| Package | smart.who.int.hiv |
| Type | Questionnaire |
| Id | HIV.D20Diagnostics |
| FHIR Version | R4 |
| Source | http://smart.who.int/hiv/file://C:\work\release\source\output/Questionnaire-HIV.D20Diagnostics.html |
| URL | http://smart.who.int/hiv/Questionnaire/HIV.D20Diagnostics |
| Version | 1.0.0 |
| Status | draft |
| Date | 2025-07-08T23:21:58+02:00 |
| Title | Diagnostics |
| Authority | who |
| Description | Questionnaire for diagnostics |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire HIV.D20Diagnostics
Language: en
Profiles: Extractable Questionnaire - StructureMap, CRMI Shareable Questionnaire, CRMI Publishable Questionnaire
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  | Questionnaire for diagnostics | Questionnaire | http://smart.who.int/hiv/Questionnaire/HIV.D20Diagnostics#1.0.0 | ||
  HIV.D.DE364 | CD4 count | 0..1 | integer | ||
| HIV.D.DE365 | CD4 cell percentage | 0..1 | integer | ||
 HIV.D.DE366 | Date of CD4 count test | 0..1 | dateTime | ||
| HIV.D.DE367 | Baseline CD4 count | 0..1 | integer | ||
| HIV.D.DE368 | Date of baseline CD4 count test | 0..1 | dateTime | ||
 HIV.D.DE369 | Late ART initiation | 0..1 | boolean | ||
| HIV.D.DE387 | Viral load test result | 0..1 | integer | ||
| HIV.D.DE388 | Virally suppressed | 0..1 | boolean | ||
 HIV.D.DE389 | Date viral load test results received | 0..1 | date | ||
| HIV.D.DE390 | Viral load suppression date | 0..1 | date | ||
 HIV.D.DE391 | Reason for HIV viral load test | 0..1 | choice | Value Set: #HIV.D.DE391 | |
| HIV.D.DE396 | Hepatitis B test required | 1..1 | boolean | ||
| HIV.D.DE397 | Hepatitis C test recommended | 1..1 | boolean | ||
| HIV.D.DE398 | Syphilis test required | 1..1 | boolean | ||
| HIV.D.DE399 | Monitoring examinations | 0..1 | choice | Value Set: #HIV.D.DE399 | |
| HIV.D.DE414 | Hepatitis C test ordered | 1..1 | boolean | ||
| HIV.D.DE415 | Syphilis test ordered | 1..1 | boolean | ||
| HIV.D.DE416 | Received viral load test results | 0..1 | boolean | ||
| HIV.D.DE417 | Date viral load test results received by client | 0..1 | date | ||
| HIV.D.DE1024 | TB meningitis | 0..1 | boolean | ||
| HIV.E.DE149 | Maternal syphilis test result | 0..1 | choice | Value Set: #HIV.E.DE149 | |
| HIV.E.DE153 | Hypertension | 0..1 | boolean | ||
| HIV.E.DE154 | Pre-eclampsia | 0..1 | boolean | ||
| HIV.G.DE1 | CD4 count | 0..1 | integer | ||
| HIV.G.DE2 | CD4 cell percentage | 0..1 | integer | ||
| HIV.G.DE3 | Baseline CD4 count | 0..1 | integer | ||
| HIV.G.DE4 | Date of baseline CD4 count sample collection | 0..1 | date | ||
| HIV.G.DE5 | Late ART initiation | 0..1 | boolean | ||
| HIV.G.DE6 | Date of CD4 sample collection | 0..1 | date | ||
| HIV.G.DE7 | Viral load test conducted | 0..1 | boolean | ||
| HIV.G.DE8 | Date of viral load sample collection | 0..1 | dateTime | ||
| HIV.G.DE9 | Date of first viral load sample collection | 0..1 | dateTime | ||
| HIV.G.DE10 | Date viral load sample sent | 0..1 | date | ||
| HIV.G.DE11 | First viral load test result | 0..1 | integer | ||
| HIV.G.DE12 | Viral load test result | 0..1 | integer | ||
| HIV.G.DE13 | HIV viral load specimen type | 0..1 | choice | Value Set: #HIV.G.DE13 | |
| HIV.G.DE17 | HBsAg test date | 0..1 | date | ||
| HIV.G.DE18 | HBsAg test result | 0..1 | choice | Value Set: #HIV.G.DE18 | |
| HIV.G.DE22 | Reason Hepatitis B test not conducted | 0..1 | choice | Value Set: #HIV.G.DE22 | |
 HIV.G.DE28 | Other (specify) | 0..1 | string | ||
| HIV.G.DE29 | Hepatitis B diagnosis | 0..1 | choice | Value Set: #HIV.G.DE29 | |
| HIV.G.DE32 | Hepatitis C screening date | 0..1 | dateTime | ||
| HIV.G.DE33 | Hepatitis C test ordered | 1..1 | boolean | ||
| HIV.G.DE34 | Hepatitis C test conducted | 1..1 | boolean | ||
| HIV.G.DE35 | Reason Hepatitis C test not done | 0..1 | choice | Value Set: #HIV.G.DE35 | |
| HIV.G.DE41 | Other (specify) | 0..1 | string | ||
| HIV.G.DE42 | HCV test date | 0..1 | date | ||
| HIV.G.DE43 | HCV test result | 0..1 | choice | Value Set: #HIV.G.DE43 | |
| HIV.G.DE47 | HCV viral load test date | 0..1 | integer | ||
| HIV.G.DE48 | HCV viral load test result | 0..1 | choice | Value Set: #HIV.G.DE48 | |
| HIV.G.DE51 | Hepatitis C diagnosis | 0..1 | choice | Value Set: #HIV.G.DE51 | |
| HIV.G.DE54 | Syphilis test required | 1..1 | boolean | ||
| HIV.G.DE55 | Syphilis test type | 0..1 | choice | Value Set: #HIV.G.DE55 | |
| HIV.G.DE61 | Other syphilis test type (specify) | 0..1 | string | ||
| HIV.G.DE62 | Reason syphilis test not done | 0..1 | choice | Value Set: #HIV.G.DE62 | |
| HIV.G.DE68 | Other (specify) | 0..1 | string | ||
| HIV.G.DE69 | Syphilis test date | 0..1 | date | ||
| HIV.G.DE70 | Syphilis test result | 0..1 | choice | Value Set: #HIV.G.DE70 | |
