http://worldhealthorganization.github.io/smart-ot/Questionnaire/Questionnaire-SOTT0CaseInvestigationForm
type: Questionnaire
node role: treeRoot
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-SOTT0CaseInvestigationForm T0 Case Investigation Questionnaire Questionnaire http://worldhealthorganization.github.io/smart-ot/Questionnaire/Questionnaire-SOTT0CaseInvestigationForm#0.2.1 investigationForm T0 Initial Case Investigation Form 0..1 group Demographics Section 1: Patient Information 0..1 group Name Name 0..1 string identification Identification 0..1 string telephone Telephone 0..1 string BirthDate Birth Date 0..1 date Sex Sex at birth 0..1 choice Value Set: SOT Biological Sex estimatedAge Estimated Age in years/months/days 0..1 string occupation Occupation 0..1 string healthServiceName If working in a health facility, specify name and locality 0..1 string address Residential street address 0..1 string province Admin Level 1 - province 0..1 string district Admin Level 2 - district 0..1 string commune Admin Level 3 - commune 0..1 string ward Admin Level 4 - ward , parish 0..1 string latitude GPS residence latitude 0..1 string longitude GPS residence longitude 0..1 string Clinical Section 2: Clinical Information 0..1 group clinicalCourse Patient clinical course 0..1 group symptomOnsetDate date of onset of symptoms*:____/____/______ 0..1 date presentedToHCFDate For this episode, date first presented to health facility:___/___/_____ 0..1 date admitted Currently admitted in health facility ?: 0..1 choice Value Set: SOT Yes No admittedHCFName name: 0..1 string Enable When: admitted = Yes (expandedYes-NoIndicator#Y) outcome Outcome of illness*: 0..1 choice Value Set: Patient Clinical Course Outcome outcomeEvaluatedDate date outcome was evaluated:___/___/_____ 0..1 date outcomeDate date* of recovery, default or death:___/___/_____ 0..1 date symptoms Patient symptoms at presentation - check all reported symptoms 0..1 group fever History of fever 0..1 choice Value Set: Yes No Unknown fatigue Intense fatigue or weakness 0..1 choice V…
contained: ValueSet
  id:
    v: BiologicalSex
  url:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/BiologicalSex
  name:
    v: BiologicalSex
  title:
    v: SOT Biological Sex
  status:
    v: draft
  description:
    v: Biological Sex
  compose:
    include:
      system:
        v: http://hl7.org/fhir/administrative-gender
    exclude:
      system:
        v: http://hl7.org/fhir/administrative-gender
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: PatientOutcome
  url:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/PatientOutcome
  name:
    v: PatientOutcome
  title:
    v: Patient Clinical Course Outcome
  status:
    v: draft
  description:
    v: Patient Clinical Course Outcome
  compose:
    include:
      system:
        v: http://worldhealthorganization.github.io/smart-ot/PatientOutcome
contained: ValueSet
  id:
    v: YesNo
  url:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNo
  name:
    v: YesNo
  title:
    v: SOT Yes No
  status:
    v: draft
  description:
    v: Yes No
  compose:
    include:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0532
url:
  v: http://worldhealthorganization.github.io/smart-ot/Questionnaire/Questionnaire-SOTT0CaseInvestigationForm
version:
  v: 0.2.1
title:
  v: T0 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: T0 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: T0 Initial Case Investigation Form
  type:
    v: group
  repeats:
    v: false
  item:
    link id:
      v: Demographics
    text:
      v: Section 1: Patient Information
    type:
      v: group
    repeats:
      v: false
    item:
      link id:
        v: Name
      text:
        v: Name
      type:
        v: string
      repeats:
        v: false
    item:
      link id:
        v: identification
      text:
        v: Identification
      type:
        v: string
      repeats:
        v: false
    item:
      link id:
        v: telephone
      text:
        v: Telephone
      type:
        v: string
      repeats:
        v: false
    item:
      link id:
        v: BirthDate
      text:
        v: Birth Date
      type:
        v: date
      repeats:
        v: false
    item:
      link id:
        v: Sex
      text:
        v: Sex at birth
      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: estimatedAge
      text:
        v: Estimated Age in years/months/days
      type:
        v: string
      repeats:
        v: false
    item:
      link id:
        v: occupation
      text:
        v: Occupation
      type:
        v: string
      repeats:
        v: false
    item:
      link id:
        v: healthServiceName
      text:
        v: If working in a health facility, specify name and locality
      type:
        v: string

