Structured Data Capture
4.0.0-ballot - STU 4 ballot International flag

This page is part of the Structured Data Capture FHIR IG (v4.0.0-ballot: STU 4 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions

Questionnaire: Questionnaire - ANC Quick Check (Experimental)

Official URL: http://hl7.org/fhir/uv/sdc/Questionnaire/anc-quick-check Version: 4.0.0-ballot
Standards status: Informative Computable Name: ANC_Quick_Check
Other Identifiers: OID:2.16.840.1.113883.4.642.40.17.35.2

A sample questionnaire using itemMedia and itemAnswerMedia extensions

Generated Narrative: Questionnaire anc-quick-check

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. ANC_Quick_CheckA sample questionnaire using itemMedia and itemAnswerMedia extensionsQuestionnairehttp://hl7.org/fhir/uv/sdc/Questionnaire/anc-quick-check#4.0.0-ballot
... reason-for-visitWhy did you come?0..1choiceOptions: 5 options

doco Documentation for this format

Options Sets

Answer options for reason-for-visit

  • For a scheduled (routine) visit
  • For specific complaints about you or your baby
  • First visit
  • Follow-up visit
  • Do you want to include your companion or other family member (parent if adolescent) in the examination and discussion?