| Package | smart.who.int.hiv |
| Resource Type | Questionnaire |
| Id | HIV.C3CaptureOrUpdateClientHistory |
| FHIR Version | R4 |
| Source | http://smart.who.int/hiv/https://build.fhir.org/ig/WorldHealthOrganization/smart-hiv/Questionnaire-HIV.C3CaptureOrUpdateClientHistory.html |
| URL | http://smart.who.int/hiv/Questionnaire/HIV.C3CaptureOrUpdateClientHistory |
| 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.C3CaptureOrUpdateClientHistory
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.C3CaptureOrUpdateClientHistory#0.4.4 | ||
  HIV.C.DE8 | Contact with and (suspected) exposure to HIV | 0..1 | boolean | ||
 HIV.C.DE9 | Date/time of suspected exposure to HIV | 0..1 | dateTime | ||
| HIV.C.DE10 | Currently on PrEP | 0..1 | boolean | ||
 HIV.C.DE11 | PrEP dosing type | 0..1 | choice | Value Set: #HIV.C.DE11 | |
 HIV.C.DE15 | Other PrEP dosing type (specify) | 0..1 | string | ||
| HIV.C.DE16 | Used event-driven PrEP for at risk exposures over the past 3 months | 0..1 | boolean | ||
| HIV.C.DE17 | Current PrEP regimen | 0..1 | choice | Value Set: #HIV.C.DE17 | |
| HIV.C.DE24 | Experience with PrEP | 0..1 | choice | Value Set: #HIV.C.DE24 | |
 HIV.C.DE28 | PrEP start date | 0..1 | date | ||
| HIV.C.DE29 | Stopped PrEP | 0..1 | boolean | ||
| HIV.C.DE30 | Date PrEP stopped | 0..1 | date | ||
| HIV.C.DE31 | PEP history | 0..1 | choice | Value Set: #HIV.C.DE31 | |
| HIV.C.DE34 | Date(s) of past PEP use | 0..1 | date | ||
| HIV.C.DE35 | Date client completes PEP course | 0..1 | date | ||
| HIV.C.DE36 | Signs of substantial risk of HIV infection | 1..1 | choice | Value Set: #HIV.C.DE36 | |
| HIV.C.DE41 | Pregnancy intention in serodiscordant partnerships | 1..1 | choice | Value Set: #HIV.C.DE41 | |
| HIV.C.DE46 | Acute HIV infection symptoms | 0..1 | choice | Value Set: #HIV.C.DE46 | |
| HIV.C.DE55 | Sex partner's HIV treatment status | 0..1 | choice | Value Set: #HIV.C.DE55 | |
| HIV.C.DE95 | Alternative PEP backbone regimen | 0..1 | choice | Value Set: #HIV.C.DE95 | |
 HIV.C.DE101 | Alternative third PEP drug | 0..1 | choice | Value Set: #HIV.C.DE101 | |
| Documentation for this format | |||||
FHIR{
"resourceType": "Questionnaire",
"id": "HIV.C3CaptureOrUpdateClientHistory",
"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.C3CaptureOrUpdateClientHistory",
"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.C.DE8",
"linkId": "HIV.C.DE8",
"text": "Contact with and (suspected) exposure to HIV",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.C.DE9",
"linkId": "HIV.C.DE9",
"text": "Date/time of suspected exposure to HIV",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.C.DE10",
"linkId": "HIV.C.DE10",
"text": "Currently on PrEP",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.C.DE11",
"linkId": "HIV.C.DE11",
"text": "PrEP dosing type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.C.DE11"
},
{
"id": "HIV.C.DE15",
"linkId": "HIV.C.DE15",
"text": "Other PrEP dosing type (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.C.DE16",
"linkId": "HIV.C.DE16",
"text": "Used event-driven PrEP for at risk exposures over the past 3 months",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.C.DE17",
"linkId": "HIV.C.DE17",
"text": "Current PrEP regimen",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.C.DE17"
},
{
"id": "HIV.C.DE24",
"linkId": "HIV.C.DE24",
"text": "Experience with PrEP",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.C.DE24"
},
{
"id": "HIV.C.DE28",
"linkId": "HIV.C.DE28",
"text": "PrEP start date",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.C.DE29",
"linkId": "HIV.C.DE29",
"text": "Stopped PrEP",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.C.DE30",
"linkId": "HIV.C.DE30",
"text": "Date PrEP stopped",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.C.DE31",
"linkId": "HIV.C.DE31",
"text": "PEP history",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.C.DE31"
},
{
"id": "HIV.C.DE34",
"linkId": "HIV.C.DE34",
"text": "Date(s) of past PEP use",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.C.DE35",
"linkId": "HIV.C.DE35",
"text": "Date client completes PEP course",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.C.DE36",
"linkId": "HIV.C.DE36",
"text": "Signs of substantial risk of HIV infection",
"type": "choice",
"required": true,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.C.DE36"
},
{
"id": "HIV.C.DE41",
"linkId": "HIV.C.DE41",
"text": "Pregnancy intention in serodiscordant partnerships",
"type": "choice",
"required": true,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.C.DE41"
},
{
"id": "HIV.C.DE46",
"linkId": "HIV.C.DE46",
"text": "Acute HIV infection symptoms",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.C.DE46"
},
{
"id": "HIV.C.DE55",
"linkId": "HIV.C.DE55",
"text": "Sex partner's HIV treatment status",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.C.DE55"
},
{
"id": "HIV.C.DE95",
"linkId": "HIV.C.DE95",
"text": "Alternative PEP backbone regimen",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.C.DE95"
},
{
"id": "HIV.C.DE101",
"linkId": "HIV.C.DE101",
"text": "Alternative third PEP drug",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.C.DE101"
}
]
}