Generated Narrative: Questionnaire espen-mda-drug-receipt
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  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). | Questionnaire | https://icr.healthcampaigns.org/Questionnaire/espen-mda-drug-receipt#0.1.0 | |
  p_recorder_id | Select the recorder ID | 0..1 | string | |
| p_state | Select State / Region / Province | 1..1 | string | |
| p_district | Select District / LGA / County | 1..1 | string | |
| p_health_facility | Enter the Health facility / Sub district | 1..1 | string | |
 p_disease | Disease covered by the MDA | 1..* | choice | Value Set: ICR NTD Disease |
| p_medicine | Select the medicine package | 1..* | choice | Value Set: ICR MDA Medicine Package |
 p_total_pzq | Total Praziquantel received | 1..1 | integer | Enable When:
|
| p_total_alb | Total Albendazole received | 1..1 | integer | Enable When:
|
| p_total_meb | Total Mebendazole received | 1..1 | integer | Enable When:
|
| p_total_ivm | Total Ivermectin received | 1..1 | integer | Enable When:
|
| p_total_dec | Total Diethylcarbamazine received | 1..1 | integer | Enable When: p_medicine = IVM + ALB + DEC (ICR MDA Medicine Package#ivm-alb-dec) |
| p_total_az_sus | Total Azithromycin suspension (in l) received | 1..1 | integer | Enable When: p_medicine = AZM suspension (azithromycin) (ICR MDA Medicine Package#azm-susp) |
| p_total_az_tab | Total Azithromycin tablets received | 1..1 | integer | Enable When: p_medicine = AZM tablets (azithromycin) (ICR MDA Medicine Package#azm-tab) |
| p_total_tetra | Total Tetracycline received | 1..1 | integer | Enable When: p_medicine = TETRA (tetracycline eye ointment) (ICR MDA Medicine Package#tetra) |
  p_add_note | Additional Note | 0..1 | text | |
| Documentation for this format | ||||
Contained Resources
SupplyDelivery #sd-receipt-pzq
Profile: ICR Supply Delivery
Record Origin: campaign
status: Delivered
SuppliedItems
| Quantity | Item[x] |
| tablets (Details: UCUM code{tbl} = '{tbl}') | praziquantel |
SupplyDelivery #sd-receipt-alb
Profile: ICR Supply Delivery
Record Origin: campaign
status: Delivered
SuppliedItems
| Quantity | Item[x] |
| tablets (Details: UCUM code{tbl} = '{tbl}') | albendazole |
SupplyDelivery #sd-receipt-meb
Profile: ICR Supply Delivery
Record Origin: campaign
status: Delivered
SuppliedItems
| Quantity | Item[x] |
| tablets (Details: UCUM code{tbl} = '{tbl}') | mebendazole |
SupplyDelivery #sd-receipt-ivm
Profile: ICR Supply Delivery
Record Origin: campaign
status: Delivered
SuppliedItems
| Quantity | Item[x] |
| tablets (Details: UCUM code{tbl} = '{tbl}') | ivermectin |
SupplyDelivery #sd-receipt-dec
Profile: ICR Supply Delivery
Record Origin: campaign
status: Delivered
SuppliedItems
| Quantity | Item[x] |
| tablets (Details: UCUM code{tbl} = '{tbl}') | diethylcarbamazine |
SupplyDelivery #sd-receipt-azm-susp
Profile: ICR Supply Delivery
Record Origin: campaign
status: Delivered
SuppliedItems
| Quantity | Item[x] |
| liters (Details: UCUM codeL = 'L') | azithromycin (suspension) |
SupplyDelivery #sd-receipt-azm-tab
Profile: ICR Supply Delivery
Record Origin: campaign
status: Delivered
SuppliedItems
| Quantity | Item[x] |
| tablets (Details: UCUM code{tbl} = '{tbl}') | azithromycin (tablets) |
SupplyDelivery #sd-receipt-tetra
Profile: ICR Supply Delivery
Record Origin: campaign
status: Delivered
SuppliedItems
| Quantity | Item[x] |
| tubes (Details: UCUM code{tube} = '{tube}') | tetracycline (eye ointment) |