.A.DE18</a></td><td>Male</td><td>The client is Male</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46A.46DE19">CHE.A.DE19</a></td><td>Not Specified</td><td>The client's sex is not specified</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46A.46DE13">CHE.A.DE13</a></td><td>Estimate Age - Years/Months for a child</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46A.46DE14">CHE.A.DE14</a></td><td>Estimate Age - Weeks/Days for young infant</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46A.46DE15">CHE.A.DE15</a></td><td>Estimate Date of Birth</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46A.46DE25">CHE.A.DE25</a></td><td>Mother</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46A.46DE26">CHE.A.DE26</a></td><td>Father</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46A.46DE27">CHE.A.DE27</a></td><td>Sibling</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46A.46DE28">CHE.A.DE28</a></td><td>Extended Family</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46A.46DE29">CHE.A.DE29</a></td><td>Legal Guardian</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46A.46DE30">CHE.A.DE30</a></td><td>Not Related</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46A.46DE46">CHE.A.DE46</a></td><td>Dead</td><td>Biological Mother or Father dead</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46A.46DE34">CHE.A.DE34</a></td><td>Alive</td><td>Biological Mother or Father Alive</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46A.46DE33">CHE.A.DE33</a></td><td>Unknown</td><td>Biological Mother or Father Vital Status unknown</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B3.46DE02">CHE.B3.DE02</a></td><td>Life Threatening Emergency</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B3.46DE03">CHE.B3.DE03</a></td><td>Sick Child</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B3.46DE04">CHE.B3.DE04</a></td><td>Routine visit (Well child/infant)</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B3.46DE07">CHE.B3.DE07</a></td><td>Initial visit</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B3.46DE08">CHE.B3.DE08</a></td><td>Follow Up</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B7.46B8.46B9.46DE02">CHE.B7.B8.B9.DE02</a></td><td>Stabilised, continue consultation</td><td>The child has been stabilised and the healthcare worker will continue the consultation</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B7.46B8.46B9.46DE03">CHE.B7.B8.B9.DE03</a></td><td>End consultation</td><td>The child has not been stabilised and the healthcare worker willend the consultation</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B7.46B8.46B9.46DE04">CHE.B7.B8.B9.DE04</a></td><td>Entered response in error</td><td>The healthcare worker entered the response for a life-threatening illness in error</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B7.46DE05">CHE.B7.DE05</a></td><td>One Convulsion</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B7.46DE06">CHE.B7.DE06</a></td><td>Two or more convulsions</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B7.46DE11">CHE.B7.DE11</a></td><td>Vomiting Everything</td><td>The child is reported to be vomiting everything (not able to hold anything down at all)</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B7.46DE12">CHE.B7.DE12</a></td><td>Vomiting but Not Everything</td><td>The child is reported to be vomiting, but not everything</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B7.46DE13">CHE.B7.DE13</a></td><td>No Vomiting</td><td>The child is reported not to be vomiting</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B24.46G.46DE08">CHE.B24.G.DE08</a></td><td>Completely Unable to Drink</td><td>The child is completely unable to drink</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B24.46G.46DE09">CHE.B24.G.DE09</a></td><td>Vomits Immediately / Everything</td><td>The child vomits immediately / everything</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B24.46G.46DE10">CHE.B24.G.DE10</a></td><td>Drinks Poorly</td><td>The child drinks poorly</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B24.46G.46DE11">CHE.B24.G.DE11</a></td><td>Drinks Eagerly / Thirstily</td><td>The child drinks eagerly / thirstily</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B24.46G.46DE12">CHE.B24.G.DE12</a></td><td>Drinks Normally</td><td>The child drinks normally</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-Low">Low</a></td><td>Low</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-Normal">Normal</a></td><td>Normal</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-High">High</a></td><td>High</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-VeryHigh">Very High</a></td><td>Very High</td><td/></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B6.46DE19">CHE.B6.DE19</a></td><td>Does not appear to be Underweight</td><td>The child is visually assessed for whether underweight by the health care worker and does not appear to be underweight (estimated weight based on height or age would be equivalent to WHZ= 0 / WAZ= 0)
(for drug dosing calculations)</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B6.46DE20">CHE.B6.DE20</a></td><td>Appears to be Underweight</td><td>The child is visually assessed for whether underweight by the health care worker and appears to be underweight (as an aide for dosing calculations) (estimated weight based on height or age would be equivalent to WHZ= -1 / WAZ= -1)
(for drug dosing calculations)</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B6.46DE21">CHE.B6.DE21</a></td><td>Appears to be Severely Underweight</td><td>The child is visually assessed for whether underweight and appears to be severely underweight (as an aide for dosing calculations) (estimated weight based on height or age would be equivalent to WHZ= -2 / WAZ= -2)
