Response1
type: QuestionnaireResponse
node role: treeRoot
id:
  v: Response1
meta:
  profile:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse|2.7
    link: 2.7
  tag:
    code:
      v: lformsVersion: 33.3.6
text:
  status:
    v: generated
  div: LinkId Text Definition Answer<img src="[binary]" alt="doco" style="background-color: inherit"/> Response1 Questionnaire:Measles Case Investigation Questionnaire investigationForm Investigation Form for Measles/Rubella reportingSource Section I: Identification of the Reporting Institution initialDiagnosis Initial Diagnosis Initial Diagnosis Code System 1: Measles caseID Case Number 123 reportingInstitution Reporting Institution reportingFacility Health Service Name hservicename telephone Health Service Telephone 12345678 country Country Utopia municipality Municipality Middle state Province/State Nowhere locality Locality/Neighborhood Right reportedBy Reported By Dr. WHO DateOfConsultation Date Of Consultation 2023-10-10 DateOfHomeVisit Date Of Home Visit 2023-10-02 dateReported Date Reported - Local 2023-10-02 DateReportedNational Date Reported - National 2023-10-03 DetectedBy Detected By Detected By Code System 88: Other TypeOfProviderReporting Type Of Provider Reporting Type of Provider Code System 1: Public demographics Section II: Patient Information name Patient’s first and last names John Doe guardian Name of the mother or guardian Jane Doe address Address Coast street telephone Telephone 0987654321 landmark Landmarks to locate the house Fountain occupation Patient’s Occupation Busy localityType Type of locality Locality Type Code System 1: Urban workAddress Work or school address HomeStreet sex Patient’s sex AdministrativeGender male: Male DoB Patient’s Date of Birth 2010-10-16 vaccinationStatus Section III: Vaccination History vaccineType Type of Vaccine* Vaccine Type 1: Measles noOfDoses Number of doses** Number of Doses 0: Zero dose sourceOfInformation Source of vaccination Information † Vaccine Info Source HealthServices: Health Services clinical Section IV: Clinical Data; Follow-up & Treatment fever Fever? Yes No Unknown No: No rash Rash? Yes No Unknown Yes: Yes rashDuration If Yes, duration of the rash(in days) 3 cough Cough? Yes No Unknown Yes: Yes con…
questionnaire:
  v: http://worldhealthorganization.github.io/smart-ot/Questionnaire/Questionnaire-SOTMeasles
  link: http://worldhealthorganization.github.io/smart-ot/Questionnaire/Questionnaire-SOTMeasles
status:
  v: completed
authored:
  v: 2023-10-15T11:56:12.556Z
item:
  link id:
    v: investigationForm
  text:
    v: Investigation Form for Measles/Rubella
  item:
    link id:
      v: reportingSource
    text:
      v: Section I: Identification of the Reporting Institution
    item:
      link id:
        v: initialDiagnosis
      text:
        v: Initial Diagnosis
      answer:
        value: Coding
    item:
      link id:
        v: caseID
      text:
        v: Case Number
    item:
      link id:
        v: reportingInstitution
      text:
        v: Reporting Institution
    item:
      link id:
        v: reportedBy
      text:
        v: Reported By
    item:
      link id:
        v: DateOfConsultation
      text:
        v: Date Of Consultation
    item:
      link id:
        v: DateOfHomeVisit
      text:
        v: Date Of Home Visit
    item:
      link id:
        v: dateReported
      text:
        v: Date Reported - Local
    item:
      link id:
        v: DateReportedNational
      text:
        v: Date Reported - National
    item:
      link id:
        v: DetectedBy
      text:
        v: Detected By
      answer:
        value: Coding
    item:
      link id:
        v: TypeOfProviderReporting
      text:
        v: Type Of Provider Reporting
      answer:
        value: Coding
  item:
    link id:
      v: demographics
    text:
      v: Section II: Patient Information
    item:
      link id:
        v: name
      text:
        v: Patient’s first and last names
    item:
      link id:
        v: guardian
      text:
        v: Name of the mother or guardian
    item:
      link id:
        v: address
      text:
        v: Address
    item:
      link id:
        v: telephone
      text:
        v: Telephone
    item:
      link id:
        v: landmark
      text:
        v: Landmarks to locate the house
    item:
      link id:
        v: occupation
      text:
        v: Patient’s Occupation
    item:
      link id:
        v: localityType
      text:
        v: Type of locality
      answer:
        value: Coding
    item:
      link id:
        v: workAddress
      text:
        v: Work or school address
    item:
      link id:
        v: sex
      text:
        v: Patient’s sex
      answer:
        value: Coding
    item:
      link id:
        v: DoB
      text:
        v: Patient’s Date of Birth
  item:
    link id:
      v: vaccinationStatus
    text:
      v: Section III: Vaccination History
    item:
      link id:
        v: vaccineType
      text:
        v: Type of Vaccine*
      answer:
        value: Coding
    item:
      link id:
        v: noOfDoses
      text:
        v: Number of doses**
      answer:
        value: Coding
    item:
      link id:
        v: sourceOfInformation
      text:
        v: Source of vaccination Information †
      answer:
        value: Coding
  item:
    link id:
      v: clinical
    text:
      v: Section IV: Clinical Data; Follow-up & Treatment
    item:
      link id:
        v: fever
      text:
        v: Fever?
      answer:
        value: Coding
    item:
      link id:
        v: rash
      text:
        v: Rash?
      answer:
        value: Coding
    item:
      link id:
        v: rashDuration
      text:
        v: If Yes, duration of the rash(in days)
    item:
      link id:
        v: cough
      text:
        v: Cough?
      answer:
        value: Coding

