espen-mda-supervision-cdd
type: Questionnaire
node role: treeRoot
resource.id:
  value: espen-mda-supervision-cdd
resource.meta:
  meta.tag:
    index: 0
    coding.system:
      value: https://icr.healthcampaigns.org/CodeSystem/icr-project-tag-cs
    coding.code:
      value: espen
    coding.display:
      value: ESPEN
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Generated Narrative: Questionnaire espen-mda-supervision-cdd Tag: ESPEN (Details: ICR Project Tag code espen = 'ESPEN') Structure LinkID Text Cardinality Type Flags Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> EspenMDASupervisionCDD ESPEN MDA demo Form 6 (CDD observation supervision): direct observation of a community drug distributor's technique and attitude during treatment, MDA-supplies availability, CDD training coverage, and free-text challenges/solutions/recommendations. No extraction templates: per ICRSupervisionReport (working doc §4.6) the QuestionnaireResponse itself is the supervision record. Questionnaire https://icr.healthcampaigns.org/Questionnaire/espen-mda-supervision-cdd#0.1.0 #xD; s_supervisor Supervisor Team 0..1 choice Options: 5 options #xD; s_state Select region 1..1 string #xD; s_district Select district 1..1 string #xD; s_health_facility Health facility 1..1 string #xD; s_location Village 1..1 string #xD; s_date_start Campaign start date 1..1 date #xD; s_date_end Campaign end date 1..1 date #xD; s_disease Disease covered by the MDA 1..* choice Value Set: ICR NTD Disease #xD; s_medicine Select the medicine package 1..* choice Value Set: ICR MDA Medicine Package #xD; s_medicine_sufficient Do the distributors have the medications in sufficient quantities? 1..1 boolean #xD; s_total_dist_trained_male Total Distributor Male Trained for the campagne 1..1 integer #xD; s_total_dist_trained_female Total Distributor Female Trained for the campagne 0..1 integer #xD; s_total_dist Total Distributor Trained 0..1 integer #xD; MDA_supplies Avaialability of MDA supplies 0..1 group #xD; s_hieght_chart Height chart 1..1 boolean #xD; s_register Register 1..1 boolean #xD; s_records_checklist Records/checklist 1..1 boolean #xD; s_med_bag The CDD uses a medication bag 1..1 boolean #xD; attitude_CDD Observe the actions, attitudes, and skills of the community health worker during the treatment of a family 0..1 group #xD; …
questionnaire.url:
  value: https://icr.healthcampaigns.org/Questionnaire/espen-mda-supervision-cdd
questionnaire.version:
  value: 0.1.0
questionnaire.name:
  value: EspenMDASupervisionCDD
questionnaire.status:
  value: active
questionnaire.experimental:
  value: false
questionnaire.subject type:
  value: Location
  index: 0
questionnaire.date:
  value: 2026-08-07T08:41:18-04:00
questionnaire.publisher:
  value: UNICEF
questionnaire.contact:
  index: 0
  contact detail.name:
    value: UNICEF
  contact detail.telecom:
    index: 0
    contact point.system:
      value: url
    contact point.value:
      value: https://www.unicef.org
questionnaire.description:
  value: ESPEN MDA demo Form 6 (CDD observation supervision): direct observation of a community drug distributor's technique and attitude during treatment, MDA-supplies availability, CDD training coverage, and free-text challenges/solutions/recommendations. No extraction templates: per ICRSupervisionReport (working doc §4.6) the QuestionnaireResponse itself is the supervision record.
questionnaire.jurisdiction:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://unstats.un.org/unsd/methods/m49/m49.htm
    coding.code:
      value: 001
    coding.display:
      value: World
questionnaire.item:
  index: 0
  questionnaire.item.link id:
    value: s_supervisor
  questionnaire.item.text:
    value: Supervisor Team
  questionnaire.item.type:
    value: choice
  questionnaire.item.answer option:
    index: 0
    questionnaire.item.answer option.value string:
      value: National
  questionnaire.item.answer option:
    index: 1
    questionnaire.item.answer option.value string:
      value: Regional
  questionnaire.item.answer option:
    index: 2
    questionnaire.item.answer option.value string:
      value: Partner
  questionnaire.item.answer option:
    index: 3
    questionnaire.item.answer option.value string:
      value: District
  questionnaire.item.answer option:
    index: 4
    questionnaire.item.answer option.value string:
      value: Health Facility
questionnaire.item:
  index: 1
  questionnaire.item.link id:
    value: s_state
  questionnaire.item.text:
    value: Select region
  questionnaire.item.type:
    value: string
  questionnaire.item.required:
    value: true
questionnaire.item:
  index: 2
  questionnaire.item.link id:
    value: s_district
  questionnaire.item.text:
    value: Select district
  questionnaire.item.type:
    value: string
  questionnaire.item.required:
    value: true
questionnaire.item:
  index: 3
  questionnaire.item.link id:
    value: s_health_facility
  questionnaire.item.text:
    value: Health facility
  questionnaire.item.type:
    value: string
  questionnaire.item.required:
    value: true
questionnaire.item:
  index: 4
  questionnaire.item.link id:
    value: s_location
  questionnaire.item.text:
    value: Village
  questionnaire.item.type:
    value: string
  questionnaire.item.required:
    value: true
questionnaire.item:
  index: 5
  questionnaire.item.link id:
    value: s_date_start
  questionnaire.item.text:
    value: Campaign start date
  questionnaire.item.type:
    value: date
  questionnaire.item.required:
    value: true
questionnaire.item:
  index: 6
  questionnaire.item.link id:
    value: s_date_end
  questionnaire.item.text:
    value: Campaign end date
  questionnaire.item.type:
    value: date
  questionnaire.item.required:
    value: true
questionnaire.item:
  index: 7
  questionnaire.item.link id:
    value: s_disease
  questionnaire.item.text:
    value: Disease covered by the MDA
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.repeats:
    value: true
  questionnaire.item.answer value set:
    value: https://icr.healthcampaigns.org/ValueSet/icr-ntd-disease-vs
    link: https://icr.healthcampaigns.org/ValueSet/icr-ntd-disease-vs
questionnaire.item:
  index: 8
  questionnaire.item.link id:
    value: s_medicine
  questionnaire.item.text:
    value: Select the medicine package
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.repeats:
    value: true
  questionnaire.item.answer value set:
    value: https://icr.healthcampaigns.org/ValueSet/icr-mda-medicine-package-vs
    link: https://icr.healthcampaigns.org/ValueSet/icr-mda-medicine-package-vs
questionnaire.item:
  index: 9
  questionnaire.item.link id:
    value: s_medicine_sufficient
  questionnaire.item.text:
    value: Do the distributors have the medications in sufficient quantities?
  questionnaire.item.type:
    value: boolean
  questionnaire.item.required:
    value: true
questionnaire.item:
  index: 10
  questionnaire.item.link id:
    value: s_total_dist_trained_male
  questionnaire.item.text:
    value: Total Distributor Male Trained for the campagne
  questionnaire.item.type:
    value: integer
  questionnaire.item.required:
    value: true
questionnaire.item:
  index: 11
  questionnaire.item.link id:
    value: s_total_dist_trained_female
  questionnaire.item.text:
    value: Total Distributor Female Trained for the campagne
  questionnaire.item.type:
    value: integer