(for drug dosing calculations)</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-14daysorless">14 days or less</a></td><td>The child has had symptoms for 14 days or less (2 weeks or less)</td><td>Cough</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-Morethan14days">More than 14 days</a></td><td>The child has had symptoms for more than 14 days (more than 2 weeks)</td><td>Cough</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B12S1.46DE04">CHE.B12S1.DE04</a></td><td>7 Days or less</td><td>The child has had fever for 7 days or less (1 week or less)</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B12S1.46DE05">CHE.B12S1.DE05</a></td><td>More than 7 days</td><td>The child has had fever for more than 7 days (more than 1 week)</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B12S1.46DE16">CHE.B12S1.DE16</a></td><td>High Malaria Risk</td><td>High malaria risk: in area where more than 5% of fever cases in children 2 to 59 months are attributable to malaria</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B12S1.46DE17">CHE.B12S1.DE17</a></td><td>Low Malaria Risk</td><td>Low malaria risk: in area where fewer than 5% of fever cases in children 2 to 59 months are attributable to malaria, but where the risk is not negligible.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B12S1.46DE18">CHE.B12S1.DE18</a></td><td>No Malaria Risk</td><td>No malaria risk: malaria transmission does not normally occur in the area, and imported malaria is uncommon.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B15S2.46DE02">CHE.B15S2.DE02</a></td><td>Severe Palmar Pallor</td><td>The child has severe palmar pallor if the skin of the palm is very pale or so pale that it looks white.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B15S2.46DE03">CHE.B15S2.DE03</a></td><td>Some Palmar Pallor</td><td>The child has some palmar pallor if the skin of the child’s palm is pale but not very pale or so pale that it looks white.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B15S2.46DE04">CHE.B15S2.DE04</a></td><td>No Palmar Pallor</td><td>The child does not have palmar pallor</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46NP">CHE.NP</a></td><td>Nursing Professional</td><td>Nursing professionals provide treatment, support and care services for people who are in need of nursing care due to the effects of ageing, injury, illness or other physical or mental impairment, or potential risks to health, according to the practice and standards of modern nursing. They assume responsibility for the planning and management of the care of patients, including the supervision of other health care workers, working autonomously or in teams with medical doctors and others in the practical application of preventive and curative measures in clinical and community settings.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46NAP">CHE.NAP</a></td><td>Nursing associated professionals</td><td>Nursing associate professionals provide basic nursing and personal care for people in need of such care due to effects of ageing, illness, injury, or other physical or mental impairment. They provide health advice to patients and families; monitor patients' conditions; and implement care, treatment and referral plans usually established by medical, nursing and other health professionals.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46MP">CHE.MP</a></td><td>Midwifery professionals</td><td>Nursing associate professionals provide basic nursing and personal care for people in need of such care due to effects of ageing, illness, injury, or other physical or mental impairment. They provide health advice to patients and families; monitor patients' conditions; and implement care, treatment and referral plans usually established by medical, nursing and other health professionals.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46MAP">CHE.MAP</a></td><td>Midwifery associated professionals</td><td>Midwifery associate professionals provide basic health care and advice before, during and after pregnancy and childbirth. They provide advice to women, families and communities on birth and emergency plans, breastfeeding, infant care, family planning and related topics; monitor health status during pregnancy and childbirth; and implement care, treatment and referral plans usually established by medical, midwifery and other health professionals.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46MA">CHE.MA</a></td><td>Medical assistants</td><td>Medical assistants perform basic clinical and administrative tasks to support patient care under the direct supervision of a medical practitioner or other health professional. They perform routine tasks and procedures such as measuring patients' vital signs, administering medications and injections, recording information in medical record-keeping systems, preparing and handling medical instruments and supplies, and collecting and preparing specimens of bodily fluids and tissues for laboratory testing.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46HCA">CHE.HCA</a></td><td>Healthcare assistant</td><td>Health care assistants provide routine personal care, support and assistance with activities of daily living to patients and residents in a variety of health care settings such as hospitals, clinics and residential nursing care facilities. They assist patients with personal, physical mobility and therapeutic care needs as per established care plans and practices, and generally under the direct supervision of medical, nursing or other health professionals or associate professionals.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46CHW">CHE.CHW</a></td><td>Community healthcare workers</td><td>Community health workers provide health education, referral and follow up, case management, and basic preventive health care and home visiting services to specific communities. They provide support and assistance to individuals and families in navigating the health and social services system.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46HBPCW">CHE.HBPCW</a></td><td>Home-based personal care workers</td><td>Home-based personal care workers provide routine personal care, support and assistance with activities of daily living to persons who are in need of such care due to effects of ageing, illness, injury, or other physical or mental condition in private homes and other independent residential settings. They assist clients with personal, physical mobility and therapeutic care needs, usually as per care plans established by a health professional.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46ICC">CHE.ICC</a></td><td>Infant / child care</td><td>A person who gives care to an infant / child and can be considered the Mother, Father, Adolescent Mother, Adolescent Father, Guardian, Carer of the Infant / Child.  They are the secondary clients receiving health care services from the targeted health worker personas with respect to their infant/child. While this is a diverse population group with different demographics, and health needs, they generally have the following expectations:
• maintaining a healthy life for the infant / child (including preventing and treating risks, illness and death)
• maintaining physical and socio-cultural normality for the infant / child
• achieving positive infant/child health 
The content specifications for children and their carers will become even more important as additional client-side digital functionalities, such as targeted client communication (reminders), reporting of health system feedback, and personal health tracking, are incorporated.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46MS">CHE.MS</a></td><td>Medical secretaries</td><td>Medical secretaries, using specialized knowledge of medical terminology and health care delivery procedures, perform a variety of communication, documentation, administrative and internal coordination functions, to support health workers in medical facilities and other health care-related organizations. They sEm Careule medical appointments, record and review medical charts and correspondence, interview patients to complete case histories, prepare health insurance claims and acquisition orders, and supervise the work of other office support workers.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46CSW">CHE.CSW</a></td><td>Clerical support workers</td><td>This group covers clerical support workers (excluding specialized health information technicians and medical secretaries) working in health systems including, for instance, general clerks, keyboard clerks, client services clerks, material recording clerks and others who record, organize, store, compute and retrieve information, and perform clerical and secretarial duties in connection with money-handling operations, requests for information and appointments.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46HSM">CHE.HSM</a></td><td>Health service managers</td><td>Health service managers plan, direct, coordinate and evaluate the provision of clinical and community health care services in hospitals, clinics, public health agencies and similar organizations. They provide overall direction, policy standards and operational criteria for the units they manage, including supervising and evaluating the recruitment, training and work activities of personnel. They monitor the use of health services and resources. They liaise with other health and welfare service providers, boards and funding bodies to coordinate the provision of services.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46HMPNEC">CHE.HMPNEC</a></td><td>Health management personnel not elsewhere classified</td><td>This group covers managers and administrators not classified elsewhere (except health service mangers) working in health systems including, for instance, government health department heads, human resource managers, supply chain managers, regional health policy and planning directors, and others whose main tasks and duties include guiding and directing the activities of organizations, departments and other workers.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46MRAHIT">CHE.MRAHIT</a></td><td>Medical record and health information technicians</td><td>Medical records and health information technicians develop, implement and assess health records processing, storage and retrieval systems in medical facilities and other health care settings to meet the legal, professional, ethical and administrative records-keeping requirements of health services delivery.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B18S1.46DE03">CHE.B18S1.DE03</a></td><td>Not Able to Feed At All</td><td>The client is reported not to be able to feed at all</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B18S1.46DE04">CHE.B18S1.DE04</a></td><td>Not Feeding Well</td><td>The client is reported to not be feeding well</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B18S1.46DE05">CHE.B18S1.DE05</a></td><td>Feeding Well</td><td>The client is reported to be feeding well</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B18S2.46DE09">CHE.B18S2.DE09</a></td><td>Moves on his or her own or moves spontaneously or without stimulation</td><td>The young infant moves on his or her own or moves spontaneously or without stimulation</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B18S2.46DE10">CHE.B18S2.DE10</a></td><td>Movement only when stimulated but then stops</td><td>The young infant has movement but only when stimulated and then movement stops</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B18S2.46DE11">CHE.B18S2.DE11</a></td><td>No movement at all</td><td>The young infant has no movement at all even after stimulation</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B19S2.46DE05">CHE.B19S2.DE05</a></td><td>Within less than 24 hours of birth</td><td>The young infant's Jaundice appeared less than 24 hours after birth</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B19S2.46DE06">CHE.B19S2.DE06</a></td><td>24 hours or more after birth</td><td>The young infant's Jaundice appeared 24 hours or more after birth</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B19S2.46DE07">CHE.B19S2.DE07</a></td><td>Unknown when Jaundice first appeared</td><td>The caregiver does not know when the Jaundice first appeared if it is a first visit for jaundice and in the first 3 weeks of life</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B20S2.46DE05">CHE.B20S2.DE05</a></td><td>Goes back Normally (immediately)</td><td>The young infant's skin goes back normally after skin pinch of abdomen (immediately)</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B20S2.46DE04">CHE.B20S2.DE04</a></td><td>Goes back slowly (2 seconds or fewer, but not immediately)</td><td>The young infant's skin goes back slowly after skin pinch of abdomen (2 seconds or fewer, but not immediately)</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B20S2.46DE03">CHE.B20S2.DE03</a></td><td>Goes back very slowly (More than 2 seconds)</td><td>The young infant's skin goes back very slowly after skin pinch of abdomen (More than 2 seconds)</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B21S2.46DE02">CHE.B21S2.DE02</a></td><td>Very Low Weight for Age</td><td>A young infant who is less than 7 days old and weighs less than 2 kg</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B21S2.46DE03">CHE.B21S2.DE03</a></td><td>Low Weight for Age</td><td>A young infant with weight for age z-score below -2.