Integrated Campaign Registry (ICR) Implementation Guide
0.1.0 - ci-build
Integrated Campaign Registry (ICR) Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://icr.healthcampaigns.org/Questionnaire/espen-mda-drug-receipt | Version: 0.1.0 | |||
| Active as of 2026-08-07 | Computable Name: EspenMDADrugReceipt | |||
ESPEN MDA demo Form 2 (medicine receipt at health facility): disease and medicine-package scope, per-medicine received totals. Template-based extraction: one ICRSupplyDelivery per answered medicine total (espen-forms).
| LinkID | Text | Cardinality | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() | ESPEN MDA demo Form 2 (medicine receipt at health facility): disease and medicine-package scope, per-medicine received totals. Template-based extraction: one ICRSupplyDelivery per answered medicine total (espen-forms). | Questionnaire | https://icr.healthcampaigns.org/Questionnaire/espen-mda-drug-receipt#0.1.0 | |
![]() ![]() | Select the recorder ID | 0..1 | string | Value Set: |
![]() ![]() | Select State / Region / Province | 1..1 | string | Value Set: |
![]() ![]() | Select District / LGA / County | 1..1 | string | Value Set: |
![]() ![]() | Enter the Health facility / Sub district | 1..1 | string | Value Set: |
![]() ![]() | Disease covered by the MDA | 1..* | choice | Value Set: ICR NTD Disease |
![]() ![]() | Select the medicine package | 1..* | choice | Value Set: ICR MDA Medicine Package |
![]() ![]() | Total Praziquantel received | 1..1 | integer | Enable When:
Value Set: |
![]() ![]() | Total Albendazole received | 1..1 | integer | Enable When:
Value Set: |
![]() ![]() | Total Mebendazole received | 1..1 | integer | Enable When:
Value Set: |
![]() ![]() | Total Ivermectin received | 1..1 | integer | Enable When:
Value Set: |
![]() ![]() | Total Diethylcarbamazine received | 1..1 | integer | Enable When: p_medicine = IVM + ALB + DEC (ICR MDA Medicine Package#ivm-alb-dec) Value Set: |
![]() ![]() | Total Azithromycin suspension (in l) received | 1..1 | integer | Enable When: p_medicine = AZM suspension (azithromycin) (ICR MDA Medicine Package#azm-susp) Value Set: |
![]() ![]() | Total Azithromycin tablets received | 1..1 | integer | Enable When: p_medicine = AZM tablets (azithromycin) (ICR MDA Medicine Package#azm-tab) Value Set: |
![]() ![]() | Total Tetracycline received | 1..1 | integer | Enable When: p_medicine = TETRA (tetracycline eye ointment) (ICR MDA Medicine Package#tetra) Value Set: |
![]() ![]() | Additional Note | 0..1 | text | Value Set: |
Documentation for this format | ||||