index: 12
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
  extension.value boolean:
    value: true
element.extension:
  index: 1
  extension.url:
    value: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression
  extension.value expression:
    expression.language:
      value: text/fhirpath
    expression.expression:
      value: iif(%resource.repeat(item).where(linkId='s_total_dist_trained_male').answer.exists(), %resource.repeat(item).where(linkId='s_total_dist_trained_male').answer.value.first(), 0) + iif(%resource.repeat(item).where(linkId='s_total_dist_trained_female').answer.exists(), %resource.repeat(item).where(linkId='s_total_dist_trained_female').answer.value.first(), 0)
questionnaire.item.link id:
  value: s_total_dist
questionnaire.item.text:
  value: Total Distributor Trained
questionnaire.item.type:
  value: integer
questionnaire.item.read only:
  value: true

index: 13
questionnaire.item.link id:
  value: MDA_supplies
questionnaire.item.text:
  value: Avaialability of MDA supplies
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: s_hieght_chart
  questionnaire.item.text:
    value: Height chart
  questionnaire.item.type:
    value: boolean
  questionnaire.item.required:
    value: true
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: s_register
  questionnaire.item.text:
    value: Register
  questionnaire.item.type:
    value: boolean
  questionnaire.item.required:
    value: true
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: s_records_checklist
  questionnaire.item.text:
    value: Records/checklist
  questionnaire.item.type:
    value: boolean
  questionnaire.item.required:
    value: true
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: s_med_bag
  questionnaire.item.text:
    value: The CDD uses a medication bag
  questionnaire.item.type:
    value: boolean
  questionnaire.item.required:
    value: true

index: 14
questionnaire.item.link id:
  value: attitude_CDD
questionnaire.item.text:
  value: Observe the actions, attitudes, and skills of the community health worker during the treatment of a family
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: attitude_CDD-hint
  questionnaire.item.text:
    value: wearing a vest, wearing a mask, using hand sanitizer, standard greetings - introduction -, administering medication, data collection
  questionnaire.item.type:
    value: display
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: s_wear_vest
  questionnaire.item.text:
    value: Is the community health worker/healthcare worker team identifiable by a vest?
  questionnaire.item.type:
    value: boolean
  questionnaire.item.required:
    value: true
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: s_usual_greetings
  questionnaire.item.text:
    value: The CDD proceeds with the usual greetings
  questionnaire.item.type:
    value: boolean
  questionnaire.item.required:
    value: true
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: s_introduced_patient
  questionnaire.item.text:
    value: The CDD introduces the patient by specifying the reason for their visit and the treatment being administered.
  questionnaire.item.type:
    value: boolean
  questionnaire.item.required:
    value: true
questionnaire.item.item:
  index: 4
  questionnaire.item.link id:
    value: s_used_height_chart_correctly
  questionnaire.item.text:
    value: The CDD uses the height chart correctly.
  questionnaire.item.type:
    value: boolean
  questionnaire.item.required:
    value: true
questionnaire.item.item:
  index: 5
  questionnaire.item.link id:
    value: s_gave_write_dosage
  questionnaire.item.text:
    value: The CDD administers the medication correctly according to the height chart reading.
  questionnaire.item.type:
    value: boolean
  questionnaire.item.required:
    value: true
questionnaire.item.item:
  index: 6
  questionnaire.item.link id:
    value: s_medicine_took_in_front_of_dc
  questionnaire.item.text:
    value: The medicine is taken in the presence of the DC
  questionnaire.item.type:
    value: boolean
  questionnaire.item.required:
    value: true
questionnaire.item.item:
  index: 7
  questionnaire.item.link id:
    value: s_filled_form
  questionnaire.item.text:
    value: Does the CDD complete the data collection forms (checklist and register) correctly?
  questionnaire.item.type:
    value: boolean
  questionnaire.item.required:
    value: true
questionnaire.item.item:
  index: 8
  questionnaire.item.link id:
    value: s_investigated_cases
  questionnaire.item.text:
    value: Does the CDD investigate and report cases of FL, Buruli ulcer, leishmaniasis and rumours of VG?
  questionnaire.item.type:
    value: boolean
  questionnaire.item.required:
    value: true
questionnaire.item.item:
  index: 9
  questionnaire.item.link id:
    value: s_identified_ineligible
  questionnaire.item.text:
    value: Are ineligible individuals identified?
  questionnaire.item.type:
    value: boolean
  questionnaire.item.required:
    value: true
questionnaire.item.item:
  index: 10
  questionnaire.item.link id:
    value: s_follow_side_effect_procedure
  questionnaire.item.text:
    value: Is the procedure to follow in the event of side events known?
  questionnaire.item.type:
    value: boolean
  questionnaire.item.required:
    value: true