</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B21S2.46DE04">CHE.B21S2.DE04</a></td><td>Normal Weight for Age</td><td>A young infant with normal weight for age (z-score -2 or above)</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B21S2.46DE10">CHE.B21S2.DE10</a></td><td>Appropriate replacement milk</td><td>The caregiver is giving appropriate  replacement milk</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B21S2.46DE11">CHE.B21S2.DE11</a></td><td>Inappropriate replacement milk</td><td>The caregiver is giving inappropriate replacement milk</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B21S2.46DE16">CHE.B21S2.DE16</a></td><td>Sufficient replacement feeds</td><td>The caregiver is giving sufficient replacement feeds (approximately 60 ml per feed, 8 times per day for a young infant up to one month of age; approximately 90 ml per feed, 7 times per day for a young infant between 1 and 2 months of age)</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B21S2.46DE17">CHE.B21S2.DE17</a></td><td>Insufficient replacement feeds</td><td>The caregiver is not giving sufficient replacement feeds (i.e. less than 60 ml per feed, 8 times per day for a young infant up to one month of age; less than 90 ml per feed, 7 times per day for a young infant between 1 and 2 months of age)</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B21S2.46DE19">CHE.B21S2.DE19</a></td><td>Correct or hygienic feed preparation</td><td>The caregiver is preparing the milk correctly and hygenically</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B21S2.46DE20">CHE.B21S2.DE20</a></td><td>Incorrect or unhygienic feed preparation</td><td>The caregiver is not preparing the milk correctly and hygenically</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B21S2.46DE22">CHE.B21S2.DE22</a></td><td>Cup</td><td>The milk is given to the young infant using a cup</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B21S2.46DE23">CHE.B21S2.DE23</a></td><td>Bottle</td><td>The milk is given to the young infant using a bottle</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B21S2.46DE25">CHE.B21S2.DE25</a></td><td>Feeding utensils cleaned hygienically</td><td>The caregiver is cleaning the feeding utensils hygienically</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B21S2.46DE26">CHE.B21S2.DE26</a></td><td>Feeding utensils not cleaned hygienically</td><td>The caregiver is not cleaning the feeding utensils hygienically</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B21S2.46DE28">CHE.B21S2.DE28</a></td><td>Breastmilk also given</td><td>Breastmilk is also given to the young infant</td></tr><tr><td><a href="CodeSystem-che-custom-codes.html#che-custom-codes-CHE.46B21S2.46DE29">CHE.B21S2.DE29</a></td><td>No Breastmilk at all</td><td>No breastmilk is given to the young infant at all</td></tr></table></li></ul></div>
  </text>
  <url
       value="https://fhir.dk.swisstph-mis.ch/matchbox/fhir/ValueSet/chevalueset"/>
  <version value="0.1.0"/>
  <name value="valueset-chevalueset"/>
  <title value="CHE Valueset"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2023-10-04T12:32:21+00:00"/>
  <publisher value="WHO"/>
  <contact>
    <name value="WHO"/>
    <telecom>
      <system value="url"/>
      <value value="http://who.int"/>
    </telecom>
  </contact>
  <description value="CHE Valueset"/>
  <immutable value="true"/>
  <compose>
    <include>
      <system
              value="https://fhir.dk.swisstph-mis.ch/matchbox/fhir/CodeSystem/che-custom-codes"/>
      <concept>
        <code value="CHE.A.DE17"/>
        <display value="Female"/>
        <designation>
          <value value="The client is Female"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.A.DE18"/>
        <display value="Male"/>
        <designation>
          <value value="The client is Male"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.A.DE19"/>
        <display value="Not Specified"/>
        <designation>
          <value value="The client's sex is not specified"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.A.DE13"/>
        <display value="Estimate Age - Years/Months for a child"/>
      </concept>
      <concept>
        <code value="CHE.A.DE14"/>
        <display value="Estimate Age - Weeks/Days for young infant"/>
      </concept>
      <concept>
        <code value="CHE.A.DE15"/>
        <display value="Estimate Date of Birth"/>
      </concept>
      <concept>
        <code value="CHE.A.DE25"/>
        <display value="Mother"/>
      </concept>
      <concept>
        <code value="CHE.A.DE26"/>
        <display value="Father"/>
      </concept>
      <concept>
        <code value="CHE.A.DE27"/>
        <display value="Sibling"/>
      </concept>
      <concept>
        <code value="CHE.A.DE28"/>
        <display value="Extended Family"/>
      </concept>
      <concept>
        <code value="CHE.A.DE29"/>
        <display value="Legal Guardian"/>
      </concept>
      <concept>
        <code value="CHE.A.DE30"/>
        <display value="Not Related"/>
      </concept>
      <concept>
        <code value="CHE.A.DE46"/>
        <display value="Dead"/>
        <designation>
          <value value="Biological Mother or Father dead"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.A.DE34"/>
