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FHIR IG Statistics: Questionnaire/ANCB6

Packagesmart.who.int.anc
TypeQuestionnaire
IdANCB6
FHIR VersionR4
Sourcehttp://smart.who.int/anc/https://build.fhir.org/ig/WorldHealthOrganization/smart-anc/Questionnaire-ANCB6.html
URLhttp://smart.who.int/anc/Questionnaire/ANCB6
Version0.3.0
Statusactive
Date2025-06-25T03:25:20+00:00
NameANCB6
TitleANC.B6 Profile
Realmuv
Authoritywho
DescriptionIf this is the woman’s first ANC contact, the health worker records information on her current pregnancy, past medical and obstetric history, medications, behaviour, immunization status and other background information.

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Narrative

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

Generated Narrative: Questionnaire ANCB6

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. ANCB6If this is the woman’s first ANC contact, the health worker records information on her current pregnancy, past medical and obstetric history, medications, behaviour, immunization status and other background information.Questionnairehttp://smart.who.int/anc/Questionnaire/ANCB6#0.3.0
... 1Highest level of education achieved0..1choiceDefinition: Patient.educationLevel
Value Set: Highest level of education achieved Choices
... 2Occupation0..1choiceDefinition: Patient.occupation
Value Set: Occupation Choices Grouper
... 3Last menstrual period (LMP) date0..1dateDefinition: Observation.value[x]
... 4Ultrasound done0..1booleanDefinition: Observation.value[x]
... 5Ultrasound date0..1dateDefinition: Procedure.performed[x]
... 6Gestational age0..1quantityDefinition: Observation.value[x]
... 7Source of gestational age0..1choiceDefinition: Observation.value[x]
Value Set: Source of gestational age Choices
... 8Expected date of delivery (EDD)0..1dateDefinition: Observation.value[x]
... 9Number of pregnancies (gravida)0..1integerDefinition: Observation.value[x]
... 10Number of miscarriages and/or abortions0..1integerDefinition: Observation.value[x]
... 11Number of live births0..1integerDefinition: Observation.value[x]
... 12Whether last live birth was preterm0..1choiceDefinition: Observation.value[x]
Value Set: Whether last live birth was preterm Choices
... 13Number of stillbirths0..1integerDefinition: Observation.value[x]
... 14Parity0..1integerDefinition: Observation.value[x]
... 15Number of caesarian sections0..1integerDefinition: Observation.value[x]
... 16Past pregnancy complications0..1choiceDefinition: Observation.value[x]
Value Set: Past pregnancy complications Choices Grouper
... 17Substance use during past pregnancy specification0..1choiceDefinition: Observation.value[x]
Value Set: Substance use during past pregnancy specification Choices
... 18Allergies0..1choiceDefinition: Observation.value[x]
Value Set: Allergies Choices
... 19Past surgeries0..1choiceDefinition: Observation.value[x]
Value Set: Past surgeries Choices
... 20Existing chronic health conditions0..1choiceDefinition: Observation.value[x]
Value Set: Existing chronic health conditions Choices Grouper
... 21HIV diagnosis date0..1choiceDefinition: Observation.value[x]
... 22Tetanus toxoid-containing vaccine (TTCV) immunization history0..1choiceDefinition: Observation.value[x]
Value Set: Tetanus toxoid-containing vaccine (TTCV) immunization history Choices Grouper
... 23Flu immunization history0..1choiceDefinition: Observation.value[x]
Value Set: Flu immunization history Choices Grouper
... 24Current medications0..1choiceDefinition: Observation.value[x]
Value Set: Current medications Choices Grouper
... 25Daily caffeine intake0..1choiceDefinition: Observation.value[x]
Value Set: Daily caffeine intake Choices Grouper
... 26Clinical enquiry for alcohol and other substance use done0..1choiceDefinition: Observation.value[x]
... 27Current alcohol and/or other substance use0..1choiceDefinition: Observation.value[x]
Value Set: Current alcohol and/or other substance use Choices Grouper
... 28Tobacco use0..1booleanDefinition: Observation.value[x]
... 29Recently quit tobacco products0..1booleanDefinition: Observation.value[x]
... 30Exposure to second-hand smoke0..1booleanDefinition: Observation.value[x]
... 31Partner HIV status (reported)0..1choiceDefinition: Observation.value[x]
Value Set: Partner HIV status (reported) Choices Grouper
... 32Contraceptive use of male condoms0..1booleanDefinition: Observation.value[x]
... 33Contraceptive use of female condoms0..1booleanDefinition: Observation.value[x]

