| Package | smart.who.int.hiv |
| Resource Type | Questionnaire |
| Id | HIV.D26OfferSexualAndReproductiveHealthServices |
| FHIR Version | R4 |
| Source | http://smart.who.int/hiv/https://build.fhir.org/ig/WorldHealthOrganization/smart-hiv/Questionnaire-HIV.D26OfferSexualAndReproductiveHealthServices.html |
| URL | http://smart.who.int/hiv/Questionnaire/HIV.D26OfferSexualAndReproductiveHealthServices |
| 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.D26OfferSexualAndReproductiveHealthServices
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.D26OfferSexualAndReproductiveHealthServices#0.4.4 | ||
  HIV.D.DE778 | Syndrome/STI diagnosed | 0..1 | choice | Value Set: #HIV.D.DE778 | |
 HIV.D.DE786 | Other (specify) | 0..1 | string | ||
 HIV.D.DE787 | Any STI syndrome diagnosed | 0..1 | boolean | ||
 HIV.D.DE788 | Date of STI test | 0..1 | dateTime | ||
| HIV.D.DE789 | STI tested for | 0..1 | choice | Value Set: #HIV.D.DE789 | |
| HIV.D.DE800 | Other (specify) | 0..1 | string | ||
| HIV.D.DE801 | Syphilis test date | 0..1 | dateTime | ||
| HIV.D.DE802 | Syphilis test result | 0..1 | choice | Value Set: #HIV.D.DE802 | |
| HIV.D.DE806 | Syphilis treatment start date | 0..1 | dateTime | ||
| HIV.D.DE807 | Gonorrhoea test date | 0..1 | dateTime | ||
| HIV.D.DE808 | Gonorrhoea test result | 0..1 | choice | Value Set: #HIV.D.DE808 | |
| HIV.D.DE812 | Gonorrhoea treatment start date | 0..1 | dateTime | ||
| HIV.D.DE813 | Type of specimen | 0..1 | choice | Value Set: #HIV.D.DE813 | |
| HIV.D.DE820 | Other type of specimen (specify) | 0..1 | string | ||
| HIV.D.DE821 | Syphilis test type | 0..1 | choice | Value Set: #HIV.D.DE821 | |
| HIV.D.DE827 | Other syphilis test type (specify) | 0..1 | string | ||
| HIV.D.DE828 | Neisseria gonorrhoeae test type | 0..1 | choice | Value Set: #HIV.D.DE828 | |
| HIV.D.DE834 | Other (specify) | 0..1 | string | ||
| HIV.D.DE835 | POC Test for Neisseria gonorrhoeae (specify) | 0..1 | string | ||
| HIV.D.DE836 | Chlamydia trachomatis test type | 0..1 | choice | Value Set: #HIV.D.DE836 | |
| HIV.D.DE843 | Other test for Chlamydia (specify) | 0..1 | string | ||
| HIV.D.DE844 | POC Test type for Chlamydia test (specify) | 0..1 | string | ||
| HIV.D.DE845 | Trichomonas vaginalis test type | 0..1 | choice | Value Set: #HIV.D.DE845 | |
| HIV.D.DE851 | Other (specify) | 0..1 | string | ||
| HIV.D.DE852 | POC Test type for Trichomonas vaginalis test (specify) | 0..1 | string | ||
| HIV.D.DE853 | Herpes simplex virus (HSV) test type | 0..1 | choice | Value Set: #HIV.D.DE853 | |
| HIV.D.DE857 | Other (specify) | 0..1 | string | ||
| HIV.D.DE858 | Mycoplasma genitalium test type | 0..1 | choice | Value Set: #HIV.D.DE858 | |
| HIV.D.DE862 | Other (specify) | 0..1 | string | ||
| HIV.D.DE863 | Test type for other STI tested for (specify) | 0..1 | string | ||
| HIV.D.DE864 | STI test result | 0..1 | choice | Value Set: #HIV.D.DE864 | |
| HIV.D.DE868 | Date of STI confirmatory test | 0..1 | dateTime | ||
| HIV.D.DE869 | Confirmatory syphilis test type | 0..1 | choice | Value Set: #HIV.D.DE869 | |
| HIV.D.DE875 | Other (specify) | 0..1 | string | ||
| HIV.D.DE876 | Confirmatory test type for other STI (specify) | 0..1 | string | ||
| HIV.D.DE877 | Confirmatory STI test result | 0..1 | choice | Value Set: #HIV.D.DE877 | |
| HIV.D.DE881 | Date STI treatment prescribed | 0..1 | dateTime | ||
| HIV.D.DE882 | Date STI treatment dispensed | 0..1 | dateTime | ||
 HIV.D.DE883 | STI treatment dispensed (specify) | 0..1 | string | ||
| Documentation for this format | |||||
FHIR{
"resourceType": "Questionnaire",
"id": "HIV.D26OfferSexualAndReproductiveHealthServices",
"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.D26OfferSexualAndReproductiveHealthServices",
"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.D.DE778",
"linkId": "HIV.D.DE778",
"text": "Syndrome/STI diagnosed",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE778"
},
{
"id": "HIV.D.DE786",
"linkId": "HIV.D.DE786",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE787",
"linkId": "HIV.D.DE787",
"text": "Any STI syndrome diagnosed",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE788",
"linkId": "HIV.D.DE788",
"text": "Date of STI test",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE789",
"linkId": "HIV.D.DE789",
"text": "STI tested for",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE789"
