| Package | smart.who.int.anc |
| Resource Type | Questionnaire |
| Id | ANCB6 |
| FHIR Version | R4 |
| Source | http://smart.who.int/anc/https://build.fhir.org/ig/WorldHealthOrganization/smart-anc/Questionnaire-ANCB6.html |
| URL | http://smart.who.int/anc/Questionnaire/ANCB6 |
| Version | 0.3.0 |
| Status | active |
| Date | 2025-06-25T03:25:20+00:00 |
| Name | ANCB6 |
| Title | ANC.B6 Profile |
| Realm | uv |
| Authority | who |
| 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. |
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Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire ANCB6
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  ANCB6 | 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. | Questionnaire | http://smart.who.int/anc/Questionnaire/ANCB6#0.3.0 | |
  1 | Highest level of education achieved | 0..1 | choice | Definition: Patient.educationLevel Value Set: Highest level of education achieved Choices |
| 2 | Occupation | 0..1 | choice | Definition: Patient.occupation Value Set: Occupation Choices Grouper |
 3 | Last menstrual period (LMP) date | 0..1 | date | Definition: Observation.value[x] |
 4 | Ultrasound done | 0..1 | boolean | Definition: Observation.value[x] |
| 5 | Ultrasound date | 0..1 | date | Definition: Procedure.performed[x] |
 6 | Gestational age | 0..1 | quantity | Definition: Observation.value[x] |
| 7 | Source of gestational age | 0..1 | choice | Definition: Observation.value[x] Value Set: Source of gestational age Choices |
| 8 | Expected date of delivery (EDD) | 0..1 | date | Definition: Observation.value[x] |
 9 | Number of pregnancies (gravida) | 0..1 | integer | Definition: Observation.value[x] |
| 10 | Number of miscarriages and/or abortions | 0..1 | integer | Definition: Observation.value[x] |
| 11 | Number of live births | 0..1 | integer | Definition: Observation.value[x] |
| 12 | Whether last live birth was preterm | 0..1 | choice | Definition: Observation.value[x] Value Set: Whether last live birth was preterm Choices |
| 13 | Number of stillbirths | 0..1 | integer | Definition: Observation.value[x] |
| 14 | Parity | 0..1 | integer | Definition: Observation.value[x] |
| 15 | Number of caesarian sections | 0..1 | integer | Definition: Observation.value[x] |
| 16 | Past pregnancy complications | 0..1 | choice | Definition: Observation.value[x] Value Set: Past pregnancy complications Choices Grouper |
| 17 | Substance use during past pregnancy specification | 0..1 | choice | Definition: Observation.value[x] Value Set: Substance use during past pregnancy specification Choices |
| 18 | Allergies | 0..1 | choice | Definition: Observation.value[x] Value Set: Allergies Choices |
| 19 | Past surgeries | 0..1 | choice | Definition: Observation.value[x] Value Set: Past surgeries Choices |
| 20 | Existing chronic health conditions | 0..1 | choice | Definition: Observation.value[x] Value Set: Existing chronic health conditions Choices Grouper |
| 21 | HIV diagnosis date | 0..1 | choice | Definition: Observation.value[x] |
| 22 | Tetanus toxoid-containing vaccine (TTCV) immunization history | 0..1 | choice | Definition: Observation.value[x] Value Set: Tetanus toxoid-containing vaccine (TTCV) immunization history Choices Grouper |
| 23 | Flu immunization history | 0..1 | choice | Definition: Observation.value[x] Value Set: Flu immunization history Choices Grouper |
| 24 | Current medications | 0..1 | choice | Definition: Observation.value[x] Value Set: Current medications Choices Grouper |
| 25 | Daily caffeine intake | 0..1 | choice | Definition: Observation.value[x] Value Set: Daily caffeine intake Choices Grouper |
| 26 | Clinical enquiry for alcohol and other substance use done | 0..1 | choice | Definition: Observation.value[x] |
| 27 | Current alcohol and/or other substance use | 0..1 | choice | Definition: Observation.value[x] Value Set: Current alcohol and/or other substance use Choices Grouper |
| 28 | Tobacco use | 0..1 | boolean | Definition: Observation.value[x] |
| 29 | Recently quit tobacco products | 0..1 | boolean | Definition: Observation.value[x] |
| 30 | Exposure to second-hand smoke | 0..1 | boolean | Definition: Observation.value[x] |
| 31 | Partner HIV status (reported) | 0..1 | choice | Definition: Observation.value[x] Value Set: Partner HIV status (reported) Choices Grouper |
| 32 | Contraceptive use of male condoms | 0..1 | boolean | Definition: Observation.value[x] |
 33 | Contraceptive use of female condoms | 0..1 | boolean | Definition: Observation.value[x] |
| Documentation for this format | ||||
FHIR{
"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"
}
]
}