FHIR IG analytics| Package | fhir.surveillanceIG |
| Resource Type | Questionnaire |
| Id | Questionnaire-Moh505SectionAB.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/IntelliSOFT-Consulting/Surveillance-FHIR-IG/Questionnaire-Moh505SectionAB.html |
| URL | http://example.org/Questionnaire/Moh505SectionAB |
| Version | 0.1.0 |
| Status | draft |
| Date | 2026-05-04T06:19:40+00:00 |
| Title | MOH 505 - Health Facility Weekly Reporting Form |
| Realm | us |
| Authority | hl7 |
| Description | MOH 505 Health Facility Weekly Reporting Form - Section A and B for disease surveillance |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire Moh505SectionAB
Profile: http://hl7.org/fhir/4.0/StructureDefinition/Questionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
![]() | MOH 505 Health Facility Weekly Reporting Form - Section A and B for disease surveillance | Questionnaire | http://example.org/Questionnaire/Moh505SectionAB#0.1.0 | |
![]() ![]() | Diseases, Conditions or Events Information | 0..1 | group | |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 745196148424 = AEFI (AEFI) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 745196148424 = AEFI (AEFI) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 745196148424 = AEFI (AEFI) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 745196148424 = AEFI (AEFI) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: acute-jaundice = Acute Jaundice (Acute Jaundice) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: acute-jaundice = Acute Jaundice (Acute Jaundice) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: acute-jaundice = Acute Jaundice (Acute Jaundice) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: acute-jaundice = Acute Jaundice (Acute Jaundice) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: acute-malnutrition = Acute Malnutrition (Acute Malnutrition) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: acute-malnutrition = Acute Malnutrition (Acute Malnutrition) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: acute-malnutrition = Acute Malnutrition (Acute Malnutrition) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: acute-malnutrition = Acute Malnutrition (Acute Malnutrition) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: afp-poliomyelitis = AFP (Poliomyelitis) (AFP (Poliomyelitis)) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: afp-poliomyelitis = AFP (Poliomyelitis) (AFP (Poliomyelitis)) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: afp-poliomyelitis = AFP (Poliomyelitis) (AFP (Poliomyelitis)) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: afp-poliomyelitis = AFP (Poliomyelitis) (AFP (Poliomyelitis)) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: anthrax = Anthrax (Anthrax) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: anthrax = Anthrax (Anthrax) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: anthrax = Anthrax (Anthrax) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: anthrax = Anthrax (Anthrax) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: cholera = Cholera (Cholera) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: cholera = Cholera (Cholera) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: cholera = Cholera (Cholera) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: cholera = Cholera (Cholera) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: chikungunya = Chikungunya (Chikungunya) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: chikungunya = Chikungunya (Chikungunya) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: chikungunya = Chikungunya (Chikungunya) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: chikungunya = Chikungunya (Chikungunya) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: covid-19 = COVID-19 (COVID-19) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: covid-19 = COVID-19 (COVID-19) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: covid-19 = COVID-19 (COVID-19) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: covid-19 = COVID-19 (COVID-19) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: dengue = Dengue (Dengue) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: dengue = Dengue (Dengue) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: dengue = Dengue (Dengue) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: dengue = Dengue (Dengue) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: dysentery-bacillary = Dysentery (Bacillary) (Dysentery (Bacillary)) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: dysentery-bacillary = Dysentery (Bacillary) (Dysentery (Bacillary)) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: dysentery-bacillary = Dysentery (Bacillary) (Dysentery (Bacillary)) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: dysentery-bacillary = Dysentery (Bacillary) (Dysentery (Bacillary)) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: guinea-worm-disease = Guinea Worm Disease (Guinea Worm Disease) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: guinea-worm-disease = Guinea Worm Disease (Guinea Worm Disease) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: guinea-worm-disease = Guinea Worm Disease (Guinea Worm Disease) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: guinea-worm-disease = Guinea Worm Disease (Guinea Worm Disease) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: measles = Measles (Measles) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: measles = Measles (Measles) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: measles = Measles (Measles) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: measles = Measles (Measles) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: suspected-malaria = Suspected Malaria (Suspected Malaria) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: suspected-malaria = Suspected Malaria (Suspected Malaria) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: suspected-malaria = Suspected Malaria (Suspected Malaria) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: suspected-malaria = Suspected Malaria (Suspected Malaria) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: deaths-due-to-malaria = Deaths due to Malaria (Deaths due to Malaria) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: deaths-due-to-malaria = Deaths due to Malaria (Deaths due to Malaria) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 912271576972 = Bacterial Meningitis (bacterial-001) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 912271576972 = Bacterial Meningitis (bacterial-001) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 912271576972 = Bacterial Meningitis (bacterial-001) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 912271576972 = Bacterial Meningitis (bacterial-001) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 475346107884 = Neonatal deaths (neonatal-deaths-01) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 328118347844 = Neonatal Tetanus (neonatal-tetanus-01) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 328118347844 = Neonatal Tetanus (neonatal-tetanus-01) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 579664664652 = Onchocerciasis (onchocerciasis-01) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 579664664652 = Onchocerciasis (onchocerciasis-01) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 579664664652 = Onchocerciasis (onchocerciasis-01) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 579664664652 = Onchocerciasis (onchocerciasis-01) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 308989393594 = Plague (plague-001) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 308989393594 = Plague (plague-001) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 308989393594 = Plague (plague-001) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 308989393594 = Plague (plague-001) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 530042020681 = Rabies (rabies-01) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 530042020681 = Rabies (rabies-01) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 530042020681 = Rabies (rabies-01) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 530042020681 = Rabies (rabies-01) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 275577537077 = Rift Valley Fever (rvalley-001) |
![]() ![]() ![]() | < 5 years - Death | 0..1 | integer | Enable When: 275577537077 = Rift Valley Fever (rvalley-001) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 275577537077 = Rift Valley Fever (rvalley-001) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 275577537077 = Rift Valley Fever (rvalley-001) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 190531820152 = SARI (Cluster ≥3 cases) (sari-001) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 190531820152 = SARI (Cluster ≥3 cases) (sari-001) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 190531820152 = SARI (Cluster ≥3 cases) (sari-001) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 190531820152 = SARI (Cluster ≥3 cases) (sari-001) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 247259460116 = Suspected MDR/XDR TB (sus-mdrtb-01) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 247259460116 = Suspected MDR/XDR TB (sus-mdrtb-01) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 247259460116 = Suspected MDR/XDR TB (sus-mdrtb-01) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 247259460116 = Suspected MDR/XDR TB (sus-mdrtb-01) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 999646592522 = Typhoid (typhoid-01) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 999646592522 = Typhoid (typhoid-01) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 999646592522 = Typhoid (typhoid-01) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 999646592522 = Typhoid (typhoid-01) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 253208219241 = VHF (vhf-001) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 253208219241 = VHF (vhf-001) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 253208219241 = VHF (vhf-001) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 253208219241 = VHF (vhf-001) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 927616098552 = Yellow Fever (yellow-fever-01) |