| HIV.G.DE74 | Syphilis diagnosis | 0..1 | choice | Value Set: #HIV.G.DE74 | |
| HIV.G.DE77 | Other tests conducted | 0..1 | boolean | ||
| HIV.G.DE78 | Other test(s) name | 0..1 | string | ||
| HIV.G.DE79 | Other test(s) date | 0..1 | date | ||
 HIV.G.DE80 | Other test(s) result(s) | 0..1 | string | ||
| Documentation for this format | |||||
FHIR{
"resourceType": "Questionnaire",
"id": "HIV.D20Diagnostics",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-smap",
"http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablequestionnaire",
"http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablequestionnaire"
]
},
"language": "en",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://smart.who.int/hiv/Questionnaire/HIV.D20Diagnostics",
"version": "1.0.0",
"title": "Diagnostics",
"status": "draft",
"experimental": true,
"subjectType": [
"Patient"
],
"date": "2025-07-08T23:21:58+02:00",
"publisher": "WHO",
"contact": [
{
"name": "WHO",
"telecom": [
{
"system": "url",
"value": "http://who.int"
}
]
}
],
"description": "Questionnaire for diagnostics",
"item": [
{
"id": "HIV.D.DE364",
"linkId": "HIV.D.DE364",
"text": "CD4 count",
"type": "integer",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE365",
"linkId": "HIV.D.DE365",
"text": "CD4 cell percentage",
"type": "integer",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE366",
"linkId": "HIV.D.DE366",
"text": "Date of CD4 count test",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE367",
"linkId": "HIV.D.DE367",
"text": "Baseline CD4 count",
"type": "integer",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE368",
"linkId": "HIV.D.DE368",
"text": "Date of baseline CD4 count test",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE369",
"linkId": "HIV.D.DE369",
"text": "Late ART initiation",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE387",
"linkId": "HIV.D.DE387",
"text": "Viral load test result",
"type": "integer",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE388",
"linkId": "HIV.D.DE388",
"text": "Virally suppressed",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE389",
"linkId": "HIV.D.DE389",
"text": "Date viral load test results received",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE390",
"linkId": "HIV.D.DE390",
"text": "Viral load suppression date",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE391",
"linkId": "HIV.D.DE391",
"text": "Reason for HIV viral load test",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE391"
},
{
"id": "HIV.D.DE396",
"linkId": "HIV.D.DE396",
"text": "Hepatitis B test required",
"type": "boolean",
"required": true,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE397",
"linkId": "HIV.D.DE397",
"text": "Hepatitis C test recommended",
"type": "boolean",
"required": true,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE398",
"linkId": "HIV.D.DE398",
"text": "Syphilis test required",
"type": "boolean",
"required": true,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE399",
"linkId": "HIV.D.DE399",
"text": "Monitoring examinations",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE399"
},
{
"id": "HIV.D.DE414",
"linkId": "HIV.D.DE414",
"text": "Hepatitis C test ordered",
"type": "boolean",
"required": true,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE415",
"linkId": "HIV.D.DE415",
"text": "Syphilis test ordered",
"type": "boolean",
"required": true,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE416",
"linkId": "HIV.D.DE416",
"text": "Received viral load test results",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE417",
"linkId": "HIV.D.DE417",
"text": "Date viral load test results received by client",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE1024",
"linkId": "HIV.D.DE1024",
"text": "TB meningitis",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.E.DE149",
"linkId": "HIV.E.DE149",
"text": "Maternal syphilis test result",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.E.DE149"
},
{
"id": "HIV.E.DE153",
"linkId": "HIV.E.DE153",
"text": "Hypertension",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.E.DE154",
"linkId": "HIV.E.DE154",
"text": "Pre-eclampsia",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE1",
"linkId": "HIV.G.DE1",
"text": "CD4 count",
"type": "integer",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE2",
"linkId": "HIV.G.DE2",
"text": "CD4 cell percentage",
"type": "integer",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE3",
"linkId": "HIV.G.DE3",
"text": "Baseline CD4 count",
"type": "integer",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE4",
"linkId": "HIV.G.DE4",
