| Package | smart.who.int.hiv |
| Resource Type | Questionnaire |
| Id | HIV.B6CaptureOrUpdateClientHistory |
| FHIR Version | R4 |
| Source | http://smart.who.int/hiv/https://build.fhir.org/ig/WorldHealthOrganization/smart-hiv/Questionnaire-HIV.B6CaptureOrUpdateClientHistory.html |
| URL | http://smart.who.int/hiv/Questionnaire/HIV.B6CaptureOrUpdateClientHistory |
| Version | 0.4.4 |
| Status | draft |
| Date | 2025-07-24T19:24:35+00:00 |
| Title | Capture or update client history |
| Authority | who |
| Description | Questionnaire for capture or update client history |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire HIV.B6CaptureOrUpdateClientHistory
Language: en
Profiles: Extractable Questionnaire - StructureMap, CRMI Shareable Questionnaire, CRMI Publishable Questionnaire
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  | Questionnaire for capture or update client history | Questionnaire | http://smart.who.int/hiv/Questionnaire/HIV.B6CaptureOrUpdateClientHistory#0.4.4 | ||
  HIV.B.DE29 | Currently pregnant | 0..1 | boolean | ||
 HIV.B.DE30 | Gestational age | 0..1 | integer | ||
 HIV.B.DE31 | Expected date of delivery (EDD) | 0..1 | date | ||
| HIV.B.DE32 | Breastfeeding | 0..1 | boolean | ||
 HIV.B.DE33 | Partner HIV status (reported) | 0..1 | choice | Value Set: #HIV.B.DE33 | |
| HIV.B.DE37 | Partner is from a key population | 0..1 | choice | Value Set: #HIV.B.DE37 | |
| HIV.B.DE43 | Has used an HIV self-test before (reported) | 0..1 | boolean | ||
| HIV.B.DE44 | HIV self-test result | 0..1 | choice | Value Set: #HIV.B.DE44 | |
| HIV.B.DE48 | Date of HIV self-test | 0..1 | date | ||
| HIV.B.DE49 | Key population member | 0..1 | boolean | ||
| HIV.B.DE50 | Key population member type | 0..1 | choice | Value Set: #HIV.B.DE50 | |
| HIV.B.DE56 | Adolescent girl | 0..1 | boolean | ||
| HIV.B.DE57 | Young woman | 0..1 | boolean | ||
| HIV.B.DE58 | Orphan or vulnerable child | 0..1 | boolean | ||
| HIV.B.DE59 | Informed of HIV test result | 0..1 | boolean | ||
| HIV.B.DE60 | Date HIV test results returned | 0..1 | date | ||
| HIV.B.DE61 | HIV exposure type | 0..1 | choice | Value Set: #HIV.B.DE61 | |
| HIV.B.DE65 | Date informed of HIV-positive diagnosis | 0..1 | date | ||
| HIV.B.DE66 | HIV diagnosing facility | 1..1 | choice | Value Set: #HIV.B.DE66 | |
| HIV.B.DE67 | Date of first positive test indicative of HIV diagnosis | 0..1 | date | ||
| HIV.B.DE136 | Partner HIV status (confirmed) | 0..1 | choice | Value Set: #HIV.B.DE136 | |
| HIV.B.DE140 | Partner on ART | 0..1 | boolean | ||
| HIV.B.DE141 | Partner virally suppressed on ART | 0..1 | boolean | ||
| HIV.B.DE225 | At elevated risk for HIV acquisition | 0..1 | boolean | ||
| HIV.H.DE33 | Partner or contact of index case | 0..1 | boolean | ||
 HIV.H.DE34 | HIV status of partner or contact | 0..1 | choice | Value Set: #HIV.H.DE34 | |
| Documentation for this format | |||||
FHIR{
"resourceType": "Questionnaire",
"id": "HIV.B6CaptureOrUpdateClientHistory",
"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.B6CaptureOrUpdateClientHistory",
"version": "0.4.4",
"title": "Capture or update client history",
"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 capture or update client history",
"item": [
{
"id": "HIV.B.DE29",
"linkId": "HIV.B.DE29",
"text": "Currently pregnant",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE30",
"linkId": "HIV.B.DE30",
"text": "Gestational age",
"type": "integer",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE31",
"linkId": "HIV.B.DE31",
"text": "Expected date of delivery (EDD)",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE32",
"linkId": "HIV.B.DE32",
"text": "Breastfeeding",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE33",
"linkId": "HIV.B.DE33",
"text": "Partner HIV status (reported)",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE33"
},
{
"id": "HIV.B.DE37",
"linkId": "HIV.B.DE37",
"text": "Partner is from a key population",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE37"
},
{
"id": "HIV.B.DE43",
"linkId": "HIV.B.DE43",
"text": "Has used an HIV self-test before (reported)",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE44",
"linkId": "HIV.B.DE44",
"text": "HIV self-test result",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE44"
},
{
"id": "HIV.B.DE48",
"linkId": "HIV.B.DE48",
"text": "Date of HIV self-test",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE49",
"linkId": "HIV.B.DE49",
"text": "Key population member",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE50",
"linkId": "HIV.B.DE50",
"text": "Key population member type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE50"
},
{
"id": "HIV.B.DE56",
"linkId": "HIV.B.DE56",
"text": "Adolescent girl",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE57",
"linkId": "HIV.B.DE57",
"text": "Young woman",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE58",
"linkId": "HIV.B.DE58",
"text": "Orphan or vulnerable child",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE59",
"linkId": "HIV.B.DE59",
"text": "Informed of HIV test result",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE60",
"linkId": "HIV.B.DE60",
"text": "Date HIV test results returned",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE61",
"linkId": "HIV.B.DE61",
"text": "HIV exposure type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE61"
},
{
"id": "HIV.B.DE65",
"linkId": "HIV.B.DE65",
"text": "Date informed of HIV-positive diagnosis",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE66",
"linkId": "HIV.B.DE66",
"text": "HIV diagnosing facility",
"type": "choice",
"required": true,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE66"
},
{
"id": "HIV.B.DE67",
"linkId": "HIV.B.DE67",
"text": "Date of first positive test indicative of HIV diagnosis",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE136",
"linkId": "HIV.B.DE136",
"text": "Partner HIV status (confirmed)",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.B.DE136"
},
{
"id": "HIV.B.DE140",
"linkId": "HIV.B.DE140",
"text": "Partner on ART",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE141",
"linkId": "HIV.B.DE141",
"text": "Partner virally suppressed on ART",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.B.DE225",
"linkId": "HIV.B.DE225",
"text": "At elevated risk for HIV acquisition",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.H.DE33",
"linkId": "HIV.H.DE33",
"text": "Partner or contact of index case",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.H.DE34",
"linkId": "HIV.H.DE34",
"text": "HIV status of partner or contact",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.H.DE34"
}
]
}