![]() ![]() ![]() | < 5 years - Deaths | 0..1 | integer | Enable When: 927616098552 = Yellow Fever (yellow-fever-01) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 927616098552 = Yellow Fever (yellow-fever-01) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 927616098552 = Yellow Fever (yellow-fever-01) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 751930533175 = Zika Virus (zika-001) |
![]() ![]() ![]() | < 5 years - Death | 0..1 | integer | Enable When: 751930533175 = Zika Virus (zika-001) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 751930533175 = Zika Virus (zika-001) |
![]() ![]() ![]() | ≥ 5 years - Death | 0..1 | integer | Enable When: 751930533175 = Zika Virus (zika-001) |
![]() ![]() ![]() | null | 0..* | choice | Options: 1 option |
![]() ![]() ![]() | < 5 years - Cases | 0..1 | integer | Enable When: 373223788626 = Others (Specify) (others-Specify-01) |
![]() ![]() ![]() | < 5 years - Death | 0..1 | integer | Enable When: 373223788626 = Others (Specify) (others-Specify-01) |
![]() ![]() ![]() | ≥ 5 years - Cases | 0..1 | integer | Enable When: 373223788626 = Others (Specify) (others-Specify-01) |
![]() ![]() ![]() | ≥ 5 years - Deaths | 0..1 | integer | Enable When: 373223788626 = Others (Specify) (others-Specify-01) |
Options Sets
Answer options for 745196148424
Answer options for acute-jaundice
Answer options for acute-malnutrition
Answer options for afp-poliomyelitis
Answer options for anthrax
Answer options for cholera
Answer options for chikungunya
Answer options for covid-19
Answer options for dengue
Answer options for dysentery-bacillary
Answer options for guinea-worm-disease
Answer options for measles
Answer options for suspected-malaria
Answer options for deaths-due-to-malaria
Answer options for 912271576972
Answer options for 475346107884
Answer options for 328118347844
Answer options for 579664664652
Answer options for 308989393594
Answer options for 530042020681
Answer options for 275577537077
Answer options for 190531820152
Answer options for 247259460116
Answer options for 999646592522
Answer options for 253208219241
Answer options for 927616098552
Answer options for 751930533175
Answer options for 373223788626
{
"resourceType": "Questionnaire",
"id": "Moh505SectionAB",
"meta": {
"profile": [
"http://hl7.org/fhir/4.0/StructureDefinition/Questionnaire"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "countyName",
"language": "text/fhirpath",
"expression": "%resource.descendants().where(linkId='a4-county').answer.value.reference"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "selectedSubCountyName",
"language": "text/fhirpath",
"expression": "%resource.descendants().where(linkId='a3-sub-county').answer.value.reference"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "selectedWardName",
"language": "text/fhirpath",
"expression": "%resource.descendants().where(linkId='819943434').answer.value.reference"
}
}
],
"url": "http://example.org/Questionnaire/Moh505SectionAB",
"version": "0.1.0",
"title": "MOH 505 - Health Facility Weekly Reporting Form",
"status": "draft",
"date": "2026-05-04T06:19:40+00:00",
"publisher": "Kenya National Public Health Institute",
"contact": [
{
"name": "Kenya National Public Health Institute",
"telecom": [
{
"system": "url",
"value": "https://www.nphi.go.ke/"
}
]
},
{
"name": "Kenya National Public Health Institute",
"telecom": [
{
"system": "url",
"value": "https://www.nphi.go.ke/",
"use": "work"
}
]
}
],
"description": "MOH 505 Health Facility Weekly Reporting Form - Section A and B for disease surveillance",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "KE",
"display": "Kenya"
}
]
}
],
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "page",
"display": "Page"
}
]
}
}
],
"linkId": "306799299",
"text": "Diseases, Conditions or Events Information",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "745196148424",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "AEFI",
"display": "AEFI"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "under5-cases",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "745196148424",
"operator": "=",
"answerCoding": {
"code": "AEFI",
"display": "AEFI"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "under5-deaths",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "745196148424",
"operator": "=",
"answerCoding": {
"code": "AEFI",
"display": "AEFI"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "over5-cases",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "745196148424",
"operator": "=",
"answerCoding": {
"code": "AEFI",
"display": "AEFI"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "over5-deaths",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "745196148424",
"operator": "=",
"answerCoding": {
"code": "AEFI",
"display": "AEFI"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "acute-jaundice",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "Acute Jaundice",
"display": "Acute Jaundice"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "acute-jaundice-under5-cases",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "acute-jaundice",
"operator": "=",
"answerCoding": {
"code": "Acute Jaundice",
