FHIR IG analytics| Package | ethiopia.fhir.hiv |
| Resource Type | Questionnaire |
| Id | Questionnaire-FamilyIndexCaseContactsQuestionnaire.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/jembi/ethiopia-hiv/Questionnaire-FamilyIndexCaseContactsQuestionnaire.html |
| URL | http://moh.gov.et/fhir/hiv/Questionnaire/FamilyIndexCaseContactsQuestionnaire |
| Version | 1.0.1 |
| Status | active |
| Date | 2026-02-09T05:22:58+00:00 |
| Name | FamilyIndexCaseContactsQuestionnaire |
| Title | Questionnaire - Family Index Case Contacts |
| Description | A questionaire that assesses the HIV and health status for index case contacts. |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire FamilyIndexCaseContactsQuestionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  FamilyIndexCaseContactsQuestionnaire | A questionaire that assesses the HIV and health status for index case contacts. | Questionnaire | http://moh.gov.et/fhir/hiv/Questionnaire/FamilyIndexCaseContactsQuestionnaire#1.0.1 | |
  1.1 | Currently living with the index case | 0..1 | choice | Value Set: Yes/No Codes |
 1.2 | What is the contact's current health status | 0..1 | reference | |
 2 | Previous HIV Testing Services | 0..1 | group | |
 2.1 | Has the contact been previsouly tested for HIV | 0..1 | choice | Value Set: Yes/No Codes |
 2.2 | Date of previous HIV test | 1..1 | date | Enable When: 2.1 = |
  2.3 | Previous HIV test result | 1..1 | quantity | Enable When: 2.2 exists |
| 3 | Current HIV Testing Services | 0..1 | group | |
| 3.1 | Will the contact be counseled for HIV today | 0..1 | choice | Value Set: Yes/No Codes |
| 3.2 | Will the contact be tested for HIV | 0..1 | choice | Value Set: Yes/No Codes |
| 3.3 | Date of HIV test | 1..1 | date | Enable When: 3.2 = |
| 3.4 | HIV test result | 1..1 | quantity | Enable When: 3.3 exists |
| 3.5 | Reason for not being tested for HIV | 1..1 | choice | Enable When: 3.2 = Value Set: Reason For Not Testing |
 3.6 | Other reason for not being tested for HIV | 1..1 | string | Enable When: 3.5 = |
| 4 | HIV Program | 0..1 | group | |
 4.1 | Is the contact linked to HIV care | 0..1 | choice | Value Set: Yes/No Codes |
| 4.2 | Contact identifiers | 1..1 | reference | Enable When: 4.1 = |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "FamilyIndexCaseContactsQuestionnaire",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://moh.gov.et/fhir/hiv/Questionnaire/FamilyIndexCaseContactsQuestionnaire",
"version": "1.0.1",
"name": "FamilyIndexCaseContactsQuestionnaire",
"title": "Questionnaire - Family Index Case Contacts",
"status": "active",
"subjectType": [
"Observation"
],
"date": "2026-02-09T05:22:58+00:00",
"publisher": "Jembi Health Systems",
"contact": [
{
"name": "Jembi Health Systems",
"telecom": [
{
"system": "url",
"value": "https://www.jembi.org"
},
{
"system": "email",
"value": "info@jembi.org"
}
]
},
{
"name": "Jembi Health Systems",
"telecom": [
{
"system": "email",
"value": "info@jembi.org",
"use": "work"
}
]
}
],
"description": "A questionaire that assesses the HIV and health status for index case contacts.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "ET",
"display": "Ethiopia"
}
]
}
],
"item": [
{
"linkId": "1.1",
"code": [
{
"system": "http://snomed.info/sct",
"code": "408821002"
}
],
"text": "Currently living with the index case",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set"
},
{
"linkId": "1.2",
"code": [
{
"system": "http://loinc.org",
"code": "11323-3"
}
],
"text": "What is the contact's current health status",
"type": "reference",
"required": false,
"repeats": false
