WHO SMART Guideline: Surveillance and Outbreak Toolkit
0.2.1 - CI Build International flag

WHO SMART Guideline: Surveillance and Outbreak Toolkit, published by WHO. This is not an authorized publication; it is the continuous build for version 0.2.1. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-ot and changes regularly. See the Directory of published versions

Example QuestionnaireResponse: Response1

LinkIdTextDefinitionAnswerdoco
.. Response1Questionnaire:Measles Case Investigation Questionnaire
... investigationFormInvestigation Form for Measles/Rubella
.... reportingSourceSection I: Identification of the Reporting Institution
..... initialDiagnosisInitial DiagnosisInitial Diagnosis Code System 1: Measles
..... caseIDCase Number123
..... reportingInstitutionReporting Institution
...... reportingFacilityHealth Service Namehservicename
...... telephoneHealth Service Telephone12345678
...... countryCountryUtopia
...... municipalityMunicipalityMiddle
...... stateProvince/StateNowhere
...... localityLocality/NeighborhoodRight
..... reportedByReported ByDr. WHO
..... DateOfConsultationDate Of Consultation2023-10-10
..... DateOfHomeVisitDate Of Home Visit2023-10-02
..... dateReportedDate Reported - Local2023-10-02
..... DateReportedNationalDate Reported - National2023-10-03
..... DetectedByDetected ByDetected By Code System 88: Other
..... TypeOfProviderReportingType Of Provider ReportingType of Provider Code System 1: Public
.... demographicsSection II: Patient Information
..... namePatient’s first and last namesJohn Doe
..... guardianName of the mother or guardianJane Doe
..... addressAddressCoast street
..... telephoneTelephone0987654321
..... landmarkLandmarks to locate the houseFountain
..... occupationPatient’s OccupationBusy
..... localityTypeType of localityLocality Type Code System 1: Urban
..... workAddressWork or school addressHomeStreet
..... sexPatient’s sexAdministrativeGender male: Male
..... DoBPatient’s Date of Birth2010-10-16
.... vaccinationStatusSection III: Vaccination History
..... vaccineTypeType of Vaccine*Vaccine Type 1: Measles
..... noOfDosesNumber of doses**Number of Doses 0: Zero dose
..... sourceOfInformationSource of vaccination Information †Vaccine Info Source HealthServices: Health Services
.... clinicalSection IV: Clinical Data; Follow-up & Treatment
..... feverFever?Yes No Unknown No: No
..... rashRash?Yes No Unknown Yes: Yes
..... rashDurationIf Yes, duration of the rash(in days)3
..... coughCough?Yes No Unknown Yes: Yes
..... conjunctivitisConjunctivitis?Yes No Unknown Yes: Yes
..... coryzaCoryza?Yes No Unknown No: No
..... koplikSpotsKoplik Spots?Yes No Unknown No: No
..... lymphadenopathyLymphadenopathy?Yes No Unknown No: No
..... jointPainArthralgia?Yes No Unknown No: No
..... pregnancyIs the patient pregnant?Yes No Unknown No: No
..... admittedHospitalized?Yes No Unknown No: No
..... outcomeDeath?Patient Clinical Course Outcome Sick: Still sick
.... laboratoryResultsSection V: Specimens & Laboratory Testing
..... specimenNumberSpecimen number*Specimen Number Code System 1: First Sample
..... sampleTypeType of specimen**Sample Type Code System 1: Serum

doco Documentation for this format