Canonical Resource Management Infrastructure Implementation Guide
2.0.0 - STU 2 International flag

This page is part of the Canonical Resource Management Infrastructure Implementation Guide (v2.0.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Questionnaire: ANC.B5 Quick check Shareable Example (Experimental)

Official URL: http://hl7.org/fhir/uv/crmi/Questionnaire/shareable-example Version: 2.0.0
Standards status: Informative Computable Name: ANCB5Shareable
Other Identifiers: OID:2.16.840.1.113883.4.642.40.38.35.2

Usage: Workflow Task: 

Quick check questionnaire

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. ANCB5Shareable Quick check questionnaire Questionnaire http://hl7.org/fhir/uv/crmi/Questionnaire/shareable-example#2.0.0
... 1 Pregnancy has been confirmed 0..1 boolean Definition: http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-b4-de1#Observation.value[x]
Value Set:
... 2 Records the reason why the woman came to the health-care facility today 0..1 choice Definition: http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-encounter#Encounter.reasonCode
Value Set: http://example.org/guides/who/smart-anc-mini/ValueSet/anc-b5-de1-codes-grouper
... 3 If the woman came to the facility with a specific health concern, select the health concern(s) from the list 0..1 choice Definition: http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-b5-de5#Observation.value[x]
Value Set: http://example.org/guides/who/smart-anc-mini/ValueSet/anc-b5-de6

doco Documentation for this format

Pregnancy has been confirmed

  • linkId: 1
  • Definition:: http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-b4-de1#Observation.value[x]
  • Answers:

Records the reason why the woman came to the health-care facility today

  • linkId: 2
  • Definition:: http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-encounter#Encounter.reasonCode
  • Answers: http://example.org/guides/who/smart-anc-mini/ValueSet/anc-b5-de1-codes-grouper

If the woman came to the facility with a specific health concern, select the health concern(s) from the list

  • linkId: 3
  • Definition:: http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-b5-de5#Observation.value[x]
  • Answers: http://example.org/guides/who/smart-anc-mini/ValueSet/anc-b5-de6

Before each contact, the health worker should check whether the woman has any of the danger signs listed here – if yes, she should refer to the hospital urgently; if no, she should continue to the normal contact

  • linkId: 4
  • Definition:: http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-b5-de48#Observation.value[x]
  • Answers: http://example.org/guides/who/smart-anc-mini/ValueSet/anc-b5-de48-codes-grouper

LinkIDDescription & Constraintsdoco
.. 1 Definition: http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-b4-de1#Observation.value[x]
Value Set:
.. 2 Definition: http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-encounter#Encounter.reasonCode
Value Set: http://example.org/guides/who/smart-anc-mini/ValueSet/anc-b5-de1-codes-grouper
.. 3 Definition: http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-b5-de5#Observation.value[x]
Value Set: http://example.org/guides/who/smart-anc-mini/ValueSet/anc-b5-de6
.. 4 Definition: http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-b5-de48#Observation.value[x]
Value Set: http://example.org/guides/who/smart-anc-mini/ValueSet/anc-b5-de48-codes-grouper

doco Documentation for this format

Test this Questionnaire

Try this questionnaire out:

Responses for this Questionnaire

There are currently no QuestionnaireResponse instances for this Questionnaire defined in this IG.