Questionnaire-SOTMeasles
type: Questionnaire
node role: treeRoot
id:
  v: Questionnaire-SOTMeasles
meta:
  profile:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-smap
    link: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-smap
language:
  v: en
text:
  status:
    v: generated
  div: LinkId Text Cardinality Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Questionnaire-SOTMeasles Measles Case Investigation Questionnaire Questionnaire http://worldhealthorganization.github.io/smart-ot/Questionnaire/Questionnaire-SOTMeasles#0.2.1 investigationForm Investigation Form for Measles/Rubella 0..1 group description Complete this form for: Any person in whom a health care worker suspects measles or rubella infection or a patient with fever and rash. The health worker should attempt to collect epidemiological and clinical data , as well as a blood sample , on the first contact with the patient. This contact with the patient might be the only one. 0..1 display reportingSource Section I: Identification of the Reporting Institution 0..1 group initialDiagnosis Initial Diagnosis 0..1 choice Value Set: SOT Measles Initial Diagnosis caseID Case Number 0..1 string reportingInstitution Reporting Institution 0..1 group reportingFacility Health Service Name 0..1 string telephone Health Service Telephone 0..1 string country Country 0..1 string municipality Municipality 0..1 string state Province/State 0..1 string locality Locality/Neighborhood 0..1 string reportedBy Reported By 0..1 string DateOfConsultation Date Of Consultation 0..1 date DateOfHomeVisit Date Of Home Visit 0..1 date dateReported Date Reported - Local 0..1 date DateReportedNational Date Reported - National 0..1 date DetectedBy Detected By 0..1 choice Value Set: SOT Measles Detected By TypeOfProviderReporting Type Of Provider Reporting 0..1 choice Value Set: SOT Measles Provider Type specifyother Specify 0..1 string Enable When: TypeOfProviderReporting = Other (Type of Provider Code System#88) demographics Section II: Patient Information 0..1 group name Patient’s first and last names 0..1 string guardian Name of the mother or guardian 0..1 string address Address 0..1 string telephone Telephone 0..1 string landmark Landmarks to locate the house 0..1 string o…
contained: ValueSet
  id:
    v: InitDiag
  url:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/InitDiag
  version:
    v: 0.2.1
  name:
    v: InitDiag
  title:
    v: SOT Measles Initial Diagnosis
  status:
    v: draft
  description:
    v: SOT Measles Initial Diagnosis
  expansion:
    timestamp:
      v: 2023-05-02T20:23:35+05:30
    total:
      v: 6
    parameter:
      name:
        v: excludeNested
      value:
        v: false
    parameter:
      name:
        v: version
      value:
        v: http://worldhealthorganization.github.io/smart-ot/InitDiag|0.2.1
    contains:
      system:
        v: http://worldhealthorganization.github.io/smart-ot/InitDiag
      code:
        v: 1
      display:
        v: Measles
    contains:
      system:
        v: http://worldhealthorganization.github.io/smart-ot/InitDiag
      code:
        v: 2
      display:
        v: Rubella
    contains:
      system:
        v: http://worldhealthorganization.github.io/smart-ot/InitDiag
      code:
        v: 3
      display:
        v: Dengue
    contains:
      system:
        v: http://worldhealthorganization.github.io/smart-ot/InitDiag
      code:
        v: 4
      display:
        v: Other Rash illness
    contains:
      system:
        v: http://worldhealthorganization.github.io/smart-ot/InitDiag
      code:
        v: 8
      display:
        v: Other Non-Rash illness
    contains:
      system:
        v: http://worldhealthorganization.github.io/smart-ot/InitDiag
      code:
        v: 99
      display:
        v: Unknown
contained: ValueSet
  id:
    v: YesNoUnknown
  url:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
  name:
    v: YesNoUnknown
  title:
    v: Yes No Unknown
  status:
    v: draft
  description:
    v: Yes No Unknown
  compose:
    include:
      system:
        v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
contained: ValueSet
  id:
    v: RashType
  url:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/RashType
  name:
    v: RashType
  title:
    v: Rash Type
  status:
    v: draft
  description:
    v: Rash Type
  compose:
    include:
      system:
        v: http://worldhealthorganization.github.io/smart-ot/RashType
contained: ValueSet
  id:
    v: Antigen
  url:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/Antigen
  name:
    v: Antigen
  title:
    v: Antigen
  status:
    v: draft
  description:
    v: Antigen
  compose:
    include:
      system:
        v: http://worldhealthorganization.github.io/smart-ot/CodeSystem/AntigenCs
contained: ValueSet
  id:
    v: Result
  url:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/Result
  name:
    v: Result
  title:
    v: Result
  status:
    v: draft
  description:
    v: Result
  compose:
    include:
      system:
        v: http://worldhealthorganization.github.io/smart-ot/Result
extension:
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap
  value:
    v: http://worldhealthorganization.github.io/smart-ot/StructureMap/MeaslesQuestionnaireToResources
    link: http://worldhealthorganization.github.io/smart-ot/StructureMap/MeaslesQuestionnaireToResources
url:
  v: http://worldhealthorganization.github.io/smart-ot/Questionnaire/Questionnaire-SOTMeasles
version:
  v: 0.2.1
name:
  v: Questionnaire-SOTMeasles
title:
  v: Measles Case Investigation Questionnaire
status:
  v: draft
subject type:
  v: Patient
date:
  v: 2023-11-07T05:59:29+00:00
publisher:
  v: WHO
contact:
  name:
    v: WHO
  telecom:
    system:
      v: url
    value:
      v: http://who.int
description:
  v: Measles Case Investigation Questionnaire
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
    code:
      v: 001
item:
  link id:
    v: investigationForm
  text:
    v: Investigation Form for Measles/Rubella
  type:
    v: group
  repeats:
    v: false