        <display value="Alive"/>
        <designation>
          <value value="Biological Mother or Father Alive"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.A.DE33"/>
        <display value="Unknown"/>
        <designation>
          <value value="Biological Mother or Father Vital Status unknown"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B3.DE02"/>
        <display value="Life Threatening Emergency"/>
      </concept>
      <concept>
        <code value="CHE.B3.DE03"/>
        <display value="Sick Child"/>
      </concept>
      <concept>
        <code value="CHE.B3.DE04"/>
        <display value="Routine visit (Well child/infant)"/>
      </concept>
      <concept>
        <code value="CHE.B3.DE07"/>
        <display value="Initial visit"/>
      </concept>
      <concept>
        <code value="CHE.B3.DE08"/>
        <display value="Follow Up"/>
      </concept>
      <concept>
        <code value="CHE.B7.B8.B9.DE02"/>
        <display value="Stabilised, continue consultation"/>
        <designation>
          <value
                 value="The child has been stabilised and the healthcare worker will continue the consultation"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B7.B8.B9.DE03"/>
        <display value="End consultation"/>
        <designation>
          <value
                 value="The child has not been stabilised and the healthcare worker willend the consultation"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B7.B8.B9.DE04"/>
        <display value="Entered response in error"/>
        <designation>
          <value
                 value="The healthcare worker entered the response for a life-threatening illness in error"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B7.DE05"/>
        <display value="One Convulsion"/>
      </concept>
      <concept>
        <code value="CHE.B7.DE06"/>
        <display value="Two or more convulsions"/>
      </concept>
      <concept>
        <code value="CHE.B7.DE11"/>
        <display value="Vomiting Everything"/>
        <designation>
          <value
                 value="The child is reported to be vomiting everything (not able to hold anything down at all)"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B7.DE12"/>
        <display value="Vomiting but Not Everything"/>
        <designation>
          <value
                 value="The child is reported to be vomiting, but not everything"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B7.DE13"/>
        <display value="No Vomiting"/>
        <designation>
          <value value="The child is reported not to be vomiting"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B24.G.DE08"/>
        <display value="Completely Unable to Drink"/>
        <designation>
          <value value="The child is completely unable to drink"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B24.G.DE09"/>
        <display value="Vomits Immediately / Everything"/>
        <designation>
          <value value="The child vomits immediately / everything"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B24.G.DE10"/>
        <display value="Drinks Poorly"/>
        <designation>
          <value value="The child drinks poorly"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B24.G.DE11"/>
        <display value="Drinks Eagerly / Thirstily"/>
        <designation>
          <value value="The child drinks eagerly / thirstily"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B24.G.DE12"/>
        <display value="Drinks Normally"/>
        <designation>
          <value value="The child drinks normally"/>
        </designation>
      </concept>
      <concept>
        <code value="Low"/>
        <display value="Low"/>
      </concept>
      <concept>
        <code value="Normal"/>
        <display value="Normal"/>
      </concept>
      <concept>
        <code value="High"/>
        <display value="High"/>
      </concept>
      <concept>
        <code value="Very High"/>
        <display value="Very High"/>
      </concept>
      <concept>
        <code value="CHE.B6.DE19"/>
        <display value="Does not appear to be Underweight"/>
        <designation>
          <value
                 value="The child is visually assessed for whether underweight by the health care worker and does not appear to be underweight (estimated weight based on height or age would be equivalent to WHZ= 0 / WAZ= 0)
(for drug dosing calculations)"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B6.DE20"/>
        <display value="Appears to be Underweight"/>
        <designation>
          <value
                 value="The child is visually assessed for whether underweight by the health care worker and appears to be underweight (as an aide for dosing calculations) (estimated weight based on height or age would be equivalent to WHZ= -1 / WAZ= -1)
(for drug dosing calculations)"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B6.DE21"/>
        <display value="Appears to be Severely Underweight"/>
        <designation>
          <value
                 value="The child is visually assessed for whether underweight and appears to be severely underweight (as an aide for dosing calculations) (estimated weight based on height or age would be equivalent to WHZ= -2 / WAZ= -2)
(for drug dosing calculations)"/>
        </designation>
      </concept>
      <concept>
        <code value="14 days or less"/>
        <display
                 value="The child has had symptoms for 14 days or less (2 weeks or less)"/>
        <designation>
          <value value="Cough"/>
        </designation>
      </concept>
      <concept>
        <code value="More than 14 days"/>
        <display
                 value="The child has had symptoms for more than 14 days (more than 2 weeks)"/>
        <designation>
          <value value="Cough"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B12S1.DE04"/>
        <display value="7 Days or less"/>
        <designation>
          <value
                 value="The child has had fever for 7 days or less (1 week or less)"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B12S1.DE05"/>
