Integrated Campaign Registry (ICR) Implementation Guide
0.1.0 - ci-build International flag

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

Questionnaire: ESPEN MDA — 1. Location Registration Form

Official URL: https://icr.healthcampaigns.org/Questionnaire/espen-mda-location-registration Version: 0.1.0
Active as of 2026-08-07 Computable Name: EspenMDALocationRegistration

ESPEN MDA demo Form 1 (village/location registration and census): admin cascade, population by age band, GPS. Template-based extraction: one ICRLocation for the village and ICRTargetPopulation Groups for the total, eligible, and age-band denominators (espen-forms).

LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. EspenMDALocationRegistrationESPEN MDA demo Form 1 (village/location registration and census): admin cascade, population by age band, GPS. Template-based extraction: one ICRLocation for the village and ICRTargetPopulation Groups for the total, eligible, and age-band denominators (espen-forms).Questionnairehttps://icr.healthcampaigns.org/Questionnaire/espen-mda-location-registration#0.1.0
... l_recorder_idSelect the recorder ID0..1stringValue Set:
... l_stateSelect State / Region / Province1..1stringValue Set:
... l_districtSelect District / LGA / County1..1stringValue Set:
... l_locationEnter the village / location / site1..1stringValue Set:
... l_location_idEnter the ID of village / location / site1..1stringValue Set:
... l_total_popEnter the total population of the village1..1integerValue Set:
... I_total_popn_1_4Total number of people aged 1-4 years of the village1..1integerValue Set:
... I_total_popn_5_14Total number of people aged 5-14 years of the Village1..1integerValue Set:
... I_total_popn_15_MoreTotal number of people aged 15 years and above in the village1..1integerValue Set:
... l_eligible_popTotal eligible population of the village0..1integericoniconiconiconValue Set:
... l_gpsGPS of the village0..1groupValue Set:
.... l_gps_latLatitude0..1decimalValue Set:
.... l_gps_lngLongitude0..1decimalValue Set:
... l_submitting_reportEnter name of person submitting report1..1stringValue Set:
... l_additional_noteAny other information0..1textValue Set:

doco Documentation for this format