| Package | hl7.fhir.uv.crmi |
| Resource Type | Questionnaire |
| Id | shareable-example |
| FHIR Version | R4 |
| Source | http://hl7.org/fhir/uv/crmi/https://build.fhir.org/ig/HL7/crmi-ig/Questionnaire-shareable-example.html |
| URL | http://hl7.org/fhir/uv/crmi/Questionnaire/shareable-example |
| Version | 2.0.0-ballot |
| Status | active |
| Date | 2025-08-01T16:38:28+00:00 |
| Name | ANCB5Shareable |
| Title | ANC.B5 Quick check (Shareable Example) |
| Realm | uv |
| Authority | hl7 |
| Description | Quick check questionnaire |
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Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire shareable-example
Profile: CRMI Shareable Questionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
![]() | Quick check questionnaire | Questionnaire | http://hl7.org/fhir/uv/crmi/Questionnaire/shareable-example#2.0.0-ballot | |
![]() ![]() | Pregnancy has been confirmed | 0..1 | boolean | Definition: http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-b4-de1#Observation.value[x] |
![]() ![]() | Records the reason why the woman came to the health-care facility today | 0..1 | choice | Definition: http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-encounter#Encounter.reasonCode Value Set: http://example.org/guides/who/smart-anc-mini/ValueSet/anc-b5-de1-codes-grouper |
![]() ![]() | If the woman came to the facility with a specific health concern, select the health concern(s) from the list | 0..1 | choice | Definition: http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-b5-de5#Observation.value[x] Value Set: http://example.org/guides/who/smart-anc-mini/ValueSet/anc-b5-de6 |
![]() ![]() | Before each contact, the health worker should check whether the woman has any of the danger signs listed here – if yes, she should refer to the hospital urgently; if no, she should continue to the normal contact | 0..1 | choice | Definition: http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-b5-de48#Observation.value[x] Value Set: http://example.org/guides/who/smart-anc-mini/ValueSet/anc-b5-de48-codes-grouper |
{
"resourceType": "Questionnaire",
"id": "shareable-example",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablequestionnaire"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode": "shareable"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode": "computable"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode": "publishable"
}
],
"url": "http://hl7.org/fhir/uv/crmi/Questionnaire/shareable-example",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.4.642.40.38.35.2"
}
],
"version": "2.0.0-ballot",
"name": "ANCB5Shareable",
"title": "ANC.B5 Quick check (Shareable Example)",
"status": "active",
"experimental": true,
"date": "2025-08-01T16:38:28+00:00",
"publisher": "HL7 International / Clinical Decision Support",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/dss"
}
]
}
],
"description": "Quick check questionnaire",
"useContext": [
{
"code": {
"system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code": "task",
"display": "Workflow Task"
},
"valueCodeableConcept": {
"text": "Quick check"
}
}
],
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"item": [
{
"linkId": "1",
"definition": "http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-b4-de1#Observation.value[x]",
"text": "Pregnancy has been confirmed",
"type": "boolean"
},
{
"linkId": "2",
"definition": "http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-encounter#Encounter.reasonCode",
"text": "Records the reason why the woman came to the health-care facility today",
"type": "choice",
"answerValueSet": "http://example.org/guides/who/smart-anc-mini/ValueSet/anc-b5-de1-codes-grouper"
},
{
"linkId": "3",
"definition": "http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-b5-de5#Observation.value[x]",
"text": "If the woman came to the facility with a specific health concern, select the health concern(s) from the list",
"type": "choice",
"answerValueSet": "http://example.org/guides/who/smart-anc-mini/ValueSet/anc-b5-de6"
},
{
"linkId": "4",
"definition": "http://example.org/guides/who/smart-anc-mini/StructureDefinition/anc-b5-de48#Observation.value[x]",
"text": "Before each contact, the health worker should check whether the woman has any of the danger signs listed here – if yes, she should refer to the hospital urgently; if no, she should continue to the normal contact",
"type": "choice",
"answerValueSet": "http://example.org/guides/who/smart-anc-mini/ValueSet/anc-b5-de48-codes-grouper"
}
]
}