"display": "Acute Jaundice"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "acute-jaundice-under5-deaths",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "acute-jaundice",
"operator": "=",
"answerCoding": {
"code": "Acute Jaundice",
"display": "Acute Jaundice"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "acute-jaundice-over5-cases",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "acute-jaundice",
"operator": "=",
"answerCoding": {
"code": "Acute Jaundice",
"display": "Acute Jaundice"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "acute-jaundice-over5-deaths",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "acute-jaundice",
"operator": "=",
"answerCoding": {
"code": "Acute Jaundice",
"display": "Acute Jaundice"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "acute-malnutrition",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "Acute Malnutrition",
"display": "Acute Malnutrition"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "acute-malnutrition-under5-cases",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "acute-malnutrition",
"operator": "=",
"answerCoding": {
"code": "Acute Malnutrition",
"display": "Acute Malnutrition"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "acute-malnutrition-under5-deaths",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "acute-malnutrition",
"operator": "=",
"answerCoding": {
"code": "Acute Malnutrition",
"display": "Acute Malnutrition"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "acute-malnutrition-over5-cases",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "acute-malnutrition",
"operator": "=",
"answerCoding": {
"code": "Acute Malnutrition",
"display": "Acute Malnutrition"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "acute-malnutrition-over5-deaths",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "acute-malnutrition",
"operator": "=",
"answerCoding": {
"code": "Acute Malnutrition",
"display": "Acute Malnutrition"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "afp-poliomyelitis",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "AFP (Poliomyelitis)",
"display": "AFP (Poliomyelitis)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "afp-poliomyelitis-under5-cases",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "afp-poliomyelitis",
"operator": "=",
"answerCoding": {
"code": "AFP (Poliomyelitis)",
"display": "AFP (Poliomyelitis)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "afp-poliomyelitis-under5-deaths",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "afp-poliomyelitis",
"operator": "=",
"answerCoding": {
"code": "AFP (Poliomyelitis)",
"display": "AFP (Poliomyelitis)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "afp-poliomyelitis-over5-cases",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "afp-poliomyelitis",
"operator": "=",
"answerCoding": {
"code": "AFP (Poliomyelitis)",
"display": "AFP (Poliomyelitis)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "afp-poliomyelitis-over5-deaths",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "afp-poliomyelitis",
"operator": "=",
"answerCoding": {
"code": "AFP (Poliomyelitis)",
"display": "AFP (Poliomyelitis)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "anthrax",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "Anthrax",
"display": "Anthrax"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "anthrax-under5-cases",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "anthrax",
"operator": "=",
"answerCoding": {
"code": "Anthrax",
"display": "Anthrax"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "anthrax-under5-deaths",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "anthrax",
"operator": "=",
"answerCoding": {
"code": "Anthrax",
"display": "Anthrax"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "anthrax-over5-cases",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "anthrax",
"operator": "=",
"answerCoding": {
"code": "Anthrax",
"display": "Anthrax"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "anthrax-over5-deaths",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "anthrax",
"operator": "=",
"answerCoding": {
"code": "Anthrax",
"display": "Anthrax"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "cholera",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "Cholera",
"display": "Cholera"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "cholera-under5-cases",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "cholera",
"operator": "=",
"answerCoding": {
"code": "Cholera",
"display": "Cholera"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "cholera-under5-deaths",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "cholera",
"operator": "=",
"answerCoding": {
"code": "Cholera",
"display": "Cholera"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "cholera-over5-cases",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "cholera",
"operator": "=",
"answerCoding": {
"code": "Cholera",
"display": "Cholera"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "cholera-over5-deaths",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "cholera",
"operator": "=",
"answerCoding": {
"code": "Cholera",
"display": "Cholera"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "chikungunya",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "Chikungunya",
