| Package | smart.who.int.hiv |
| Resource Type | Questionnaire |
| Id | HIV.D23Prescribe |
| FHIR Version | R4 |
| Source | http://smart.who.int/hiv/https://build.fhir.org/ig/WorldHealthOrganization/smart-hiv/Questionnaire-HIV.D23Prescribe.html |
| URL | http://smart.who.int/hiv/Questionnaire/HIV.D23Prescribe |
| Version | 0.4.4 |
| Status | draft |
| Date | 2025-07-24T19:24:35+00:00 |
| Title | Prescribe |
| Authority | who |
| Description | Questionnaire for prescribe |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire HIV.D23Prescribe
Language: en
Profiles: Extractable Questionnaire - StructureMap, CRMI Shareable Questionnaire, CRMI Publishable Questionnaire
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  | Questionnaire for prescribe | Questionnaire | http://smart.who.int/hiv/Questionnaire/HIV.D23Prescribe#0.4.4 | ||
  HIV.D.DE429 | Regimen switch made | 0..1 | boolean | ||
 HIV.D.DE430 | Reason for regimen switch | 0..1 | choice | Value Set: #HIV.D.DE430 | |
 HIV.D.DE435 | Other (specify) | 0..1 | string | ||
| HIV.D.DE436 | Regimen substitution recommended | 0..1 | boolean | ||
| HIV.D.DE437 | Dose adjustment recommended | 0..1 | boolean | ||
| HIV.D.DE438 | Regimen substitution made | 0..1 | boolean | ||
 HIV.D.DE439 | Co-trimoxazole prophylaxis start date | 0..1 | date | ||
| HIV.D.DE440 | Co-trimoxazole prophylaxis completion date | 0..1 | date | ||
 HIV.D.DE441 | Co-trimoxazole prophylaxis dosage | 0..1 | integer | ||
| HIV.D.DE442 | Co-trimoxazole prophylaxis number of days prescribed | 0..1 | integer | ||
| HIV.D.DE443 | Suspicion of treatment failure or interruption | 0..1 | boolean | ||
| HIV.D.DE444 | ART regimen prescribed | 0..1 | choice | Value Set: #HIV.D.DE444 | |
| HIV.D.DE445 | Antiretroviral toxicity | 0..1 | boolean | ||
| HIV.D.DE457 | Medications prescribed | 0..1 | choice | Value Set: #HIV.D.DE457 | |
| HIV.D.DE458 | Date medications prescribed | 0..1 | date | ||
| HIV.D.DE459 | Dose of medications prescribed | 0..1 | integer | ||
| HIV.D.DE460 | Number of days medications prescribed | 0..1 | integer | ||
| HIV.D.DE461 | Medications dispensed | 0..1 | choice | Value Set: #HIV.D.DE461 | |
| HIV.D.DE462 | Number of days of medications dispensed | 0..1 | integer | ||
| HIV.D.DE463 | Dosage | 0..1 | integer | ||
| HIV.D.DE464 | Frequency | 0..1 | integer | ||
 HIV.D.DE1019 | TB status at ART start | 0..1 | choice | Value Set: #HIV.D.DE1019 | |
| Documentation for this format | |||||
FHIR{
"resourceType": "Questionnaire",
"id": "HIV.D23Prescribe",
"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.D23Prescribe",
"version": "0.4.4",
"title": "Prescribe",
"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 prescribe",
"item": [
{
"id": "HIV.D.DE429",
"linkId": "HIV.D.DE429",
"text": "Regimen switch made",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE430",
"linkId": "HIV.D.DE430",
"text": "Reason for regimen switch",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE430"
},
{
"id": "HIV.D.DE435",
"linkId": "HIV.D.DE435",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE436",
"linkId": "HIV.D.DE436",
"text": "Regimen substitution recommended",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE437",
"linkId": "HIV.D.DE437",
"text": "Dose adjustment recommended",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE438",
"linkId": "HIV.D.DE438",
"text": "Regimen substitution made",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE439",
"linkId": "HIV.D.DE439",
"text": "Co-trimoxazole prophylaxis start date",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE440",
"linkId": "HIV.D.DE440",
"text": "Co-trimoxazole prophylaxis completion date",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE441",
"linkId": "HIV.D.DE441",
"text": "Co-trimoxazole prophylaxis dosage",
"type": "integer",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE442",
"linkId": "HIV.D.DE442",
"text": "Co-trimoxazole prophylaxis number of days prescribed",
"type": "integer",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE443",
"linkId": "HIV.D.DE443",
"text": "Suspicion of treatment failure or interruption",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE444",
"linkId": "HIV.D.DE444",
"text": "ART regimen prescribed",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE444"
},
{
"id": "HIV.D.DE445",
"linkId": "HIV.D.DE445",
"text": "Antiretroviral toxicity",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE457",
"linkId": "HIV.D.DE457",
"text": "Medications prescribed",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE457"
},
{
"id": "HIV.D.DE458",
"linkId": "HIV.D.DE458",
"text": "Date medications prescribed",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE459",
"linkId": "HIV.D.DE459",
"text": "Dose of medications prescribed",
"type": "integer",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE460",
"linkId": "HIV.D.DE460",
"text": "Number of days medications prescribed",
"type": "integer",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE461",
"linkId": "HIV.D.DE461",
"text": "Medications dispensed",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE461"
},
{
"id": "HIV.D.DE462",
"linkId": "HIV.D.DE462",
"text": "Number of days of medications dispensed",
"type": "integer",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE463",
"linkId": "HIV.D.DE463",
"text": "Dosage",
"type": "integer",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE464",
"linkId": "HIV.D.DE464",
"text": "Frequency",
"type": "integer",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE1019",
"linkId": "HIV.D.DE1019",
"text": "TB status at ART start",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE1019"
}
]
}