v: unknown

v: Unknown

v: other

v: Other

v: Y

v: Yes

v: N

v: No

v: false

link id:
  v: address
text:
  v: Residential street address
type:
  v: string
repeats:
  v: false

link id:
  v: province
text:
  v: Admin Level 1 - province
type:
  v: string
repeats:
  v: false

link id:
  v: district
text:
  v: Admin Level 2 - district
type:
  v: string
repeats:
  v: false

link id:
  v: commune
text:
  v: Admin Level 3 - commune
type:
  v: string
repeats:
  v: false

link id:
  v: ward
text:
  v: Admin Level 4 - ward , parish
type:
  v: string
repeats:
  v: false

link id:
  v: latitude
text:
  v: GPS residence latitude
type:
  v: string
repeats:
  v: false

link id:
  v: longitude
text:
  v: GPS residence longitude
type:
  v: string
repeats:
  v: false

link id:
  v: Clinical
text:
  v: Section 2: Clinical Information
type:
  v: group
repeats:
  v: false
item:
  link id:
    v: clinicalCourse
  text:
    v: Patient clinical course
  type:
    v: group
  repeats:
    v: false
item:
  link id:
    v: symptomOnsetDate
  text:
    v: date of onset of symptoms*:____/____/______
  type:
    v: date
  repeats:
    v: false
item:
  link id:
    v: presentedToHCFDate
  text:
    v: For this episode, date first presented to health facility:___/___/_____
  type:
    v: date
  repeats:
    v: false
item:
  link id:
    v: admitted
  text:
    v: Currently admitted in health facility ?:
  type:
    v: choice
  repeats:
    v: false
  answer value set:
    v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNo
    link: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNo
item:
  link id:
    v: admittedHCFName
  text:
    v: name:
  type:
    v: string
  enable when:
    question:
      v: admitted
    operator:
      v: =
    answer: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0532
      code:
        v: Y
  repeats:
    v: false
item:
  link id:
    v: outcome
  text:
    v: Outcome of illness*:
  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
item:
  link id:
    v: outcomeEvaluatedDate
  text:
    v: date outcome was evaluated:___/___/_____
  type:
    v: date
  repeats:
    v: false
item:
  link id:
    v: outcomeDate
  text:
    v: date* of recovery, default or death:___/___/_____
  type:
    v: date
  repeats:
    v: false
item:
  link id:
    v: symptoms
  text:
    v: Patient symptoms at presentation - check all reported symptoms
  type:
    v: group
  repeats:
    v: false
  item:
    link id:
      v: fever
    text:
      v: History of 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: fatigue
    text:
      v: Intense fatigue or weakness
    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: irritability
    text:
      v: Irritability/confusion
    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: headache
    text:
      v: Head pain
    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: soreThroat
    text:
      v: Sore throat
    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: intenseCough
    text:
      v: Non-productive 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: expectoration
    text:
      v: Productive cough (expectoration)
    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: anorexia
    text:
      v: Loss of appetite
    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: diarrhoea
text:
  v: Passing rice water-like stool
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: nausea
text:
  v: Nausea/vomiting
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: intensePain
text:
  v: Intense pain
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: musclePain
text:
  v: Muscular pain
type:
  v: choice
enable when:
  question:
    v: intensePain
  operator:
    v: =
  answer: Coding
    system:
      v: http://worldhealthorganization.github.io/smart-ot/ValueSet/YesNoUnknown
    code:
      v: Yes
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: chestPain
text:
  v: Chest pain
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: abdominalPain
text:
  v: Abdominal pain
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: jointPain
text:
  v: Joint pain
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: signs
text:
  v: Patient signs at presention - check all observed signs
type:
  v: group
repeats:
  v: false
item:
  link id:
    v: conjunctivitalInjection
  text:
    v: Conjunctival injection
  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: palpableLiver
  text:
    v: Palpable liver
  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: palpableSpleen
  text:
    v: Palpable spleen
  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: jaundice
  text:
    v: Jaundice
  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: Enlarged lymph nodes
  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: lymphadenopathySite
  text:
    v: site (enlarged nymph nodes)
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: oedema
  text:
    v: Peripheral oedemas
  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: seizures
  text:
    v: Seizures
  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: coma
  text:
    v: Drowsiness, coma
  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: stiffNeck
  text:
    v: Neck stiffness
  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: bleeding
  text:
    v: Observed abnormal bleeding
  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: otherSignsSymptoms
  text:
    v: Other signs , specify
  type:
    v: string
  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: heartrate
  text:
    v: Heart rate (beats per min)
  type:
    v: quantity
  repeats:
    v: false
item:
  link id:
    v: Bp
  text:
    v: Blood Pressure (mmHg):
  type:
    v: group
  repeats:
    v: false
  item:
    link id:
      v: sysBp
    text:
      v: Systolic blood pressure
    type:
      v: quantity
    repeats:
      v: false
  item:
    link id:
      v: diaBp
    text:
      v: Diastolic blood pressure
    type:
      v: quantity
    repeats:
      v: false
item:
  link id:
    v: RespiratoryRate
  text:
    v: Respiratory rate (per min)
  type:
    v: quantity
  repeats:
    v: false
item:
  link id:
    v: O2Sat
  text:
    v: O2 saturation room air
  type:
    v: quantity