index: 15
questionnaire.item.link id:
  value: s_date_training
questionnaire.item.text:
  value: Date of training session
questionnaire.item.type:
  value: date
questionnaire.item.required:
  value: true

index: 16
questionnaire.item.link id:
  value: s_traning_duration
questionnaire.item.text:
  value: Duration of training session (in days)
questionnaire.item.type:
  value: integer
questionnaire.item.required:
  value: true
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: s_traning_duration-hint
  questionnaire.item.text:
    value: In days
  questionnaire.item.type:
    value: display

index: 17
questionnaire.item.link id:
  value: s_training_topic
questionnaire.item.text:
  value: What topics were covered during the training?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.repeats:
  value: true
questionnaire.item.answer option:
  index: 0
  questionnaire.item.answer option.value string:
    value: Using the measuring stick
questionnaire.item.answer option:
  index: 1
  questionnaire.item.answer option.value string:
    value: Completing the checklists
questionnaire.item.answer option:
  index: 2
  questionnaire.item.answer option.value string:
    value: Supervised taking
questionnaire.item.answer option:
  index: 3
  questionnaire.item.answer option.value string:
    value: Marking concessions
questionnaire.item.answer option:
  index: 4
  questionnaire.item.answer option.value string:
    value: Monitoring refusals
questionnaire.item.answer option:
  index: 5
  questionnaire.item.answer option.value string:
    value: Revisit
questionnaire.item.answer option:
  index: 6
  questionnaire.item.answer option.value string:
    value: Practical exercise
questionnaire.item.answer option:
  index: 7
  questionnaire.item.answer option.value string:
    value: Interpersonal communication
questionnaire.item.answer option:
  index: 8
  questionnaire.item.answer option.value string:
    value: Other

index: 18
questionnaire.item.link id:
  value: s_took_med_in_training
questionnaire.item.text:
  value: Did you take the medication during the training?
questionnaire.item.type:
  value: boolean
questionnaire.item.required:
  value: true

index: 19
questionnaire.item.link id:
  value: s_complete_form
questionnaire.item.text:
  value: Does the CDD complete the data collection forms (checklist and register) correctly?
questionnaire.item.type:
  value: boolean
questionnaire.item.required:
  value: true

index: 20
questionnaire.item.link id:
  value: s_case_mngt
questionnaire.item.text:
  value: Does the CDD investigate and report cases of FL, Buruli ulcer, leishmaniasis and rumours of VG?
questionnaire.item.type:
  value: boolean
questionnaire.item.required:
  value: true

index: 21
questionnaire.item.link id:
  value: s_has_inegidible
questionnaire.item.text:
  value: Are ineligible individuals identified?
questionnaire.item.type:
  value: boolean
questionnaire.item.required:
  value: true

index: 22
questionnaire.item.link id:
  value: s_follow_side_effect
questionnaire.item.text:
  value: Is the procedure to follow in the event of adverse events known?
questionnaire.item.type:
  value: boolean
questionnaire.item.required:
  value: true

index: 23
questionnaire.item.link id:
  value: s_difficultes
questionnaire.item.text:
  value: Challenges encountered
questionnaire.item.type:
  value: text

index: 24
questionnaire.item.link id:
  value: s_solutions
questionnaire.item.text:
  value: Proposed solutions
questionnaire.item.type:
  value: text

index: 25
questionnaire.item.link id:
  value: s_recommandations
questionnaire.item.text:
  value: Supervisor recommendations
questionnaire.item.type:
  value: text