Examplev0.1.0·activeESPEN
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).
Form
Rendering interactive form…
| Item | Type | Flags | Link ID |
|---|---|---|---|
| Select the recorder ID | text | l_recorder_id | |
| Select State / Region / Province | text | req | l_state |
| Select District / LGA / County | text | req | l_district |
| Enter the Health facility / Sub district | text | req | l_health_facility |
| Enter the village / location / site | text | req | l_location |
| Enter the ID of village / location / site | text | req | l_location_id |
| Enter the total population of the village | integer | req | l_total_pop |
| Total number of people aged 1-4 years of the village | integer | req | I_total_popn_1_4 |
| Total number of people aged 5-14 years of the Village | integer | req | I_total_popn_5_14 |
| Total number of people aged 15 years and above in the village | integer | req | I_total_popn_15_More |
| Total eligible population of the village | integer | l_eligible_pop | |
| GPS of the village | group | l_gps | |
| Latitude | decimal | l_gps_lat | |
| Longitude | decimal | l_gps_lng | |
| Enter name of person submitting report | text | req | l_submitting_report |
| Any other information | long text | l_additional_note |
{
"resourceType": "Questionnaire",
"id": "espen-mda-location-registration",
"meta": {
"tag": [
{
"system": "https://icr.healthcampaigns.org/CodeSystem/icr-project-tag-cs",
"code": "espen",
"display": "ESPEN"
}
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire espen-mda-location-registration</b></p><a name=\"espen-mda-location-registration\"> </a><a name=\"hcespen-mda-location-registration\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Tag: <a href=\"CodeSystem-icr-project-tag-cs.html\">ESPEN (Details: ICR Project Tag code espen = 'ESPEN')</a></p></div><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Other attributes of the item\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> EspenMDALocationRegistration</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">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).</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">https://icr.healthcampaigns.org/Questionnaire/espen-mda-location-registration#0.1.0</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.l_recorder_id\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> l_recorder_id</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Select the recorder ID</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.l_state\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> l_state</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Select State / Region / Province</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.l_district\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> l_district</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Select District / LGA / County</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.l_health_facility\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> l_health_facility</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enter the Health facility / Sub district</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.l_location\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> l_location</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enter the village / location / site</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.l_location_id\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> l_location_id</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enter the ID of village / location / site</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.l_total_pop\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> l_total_pop</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enter the total population of the village</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.I_total_popn_1_4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> I_total_popn_1_4</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Total number of people aged 1-4 years of the village</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.I_total_popn_5_14\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> I_total_popn_5_14</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Total number of people aged 5-14 years of the Village</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.I_total_popn_15_More\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> I_total_popn_15_More</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Total number of people aged 15 years and above in the village</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.l_eligible_pop\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> l_eligible_pop</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Total