        <display value="More than 7 days"/>
        <designation>
          <value
                 value="The child has had fever for more than 7 days (more than 1 week)"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B12S1.DE16"/>
        <display value="High Malaria Risk"/>
        <designation>
          <value
                 value="High malaria risk: in area where more than 5% of fever cases in children 2 to 59 months are attributable to malaria"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B12S1.DE17"/>
        <display value="Low Malaria Risk"/>
        <designation>
          <value
                 value="Low malaria risk: in area where fewer than 5% of fever cases in children 2 to 59 months are attributable to malaria, but where the risk is not negligible."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B12S1.DE18"/>
        <display value="No Malaria Risk"/>
        <designation>
          <value
                 value="No malaria risk: malaria transmission does not normally occur in the area, and imported malaria is uncommon."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B15S2.DE02"/>
        <display value="Severe Palmar Pallor"/>
        <designation>
          <value
                 value="The child has severe palmar pallor if the skin of the palm is very pale or so pale that it looks white."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B15S2.DE03"/>
        <display value="Some Palmar Pallor"/>
        <designation>
          <value
                 value="The child has some palmar pallor if the skin of the child’s palm is pale but not very pale or so pale that it looks white."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B15S2.DE04"/>
        <display value="No Palmar Pallor"/>
        <designation>
          <value value="The child does not have palmar pallor"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.NP"/>
        <display value="Nursing Professional"/>
        <designation>
          <value
                 value="Nursing professionals provide treatment, support and care services for people who are in need of nursing care due to the effects of ageing, injury, illness or other physical or mental impairment, or potential risks to health, according to the practice and standards of modern nursing. They assume responsibility for the planning and management of the care of patients, including the supervision of other health care workers, working autonomously or in teams with medical doctors and others in the practical application of preventive and curative measures in clinical and community settings."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.NAP"/>
        <display value="Nursing associated professionals"/>
        <designation>
          <value
                 value="Nursing associate professionals provide basic nursing and personal care for people in need of such care due to effects of ageing, illness, injury, or other physical or mental impairment. They provide health advice to patients and families; monitor patients' conditions; and implement care, treatment and referral plans usually established by medical, nursing and other health professionals."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.MP"/>
        <display value="Midwifery professionals"/>
        <designation>
          <value
                 value="Nursing associate professionals provide basic nursing and personal care for people in need of such care due to effects of ageing, illness, injury, or other physical or mental impairment. They provide health advice to patients and families; monitor patients' conditions; and implement care, treatment and referral plans usually established by medical, nursing and other health professionals."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.MAP"/>
        <display value="Midwifery associated professionals"/>
        <designation>
          <value
                 value="Midwifery associate professionals provide basic health care and advice before, during and after pregnancy and childbirth. They provide advice to women, families and communities on birth and emergency plans, breastfeeding, infant care, family planning and related topics; monitor health status during pregnancy and childbirth; and implement care, treatment and referral plans usually established by medical, midwifery and other health professionals."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.MA"/>
        <display value="Medical assistants"/>
        <designation>
          <value
                 value="Medical assistants perform basic clinical and administrative tasks to support patient care under the direct supervision of a medical practitioner or other health professional. They perform routine tasks and procedures such as measuring patients' vital signs, administering medications and injections, recording information in medical record-keeping systems, preparing and handling medical instruments and supplies, and collecting and preparing specimens of bodily fluids and tissues for laboratory testing."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.HCA"/>
        <display value="Healthcare assistant"/>
        <designation>
          <value
                 value="Health care assistants provide routine personal care, support and assistance with activities of daily living to patients and residents in a variety of health care settings such as hospitals, clinics and residential nursing care facilities. They assist patients with personal, physical mobility and therapeutic care needs as per established care plans and practices, and generally under the direct supervision of medical, nursing or other health professionals or associate professionals."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.CHW"/>
        <display value="Community healthcare workers"/>
        <designation>
          <value
                 value="Community health workers provide health education, referral and follow up, case management, and basic preventive health care and home visiting services to specific communities. They provide support and assistance to individuals and families in navigating the health and social services system."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.HBPCW"/>