v: false

link id:
  v: temperature
text:
  v: Temperature (degrees):
type:
  v: quantity
repeats:
  v: false

link id:
  v: crt
text:
  v: Capillary refill time> 3 sec
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: muac
text:
  v: MUAC (cm):
type:
  v: quantity
repeats:
  v: false

link id:
  v: comorbidity
text:
  v: Underlying conditions and comorbidity - check all that apply
type:
  v: group
repeats:
  v: false
item:
  link id:
    v: pregnancy
  text:
    v: Pregancy
  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: postPartum
  text:
    v: Post-partum (<6 weeks after delivering)
  type:
    v: choice
  repeats:
    v: false
item:
  link id:
    v: malnutrition
  text:
    v: Malnutrition
  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: immunodeficiency
  text:
    v: Immunodeficiency
  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: acuteChronicDisease
  text:
    v: Associated acute or chronic disease, please specifiy
  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: specifyAcuteChronicDisease
  text:
    v: if yes, name:
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: otherConditions
  text:
    v: Other conditions impacting health, specify
  type:
    v: string
  repeats:
    v: false

link id:
  v: Exposure
text:
  v: Section 3: Exposure and travel Information 3 WEEKS PRIOR TO FIRST SYMPTOM ONSET
type:
  v: group
repeats:
  v: false
item:
  link id:
    v: sickContact
  text:
    v: Are you aware of people outside your household with similar illness or symptoms ?
  type:
    v: choice
  repeats:
    v: false
item:
  link id:
    v: DateOfOnset
  text:
    v: Date of onset
  type:
    v: date
  repeats:
    v: false
item:
  link id:
    v: nameAndRelationship
  text:
    v: Name and relationship
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: placeOfInteraction
  text:
    v: Place of interaction
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: massGatheringParticipation
  text:
    v: Did the patient participate in mass gathering events
  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: massGetheringDetails
  text:
    v: Mass Gathering details
  type:
    v: group
  repeats:
    v: true
  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: dateOfEvent
    text:
      v: Date of event
    type:
      v: date
    repeats:
      v: false
  item:
    link id:
      v: eventLocation
    text:
      v: Location
    type:
      v: string
    repeats:
      v: false
  item:
    link id:
      v: gatheringType
    text:
      v: Type of gathering and how many people attended
    type:
      v: string
    repeats:
      v: false
  item:
    link id:
      v: Did you travel* outside your residential area ?
    text:
      v: Did you travel* outside your residential area ?
    type:
      v: choice
    repeats:
      v: false
item:
  link id:
    v: travelDetails
  text:
    v: Travel Details
  type:
    v: group
  repeats:
    v: true
  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: Date of travel
    text:
      v: Date of travel
    type:
      v: date
    repeats:
      v: false
  item:
    link id:
      v: placeOfTravel
    text:
      v: From where to where
    type:
      v: string
    repeats:
      v: false
  item:
    link id:
      v: traditionalTreatment
    text:
      v: Traditional treatment received
    type:
      v: choice
    repeats:
      v: false
item:
  link id:
    v: specifyTraditionalTreatment
  text:
    v: Specify traditional treatment
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: animalContact
  text:
    v: Were you in close proximity to any animals in the XX week/months prior to symptom 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: Any other information regarding animal health events near the patient
  text:
    v: Any other information regarding animal health events near the patient
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: specifyInsectExposure
  text:
    v: Specify the insect and exposure
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: foodDiseaseSuspected
  text:
    v: Does the patient suspect a specific food or the beverage to be the cause of the disease
  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: explainSuspicion
  text:
    v: Explain why this suspicion
  type:
    v: string

