| Package | smart.who.int.hiv |
| Resource Type | Questionnaire |
| Id | HIV.B23OfferSexualAndReproductiveHealthServices |
| FHIR Version | R4 |
| Source | http://smart.who.int/hiv/https://build.fhir.org/ig/WorldHealthOrganization/smart-hiv/Questionnaire-HIV.B23OfferSexualAndReproductiveHealthServices.html |
| URL | http://smart.who.int/hiv/Questionnaire/HIV.B23OfferSexualAndReproductiveHealthServices |
| Version | 0.4.4 |
| Status | draft |
| Date | 2025-07-24T19:24:35+00:00 |
| Title | Offer sexual and reproductive health services |
| Authority | who |
| Description | Questionnaire for offer sexual and reproductive health services |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire HIV.B23OfferSexualAndReproductiveHealthServices
Language: en
Profiles: Extractable Questionnaire - StructureMap, CRMI Shareable Questionnaire, CRMI Publishable Questionnaire
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  | Questionnaire for offer sexual and reproductive health services | Questionnaire | http://smart.who.int/hiv/Questionnaire/HIV.B23OfferSexualAndReproductiveHealthServices#0.4.4 | ||
  HIV.B.DE226 | Syndrome/STI diagnosed | 0..1 | choice | Value Set: #HIV.B.DE226 | |
 HIV.B.DE234 | Other (specify) | 0..1 | string | ||
 HIV.B.DE235 | Any STI syndrome diagnosed | 0..1 | boolean | ||
 HIV.B.DE236 | Date of STI test | 0..1 | dateTime | ||
| HIV.B.DE237 | STI tested for | 0..1 | choice | Value Set: #HIV.B.DE237 | |
| HIV.B.DE248 | Other (specify) | 0..1 | string | ||
| HIV.B.DE249 | Syphilis test date | 0..1 | dateTime | ||
| HIV.B.DE250 | Syphilis test result | 0..1 | choice | Value Set: #HIV.B.DE250 | |
| HIV.B.DE254 | Syphilis treatment start date | 0..1 | dateTime | ||
| HIV.B.DE255 | Gonorrhoea test date | 0..1 | dateTime | ||
| HIV.B.DE256 | Gonorrhoea test result | 0..1 | choice | Value Set: #HIV.B.DE256 | |
| HIV.B.DE260 | Gonorrhoea treatment start date | 0..1 | dateTime | ||
| HIV.B.DE261 | Type of specimen | 0..1 | choice | Value Set: #HIV.B.DE261 | |
| HIV.B.DE268 | Other type of specimen (specify) | 0..1 | string | ||
| HIV.B.DE269 | Syphilis test type | 0..1 | choice | Value Set: #HIV.B.DE269 | |
| HIV.B.DE275 | Other syphilis test type (specify) | 0..1 | string | ||
| HIV.B.DE276 | Neisseria gonorrhoeae test type | 0..1 | choice | Value Set: #HIV.B.DE276 | |
| HIV.B.DE282 | Other (specify) | 0..1 | string | ||
| HIV.B.DE283 | POC Test for Neisseria gonorrhoeae (specify) | 0..1 | string | ||
| HIV.B.DE284 | Chlamydia trachomatis test type | 0..1 | choice | Value Set: #HIV.B.DE284 | |
| HIV.B.DE291 | Other test for Chlamydia (specify) | 0..1 | string | ||
| HIV.B.DE292 | POC Test type for Chlamydia test (specify) | 0..1 | string | ||
| HIV.B.DE293 | Trichomonas vaginalis test type | 0..1 | choice | Value Set: #HIV.B.DE293 | |
| HIV.B.DE299 | Other (specify) | 0..1 | string | ||
| HIV.B.DE300 | POC Test type for Trichomonas vaginalis test (specify) | 0..1 | string | ||
| HIV.B.DE301 | Herpes simplex virus (HSV) test type | 0..1 | choice | Value Set: #HIV.B.DE301 | |
| HIV.B.DE305 | Other (specify) | 0..1 | string | ||
| HIV.B.DE306 | Mycoplasma genitalium test type | 0..1 | choice | Value Set: #HIV.B.DE306 | |
| HIV.B.DE310 | Other (specify) | 0..1 | string | ||
| HIV.B.DE311 | Test type for other STI tested for (specify) | 0..1 | string | ||
| HIV.B.DE312 | STI test result | 0..1 | choice | Value Set: #HIV.B.DE312 | |
| HIV.B.DE316 | Date of STI confirmatory test | 0..1 | dateTime | ||
| HIV.B.DE317 | Confirmatory syphilis test type | 0..1 | choice | Value Set: #HIV.B.DE317 | |
| HIV.B.DE323 | Other (specify) | 0..1 | string | ||
| HIV.B.DE324 | Confirmatory test type for other STI (specify) | 0..1 | string | ||
| HIV.B.DE325 | Confirmatory STI test result | 0..1 | choice | Value Set: #HIV.B.DE325 | |
| HIV.B.DE329 | Date STI treatment prescribed | 0..1 | dateTime | ||
| HIV.B.DE330 | Date STI treatment dispensed | 0..1 | dateTime | ||
 HIV.B.DE331 | STI treatment dispensed (specify) | 0..1 | string | ||
| Documentation for this format | |||||
FHIR{
"resourceType": "Questionnaire",
"id": "HIV.B23OfferSexualAndReproductiveHealthServices",
"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.B23OfferSexualAndReproductiveHealthServices",
"version": "0.4.4",
"title": "Offer sexual and reproductive health services",
"status": "draft",
"experimental": true,
"subjectType": [
"Patient"
],
"date": "2025-07-24T19:24:35+00:00",
"publisher": "WHO",
"contact": [
{
"name": "WHO",
"telecom": [
{
"system": "url",
"value": "http://who.int"
}
]
}
],
"description": "Questionnaire for offer sexual and reproductive health services",
"item": [
{
"id": "HIV.B.DE226",
"linkId": "HIV.B.DE226",
"text": "Syndrome/STI diagnosed",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE226"