doco Documentation for this format

Source

{
  "resourceType": "Questionnaire",
  "id": "ANCB6",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
      "valueCode": "shareable"
    },
    {
      "url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
      "valueCode": "computable"
    },
    {
      "url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
      "valueCode": "publishable"
    },
    {
      "url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel",
      "valueCode": "structured"
    }
  ],
  "url": "http://smart.who.int/anc/Questionnaire/ANCB6",
  "version": "0.3.0",
  "name": "ANCB6",
  "title": "ANC.B6 Profile",
  "status": "active",
  "experimental": false,
  "date": "2025-06-25T03:25:20+00:00",
  "publisher": "World Health Organization (WHO)",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://www.who.int"
        }
      ]
    }
  ],
  "description": "If this is the woman’s first ANC contact, the health worker records information on her current pregnancy, past medical and obstetric history, medications, behaviour, immunization status and other background information.",
  "useContext": [
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "task",
        "display": "Workflow Task"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://smart.who.int/anc/CodeSystem/anc-activity-codes",
            "code": "ANC.B6",
            "display": "Profile"
          }
        ]
      }
    }
  ],
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001"
        }
      ]
    }
  ],
  "item": [
    {
      "linkId": "1",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-patient#Patient.educationLevel",
      "text": "Highest level of education achieved",
      "type": "choice",
      "answerValueSet": "http://smart.who.int/anc/ValueSet/anc-b6-de2"
    },
    {
      "linkId": "2",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-patient#Patient.occupation",
      "text": "Occupation",
      "type": "choice",
      "answerValueSet": "http://smart.who.int/anc/ValueSet/anc-b6-de7-choices-grouper"
    },
    {
      "linkId": "3",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de14#Observation.value[x]",
      "text": "Last menstrual period (LMP) date",
      "type": "date"
    },
    {
      "linkId": "4",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de15#Observation.value[x]",
      "text": "Ultrasound done",
      "type": "boolean"
    },
    {
      "linkId": "5",
      "definition": "http://smart.who.int/anc/StructureDefinition/ultrasound#Procedure.performed[x]",
      "text": "Ultrasound date",
      "type": "date"
    },
    {
      "linkId": "6",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de17#Observation.value[x]",
      "text": "Gestational age",
      "type": "quantity"
    },
    {
      "linkId": "7",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de18#Observation.value[x]",
      "text": "Source of gestational age",
      "type": "choice",
      "answerValueSet": "http://smart.who.int/anc/ValueSet/anc-b6-de19"
    },
    {
      "linkId": "8",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de22#Observation.value[x]",
      "text": "Expected date of delivery (EDD)",
      "type": "date"
    },
    {
      "linkId": "9",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de24#Observation.value[x]",
      "text": "Number of pregnancies (gravida)",
      "type": "integer"
    },
    {
      "linkId": "10",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de25#Observation.value[x]",
      "text": "Number of miscarriages and/or abortions",
      "type": "integer"
    },
    {
      "linkId": "11",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de26#Observation.value[x]",
      "text": "Number of live births",
      "type": "integer"
    },
    {
      "linkId": "12",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de27#Observation.value[x]",
      "text": "Whether last live birth was preterm",
      "type": "choice",
      "answerValueSet": "http://smart.who.int/anc/ValueSet/anc-b6-de28"
    },
    {
      "linkId": "13",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de31#Observation.value[x]",
      "text": "Number of stillbirths",
      "type": "integer"
    },
    {
      "linkId": "14",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de32#Observation.value[x]",
      "text": "Parity",
      "type": "integer"
    },
    {
      "linkId": "15",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de33#Observation.value[x]",