link id:
  v: description
text:
  v: Complete this form for: Any person in whom a health care worker suspects measles or rubella infection or a patient with fever and rash. The health worker should attempt to collect epidemiological and clinical data , as well as a blood sample , on the first contact with the patient. This contact with the patient might be the only one.
type:
  v: display
repeats:
  v: false

link id:
  v: reportingSource
text:
  v: Section I: Identification of the Reporting Institution
type:
  v: group
repeats:
  v: false
item:
  link id:
    v: initialDiagnosis
  text:
    v: Initial Diagnosis
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/InitDiag
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/InitDiag
item:
  link id:
    v: caseID
  text:
    v: Case Number
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: reportingInstitution
  text:
    v: Reporting Institution
  type:
    v: group
  repeats:
    v: false
  item:
    link id:
      v: reportingFacility
    text:
      v: Health Service Name
    type:
      v: string
    repeats:
      v: false
  item:
    link id:
      v: telephone
    text:
      v: Health Service Telephone
    type:
      v: string
    repeats:
      v: false
  item:
    link id:
      v: country
    text:
      v: Country
    type:
      v: string
    repeats:
      v: false
  item:
    link id:
      v: municipality
    text:
      v: Municipality
    type:
      v: string
    repeats:
      v: false
  item:
    link id:
      v: state
    text:
      v: Province/State
    type:
      v: string
    repeats:
      v: false
  item:
    link id:
      v: locality
    text:
      v: Locality/Neighborhood
    type:
      v: string
    repeats:
      v: false
item:
  link id:
    v: reportedBy
  text:
    v: Reported By
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: DateOfConsultation
  text:
    v: Date Of Consultation
  type:
    v: date
  repeats:
    v: false
item:
  link id:
    v: DateOfHomeVisit
  text:
    v: Date Of Home Visit
  type:
    v: date
  repeats:
    v: false
item:
  link id:
    v: dateReported
  text:
    v: Date Reported - Local
  type:
    v: date
  repeats:
    v: false
item:
  link id:
    v: DateReportedNational
  text:
    v: Date Reported - National
  type:
    v: date
  repeats:
    v: false
item:
  link id:
    v: DetectedBy
  text:
    v: Detected By
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/DetectedBy
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/DetectedBy
item:
  link id:
    v: TypeOfProviderReporting
  text:
    v: Type Of Provider Reporting
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/ProvType
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/ProvType
item:
  link id:
    v: specifyother
  text:
    v: Specify
  type:
    v: string
  enable when:
    question:
      v: TypeOfProviderReporting
    operator:
      v: =
    answer: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/ProvType
      code:
        v: 88
  repeats:
    v: false