"display": "Chikungunya"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "chikungunya-under5-cases",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "chikungunya",
"operator": "=",
"answerCoding": {
"code": "Chikungunya",
"display": "Chikungunya"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "chikungunya-under5-deaths",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "chikungunya",
"operator": "=",
"answerCoding": {
"code": "Chikungunya",
"display": "Chikungunya"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "chikungunya-over5-cases",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "chikungunya",
"operator": "=",
"answerCoding": {
"code": "Chikungunya",
"display": "Chikungunya"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "chikungunya-over5-deaths",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "chikungunya",
"operator": "=",
"answerCoding": {
"code": "Chikungunya",
"display": "Chikungunya"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "covid-19",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "COVID-19",
"display": "COVID-19"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "covid-19-under5-cases",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "covid-19",
"operator": "=",
"answerCoding": {
"code": "COVID-19",
"display": "COVID-19"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "covid-19-under5-deaths",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "covid-19",
"operator": "=",
"answerCoding": {
"code": "COVID-19",
"display": "COVID-19"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "covid-19-over5-cases",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "covid-19",
"operator": "=",
"answerCoding": {
"code": "COVID-19",
"display": "COVID-19"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "covid-19-over5-deaths",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "covid-19",
"operator": "=",
"answerCoding": {
"code": "COVID-19",
"display": "COVID-19"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "dengue",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "Dengue",
"display": "Dengue"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "dengue-under5-cases",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "dengue",
"operator": "=",
"answerCoding": {
"code": "Dengue",
"display": "Dengue"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "dengue-under5-deaths",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "dengue",
"operator": "=",
"answerCoding": {
"code": "Dengue",
"display": "Dengue"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "dengue-over5-cases",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "dengue",
"operator": "=",
"answerCoding": {
"code": "Dengue",
"display": "Dengue"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "dengue-over5-deaths",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "dengue",
"operator": "=",
"answerCoding": {
"code": "Dengue",
"display": "Dengue"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "dysentery-bacillary",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "Dysentery (Bacillary)",
"display": "Dysentery (Bacillary)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "dysentery-bacillary-under5-cases",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "dysentery-bacillary",
"operator": "=",
"answerCoding": {
"code": "Dysentery (Bacillary)",
"display": "Dysentery (Bacillary)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "dysentery-bacillary-under5-deaths",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "dysentery-bacillary",
"operator": "=",
"answerCoding": {
"code": "Dysentery (Bacillary)",
"display": "Dysentery (Bacillary)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "dysentery-bacillary-over5-cases",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "dysentery-bacillary",
"operator": "=",
"answerCoding": {
"code": "Dysentery (Bacillary)",
"display": "Dysentery (Bacillary)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "dysentery-bacillary-over5-deaths",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "dysentery-bacillary",
"operator": "=",
"answerCoding": {
"code": "Dysentery (Bacillary)",
"display": "Dysentery (Bacillary)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "guinea-worm-disease",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "Guinea Worm Disease",
"display": "Guinea Worm Disease"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "guinea-worm-disease-under5-cases",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "guinea-worm-disease",
"operator": "=",
"answerCoding": {
"code": "Guinea Worm Disease",
"display": "Guinea Worm Disease"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "guinea-worm-disease-under5-deaths",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "guinea-worm-disease",
"operator": "=",
"answerCoding": {
"code": "Guinea Worm Disease",
"display": "Guinea Worm Disease"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "guinea-worm-disease-over5-cases",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "guinea-worm-disease",
"operator": "=",
"answerCoding": {