},
{
"id": "HIV.D.DE800",
"linkId": "HIV.D.DE800",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE801",
"linkId": "HIV.D.DE801",
"text": "Syphilis test date",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE802",
"linkId": "HIV.D.DE802",
"text": "Syphilis test result",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE802"
},
{
"id": "HIV.D.DE806",
"linkId": "HIV.D.DE806",
"text": "Syphilis treatment start date",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE807",
"linkId": "HIV.D.DE807",
"text": "Gonorrhoea test date",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE808",
"linkId": "HIV.D.DE808",
"text": "Gonorrhoea test result",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE808"
},
{
"id": "HIV.D.DE812",
"linkId": "HIV.D.DE812",
"text": "Gonorrhoea treatment start date",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE813",
"linkId": "HIV.D.DE813",
"text": "Type of specimen",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE813"
},
{
"id": "HIV.D.DE820",
"linkId": "HIV.D.DE820",
"text": "Other type of specimen (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE821",
"linkId": "HIV.D.DE821",
"text": "Syphilis test type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE821"
},
{
"id": "HIV.D.DE827",
"linkId": "HIV.D.DE827",
"text": "Other syphilis test type (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE828",
"linkId": "HIV.D.DE828",
"text": "Neisseria gonorrhoeae test type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE828"
},
{
"id": "HIV.D.DE834",
"linkId": "HIV.D.DE834",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE835",
"linkId": "HIV.D.DE835",
"text": "POC Test for Neisseria gonorrhoeae (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE836",
"linkId": "HIV.D.DE836",
"text": "Chlamydia trachomatis test type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE836"
},
{
"id": "HIV.D.DE843",
"linkId": "HIV.D.DE843",
"text": "Other test for Chlamydia (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE844",
"linkId": "HIV.D.DE844",
"text": "POC Test type for Chlamydia test (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE845",
"linkId": "HIV.D.DE845",
"text": "Trichomonas vaginalis test type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE845"
},
{
"id": "HIV.D.DE851",
"linkId": "HIV.D.DE851",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE852",
"linkId": "HIV.D.DE852",
"text": "POC Test type for Trichomonas vaginalis test (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE853",
"linkId": "HIV.D.DE853",
"text": "Herpes simplex virus (HSV) test type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE853"
},
{
"id": "HIV.D.DE857",
"linkId": "HIV.D.DE857",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE858",
"linkId": "HIV.D.DE858",
"text": "Mycoplasma genitalium test type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE858"
},
{
"id": "HIV.D.DE862",
"linkId": "HIV.D.DE862",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE863",
"linkId": "HIV.D.DE863",
"text": "Test type for other STI tested for (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE864",
"linkId": "HIV.D.DE864",
"text": "STI test result",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE864"
},
{
"id": "HIV.D.DE868",
"linkId": "HIV.D.DE868",
"text": "Date of STI confirmatory test",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE869",
"linkId": "HIV.D.DE869",
"text": "Confirmatory syphilis test type",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE869"
},
{
"id": "HIV.D.DE875",
"linkId": "HIV.D.DE875",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE876",
"linkId": "HIV.D.DE876",
"text": "Confirmatory test type for other STI (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE877",
"linkId": "HIV.D.DE877",
"text": "Confirmatory STI test result",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE877"
},
{
"id": "HIV.D.DE881",
"linkId": "HIV.D.DE881",
"text": "Date STI treatment prescribed",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE882",
"linkId": "HIV.D.DE882",
"text": "Date STI treatment dispensed",
"type": "dateTime",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE883",
"linkId": "HIV.D.DE883",
"text": "STI treatment dispensed (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
}
]
}