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Packageethiopia.fhir.hiv
Resource TypeQuestionnaire
IdQuestionnaire-PregnancyStatusAndFPMQuestionnaire.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/jembi/ethiopia-hiv/Questionnaire-PregnancyStatusAndFPMQuestionnaire.html
URLhttp://moh.gov.et/fhir/hiv/Questionnaire/PregnancyStatusAndFPMQuestionnaire
Version1.0.1
Statusactive
Date2026-02-09T05:22:58+00:00
NamePregnancyStatusAndFPMQuestionnaire
TitleQuestionnaire - Pregnancy Status and Family Planning Method (FPM)
DescriptionA questionaire that provides the questions to for pregnancy status and FPM.

Resources that use this resource

No resources found

Resources that this resource uses

No resources found

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Questionnaire PregnancyStatusAndFPMQuestionnaire

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. PregnancyStatusAndFPMQuestionnaireA questionaire that provides the questions to for pregnancy status and FPM.Questionnairehttp://moh.gov.et/fhir/hiv/Questionnaire/PregnancyStatusAndFPMQuestionnaire#1.0.1
... 1.1Is Pregnant0..1choiceValue Set: Yes/No Codes
... 1.2Wants to be pregnant0..1choiceValue Set: Yes/No Codes
... 1.3Is breastfeeding0..1choiceValue Set: Yes/No Codes
... 1.4Last Menstrual date0..1date
... 1.5Estimated Delivery Date0..1date
... 1.6Family Planning Method0..*choiceValue Set: Family Planning Method

doco Documentation for this format

Source1

{
  "resourceType": "Questionnaire",
  "id": "PregnancyStatusAndFPMQuestionnaire",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://moh.gov.et/fhir/hiv/Questionnaire/PregnancyStatusAndFPMQuestionnaire",
  "version": "1.0.1",
  "name": "PregnancyStatusAndFPMQuestionnaire",
  "title": "Questionnaire - Pregnancy Status and Family Planning Method (FPM)",
  "status": "active",
  "experimental": true,
  "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 the questions to for pregnancy status and FPM.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "ET",
          "display": "Ethiopia"
        }
      ]
    }
  ],
  "item": [
    {
      "linkId": "1.1",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "11449-6"
        }
      ],
      "text": "Is Pregnant",
      "type": "choice",
      "required": false,
      "repeats": false,
      "answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set",
      "_answerValueSet": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
            "valueCanonical": "http://moh.gov.et/fhir/hiv/ConceptMap/LOINCCodesToProprietary"
          }
        ]
      }
    },
    {
      "linkId": "1.2",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "86645-9"
        }
      ],
      "text": "Wants to be pregnant",
      "type": "choice",
      "required": false,
      "repeats": false,
      "answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set",
      "_answerValueSet": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
            "valueCanonical": "http://moh.gov.et/fhir/hiv/ConceptMap/LOINCCodesToProprietary"
          }
        ]
      }
    },
    {
      "linkId": "1.3",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "63895-7"
        }
      ],
      "text": "Is breastfeeding",
      "type": "choice",
      "required": false,
      "repeats": false,
      "answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/yes-no-value-set",
      "_answerValueSet": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
            "valueCanonical": "http://moh.gov.et/fhir/hiv/ConceptMap/LOINCCodesToProprietary"
          }
        ]
      }
    },
    {
      "linkId": "1.4",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "LP187193-0"
        }
      ],
      "text": "Last Menstrual date",
      "type": "date",
      "required": false,
      "repeats": false
    },
    {
      "linkId": "1.5",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "11779-6"
        }
      ],
      "text": "Estimated Delivery Date",
      "type": "date",
      "required": false,
      "repeats": false
    },
    {
      "linkId": "1.6",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "8659-5"
        }
      ],
      "text": "Family Planning Method",
      "type": "choice",
      "required": false,
      "repeats": true,
      "answerValueSet": "http://moh.gov.et/fhir/hiv/ValueSet/family-planning-method-value-set"
    }
  ]
}