"code": "Guinea Worm Disease",
"display": "Guinea Worm Disease"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "guinea-worm-disease-over5-deaths",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "guinea-worm-disease",
"operator": "=",
"answerCoding": {
"code": "Guinea Worm Disease",
"display": "Guinea Worm Disease"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "measles",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "Measles",
"display": "Measles"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "measles-under5-cases",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "measles",
"operator": "=",
"answerCoding": {
"code": "Measles",
"display": "Measles"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "measles-under5-deaths",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "measles",
"operator": "=",
"answerCoding": {
"code": "Measles",
"display": "Measles"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "measles-over5-cases",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "measles",
"operator": "=",
"answerCoding": {
"code": "Measles",
"display": "Measles"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "measles-over5-deaths",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "measles",
"operator": "=",
"answerCoding": {
"code": "Measles",
"display": "Measles"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "suspected-malaria",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "Suspected Malaria",
"display": "Suspected Malaria"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "suspected-malaria-under5-cases",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "suspected-malaria",
"operator": "=",
"answerCoding": {
"code": "Suspected Malaria",
"display": "Suspected Malaria"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "suspected-malaria-under5-deaths",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "suspected-malaria",
"operator": "=",
"answerCoding": {
"code": "Suspected Malaria",
"display": "Suspected Malaria"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "suspected-malaria-over5-cases",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "suspected-malaria",
"operator": "=",
"answerCoding": {
"code": "Suspected Malaria",
"display": "Suspected Malaria"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "suspected-malaria-over5-deaths",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "suspected-malaria",
"operator": "=",
"answerCoding": {
"code": "Suspected Malaria",
"display": "Suspected Malaria"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "deaths-due-to-malaria",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "Deaths due to Malaria",
"display": "Deaths due to Malaria"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "deaths-due-to-malaria-under5-deaths",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "deaths-due-to-malaria",
"operator": "=",
"answerCoding": {
"code": "Deaths due to Malaria",
"display": "Deaths due to Malaria"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 99
}
],
"linkId": "deaths-due-to-malaria-over5-deaths",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "deaths-due-to-malaria",
"operator": "=",
"answerCoding": {
"code": "Deaths due to Malaria",
"display": "Deaths due to Malaria"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "912271576972",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "bacterial-001",
"display": "Bacterial Meningitis"
}
}
]
},
{
"linkId": "871055915491",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "912271576972",
"operator": "=",
"answerCoding": {
"code": "bacterial-001",
"display": "Bacterial Meningitis"
}
}
]
},
{
"linkId": "388760057096",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "912271576972",
"operator": "=",
"answerCoding": {
"code": "bacterial-001",
"display": "Bacterial Meningitis"
}
}
]
},
{
"linkId": "483347883552",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "912271576972",
"operator": "=",
"answerCoding": {
"code": "bacterial-001",
"display": "Bacterial Meningitis"
}
}
]
},
{
"linkId": "983942974596",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "912271576972",
"operator": "=",
"answerCoding": {
"code": "bacterial-001",
"display": "Bacterial Meningitis"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "475346107884",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "neonatal-deaths-01",
"display": "Neonatal deaths"
}
}
]
},
{
"linkId": "584270141338",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "475346107884",
"operator": "=",
"answerCoding": {
"code": "neonatal-deaths-01",
"display": "Neonatal deaths"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "328118347844",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "neonatal-tetanus-01",
"display": "Neonatal Tetanus"
}
}
]
},
{
"linkId": "535840524666",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "328118347844",
"operator": "=",
"answerCoding": {
"code": "neonatal-tetanus-01",
"display": "Neonatal Tetanus"
}
}
]
},
{
"linkId": "703609548617",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "328118347844",
"operator": "=",
"answerCoding": {
"code": "neonatal-tetanus-01",