      "text": "Number of caesarian sections",
      "type": "integer"
    },
    {
      "linkId": "16",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de34#Observation.value[x]",
      "text": "Past pregnancy complications",
      "type": "choice",
      "answerValueSet": "http://smart.who.int/anc/ValueSet/anc-b6-de34-choices-grouper"
    },
    {
      "linkId": "17",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de51#Observation.value[x]",
      "text": "Substance use during past pregnancy specification",
      "type": "choice",
      "answerValueSet": "http://smart.who.int/anc/ValueSet/anc-b6-de53"
    },
    {
      "linkId": "18",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de57#Observation.value[x]",
      "text": "Allergies",
      "type": "choice",
      "answerValueSet": "http://smart.who.int/anc/ValueSet/anc-b6-de58"
    },
    {
      "linkId": "19",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de72#Observation.value[x]",
      "text": "Past surgeries",
      "type": "choice",
      "answerValueSet": "http://smart.who.int/anc/ValueSet/anc-b6-de73"
    },
    {
      "linkId": "20",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de83#Observation.value[x]",
      "text": "Existing chronic health conditions",
      "type": "choice",
      "answerValueSet": "http://smart.who.int/anc/ValueSet/anc-b6-de83-choices-grouper"
    },
    {
      "linkId": "21",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de99#Observation.value[x]",
      "text": "HIV diagnosis date",
      "type": "choice"
    },
    {
      "linkId": "22",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de100#Observation.value[x]",
      "text": "Tetanus toxoid-containing vaccine (TTCV) immunization history",
      "type": "choice",
      "answerValueSet": "http://smart.who.int/anc/ValueSet/anc-b6-de100-choices-grouper"
    },
    {
      "linkId": "23",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de105#Observation.value[x]",
      "text": "Flu immunization history",
      "type": "choice",
      "answerValueSet": "http://smart.who.int/anc/ValueSet/anc-b6-de105-choices-grouper"
    },
    {
      "linkId": "24",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de109#Observation.value[x]",
      "text": "Current medications",
      "type": "choice",
      "answerValueSet": "http://smart.who.int/anc/ValueSet/anc-b6-de109-choices-grouper"
    },
    {
      "linkId": "25",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de139#Observation.value[x]",
      "text": "Daily caffeine intake",
      "type": "choice",
      "answerValueSet": "http://smart.who.int/anc/ValueSet/anc-b6-de139-choices-grouper"
    },
    {
      "linkId": "26",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de145#Observation.value[x]",
      "text": "Clinical enquiry for alcohol and other substance use done",
      "type": "choice"
    },
    {
      "linkId": "27",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de146#Observation.value[x]",
      "text": "Current alcohol and/or other substance use",
      "type": "choice",
      "answerValueSet": "http://smart.who.int/anc/ValueSet/anc-b6-de146-choices-grouper"
    },
    {
      "linkId": "28",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de153#Observation.value[x]",
      "text": "Tobacco use",
      "type": "boolean"
    },
    {
      "linkId": "29",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de154#Observation.value[x]",
      "text": "Recently quit tobacco products",
      "type": "boolean"
    },
    {
      "linkId": "30",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de155#Observation.value[x]",
      "text": "Exposure to second-hand smoke",
      "type": "boolean"
    },
    {
      "linkId": "31",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de156#Observation.value[x]",
      "text": "Partner HIV status (reported)",
      "type": "choice",
      "answerValueSet": "http://smart.who.int/anc/ValueSet/anc-b6-de156-choices-grouper"
    },
    {
      "linkId": "32",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de160#Observation.value[x]",
      "text": "Contraceptive use of male condoms",
      "type": "boolean"
    },
    {
      "linkId": "33",
      "definition": "http://smart.who.int/anc/StructureDefinition/anc-b6-de161#Observation.value[x]",
      "text": "Contraceptive use of female condoms",
      "type": "boolean"
    }
  ]
}