<status value="draft" /> <date value="2025-05-28" /> <publisher value="Example Publisher" /> <description value="StructureDefinition for Mother and Child Nutrition Survey questions with their types and cardinalities." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Questionnaire" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Questionnaire" /> <derivation value="constraint" /> <differential> <element id="Questionnaire.item.vitaminAChild"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="Has the child received Vitamin A in the last 6 months?" /> <min value="0" /> <max value="1" /> <type> <code value="boolean" /> </type> </element> <element id="Questionnaire.item.ironFolicAcidMother"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="3.1" /> </extension> <path value="Questionnaire.item" /> <short value="Has the mother received iron-folic acid during pregnancy?" /> <min value="0" /> <max value="1" /> <type> <code value="boolean" /> </type> </element> <element id="Questionnaire.item.childGrowthMonitoring"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="Is the child currently enrolled in a growth monitoring program?" /> <min value="0" /> <max value="1" /> <type> <code value="boolean" /> </type> </element> <element id="Questionnaire.item.childExclusivelyBreastfed"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="Was the child exclusively breastfed for the first 6 months?" /> <min value="0" /> <max value="1" /> <type> <code value="boolean" /> </type> </element> <element id="Questionnaire.item.childReferredMalnutrition"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="Has the child been referred for malnutrition treatment?" /> <min value="0" /> <max value="1" /> <type> <code value="boolean" /> </type> </element> <element id="Questionnaire.item.childWeight"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="What is the weight of the child (in kg)?" /> <min value="0" /> <max value="1" /> <type> <code value="integer" /> </type> </element> <element id="Questionnaire.item.childHeight"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="What is the height of the child (in cm)?" /> <min value="0" /> <max value="1" /> <type> <code value="integer" /> </type> </element> <element id="Questionnaire.item.complementaryFeedingStartMonth"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="At what month was complementary feeding started?" /> <min value="0" /> <max value="1" /> <type> <code value="integer" /> </type> </element> <element id="Questionnaire.item.antenatalVisitsMother"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="3.1" /> </extension> <path value="Questionnaire.item" /> <short value="How many antenatal visits did the mother attend?" /> <min value="0" /> <max value="1" /> <type> <code value="integer" /> </type> </element> <element id="Questionnaire.item.mealsPerDayChild"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="Number of meals the child eats per day?" /> <min value="0" /> <max value="1" /> <type> <code value="integer" /> </type> </element> <element id="Questionnaire.item.childNutritionalStatus"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="What is the child's nutritional status?" /> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> </element> <element id="Questionnaire.item.primarySourceDrinkingWater"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.5" /> </extension> <path value="Questionnaire.item" /> <short value="What is the primary source of drinking water?" /> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> </element> <element id="Questionnaire.item.feedingMethod"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="Type of feeding method used?" /> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> </element> <element id="Questionnaire.item.complementaryFoodFirstIntroduced"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="Type of complementary food first introduced?" /> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> </element> <element id="Questionnaire.item.serviceReceivedDuringOutreach"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.6" /> </extension> <path value="Questionnaire.item" /> <short value="Type of service received during outreach?" /> <min value="0" /> <max value="*" /> <type> <code value="string" /> </type> </element> <element id="Questionnaire.item.reasonNoVitaminA"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="Write down the reason for not providing Vitamin A." /> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> </element> <element id="Questionnaire.item.typicalDailyDietChild"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="Describe the child’s typical daily diet." /> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> </element> <element id="Questionnaire.item.nutritionCounselingGiven"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="3.1" /> </extension> <path value="Questionnaire.item" /> <short value="Mention any nutrition-related counseling given." /> <min value="0" /> <max value="*" /> <type> <code value="string" /> </type> </element> <element id="Questionnaire.item.signsMalnutritionObserved"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="Describe observed signs of malnutrition." /> <min value="0" /> <max value="*" /> <type> <code value="string" /> </type> </element> <element id="Questionnaire.item.motherUnderstandingComplementaryFeeding"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="3.1" /> </extension> <path value="Questionnaire.item" /> <short value="Write the mother's understanding of complementary feeding." /> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> </element> <element id="Questionnaire.item.childGrowthChartUpToDate"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="Is the child’s growth chart up-to-date?" /> <min value="0" /> <max value="1" /> <type> <code value="boolean" /> </type> </element> <element id="Questionnaire.item.ironTabletDosesMother"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="3.1" /> </extension> <path value="Questionnaire.item" /> <short value="How many doses of iron tablets has the mother taken?" /> <min value="0" /> <max value="1" /> <type> <code value="integer" /> </type> </element> <element id="Questionnaire.item.counselingDuringANCVisit"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="3.1" /> </extension> <path value="Questionnaire.item" /> <short value="What kind of counseling was provided during the ANC visit?" /> <min value="0" /> <max value="*" /> <type> <code value="string" /> </type> </element> <element id="Questionnaire.item.childReceivedMNP"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="Has the child received any micronutrient powders (MNP)?" /> <min value="0" /> <max value="1" /> <type> <code value="boolean" /> </type> </element> <element id="Questionnaire.item.foodGivenDuringWeaning"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="What type of food was given during weaning?" /> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> </element> <element id="Questionnaire.item.motherAwareDietaryDiversity"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="3.1" /> </extension> <path value="Questionnaire.item" /> <short value="Is the mother aware of the minimum dietary diversity guidelines?" /> <min value="0" /> <max value="1" /> <type> <code value="boolean" /> </type> </element> <element id="Questionnaire.item.familyMembersEducatedOnChildNutrition"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="Number of family members educated on child nutrition?" /> <min value="0" /> <max value="1" /> <type> <code value="integer" /> </type> </element> <element id="Questionnaire.item.foodItemsCommonlyConsumed"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="What food items are commonly consumed in your household?" /> <min value="0" /> <max value="*" /> <type> <code value="string" /> </type> </element> <element id="Questionnaire.item.barriersToGoodChildNutrition"> <extension url="http://example.org/fhir/StructureDefinition/himsCode"> <valueString value="2.3" /> </extension> <path value="Questionnaire.item" /> <short value="What do you perceive as barriers to good child nutrition?" /> <min value="0" /> <max value="*" /> <type> <code value="string" /> </type> </element> </differential> </StructureDefinition>