WHO SMART Guidelines - HIV
0.3.0 - ci-build
WHO SMART Guidelines - HIV - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Generated Narrative: Questionnaire HIV.I6ProvideInformationToReferralFacility
Language: en
Profiles: Extractable Questionnaire - StructureMap, CRMI Shareable Questionnaire, CRMI Publishable Questionnaire
LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
---|---|---|---|---|---|
Questionnaire for provide information to referral facility | Questionnaire | http://smart.who.int/hiv/Questionnaire/HIV.I6ProvideInformationToReferralFacility#0.3.0 | |||
HIV.I.DE2 | Reason for referral | 1..1 | choice | Value Set: #HIV.I.DE2 | |
HIV.I.DE8 | Referral for other general services (specify) | 0..1 | string | ||
HIV.I.DE9 | Any treatment given before referral? | 1..1 | boolean | ||
HIV.I.DE10 | Date of scheduled referral appointment | 1..1 | dateTime | ||
HIV.I.DE11 | Location of scheduled referral appointment | 1..1 | string | ||
HIV.I.DE12 | Date referral was made | 1..1 | dateTime | ||
HIV.I.DE13 | Provider who made referral | 1..1 | string | ||
HIV.I.DE14 | Provider's facility | 1..1 | string | ||
HIV.I.DE15 | Provider's telephone number | 1..1 | integer | ||
HIV.I.DE16 | Referral notes | 1..1 | string | ||
HIV.I.DE17 | Client history summary | 1..1 | string | ||
Documentation for this format |