link id:
  v: demographics
text:
  v: Section II: Patient Information
type:
  v: group
repeats:
  v: false
item:
  link id:
    v: name
  text:
    v: Patient’s first and last names
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: guardian
  text:
    v: Name of the mother or guardian
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: address
  text:
    v: Address
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: telephone
  text:
    v: Telephone
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: landmark
  text:
    v: Landmarks to locate the house
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: occupation
  text:
    v: Patient’s Occupation
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: localityType
  text:
    v: Type of locality
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/LocType
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/LocType
item:
  link id:
    v: workAddress
  text:
    v: Work or school address
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: sex
  text:
    v: Patient’s sex
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/BiologicalSex
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/BiologicalSex
item:
  link id:
    v: DoB
  text:
    v: Patient’s Date of Birth
  type:
    v: date
  repeats:
    v: false
item:
  link id:
    v: ageOnset
  text:
    v: If date of birth is unknown, age
  type:
    v: integer
  repeats:
    v: false

link id:
  v: vaccinationStatus
text:
  v: Section III: Vaccination History
type:
  v: group
repeats:
  v: true
item:
  link id:
    v: vaccineType
  text:
    v: Type of Vaccine*
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/VaccineType
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/VaccineType
item:
  link id:
    v: noOfDoses
  text:
    v: Number of doses**
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/NoOfDoses
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/NoOfDoses
item:
  link id:
    v: lastDoseDate
  text:
    v: Date of last dose
  type:
    v: date
  repeats:
    v: false
item:
  link id:
    v: sourceOfInformation
  text:
    v: Source of vaccination Information †
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/VaccineInfoSource
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/VaccineInfoSource

link id:
  v: clinical
text:
  v: Section IV: Clinical Data; Follow-up & Treatment
type:
  v: group
repeats:
  v: false
item:
  link id:
    v: fever
  text:
    v: Fever?
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
item:
  link id:
    v: temperature
  text:
    v: If Yes, temperature (°)
  type:
    v: decimal
  enable when:
    question:
      v: fever
    operator:
      v: =
    answer: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
      code:
        v: Yes
  repeats:
    v: false
item:
  link id:
    v: dateOfFeverOnset
  text:
    v: Date of fever onset
  type:
    v: date
  enable when:
    question:
      v: fever
    operator:
      v: =
    answer: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
      code:
        v: Yes
  repeats:
    v: false
item:
  link id:
    v: rash
  text:
    v: Rash?
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
item:
  link id:
    v: rashDuration
  text:
    v: If Yes, duration of the rash(in days)
  type:
    v: integer
  enable when:
    question:
      v: rash
    operator:
      v: =
    answer: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
      code:
        v: Yes
  repeats:
    v: false
item:
  link id:
    v: rashOnsetDate
  text:
    v: Date of rash onset
  type:
    v: date
  enable when:
    question:
      v: rash
    operator:
      v: =
    answer: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
      code:
        v: Yes
  repeats:
    v: false
item:
  link id:
    v: rashType
  text:
    v: Type of rash
  type:
    v: choice
  enable when:
    question:
      v: rash
    operator:
      v: =
    answer: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
      code:
        v: Yes
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/RashType
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/RashType
item:
  link id:
    v: cough
  text:
    v: Cough?
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
item:
  link id:
    v: conjunctivitis
  text:
    v: Conjunctivitis?
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
item:
  link id:
    v: coryza
  text:
    v: Coryza?
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
item:
  link id:
    v: koplikSpots
  text:
    v: Koplik Spots?
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
item:
  link id:
    v: lymphadenopathy
  text:
    v: Lymphadenopathy?
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
item:
  link id:
    v: jointPain
  text:
    v: Arthralgia?
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown

link id:
  v: pregnancy
text:
  v: Is the patient pregnant?
type:
  v: choice
repeats:
  v: false
answer value set:
  v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
  link: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown

link id:
  v: monthsPregnant
text:
  v: Weeks of pregnancy (01-42)
type:
  v: integer
enable when:
  question:
    v: pregnancy
  operator:
    v: =
  answer: Coding
    system:
      v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
    code:
      v: Yes
repeats:
  v: false

link id:
  v: placeOfBirth
text:
  v: If Yes, Place where birth will likely take place
type:
  v: string
enable when:
  question:
    v: pregnancy
  operator:
    v: =
  answer: Coding
    system:
      v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
    code:
      v: Yes
repeats:
  v: false

link id:
  v: admitted
text:
  v: Hospitalized?
type:
  v: choice
repeats:
  v: false
answer value set:
  v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
  link: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown

link id:
  v: admittedHCFName
text:
  v: Hospital name
type:
  v: string
enable when:
  question:
    v: admitted
  operator:
    v: =
  answer: Coding
    system:
      v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
    code:
      v: Yes
repeats:
  v: false