},
{
"id": "HIV.B.DE234",
"linkId": "HIV.B.DE234",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE235",
"linkId": "HIV.B.DE235",
"text": "Any STI syndrome diagnosed",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE236",
"linkId": "HIV.B.DE236",
"text": "Date of STI test",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE237",
"linkId": "HIV.B.DE237",
"text": "STI tested for",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE237"
},
{
"id": "HIV.B.DE248",
"linkId": "HIV.B.DE248",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE249",
"linkId": "HIV.B.DE249",
"text": "Syphilis test date",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE250",
"linkId": "HIV.B.DE250",
"text": "Syphilis test result",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE250"
},
{
"id": "HIV.B.DE254",
"linkId": "HIV.B.DE254",
"text": "Syphilis treatment start date",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE255",
"linkId": "HIV.B.DE255",
"text": "Gonorrhoea test date",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE256",
"linkId": "HIV.B.DE256",
"text": "Gonorrhoea test result",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE256"
},
{
"id": "HIV.B.DE260",
"linkId": "HIV.B.DE260",
"text": "Gonorrhoea treatment start date",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE261",
"linkId": "HIV.B.DE261",
"text": "Type of specimen",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE261"
},
{
"id": "HIV.B.DE268",
"linkId": "HIV.B.DE268",
"text": "Other type of specimen (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE269",
"linkId": "HIV.B.DE269",
"text": "Syphilis test type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE269"
},
{
"id": "HIV.B.DE275",
"linkId": "HIV.B.DE275",
"text": "Other syphilis test type (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE276",
"linkId": "HIV.B.DE276",
"text": "Neisseria gonorrhoeae test type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE276"
},
{
"id": "HIV.B.DE282",
"linkId": "HIV.B.DE282",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE283",
"linkId": "HIV.B.DE283",
"text": "POC Test for Neisseria gonorrhoeae (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE284",
"linkId": "HIV.B.DE284",
"text": "Chlamydia trachomatis test type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE284"
},
{
"id": "HIV.B.DE291",
"linkId": "HIV.B.DE291",
"text": "Other test for Chlamydia (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE292",
"linkId": "HIV.B.DE292",
"text": "POC Test type for Chlamydia test (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE293",
"linkId": "HIV.B.DE293",
"text": "Trichomonas vaginalis test type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE293"
},
{
"id": "HIV.B.DE299",
"linkId": "HIV.B.DE299",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE300",
"linkId": "HIV.B.DE300",
"text": "POC Test type for Trichomonas vaginalis test (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE301",
"linkId": "HIV.B.DE301",
"text": "Herpes simplex virus (HSV) test type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE301"
},
{
"id": "HIV.B.DE305",
"linkId": "HIV.B.DE305",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE306",
"linkId": "HIV.B.DE306",
"text": "Mycoplasma genitalium test type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE306"
},
{
"id": "HIV.B.DE310",
"linkId": "HIV.B.DE310",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE311",
"linkId": "HIV.B.DE311",
"text": "Test type for other STI tested for (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE312",
"linkId": "HIV.B.DE312",
"text": "STI test result",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE312"
},
{
"id": "HIV.B.DE316",
"linkId": "HIV.B.DE316",
"text": "Date of STI confirmatory test",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE317",
"linkId": "HIV.B.DE317",
"text": "Confirmatory syphilis test type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE317"
},
{
"id": "HIV.B.DE323",
"linkId": "HIV.B.DE323",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE324",
"linkId": "HIV.B.DE324",
"text": "Confirmatory test type for other STI (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE325",
"linkId": "HIV.B.DE325",
"text": "Confirmatory STI test result",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE325"
},
{
"id": "HIV.B.DE329",
"linkId": "HIV.B.DE329",
"text": "Date STI treatment prescribed",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE330",
"linkId": "HIV.B.DE330",
"text": "Date STI treatment dispensed",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE331",
"linkId": "HIV.B.DE331",
"text": "STI treatment dispensed (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
}
]
}