"text": "Date of baseline CD4 count sample collection",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE5",
"linkId": "HIV.G.DE5",
"text": "Late ART initiation",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE6",
"linkId": "HIV.G.DE6",
"text": "Date of CD4 sample collection",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE7",
"linkId": "HIV.G.DE7",
"text": "Viral load test conducted",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE8",
"linkId": "HIV.G.DE8",
"text": "Date of viral load sample collection",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE9",
"linkId": "HIV.G.DE9",
"text": "Date of first viral load sample collection",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE10",
"linkId": "HIV.G.DE10",
"text": "Date viral load sample sent",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE11",
"linkId": "HIV.G.DE11",
"text": "First viral load test result",
"type": "integer",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE12",
"linkId": "HIV.G.DE12",
"text": "Viral load test result",
"type": "integer",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE13",
"linkId": "HIV.G.DE13",
"text": "HIV viral load specimen type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.G.DE13"
},
{
"id": "HIV.G.DE17",
"linkId": "HIV.G.DE17",
"text": "HBsAg test date",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE18",
"linkId": "HIV.G.DE18",
"text": "HBsAg test result",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.G.DE18"
},
{
"id": "HIV.G.DE22",
"linkId": "HIV.G.DE22",
"text": "Reason Hepatitis B test not conducted",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.G.DE22"
},
{
"id": "HIV.G.DE28",
"linkId": "HIV.G.DE28",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE29",
"linkId": "HIV.G.DE29",
"text": "Hepatitis B diagnosis",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.G.DE29"
},
{
"id": "HIV.G.DE32",
"linkId": "HIV.G.DE32",
"text": "Hepatitis C screening date",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE33",
"linkId": "HIV.G.DE33",
"text": "Hepatitis C test ordered",
"type": "boolean",
"required": true,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE34",
"linkId": "HIV.G.DE34",
"text": "Hepatitis C test conducted",
"type": "boolean",
"required": true,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE35",
"linkId": "HIV.G.DE35",
"text": "Reason Hepatitis C test not done",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.G.DE35"
},
{
"id": "HIV.G.DE41",
"linkId": "HIV.G.DE41",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE42",
"linkId": "HIV.G.DE42",
"text": "HCV test date",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE43",
"linkId": "HIV.G.DE43",
"text": "HCV test result",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.G.DE43"
},
{
"id": "HIV.G.DE47",
"linkId": "HIV.G.DE47",
"text": "HCV viral load test date",
"type": "integer",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE48",
"linkId": "HIV.G.DE48",
"text": "HCV viral load test result",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.G.DE48"
},
{
"id": "HIV.G.DE51",
"linkId": "HIV.G.DE51",
"text": "Hepatitis C diagnosis",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.G.DE51"
},
{
"id": "HIV.G.DE54",
"linkId": "HIV.G.DE54",
"text": "Syphilis test required",
"type": "boolean",
"required": true,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE55",
"linkId": "HIV.G.DE55",
"text": "Syphilis test type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.G.DE55"
},
{
"id": "HIV.G.DE61",
"linkId": "HIV.G.DE61",
"text": "Other syphilis test type (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE62",
"linkId": "HIV.G.DE62",
"text": "Reason syphilis test not done",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.G.DE62"
},
{
"id": "HIV.G.DE68",
"linkId": "HIV.G.DE68",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE69",
"linkId": "HIV.G.DE69",
"text": "Syphilis test date",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE70",
"linkId": "HIV.G.DE70",
"text": "Syphilis test result",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.G.DE70"
},
{
"id": "HIV.G.DE74",
"linkId": "HIV.G.DE74",
"text": "Syphilis diagnosis",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.G.DE74"
},
{
"id": "HIV.G.DE77",
"linkId": "HIV.G.DE77",
"text": "Other tests conducted",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE78",
"linkId": "HIV.G.DE78",
"text": "Other test(s) name",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE79",
"linkId": "HIV.G.DE79",
"text": "Other test(s) date",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.G.DE80",
"linkId": "HIV.G.DE80",
"text": "Other test(s) result(s)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
}
]
}