},
{
"linkId": "2",
"text": "Previous HIV Testing Services",
"type": "group",
"required": false,
"repeats": false,
"item": [
{
"linkId": "2.1",
"code": [
{
"system": "http://snomed.info/sct",
"code": "171121004"
}
],
"text": "Has the contact been previsouly tested for HIV",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set"
},
{
"linkId": "2.2",
"code": [
{
"system": "http://loinc.org",
"code": "67723-7"
}
],
"text": "Date of previous HIV test",
"type": "date",
"enableWhen": [
{
"question": "2.1",
"operator": "=",
"answerCoding": {
"system": "http://moh.gov.et/fhir/hiv/CodeSystem/yes-no-code-system",
"code": "true"
}
}
],
"required": true,
"repeats": false
},
{
"linkId": "2.3",
"code": [
{
"system": "http://snomed.info/sct",
"code": "315124004"
}
],
"text": "Previous HIV test result",
"type": "quantity",
"enableWhen": [
{
"question": "2.2",
"operator": "exists",
"answerBoolean": true
}
],
"required": true,
"repeats": false
}
]
},
{
"linkId": "3",
"text": "Current HIV Testing Services",
"type": "group",
"required": false,
"repeats": false,
"item": [
{
"linkId": "3.1",
"code": [
{
"system": "http://snomed.info/sct",
"code": "313077009"
}
],
"text": "Will the contact be counseled for HIV today",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set"
},
{
"linkId": "3.2",
"code": [
{
"system": "http://snomed.info/sct",
"code": "171121004"
}
],
"text": "Will the contact be tested for HIV",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set"
},
{
"linkId": "3.3",
"code": [
{
"system": "http://loinc.org",
"code": "67723-7"
}
],
"text": "Date of HIV test",
"type": "date",
"enableWhen": [
{
"question": "3.2",
"operator": "=",
"answerCoding": {
"system": "http://moh.gov.et/fhir/hiv/CodeSystem/yes-no-code-system",
"code": "true"
}
}
],
"required": true,
"repeats": false
},
{
"linkId": "3.4",
"code": [
{
"system": "http://snomed.info/sct",
"code": "315124004"
}
],
"text": "HIV test result",
"type": "quantity",
"enableWhen": [
{
"question": "3.3",
"operator": "exists",
"answerBoolean": true
}
],
"required": true,
"repeats": false
},
{
"linkId": "3.5",
"code": [
{
"system": "http://snomed.info/sct",
"code": "445032002"
}
],
"text": "Reason for not being tested for HIV",
"type": "choice",
"enableWhen": [
{
"question": "3.2",
"operator": "=",
"answerCoding": {
"system": "http://moh.gov.et/fhir/hiv/CodeSystem/yes-no-code-system",
"code": "false"
}
}
],
"required": true,
"repeats": false,
"answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/reason-for-not-testing-value-set"
},
{
"linkId": "3.6",
"code": [
{
"system": "http://moh.gov.et/fhir/hiv/CodeSystem/family-index-case-contacts-questionnaire-code-system",
"code": "Other-Reason-Not-Tested-for-HIV"
}
],
"text": "Other reason for not being tested for HIV",
"type": "string",
"enableWhen": [
{
"question": "3.5",
"operator": "=",
"answerCoding": {
"system": "http://loinc.org",
"code": "LA46-8"
}
}
],
"required": true,
"repeats": false
}
]
},
{
"linkId": "4",
"text": "HIV Program",
"type": "group",
"required": false,
"repeats": false,
"item": [
{
"linkId": "4.1",
"code": [
{
"system": "http://loinc.org",
"code": "LP95599-4"
}
],
"text": "Is the contact linked to HIV care",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set"
},
{
"linkId": "4.2",
"code": [
{
"system": "http://loinc.org",
"code": "94648-3"
}
],
"text": "Contact identifiers",
"type": "reference",
"enableWhen": [
{
"question": "4.1",
"operator": "=",
"answerCoding": {
"system": "http://moh.gov.et/fhir/hiv/CodeSystem/yes-no-code-system",
"code": "true"
}
}
],
"required": true,
"repeats": false
}
]
}
]
}