FHIR IG analytics| Package | ethiopia.fhir.hiv |
| Resource Type | Questionnaire |
| Id | Questionnaire-IndexCaseScreeningQuestionnaire.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/jembi/ethiopia-hiv/Questionnaire-IndexCaseScreeningQuestionnaire.html |
| URL | http://moh.gov.et/fhir/hiv/Questionnaire/IndexCaseScreeningQuestionnaire |
| Version | 1.0.1 |
| Status | active |
| Date | 2026-02-09T05:22:58+00:00 |
| Name | IndexCaseScreeningQuestionnaire |
| Title | Questionnaire - Index Case Screening |
| Description | A questionaire that provides eligibility criteria for the index case screening. |
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Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire IndexCaseScreeningQuestionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  IndexCaseScreeningQuestionnaire | A questionaire that provides eligibility criteria for the index case screening. | Questionnaire | http://moh.gov.et/fhir/hiv/Questionnaire/IndexCaseScreeningQuestionnaire#1.0.1 | |
  1.1 | Is the client newly enrolled | 0..1 | choice | Value Set: Yes/No Codes |
| 1.2 | Does the client have a high viral load | 0..1 | choice | Value Set: Yes/No Codes |
| 1.3 | Does the client have an ART status of Restart | 0..1 | choice | Value Set: Yes/No Codes |
| 1.4 | Is the client with a new partner | 0..1 | choice | Value Set: Yes/No Codes |
| 1.5 | Is the client with a partner not yet disclosed | 0..1 | choice | Value Set: Yes/No Codes |
| 1.6 | Is the client with a partner who has not been tested yet for HIV | 0..1 | choice | Value Set: Yes/No Codes |
| 1.7 | Is the client in care with STI | 0..1 | choice | Value Set: Yes/No Codes |
| 1.8 | Does the client have a child under 15yrs of age who is not tested | 0..1 | choice | Value Set: Yes/No Codes |
| 1.9 | Is the client Known Positive | 0..1 | choice | Value Set: Yes/No Codes |
| 1.10 | Is the client eligible for partner and FBICT | 0..1 | choice | Value Set: Yes/No Codes |
| 1.11 | Is the index case offered with partner and FBICT services | 0..1 | choice | Value Set: Yes/No Codes |
 1.12 | Has the client accepted the offer for partner and FBICT | 0..1 | choice | Value Set: Yes/No Codes |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "IndexCaseScreeningQuestionnaire",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://moh.gov.et/fhir/hiv/Questionnaire/IndexCaseScreeningQuestionnaire",
"version": "1.0.1",
"name": "IndexCaseScreeningQuestionnaire",
"title": "Questionnaire - Index Case Screening",
"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 provides eligibility criteria for the index case screening.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "ET",
"display": "Ethiopia"
}
]
}
],
"item": [
{
"linkId": "1.1",
"code": [
{
"system": "http://loinc.org",
"code": "67723-7"
}
],
"text": "Is the client newly enrolled",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set"
},
{
"linkId": "1.2",
"code": [
{
"system": "http://snomed.info/sct",
"code": "315124004"
}
],
"text": "Does the client have a high viral load",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set"
},
{
"linkId": "1.3",
"code": [
{
"system": "http://loinc.org",
"code": "63936-9"
}
],
"text": "Does the client have an ART status of Restart",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set"
},
{
"linkId": "1.4",
"code": [
{
"system": "http://loinc.org",
"code": "85656-7"
}
],
"text": "Is the client with a new partner",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set"
},
{
"linkId": "1.5",
"code": [
{
"system": "http://loinc.org",
"code": "47249-8"
}
],
"text": "Is the client with a partner not yet disclosed",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set"
},
{
"linkId": "1.6",
"code": [
{
"system": "http://snomed.info/sct",
"code": "171121004"
}
],
"text": "Is the client with a partner who has not been tested yet for HIV",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set"
},
{
"linkId": "1.7",
"code": [
{
"system": "http://snomed.info/sct",
"code": "8098009"
}
],
"text": "Is the client in care with STI",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set"
},
{
"linkId": "1.8",
"code": [
{
"system": "http://snomed.info/sct",
"code": "171121004"
}
],
"text": "Does the client have a child under 15yrs of age who is not tested",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set"
},
{
"linkId": "1.9",
"code": [
{
"system": "http://loinc.org",
"code": "55277-8"
}
],
"text": "Is the client Known Positive",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set"
},
{
"linkId": "1.10",
"code": [
{
"system": "http://moh.gov.et/fhir/hiv/CodeSystem/partner-and-fbict-code-system",
"code": "Partner-FBICT-Eligibiity"
}
],
"text": "Is the client eligible for partner and FBICT",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set"
},
{
"linkId": "1.11",
"code": [
{
"system": "http://moh.gov.et/fhir/hiv/CodeSystem/partner-and-fbict-code-system",
"code": "Partner-FBICT-Offered"
}
],
"text": "Is the index case offered with partner and FBICT services",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set"
},
{
"linkId": "1.12",
"code": [
{
"system": "http://moh.gov.et/fhir/hiv/CodeSystem/partner-and-fbict-code-system",
"code": "Partner-FBICT-Accepted"
}
],
"text": "Has the client accepted the offer for partner and FBICT",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set"
}
]
}