FHIR IG analytics| Package | fhir.surveillanceIG |
| Resource Type | Questionnaire |
| Id | Questionnaire-VlCaseLabInformation.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/IntelliSOFT-Consulting/Surveillance-FHIR-IG/Questionnaire-VlCaseLabInformation.html |
| URL | http://example.org/Questionnaire/VlCaseLabInformation |
| Version | 0.1.0 |
| Status | draft |
| Date | 2026-05-04T06:19:40+00:00 |
| Title | VL Case Lab Information |
| Realm | us |
| Authority | hl7 |
| Description | Laboratory investigation information for Visceral Leishmaniasis cases |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire VlCaseLabInformation
Profile: http://hl7.org/fhir/4.0/StructureDefinition/Questionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  | Laboratory investigation information for Visceral Leishmaniasis cases | Questionnaire | http://example.org/Questionnaire/VlCaseLabInformation#0.1.0 | |
  868001487252 | Laboratory Information | 0..1 | group | |
   262857834508 | HIV Status | 1..1 | choice | Options: 4 options |
| 286501145394 | Rapid Diagnostic Test (rK 39) Result | 1..1 | choice | Options: 4 options |
 728272640347 | Haemoglobin Level (g/dL) | 1..1 | decimal | |
| 839711142610 | DAT Result | 1..1 | choice | Options: 4 options |
| 521591954015 | Titre | 1..1 | decimal | Enable When:
|
| 501687416648 | Tissue Aspiration Type | 1..1 | choice | Options: 4 options |
| 108406555539 | Splenic/Bone Marrow Aspirate Result | 1..1 | choice | Options: 3 options |
| 320819009291 | Microscopy Results | 1..1 | choice | Options: 3 options |
| 625317757173 | Microscopy Grading | 1..1 | choice | Options: 6 options |
| 655245793432 | Final Diagnosis / Patient Category | 1..1 | choice | Options: 4 options |
 843481153132 | Specify Diagnosis | 1..1 | string | Enable When: 655245793432 = Other (specify) (diag-cat-004) |
| 404917028358 | Method of Diagnosis | 1..1 | choice | Options: 4 options |
| Documentation for this format | ||||
Options Sets
Answer options for 262857834508
Answer options for 286501145394
Answer options for 839711142610
Answer options for 501687416648
Answer options for 108406555539
Answer options for 320819009291
Answer options for 625317757173
Answer options for 655245793432
Answer options for 404917028358
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "VlCaseLabInformation",
"meta": {
"profile": [
"http://hl7.org/fhir/4.0/StructureDefinition/Questionnaire"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://example.org/Questionnaire/VlCaseLabInformation",
"version": "0.1.0",
"title": "VL Case Lab Information",
"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": "Laboratory investigation information for Visceral Leishmaniasis cases",
"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": "868001487252",
"text": "Laboratory Information",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
]
}
}
],
"linkId": "262857834508",
"text": "HIV Status",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "positive",
"display": "Positive"
}
},
{
"valueCoding": {
"code": "negative",
"display": "Negative"
}
},
{
"valueCoding": {
"code": "unknown",
"display": "Unknown"
}
},
{
"valueCoding": {
"code": "Not Done",
"display": "Not Done"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
]
}
}
],
"linkId": "286501145394",
"text": "Rapid Diagnostic Test (rK 39) Result",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "positive",
"display": "Positive"
}
},
{
"valueCoding": {
"code": "negative",
"display": "Negative"
}
},
{
"valueCoding": {
"code": "notdone",
"display": "Not done"
}
},
{
"valueCoding": {
"code": "inconclusive",
"display": "Inconclusive"
}
}
]
},
{
"linkId": "728272640347",
"text": "Haemoglobin Level (g/dL)",
"type": "decimal",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
]
}
}
],
"linkId": "839711142610",
"text": "DAT Result",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "dt-results-001",
"display": "Not Done"
}
},
{
"valueCoding": {
"code": "dt-results-002",
"display": "Positive"
}
},
{
"valueCoding": {
"code": "dt-results-003",
"display": "Negative"
}
},
{
"valueCoding": {
"code": "dt-results-004",
"display": "Borderline"
}
}
]
},
{
"linkId": "521591954015",
"text": "Titre",
"type": "decimal",
"enableWhen": [
{
"question": "839711142610",
"operator": "=",
"answerCoding": {
"code": "dt-results-002",
"display": "Positive"
}
},
{
"question": "839711142610",
"operator": "=",
"answerCoding": {
"code": "dt-results-003",
"display": "Negative"
}
},
{
"question": "839711142610",
"operator": "=",
"answerCoding": {
"code": "dt-results-004",
"display": "Borderline"
}
}
],
"enableBehavior": "any",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
]
}
}
],
"linkId": "501687416648",
"text": "Tissue Aspiration Type",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "tis-asp-001",
"display": "Not done"
}
},
{
"valueCoding": {
"code": "tis-asp-002",
"display": "Bone Marrow"
}
},
{
"valueCoding": {
"code": "tis-asp-003",
"display": "Lymph Node"
}
},
{
"valueCoding": {
"code": "tis-asp-004",
"display": "Spleen"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
]
}
}
],
"linkId": "108406555539",
"text": "Splenic/Bone Marrow Aspirate Result",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "positive",
"display": "Positive"
}
},
{
"valueCoding": {
"code": "negative",
"display": "Negative"
}
},
{
"valueCoding": {
"code": "notdone",
"display": "Not done"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
]
}
}
],
"linkId": "320819009291",
"text": "Microscopy Results",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "positive",
"display": "Positive"
}
},
{
"valueCoding": {
"code": "negative",
"display": "Negative"
}
},
{
"valueCoding": {
"code": "notdone",
"display": "Not done"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
]
}
}
],
"linkId": "625317757173",
"text": "Microscopy Grading",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "micro-grd-001",
"display": "1+: 1-10/1000 fields"
}
},
{
"valueCoding": {
"code": "micro-grd-002",
"display": "2+: 1-10/100 fields"
}
},
{
"valueCoding": {
"code": "micro-grd-003",
"display": "3+: 1-10/10 fields"
}
},
{
"valueCoding": {
"code": "micro-grd-004",
"display": "4+: 1-10/1 fields"
}
},
{
"valueCoding": {
"code": "micro-grd-005",
"display": "5+: >10-100/1 fields"
}
},
{
"valueCoding": {
"code": "micro-grd-006",
"display": "6+: >100/1 fields"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
]
}
}
],
"linkId": "655245793432",
"text": "Final Diagnosis / Patient Category",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "diag-cat-001",
"display": "Primary VL"
}
},
{
"valueCoding": {
"code": "diag-cat-002",
"display": "Relapse"
}
},
{
"valueCoding": {
"code": "diag-cat-003",
"display": "PKDL"
}
},
{
"valueCoding": {
"code": "diag-cat-004",
"display": "Other (specify)"
}
}
]
},
{
"linkId": "843481153132",
"text": "Specify Diagnosis",
"type": "string",
"enableWhen": [
{
"question": "655245793432",
"operator": "=",
"answerCoding": {
"code": "diag-cat-004",
"display": "Other (specify)"
}
}
],
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
]
}
}
],
"linkId": "404917028358",
"text": "Method of Diagnosis",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "RDT",
"display": "RDT"
}
},
{
"valueCoding": {
"code": "DAT",
"display": "DAT"
}
},
{
"valueCoding": {
"code": "Microscopy",
"display": "Microscopy"
}
},
{
"valueCoding": {
"code": "Clinical Examination",
"display": "Clinical Examination"
}
}
]
}
]
}
]
}