eligible population of the village</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></a><img src=\"icon-qi-readonly.png\" alt=\"icon\"/><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-hidden.html\" title=\"Is a hidden item\"><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></a><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.l_gps\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> l_gps</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">GPS of the village</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.l_gps_lat\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> l_gps_lat</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Latitude</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.l_gps_lng\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> l_gps_lng</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Longitude</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.l_submitting_report\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> l_submitting_report</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enter name of person submitting report</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" id=\"item.l_additional_note\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> l_additional_note</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Any other information</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"6\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><h2>Contained Resources</h2><hr/><p class=\"res-header-id\"><b>Location #loc-template</b></p><a name=\"espen-mda-location-registration/loc-template\"> </a><a name=\"hcespen-mda-location-registration/loc-template\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ICRLocation.html\">ICR Location</a></p></div><p><b>identifier</b>: <code>https://icr.healthcampaigns.org/identifier/espen-location-id</code>/?ngen-9?</p><p><b>status</b>: Active</p><p><b>name</b>: <code>Extract Template - Extract value: </code>%resource.repeat(item).where(linkId='l_location').answer.value.first()</p><h3>Positions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td style=\"display: none\">*</td><td><code>Extract Template - Extract value: </code>%resource.repeat(item).where(linkId='l_gps_lng').answer.value.first()</td><td><code>Extract Template - Extract value: </code>%resource.repeat(item).where(linkId='l_gps_lat').answer.value.first()</td></tr></table><hr/><p class=\"res-header-id\"><b>Group #pop-total-template</b></p><a name=\"espen-mda-location-registration/pop-total-template\"> </a><a name=\"hcespen-mda-location-registration/pop-total-template\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ICRTargetPopulation.html\">ICR Target Population</a></p></div><p><b>Denominator Source</b>: <span title=\"Codes:{https://icr.healthcampaigns.org/CodeSystem/icr-denominator-source-cs microcensus}\">Microcensus / enumeration</span></p><p><b>Estimate Date</b>: 2026-01-01</p><p><b>type</b>: Person</p><p><b>name</b>: Total population (village census, ESPEN Form 1)</p><p><b>quantity</b>: 0</p><h3>Characteristics</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td><td><b>Exclude</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs geography}\">Geographic scope</span></td><td>?rref?</td><td>false</td></tr></table><hr/><p class=\"res-header-id\"><b>Group #pop-eligible-template</b></p><a name=\"espen-mda-location-registration/pop-eligible-template\"> </a><a name=\"hcespen-mda-location-registration/pop-eligible-template\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ICRTargetPopulation.html\">ICR Target Population</a></p></div><p><b>Denominator Source</b>: <span title=\"Codes:{https://icr.healthcampaigns.org/CodeSystem/icr-denominator-source-cs microcensus}\">Microcensus / enumeration</span></p><p><b>Estimate Date</b>: 2026-01-01</p><p><b>type</b>: Person</p><p><b>name</b>: Eligible population (village census, ESPEN Form 1)</p><p><b>quantity</b>: 0</p><h3>Characteristics</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td><td><b>Exclude</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs geography}\">Geographic scope</span></td><td>?rref?</td><td>false</td></tr></table><hr/><p class=\"res-header-id\"><b>Group #pop-1-4-template</b></p><a name=\"espen-mda-location-registration/pop-1-4-template\"> </a><a name=\"hcespen-mda-location-registration/pop-1-4-template\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ICRTargetPopulation.html\">ICR Target Population</a></p></div><p><b>Denominator Source</b>: <span title=\"Codes:{https://icr.healthcampaigns.org/CodeSystem/icr-denominator-source-cs microcensus}\">Microcensus / enumeration</span></p><p><b>Estimate Date</b>: 2026-01-01</p><p><b>type</b>: Person</p><p><b>name</b>: Population aged 1-4 (village census, ESPEN Form 1)</p><p><b>quantity</b>: 0</p><blockquote><p><b>characteristic</b></p><p><b>code</b>: <span title=\"Codes:{https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs geography}\">Geographic scope</span></p><p><b>value</b>: ?rref?