WHO SMART Guidelines - HIV
0.4.3 - ci-build
WHO SMART Guidelines - HIV - Local Development build (v0.4.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Generated Narrative: Questionnaire HIV.E1CaptureOrUpdateMotherSHistory
Language: en
Profiles: Extractable Questionnaire - StructureMap, CRMI Shareable Questionnaire, CRMI Publishable Questionnaire
LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
---|---|---|---|---|---|
![]() ![]() | Questionnaire for capture or update mother's history | Questionnaire | http://smart.who.int/hiv/Questionnaire/HIV.E1CaptureOrUpdateMotherSHistory#0.4.3 | ||
![]() ![]() ![]() | Pregnant woman's first name | 0..1 | string | ||
![]() ![]() ![]() | Pregnant woman's surname | 0..1 | string | ||
![]() ![]() ![]() | Pregnant woman's unique ID | 0..1 | string | ||
![]() ![]() ![]() | Antenatal care number | 0..1 | string | ||
![]() ![]() ![]() | Gestational age | 1..1 | integer | ||
![]() ![]() ![]() | Source of gestational age | 1..1 | choice | Value Set: #HIV.E.DE6 | |
![]() ![]() ![]() | Expected date of delivery (EDD) | 1..1 | date | ||
![]() ![]() ![]() | Number of pregnancies (gravida) | 1..1 | integer | ||
![]() ![]() ![]() | Number of previous pregnancies | 1..1 | integer | ||
![]() ![]() ![]() | Number of miscarriages and/or abortions | 1..1 | integer | ||
![]() ![]() ![]() | Number of live births | 1..1 | integer | ||
![]() ![]() ![]() | Number of caesarian sections | 1..1 | integer | ||
![]() ![]() ![]() | Number of stillbirths | 1..1 | integer | ||
![]() ![]() ![]() | Past pregnancy complications | 0..1 | choice | Value Set: #HIV.E.DE17 | |
![]() ![]() ![]() | Other past pregnancy problems (specify) | 0..1 | string | ||
![]() ![]() ![]() | Parity | 1..1 | integer | ||
![]() ![]() ![]() | Pregnancy in HIV-infected woman | 0..1 | boolean | ||
![]() ![]() ![]() | Date new pregnancy of HIV-positive woman identified | 0..1 | date | ||
![]() ![]() ![]() | ANC contact during pregnancy | 0..1 | boolean | ||
![]() ![]() ![]() | Date of first ANC visit | 0..1 | date | ||
![]() ![]() ![]() | Timing of ART initiation | 0..1 | choice | Value Set: #HIV.E.DE41 | |
![]() ![]() ![]() | Maternal use of recommended ART regimen | 0..1 | boolean | ||
![]() ![]() ![]() | Delivery date | 1..1 | date | ||
![]() ![]() ![]() | Pregnancy outcome | 0..1 | choice | Value Set: #HIV.E.DE47 | |
![]() ![]() ![]() | Delivery mode | 0..1 | choice | Value Set: #HIV.E.DE52 | |
![]() ![]() ![]() | Indications for caesarian section (C/S) | 0..1 | string | ||
![]() ![]() ![]() | Obstetric complications | 0..1 | string | ||
![]() ![]() ![]() | Live birth | 0..1 | boolean | ||
![]() ![]() ![]() | Live birth to an HIV-positive woman | 0..1 | boolean | ||
![]() ![]() ![]() | Gestational age at birth | 0..1 | integer | ||
![]() ![]() ![]() | Small for gestational age (SGA) | 0..1 | boolean | ||
![]() ![]() ![]() | Preterm birth status | 0..1 | choice | Value Set: #HIV.E.DE62 | |
![]() ![]() ![]() | Maternal ART start date | 0..1 | date | ||
![]() ![]() ![]() | Place of delivery | 1..1 | choice | Value Set: #HIV.E.DE67 | |