        <display value="Home-based personal care workers"/>
        <designation>
          <value
                 value="Home-based personal care workers provide routine personal care, support and assistance with activities of daily living to persons who are in need of such care due to effects of ageing, illness, injury, or other physical or mental condition in private homes and other independent residential settings. They assist clients with personal, physical mobility and therapeutic care needs, usually as per care plans established by a health professional."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.ICC"/>
        <display value="Infant / child care"/>
        <designation>
          <value
                 value="A person who gives care to an infant / child and can be considered the Mother, Father, Adolescent Mother, Adolescent Father, Guardian, Carer of the Infant / Child.  They are the secondary clients receiving health care services from the targeted health worker personas with respect to their infant/child. While this is a diverse population group with different demographics, and health needs, they generally have the following expectations:
• maintaining a healthy life for the infant / child (including preventing and treating risks, illness and death)
• maintaining physical and socio-cultural normality for the infant / child
• achieving positive infant/child health 
The content specifications for children and their carers will become even more important as additional client-side digital functionalities, such as targeted client communication (reminders), reporting of health system feedback, and personal health tracking, are incorporated."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.MS"/>
        <display value="Medical secretaries"/>
        <designation>
          <value
                 value="Medical secretaries, using specialized knowledge of medical terminology and health care delivery procedures, perform a variety of communication, documentation, administrative and internal coordination functions, to support health workers in medical facilities and other health care-related organizations. They sEm Careule medical appointments, record and review medical charts and correspondence, interview patients to complete case histories, prepare health insurance claims and acquisition orders, and supervise the work of other office support workers."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.CSW"/>
        <display value="Clerical support workers"/>
        <designation>
          <value
                 value="This group covers clerical support workers (excluding specialized health information technicians and medical secretaries) working in health systems including, for instance, general clerks, keyboard clerks, client services clerks, material recording clerks and others who record, organize, store, compute and retrieve information, and perform clerical and secretarial duties in connection with money-handling operations, requests for information and appointments."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.HSM"/>
        <display value="Health service managers"/>
        <designation>
          <value
                 value="Health service managers plan, direct, coordinate and evaluate the provision of clinical and community health care services in hospitals, clinics, public health agencies and similar organizations. They provide overall direction, policy standards and operational criteria for the units they manage, including supervising and evaluating the recruitment, training and work activities of personnel. They monitor the use of health services and resources. They liaise with other health and welfare service providers, boards and funding bodies to coordinate the provision of services."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.HMPNEC"/>
        <display
                 value="Health management personnel not elsewhere classified"/>
        <designation>
          <value
                 value="This group covers managers and administrators not classified elsewhere (except health service mangers) working in health systems including, for instance, government health department heads, human resource managers, supply chain managers, regional health policy and planning directors, and others whose main tasks and duties include guiding and directing the activities of organizations, departments and other workers."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.MRAHIT"/>
        <display value="Medical record and health information technicians"/>
        <designation>
          <value
                 value="Medical records and health information technicians develop, implement and assess health records processing, storage and retrieval systems in medical facilities and other health care settings to meet the legal, professional, ethical and administrative records-keeping requirements of health services delivery."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B18S1.DE03"/>
        <display value="Not Able to Feed At All"/>
        <designation>
          <value
                 value="The client is reported not to be able to feed at all"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B18S1.DE04"/>
        <display value="Not Feeding Well"/>
        <designation>
          <value value="The client is reported to not be feeding well"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B18S1.DE05"/>
        <display value="Feeding Well"/>
        <designation>
          <value value="The client is reported to be feeding well"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B18S2.DE09"/>
        <display
                 value="Moves on his or her own or moves spontaneously or without stimulation"/>
        <designation>
          <value
                 value="The young infant moves on his or her own or moves spontaneously or without stimulation"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B18S2.DE10"/>
        <display value="Movement only when stimulated but then stops"/>
        <designation>