</p><p><b>exclude</b>: false</p></blockquote><blockquote><p><b>characteristic</b></p><p><b>code</b>: <span title=\"Codes:{https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs age-band}\">Age band</span></p><p><b>value</b>: <span title=\"Codes:\">1-4 years</span></p><p><b>exclude</b>: false</p></blockquote><hr/><p class=\"res-header-id\"><b>Group #pop-5-14-template</b></p><a name=\"espen-mda-location-registration/pop-5-14-template\"> </a><a name=\"hcespen-mda-location-registration/pop-5-14-template\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ICRTargetPopulation.html\">ICR Target Population</a></p></div><p><b>Denominator Source</b>: <span title=\"Codes:{https://icr.healthcampaigns.org/CodeSystem/icr-denominator-source-cs microcensus}\">Microcensus / enumeration</span></p><p><b>Estimate Date</b>: 2026-01-01</p><p><b>type</b>: Person</p><p><b>name</b>: Population aged 5-14 (village census, ESPEN Form 1)</p><p><b>quantity</b>: 0</p><blockquote><p><b>characteristic</b></p><p><b>code</b>: <span title=\"Codes:{https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs geography}\">Geographic scope</span></p><p><b>value</b>: ?rref?</p><p><b>exclude</b>: false</p></blockquote><blockquote><p><b>characteristic</b></p><p><b>code</b>: <span title=\"Codes:{https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs age-band}\">Age band</span></p><p><b>value</b>: <span title=\"Codes:\">5-14 years</span></p><p><b>exclude</b>: false</p></blockquote><hr/><p class=\"res-header-id\"><b>Group #pop-15-plus-template</b></p><a name=\"espen-mda-location-registration/pop-15-plus-template\"> </a><a name=\"hcespen-mda-location-registration/pop-15-plus-template\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ICRTargetPopulation.html\">ICR Target Population</a></p></div><p><b>Denominator Source</b>: <span title=\"Codes:{https://icr.healthcampaigns.org/CodeSystem/icr-denominator-source-cs microcensus}\">Microcensus / enumeration</span></p><p><b>Estimate Date</b>: 2026-01-01</p><p><b>type</b>: Person</p><p><b>name</b>: Population aged 15+ (village census, ESPEN Form 1)</p><p><b>quantity</b>: 0</p><blockquote><p><b>characteristic</b></p><p><b>code</b>: <span title=\"Codes:{https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs geography}\">Geographic scope</span></p><p><b>value</b>: ?rref?</p><p><b>exclude</b>: false</p></blockquote><blockquote><p><b>characteristic</b></p><p><b>code</b>: <span title=\"Codes:{https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs age-band}\">Age band</span></p><p><b>value</b>: <span title=\"Codes:\">15+ years</span></p><p><b>exclude</b>: false</p></blockquote></div>"
},
"contained": [
{
"resourceType": "Location",
"id": "loc-template",
"meta": {
"profile": [
"https://icr.healthcampaigns.org/StructureDefinition/ICRLocation"
]
},
"identifier": [
{
"system": "https://icr.healthcampaigns.org/identifier/espen-location-id",
"_value": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%resource.repeat(item).where(linkId='l_location_id').answer.value.first()"
}
]
}
}
],
"status": "active",
"_name": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%resource.repeat(item).where(linkId='l_location').answer.value.first()"
}
]
},
"physicalType": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"code": "area",
"display": "Area"
}
]
},
"position": {
"_longitude": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%resource.repeat(item).where(linkId='l_gps_lng').answer.value.first()"
}
]
},
"_latitude": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%resource.repeat(item).where(linkId='l_gps_lat').answer.value.first()"
}
]
}
}
},
{
"resourceType": "Group",
"id": "pop-total-template",
"meta": {
"profile": [
"https://icr.healthcampaigns.org/StructureDefinition/ICRTargetPopulation"
]
},
"extension": [
{
"url": "https://icr.healthcampaigns.org/StructureDefinition/denominator-source",
"valueCodeableConcept": {
"coding": [
{
"system": "https://icr.healthcampaigns.org/CodeSystem/icr-denominator-source-cs",
"code": "microcensus",
"display": "Microcensus / enumeration"
}
]
}
},
{
"url": "https://icr.healthcampaigns.org/StructureDefinition/estimate-date",
"valueDate": "2026-01-01",
"_valueDate": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%resource.authored.toString().substring(0,10)"
}
]
}
}
],
"type": "person",