link id:
  v: admissionDate
text:
  v: If Yes, Date of admission
type:
  v: date
enable when:
  question:
    v: admitted
  operator:
    v: =
  answer: Coding
    system:
      v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
    code:
      v: Yes
repeats:
  v: false

link id:
  v: hospitalRecordNumber
text:
  v: Hospital record number
type:
  v: string
enable when:
  question:
    v: admitted
  operator:
    v: =
  answer: Coding
    system:
      v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
    code:
      v: Yes
repeats:
  v: false

link id:
  v: outcome
text:
  v: Death?
type:
  v: choice
repeats:
  v: false
answer value set:
  v: http://worldhealthorganization.github.io/smart-ot/ValueSet/PatientOutcome
  link: http://worldhealthorganization.github.io/smart-ot/ValueSet/PatientOutcome

link id:
  v: outcomeDate
text:
  v: If Yes, Date of death
type:
  v: date
enable when:
  question:
    v: outcome
  operator:
    v: =
  answer: Coding
    system:
      v: http://worldhealthorganization.github.io/smart-ot/PatientOutcome
    code:
      v: Death
repeats:
  v: false

link id:
  v: primaryCauseOfDeath
text:
  v: Primary cause of death
type:
  v: string
enable when:
  question:
    v: outcome
  operator:
    v: =
  answer: Coding
    system:
      v: http://worldhealthorganization.github.io/smart-ot/PatientOutcome
    code:
      v: Death
repeats:
  v: false

link id:
  v: diseaseAdditionalInfo
text:
  v: Comments
type:
  v: string
repeats:
  v: false

link id:
  v: laboratoryResults
text:
  v: Section V: Specimens & Laboratory Testing
type:
  v: group
repeats:
  v: false
item:
  link id:
    v: specimenNumber
  text:
    v: Specimen number*
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/SpecimenNumber
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/SpecimenNumber
item:
  link id:
    v: sampleType
  text:
    v: Type of specimen**
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/SampleType
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/SampleType
item:
  link id:
    v: collectionDate
  text:
    v: Date specimen obtained
  type:
    v: date
  repeats:
    v: false
item:
  link id:
    v: labName
  text:
    v: Laboratory Name
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: specimenSentDate
  text:
    v: Date specimen was sent to lab
  type:
    v: date
  repeats:
    v: false
item:
  link id:
    v: specimenReceivedDate
  text:
    v: Date Received
  type:
    v: date
  repeats:
    v: false
item:
  link id:
    v: sampleId
  text:
    v: # specimen ID in lab.
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: testPerformed
  text:
    v: Type of test
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/TestPerformed
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/TestPerformed
item:
  link id:
    v: antigen
  text:
    v: Antigen
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/Antigen
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/Antigen
item:
  link id:
    v: result
  text:
    v: Result
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/Result
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/Result
item:
  link id:
    v: resultDate
  text:
    v: Date of Results
  type:
    v: date
  repeats:
    v: false
item:
  link id:
    v: specifyVirus
  text:
    v: If virus was detected, specify viral genotype: (Measles: A, B1, B2, B3, C1, C2, D1, D2, D3, D4, D5, D6, D7, D8, D9, D10, E, F, G1, G2, G3, H1, H2. Rubella: 1a, 1B, 1C, 1D, 1E, 1F, 1g, 2A, 2B, 2c)
  type:
    v: string
  repeats:
    v: false

link id:
  v: contactTracing
text:
  v: Section VI: Investigation
type:
  v: group
repeats:
  v: false
item:
  link id:
    v: caseSearchConducted
  text:
    v: Were active case-searches conducted?
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
item:
  link id:
    v: noOfsuspectCases
  text:
    v: If Yes, Number of suspect cases detected during active case-search
  type:
    v: integer
  enable when:
    question:
      v: caseSearchConducted
    operator:
      v: =
    answer: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
      code:
        v: Yes
  repeats:
    v: false
item:
  link id:
    v: pregnantContact
  text:
    v: Was the patient in contact with any pregnant woman?
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
item:
  link id:
    v: pregnantContactNames
  text:
    v: If Yes, Name(s)
  type:
    v: string
  enable when:
    question:
      v: pregnantContact
    operator:
      v: =
    answer: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
      code:
        v: Yes
  repeats:
    v: false
item:
  link id:
    v: localCasesPresent
  text:
    v: Are there other cases present in the case’s municipality of residence?
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/LocalCasesPresent
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/LocalCasesPresent
item:
  link id:
    v: travelledOutside
  text:
    v: Did the patient travel outside his/her province/state of residence 7-23 days before rash onset?
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
item:
  link id:
    v: travelDetails
  text:
    v: If Yes,:
  type:
    v: group
  enable when:
    question:
      v: travelledOutside
    operator:
      v: =
    answer: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
      code:
        v: Yes
  repeats:
    v: true
  item:
    link id:
      v: placeOfTravel
    text:
      v: Cities/Countries
    type:
      v: string
    repeats:
      v: false
  item:
    link id:
      v: arrivalDate
    text:
      v: Date of arrival
    type:
      v: date
    repeats:
      v: false
  item:
    link id:
      v: departureDate
    text:
      v: Date of departure
    type:
      v: date
    repeats:
      v: false
item:
  link id:
    v: infectionSetting
  text:
    v: Setting where infected?
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/InfectionSetting
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/InfectionSetting
item:
  link id:
    v: specifyInfectionSetting
  text:
    v: Specify
  type:
    v: string
  enable when:
    question:
      v: infectionSetting
    operator:
      v: =
    answer: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/InfectionSetting
      code:
        v: 88
  repeats:
    v: false