v: false

link id:
  v: Laboratory
text:
  v: Section 4: Laboratory Information
type:
  v: group
repeats:
  v: false
item:
  link id:
    v: labName
  text:
    v: Name of testing laboratory:
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: labLocation
  text:
    v: Location of testing laboratory
  type:
    v: string
  repeats:
    v: false
item:
  link id:
    v: antibioticReceived
  text:
    v: Did the patient received antibiotic prior to specimen collection?
  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: labtest
  text:
    v: Lab test details
  type:
    v: group
  repeats:
    v: true
  item:
    link id:
      v: sampleId
    text:
      v: Sample ID
    type:
      v: string
    repeats:
      v: false
  item:
    link id:
      v: collectionDate
    text:
      v: Collection date
    type:
      v: date
    repeats:
      v: false
  item:
    link id:
      v: testPerformed
    text:
      v: Test performed
    type:
      v: string
    repeats:
      v: false
  item:
    link id:
      v: result
    text:
      v: Result
    type:
      v: quantity
    repeats:
      v: false
item:
  link id:
    v: proteinuria
  text:
    v: Proteinuria
  type:
    v: quantity
  repeats:
    v: false
item:
  link id:
    v: hematuria
  text:
    v: Hematuria
  type:
    v: quantity
  repeats:
    v: false
item:
  link id:
    v: haemoglobin
  text:
    v: Haemoglobin (-g/l)
  type:
    v: quantity
  repeats:
    v: false
item:
  link id:
    v: WBC
  text:
    v: WBC count
  type:
    v: quantity
  repeats:
    v: false
item:
  link id:
    v: platelet
  text:
    v: Platelets
  type:
    v: quantity
  repeats:
    v: false
item:
  link id:
    v: CRP
  text:
    v: CRP:
  type:
    v: quantity
  repeats:
    v: false
item:
  link id:
    v: potassium
  text:
    v: Potassium
  type:
    v: quantity
  repeats:
    v: false
item:
  link id:
    v: ALT
  text:
    v: ALT/SGPT
  type:
    v: quantity
  repeats:
    v: false
item:
  link id:
    v: AST
  text:
    v: AST/SGOT
  type:
    v: quantity
  repeats:
    v: false
item:
  link id:
    v: lactate
  text:
    v: Lactate
  type:
    v: quantity
  repeats:
    v: false
item:
  link id:
    v: totalBilirubin
  text:
    v: Total bilirubin
  type:
    v: quantity
  repeats:
    v: false
item:
  link id:
    v: creatinine
  text:
    v: Creatinine
  type:
    v: quantity
  repeats:
    v: false
item:
  link id:
    v: urea
  text:
    v: Urea
  type:
    v: quantity
  repeats:
    v: false

link id:
  v: kinase
text:
  v: Creatine kinase
type:
  v: quantity
repeats:
  v: false

link id:
  v: otherBloodTest
text:
  v: Other blood test:
type:
  v: string
repeats:
  v: false