"display": "Neonatal Tetanus"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "579664664652",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "onchocerciasis-01",
"display": "Onchocerciasis"
}
}
]
},
{
"linkId": "327509292099",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "579664664652",
"operator": "=",
"answerCoding": {
"code": "onchocerciasis-01",
"display": "Onchocerciasis"
}
}
]
},
{
"linkId": "928912977066",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "579664664652",
"operator": "=",
"answerCoding": {
"code": "onchocerciasis-01",
"display": "Onchocerciasis"
}
}
]
},
{
"linkId": "456099214566",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "579664664652",
"operator": "=",
"answerCoding": {
"code": "onchocerciasis-01",
"display": "Onchocerciasis"
}
}
]
},
{
"linkId": "749207004486",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "579664664652",
"operator": "=",
"answerCoding": {
"code": "onchocerciasis-01",
"display": "Onchocerciasis"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "308989393594",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "plague-001",
"display": "Plague"
}
}
]
},
{
"linkId": "861185632766",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "308989393594",
"operator": "=",
"answerCoding": {
"code": "plague-001",
"display": "Plague"
}
}
]
},
{
"linkId": "527963568905",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "308989393594",
"operator": "=",
"answerCoding": {
"code": "plague-001",
"display": "Plague"
}
}
]
},
{
"linkId": "522287058576",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "308989393594",
"operator": "=",
"answerCoding": {
"code": "plague-001",
"display": "Plague"
}
}
]
},
{
"linkId": "767020876711",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "308989393594",
"operator": "=",
"answerCoding": {
"code": "plague-001",
"display": "Plague"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "530042020681",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "rabies-01",
"display": "Rabies"
}
}
]
},
{
"linkId": "429458582182",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "530042020681",
"operator": "=",
"answerCoding": {
"code": "rabies-01",
"display": "Rabies"
}
}
]
},
{
"linkId": "905150141868",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "530042020681",
"operator": "=",
"answerCoding": {
"code": "rabies-01",
"display": "Rabies"
}
}
]
},
{
"linkId": "387904256180",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "530042020681",
"operator": "=",
"answerCoding": {
"code": "rabies-01",
"display": "Rabies"
}
}
]
},
{
"linkId": "562965993138",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "530042020681",
"operator": "=",
"answerCoding": {
"code": "rabies-01",
"display": "Rabies"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "275577537077",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "rvalley-001",
"display": "Rift Valley Fever"
}
}
]
},
{
"linkId": "323838584718",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "275577537077",
"operator": "=",
"answerCoding": {
"code": "rvalley-001",
"display": "Rift Valley Fever"
}
}
]
},
{
"linkId": "648517764763",
"text": "< 5 years - Death",
"type": "integer",
"enableWhen": [
{
"question": "275577537077",
"operator": "=",
"answerCoding": {
"code": "rvalley-001",
"display": "Rift Valley Fever"
}
}
]
},
{
"linkId": "744618342377",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "275577537077",
"operator": "=",
"answerCoding": {
"code": "rvalley-001",
"display": "Rift Valley Fever"
}
}
]
},
{
"linkId": "633791890892",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "275577537077",
"operator": "=",
"answerCoding": {
"code": "rvalley-001",
"display": "Rift Valley Fever"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "190531820152",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "sari-001",
"display": "SARI (Cluster ≥3 cases)"
}
}
]
},
{
"linkId": "187421454190",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "190531820152",
"operator": "=",
"answerCoding": {
"code": "sari-001",
"display": "SARI (Cluster ≥3 cases)"
}
}
]
},
{
"linkId": "913264965600",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "190531820152",
"operator": "=",
"answerCoding": {
"code": "sari-001",
"display": "SARI (Cluster ≥3 cases)"
}
}
]
},
{
"linkId": "457868958971",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "190531820152",
"operator": "=",
"answerCoding": {
"code": "sari-001",
"display": "SARI (Cluster ≥3 cases)"
}
}
]
},
{
"linkId": "707780066440",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "190531820152",
"operator": "=",
"answerCoding": {
"code": "sari-001",
"display": "SARI (Cluster ≥3 cases)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "247259460116",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "sus-mdrtb-01",
"display": "Suspected MDR/XDR TB"
}
}
]
},
{
"linkId": "405042028703",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "247259460116",
"operator": "=",
"answerCoding": {
"code": "sus-mdrtb-01",
"display": "Suspected MDR/XDR TB"
}
}
]
},
{
"linkId": "353646489103",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "247259460116",
"operator": "=",
"answerCoding": {