          <value
                 value="The young infant has movement but only when stimulated and then movement stops"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B18S2.DE11"/>
        <display value="No movement at all"/>
        <designation>
          <value
                 value="The young infant has no movement at all even after stimulation"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B19S2.DE05"/>
        <display value="Within less than 24 hours of birth"/>
        <designation>
          <value
                 value="The young infant's Jaundice appeared less than 24 hours after birth"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B19S2.DE06"/>
        <display value="24 hours or more after birth"/>
        <designation>
          <value
                 value="The young infant's Jaundice appeared 24 hours or more after birth"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B19S2.DE07"/>
        <display value="Unknown when Jaundice first appeared"/>
        <designation>
          <value
                 value="The caregiver does not know when the Jaundice first appeared if it is a first visit for jaundice and in the first 3 weeks of life"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B20S2.DE05"/>
        <display value="Goes back Normally (immediately)"/>
        <designation>
          <value
                 value="The young infant's skin goes back normally after skin pinch of abdomen (immediately)"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B20S2.DE04"/>
        <display
                 value="Goes back slowly (2 seconds or fewer, but not immediately)"/>
        <designation>
          <value
                 value="The young infant's skin goes back slowly after skin pinch of abdomen (2 seconds or fewer, but not immediately)"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B20S2.DE03"/>
        <display value="Goes back very slowly (More than 2 seconds)"/>
        <designation>
          <value
                 value="The young infant's skin goes back very slowly after skin pinch of abdomen (More than 2 seconds)"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B21S2.DE02"/>
        <display value="Very Low Weight for Age"/>
        <designation>
          <value
                 value="A young infant who is less than 7 days old and weighs less than 2 kg"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B21S2.DE03"/>
        <display value="Low Weight for Age"/>
        <designation>
          <value
                 value="A young infant with weight for age z-score below -2."/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B21S2.DE04"/>
        <display value="Normal Weight for Age"/>
        <designation>
          <value
                 value="A young infant with normal weight for age (z-score -2 or above)"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B21S2.DE10"/>
        <display value="Appropriate replacement milk"/>
        <designation>
          <value
                 value="The caregiver is giving appropriate  replacement milk"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B21S2.DE11"/>
        <display value="Inappropriate replacement milk"/>
        <designation>
          <value
                 value="The caregiver is giving inappropriate replacement milk"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B21S2.DE16"/>
        <display value="Sufficient replacement feeds"/>
        <designation>
          <value
                 value="The caregiver is giving sufficient replacement feeds (approximately 60 ml per feed, 8 times per day for a young infant up to one month of age; approximately 90 ml per feed, 7 times per day for a young infant between 1 and 2 months of age)"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B21S2.DE17"/>
        <display value="Insufficient replacement feeds"/>
        <designation>
          <value
                 value="The caregiver is not giving sufficient replacement feeds (i.e. less than 60 ml per feed, 8 times per day for a young infant up to one month of age; less than 90 ml per feed, 7 times per day for a young infant between 1 and 2 months of age)"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B21S2.DE19"/>
        <display value="Correct or hygienic feed preparation"/>
        <designation>
          <value
                 value="The caregiver is preparing the milk correctly and hygenically"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B21S2.DE20"/>
        <display value="Incorrect or unhygienic feed preparation"/>
        <designation>
          <value
                 value="The caregiver is not preparing the milk correctly and hygenically"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B21S2.DE22"/>
        <display value="Cup"/>
        <designation>
          <value value="The milk is given to the young infant using a cup"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B21S2.DE23"/>
        <display value="Bottle"/>
        <designation>
          <value
                 value="The milk is given to the young infant using a bottle"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B21S2.DE25"/>
        <display value="Feeding utensils cleaned hygienically"/>
        <designation>
          <value
                 value="The caregiver is cleaning the feeding utensils hygienically"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B21S2.DE26"/>
        <display value="Feeding utensils not cleaned hygienically"/>
        <designation>
          <value
                 value="The caregiver is not cleaning the feeding utensils hygienically"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B21S2.DE28"/>
        <display value="Breastmilk also given"/>
        <designation>
          <value value="Breastmilk is also given to the young infant"/>
        </designation>
      </concept>
      <concept>
        <code value="CHE.B21S2.DE29"/>
        <display value="No Breastmilk at all"/>
        <designation>
          <value value="No breastmilk is given to the young infant at all"/>
        </designation>
      </concept>
    </include>
  </compose>
</ValueSet>