Coding
system:
  v: http://worldhealthorganization.github.io/smart-ot/InitDiag
code:
  v: 1
display:
  v: Measles

v: 123

v: reportingFacility

v: Health Service Name

value:
  v: hservicename

v: telephone

v: Health Service Telephone

value:
  v: 12345678

v: country

v: Country

value:
  v: Utopia

v: municipality

v: Municipality

value:
  v: Middle

v: state

v: Province/State

value:
  v: Nowhere

v: locality

v: Locality/Neighborhood

value:
  v: Right

v: Dr. WHO

v: 2023-10-10

v: 2023-10-02

v: 2023-10-02

v: 2023-10-03

Coding
system:
  v: http://worldhealthorganization.github.io/smart-ot/DetectedBy
code:
  v: 88
display:
  v: Other

Coding
system:
  v: http://worldhealthorganization.github.io/smart-ot/ProvType
code:
  v: 1
display:
  v: Public

v: John Doe

v: Jane Doe

v: Coast street

v: 0987654321

v: Fountain

v: Busy

Coding
system:
  v: http://worldhealthorganization.github.io/smart-ot/LocType
code:
  v: 1
display:
  v: Urban

v: HomeStreet

Coding
system:
  v: http://hl7.org/fhir/administrative-gender
code:
  v: male
display:
  v: Male

v: 2010-10-16

Coding
system:
  v: http://worldhealthorganization.github.io/smart-ot/VaccineType
code:
  v: 1
display:
  v: Measles

Coding
system:
  v: http://worldhealthorganization.github.io/smart-ot/NoOfDoses
code:
  v: 0
display:
  v: Zero dose

Coding
system:
  v: http://worldhealthorganization.github.io/smart-ot/VaccineInfoSource
code:
  v: HealthServices
display:
  v: Health Services

Coding
system:
  v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
code:
  v: No
display:
  v: No

Coding
system:
  v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
code:
  v: Yes
display:
  v: Yes

v: 3

Coding
system:
  v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
code:
  v: Yes
display:
  v: Yes

link id:
  v: conjunctivitis
text:
  v: Conjunctivitis?
answer:
  value: Coding
    system:
      v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
    code:
      v: Yes
    display:
      v: Yes

link id:
  v: coryza
text:
  v: Coryza?
answer:
  value: Coding
    system:
      v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
    code:
      v: No
    display:
      v: No

link id:
  v: koplikSpots
text:
  v: Koplik Spots?
answer:
  value: Coding
    system:
      v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
    code:
      v: No
    display:
      v: No

link id:
  v: lymphadenopathy
text:
  v: Lymphadenopathy?
answer:
  value: Coding
    system:
      v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
    code:
      v: No
    display:
      v: No

link id:
  v: jointPain
text:
  v: Arthralgia?
answer:
  value: Coding
    system:
      v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
    code:
      v: No
    display:
      v: No

link id:
  v: pregnancy
text:
  v: Is the patient pregnant?
answer:
  value: Coding
    system:
      v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
    code:
      v: No
    display:
      v: No

link id:
  v: admitted
text:
  v: Hospitalized?
answer:
  value: Coding
    system:
      v: http://worldhealthorganization.github.io/smart-ot/YesNoUnknown
    code:
      v: No
    display:
      v: No

link id:
  v: outcome
text:
  v: Death?
answer:
  value: Coding
    system:
      v: http://worldhealthorganization.github.io/smart-ot/PatientOutcome
    code:
      v: Sick
    display:
      v: Still sick

link id:
  v: laboratoryResults
text:
  v: Section V: Specimens & Laboratory Testing
item:
  link id:
    v: specimenNumber
  text:
    v: Specimen number*
  answer:
    value: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/SpecimenNumber
      code:
        v: 1
      display:
        v: First Sample
item:
  link id:
    v: sampleType
  text:
    v: Type of specimen**
  answer:
    value: Coding
      system:
        v: http://worldhealthorganization.github.io/smart-ot/SampleType
      code:
        v: 1
      display:
        v: Serum