![]() ![]() ![]() | Other (specify) | 0..1 | string | ||
![]() ![]() ![]() | Delivery facility | 0..1 | string | ||
![]() ![]() ![]() | Date of miscarriage or abortion | 0..1 | date | ||
![]() ![]() ![]() | Infant's first name | 1..1 | string | ||
![]() ![]() ![]() | Infant's surname | 1..1 | string | ||
![]() ![]() ![]() | Infant's unique ID | 1..1 | string | ||
![]() ![]() ![]() | Mother's first name | 0..1 | string | ||
![]() ![]() ![]() | Mother's surname | 0..1 | string | ||
![]() ![]() ![]() | Mother's unique ID | 0..1 | string | ||
![]() ![]() ![]() | Caregiver's first name | 0..1 | string | ||
![]() ![]() ![]() | Caregiver's surname | 0..1 | string | ||
![]() ![]() ![]() | Caregiver's unique identifier | 0..1 | string | ||
![]() ![]() ![]() | ANC contact date | 1..1 | dateTime | ||
![]() ![]() ![]() | Referral | 1..1 | boolean | ||
![]() ![]() ![]() | Infant date of birth | 0..1 | date | ||
![]() ![]() ![]() | Date of birth of infant unknown | 0..1 | boolean | ||
![]() ![]() ![]() | Estimated age of infant | 0..1 | integer | ||
![]() ![]() ![]() | Age of infant | 0..1 | integer | ||
![]() ![]() ![]() | Gender of infant | 1..1 | choice | Value Set: #HIV.E.DE91 | |
![]() ![]() ![]() | Key population member | 0..1 | boolean | ||
![]() ![]() ![]() | Key population member type | 0..1 | choice | Value Set: #HIV.E.DE114 | |
![]() ![]() ![]() | Taking iron and folic acid (IFA) tablets | 0..1 | boolean | ||
![]() ![]() ![]() | Amount of iron prescribed | 0..1 | integer | ||
![]() ![]() ![]() | Type of iron supplement dosage provided | 0..1 | choice | Value Set: #HIV.E.DE136 | |
![]() ![]() ![]() | Amount of daily dose of folic acid prescribed | 0..1 | integer | ||
![]() ![]() ![]() | Maternal HIV status | 0..1 | choice | Value Set: #HIV.E.DE141 | |
![]() ![]() ![]() | Maternal HIV status at first ANC visit | 0..1 | choice | Value Set: #HIV.E.DE145 | |
![]() ![]() ![]() | Signs of substantial risk of HIV infection | 1..1 | choice | Value Set: #HIV.E.DE155 | |
![]() ![]() ![]() | Serodiscordant partner | 0..1 | boolean | ||
![]() ![]() ![]() | Date woman received counselling for CPT | 0..1 | date | ||
![]() ![]() ![]() | Date woman received counselling for TPT | 0..1 | date | ||
![]() ![]() ![]() | Maternal and child health service visit | 0..1 | choice | Value Set: #HIV.E.DE173 | |
![]() ![]() ![]() | Weeks postpartum | 0..1 | integer | ||
![]() ![]() ![]() | Timing of additional infant HIV test | 0..1 | integer | ||
![]() ![]() ![]() | Date of sample collection of additional infant HIV test | 0..1 | date | ||
![]() ![]() ![]() | Haemoglobin (Hb) result | 0..1 | integer | ||
![]() ![]() ![]() | Blood group and Rh factor | 0..1 | choice | Value Set: #HIV.E.DE246 | |
![]() ![]() ![]() | Asymptomatic bacteriuria (ASB) test result | 0..1 | choice | Value Set: #HIV.E.DE255 | |
![]() ![]() ![]() | Urine protein test result | 0..1 | choice | Value Set: #HIV.E.DE259 | |
![]() ![]() ![]() | Type of hypertensive disorder | 0..1 | choice | Value Set: #HIV.E.DE264 | |