"code": "sus-mdrtb-01",
"display": "Suspected MDR/XDR TB"
}
}
]
},
{
"linkId": "814159240132",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "247259460116",
"operator": "=",
"answerCoding": {
"code": "sus-mdrtb-01",
"display": "Suspected MDR/XDR TB"
}
}
]
},
{
"linkId": "300851141211",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "247259460116",
"operator": "=",
"answerCoding": {
"code": "sus-mdrtb-01",
"display": "Suspected MDR/XDR TB"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "999646592522",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "typhoid-01",
"display": "Typhoid"
}
}
]
},
{
"linkId": "644607660026",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "999646592522",
"operator": "=",
"answerCoding": {
"code": "typhoid-01",
"display": "Typhoid"
}
}
]
},
{
"linkId": "852318756537",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "999646592522",
"operator": "=",
"answerCoding": {
"code": "typhoid-01",
"display": "Typhoid"
}
}
]
},
{
"linkId": "154498634367",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "999646592522",
"operator": "=",
"answerCoding": {
"code": "typhoid-01",
"display": "Typhoid"
}
}
]
},
{
"linkId": "834781032739",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "999646592522",
"operator": "=",
"answerCoding": {
"code": "typhoid-01",
"display": "Typhoid"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "253208219241",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "vhf-001",
"display": "VHF"
}
}
]
},
{
"linkId": "174646115502",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "253208219241",
"operator": "=",
"answerCoding": {
"code": "vhf-001",
"display": "VHF"
}
}
]
},
{
"linkId": "938639360599",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "253208219241",
"operator": "=",
"answerCoding": {
"code": "vhf-001",
"display": "VHF"
}
}
]
},
{
"linkId": "348108803545",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "253208219241",
"operator": "=",
"answerCoding": {
"code": "vhf-001",
"display": "VHF"
}
}
]
},
{
"linkId": "225148682326",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "253208219241",
"operator": "=",
"answerCoding": {
"code": "vhf-001",
"display": "VHF"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "927616098552",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "yellow-fever-01",
"display": "Yellow Fever"
}
}
]
},
{
"linkId": "233263428018",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "927616098552",
"operator": "=",
"answerCoding": {
"code": "yellow-fever-01",
"display": "Yellow Fever"
}
}
]
},
{
"linkId": "106909693192",
"text": "< 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "927616098552",
"operator": "=",
"answerCoding": {
"code": "yellow-fever-01",
"display": "Yellow Fever"
}
}
]
},
{
"linkId": "548126975266",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "927616098552",
"operator": "=",
"answerCoding": {
"code": "yellow-fever-01",
"display": "Yellow Fever"
}
}
]
},
{
"linkId": "987655215954",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "927616098552",
"operator": "=",
"answerCoding": {
"code": "yellow-fever-01",
"display": "Yellow Fever"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "751930533175",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "zika-001",
"display": "Zika Virus"
}
}
]
},
{
"linkId": "420006947029",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "751930533175",
"operator": "=",
"answerCoding": {
"code": "zika-001",
"display": "Zika Virus"
}
}
]
},
{
"linkId": "986642803777",
"text": "< 5 years - Death",
"type": "integer",
"enableWhen": [
{
"question": "751930533175",
"operator": "=",
"answerCoding": {
"code": "zika-001",
"display": "Zika Virus"
}
}
]
},
{
"linkId": "920507828586",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "751930533175",
"operator": "=",
"answerCoding": {
"code": "zika-001",
"display": "Zika Virus"
}
}
]
},
{
"linkId": "309011706825",
"text": "≥ 5 years - Death",
"type": "integer",
"enableWhen": [
{
"question": "751930533175",
"operator": "=",
"answerCoding": {
"code": "zika-001",
"display": "Zika Virus"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "373223788626",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"code": "others-Specify-01",
"display": "Others (Specify)"
}
}
]
},
{
"linkId": "585220688263",
"text": "< 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "373223788626",
"operator": "=",
"answerCoding": {
"code": "others-Specify-01",
"display": "Others (Specify)"
}
}
]
},
{
"linkId": "732578632850",
"text": "< 5 years - Death",
"type": "integer",
"enableWhen": [
{
"question": "373223788626",
"operator": "=",
"answerCoding": {
"code": "others-Specify-01",
"display": "Others (Specify)"
}
}
]
},
{
"linkId": "493210056237",
"text": "≥ 5 years - Cases",
"type": "integer",
"enableWhen": [
{
"question": "373223788626",
"operator": "=",
"answerCoding": {
"code": "others-Specify-01",
"display": "Others (Specify)"
}
}
]
},
{
"linkId": "683538126910",
"text": "≥ 5 years - Deaths",
"type": "integer",
"enableWhen": [
{
"question": "373223788626",
"operator": "=",
"answerCoding": {
"code": "others-Specify-01",
"display": "Others (Specify)"
}
}
]
}
]
}
]
}