link id:
  v: epiData
text:
  v: Section VII: Response Measures
type:
  v: group
repeats:
  v: false
item:
  link id:
    v: ringVaccination
  text:
    v: Ring vaccination?
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
item:
  link id:
    v: dateStarted
  text:
    v: Date started
  type:
    v: date
  enable when:
    question:
      v: ringVaccination
    operator:
      v: =
    answer: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
      code:
        v: Yes
  repeats:
    v: false
item:
  link id:
    v: dateEnded
  text:
    v: Date Ended
  type:
    v: date
  enable when:
    question:
      v: ringVaccination
    operator:
      v: =
    answer: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
      code:
        v: Yes
  repeats:
    v: false
item:
  link id:
    v: noOfDosesRingVaccination
  text:
    v: Number of doses given during ring vaccination
  type:
    v: integer
  enable when:
    question:
      v: ringVaccination
    operator:
      v: =
    answer: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
      code:
        v: Yes
  repeats:
    v: false
item:
  link id:
    v: rapidCoverageMonitioring
  text:
    v: Was rapid coverage monitoring done
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
item:
  link id:
    v: percentVaccinated
  text:
    v: If yes, what % of vaccinated persons was found?
  type:
    v: integer
  enable when:
    question:
      v: rapidCoverageMonitioring
    operator:
      v: =
    answer: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
      code:
        v: Yes
  repeats:
    v: false
item:
  link id:
    v: contactTracingDone
  text:
    v: Were the contacts followed for up to 30 days after the date of the rash onset of the case?
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
item:
  link id:
    v: lastFollowUp
  text:
    v: If yes, date of the last day of contact follow-up
  type:
    v: date
  enable when:
    question:
      v: contactTracingDone
    operator:
      v: =
    answer: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
      code:
        v: Yes
  repeats:
    v: false

link id:
  v: classification
text:
  v: Section VIII: Classification
type:
  v: group
repeats:
  v: false
item:
  link id:
    v: finalClassification
  text:
    v: Final Classification
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/FinalClassification
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/FinalClassification
item:
  link id:
    v: confirmationBasis
  text:
    v: Basis for confirmation
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/ConfirmationBasis
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/ConfirmationBasis
item:
  link id:
    v: countryImportation
  text:
    v: If Imported or Import-related, Country of importation
  type:
    v: string
  enable when:
    question:
      v: confirmationBasis
    operator:
      v: =
    answer: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/ConfirmationBasis
      code:
        v: 1
  repeats:
    v: false
item:
  link id:
    v: discardingBasis
  text:
    v: Basis for discarding
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/DiscardingBasis
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/DiscardingBasis
item:
  link id:
    v: sourceOfInfection
  text:
    v: For confirmed cases, Source of infection
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/SourceOfInfection
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/SourceOfInfection
item:
  link id:
    v: contact
  text:
    v: Contact of another case?
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
item:
  link id:
    v: contactCaseNo
  text:
    v: Contact of (or epidemiologically-linked to) case number
  type:
    v: string
  enable when:
    question:
      v: contact
    operator:
      v: =
    answer: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
      code:
        v: Yes
  repeats:
    v: false
item:
  link id:
    v: classifiedBy
  text:
    v: Classified by
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: classificationDate
  text:
    v: Date of final classification
  type:
    v: date
  repeats:
    v: false