"actual": false,
"name": "Total population (village census, ESPEN Form 1)",
"quantity": 0,
"_quantity": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%resource.repeat(item).where(linkId='l_total_pop').answer.value.first()"
}
]
},
"characteristic": [
{
"code": {
"coding": [
{
"system": "https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs",
"code": "geography",
"display": "Geographic scope"
}
]
},
"valueReference": {
"_reference": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%newLocationId"
}
]
}
},
"exclude": false
}
]
},
{
"resourceType": "Group",
"id": "pop-eligible-template",
"meta": {
"profile": [
"https://icr.healthcampaigns.org/StructureDefinition/ICRTargetPopulation"
]
},
"extension": [
{
"url": "https://icr.healthcampaigns.org/StructureDefinition/denominator-source",
"valueCodeableConcept": {
"coding": [
{
"system": "https://icr.healthcampaigns.org/CodeSystem/icr-denominator-source-cs",
"code": "microcensus",
"display": "Microcensus / enumeration"
}
]
}
},
{
"url": "https://icr.healthcampaigns.org/StructureDefinition/estimate-date",
"valueDate": "2026-01-01",
"_valueDate": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%resource.authored.toString().substring(0,10)"
}
]
}
}
],
"type": "person",
"actual": false,
"name": "Eligible population (village census, ESPEN Form 1)",
"quantity": 0,
"_quantity": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%resource.repeat(item).where(linkId='l_eligible_pop').answer.value.first()"
}
]
},
"characteristic": [
{
"code": {
"coding": [
{
"system": "https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs",
"code": "geography",
"display": "Geographic scope"
}
]
},
"valueReference": {
"_reference": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%newLocationId"
}
]
}
},
"exclude": false
}
]
},
{
"resourceType": "Group",
"id": "pop-1-4-template",
"meta": {
"profile": [
"https://icr.healthcampaigns.org/StructureDefinition/ICRTargetPopulation"
]
},
"extension": [
{
"url": "https://icr.healthcampaigns.org/StructureDefinition/denominator-source",
"valueCodeableConcept": {
"coding": [
{
"system": "https://icr.healthcampaigns.org/CodeSystem/icr-denominator-source-cs",
"code": "microcensus",
"display": "Microcensus / enumeration"
}
]
}
},
{
"url": "https://icr.healthcampaigns.org/StructureDefinition/estimate-date",
"valueDate": "2026-01-01",
"_valueDate": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%resource.authored.toString().substring(0,10)"
}
]
}
}
],
"type": "person",
"actual": false,
"name": "Population aged 1-4 (village census, ESPEN Form 1)",
"quantity": 0,
"_quantity": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%resource.repeat(item).where(linkId='I_total_popn_1_4').answer.value.first()"
}
]
},
"characteristic": [
{
"code": {
"coding": [
{
"system": "https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs",
"code": "geography",
"display": "Geographic scope"
}
]
},
"valueReference": {
"_reference": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%newLocationId"
}
]
}
},
"exclude": false
},
{
"code": {
"coding": [
{
"system": "https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs",
"code": "age-band",
"display": "Age band"
}
]
},
"valueCodeableConcept": {
"text": "1-4 years"
},
"exclude": false
}
]
},
{
"resourceType": "Group",
"id": "pop-5-14-template",
"meta": {
"profile": [
"https://icr.healthcampaigns.org/StructureDefinition/ICRTargetPopulation"
]
},
"extension": [
{
"url": "https://icr.healthcampaigns.org/StructureDefinition/denominator-source",
"valueCodeableConcept": {
"coding": [
{
"system": "https://icr.healthcampaigns.org/CodeSystem/icr-denominator-source-cs",
"code": "microcensus",
"display": "Microcensus / enumeration"
}
]
}
},
{
"url": "https://icr.healthcampaigns.org/StructureDefinition/estimate-date",
"valueDate": "2026-01-01",
"_valueDate": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%resource.authored.toString().substring(0,10)"
}
]
}
}
],
"type": "person",
"actual": false,
"name": "Population aged 5-14 (village census, ESPEN Form 1)",
"quantity": 0,
"_quantity": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%resource.repeat(item).where(linkId='I_total_popn_5_14').answer.value.first()"
}
]
},
"characteristic": [
{
"code": {
"coding": [
{
"system": "https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs",
"code": "geography",
"display": "Geographic scope"
}
]
},
"valueReference": {
"_reference": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%newLocationId"
}
]
}
},
"exclude": false
},
{
"code": {
"coding": [
{
"system": "https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs",
"code": "age-band",
"display": "Age band"
}
]
},
"valueCodeableConcept": {
"text": "5-14 years"
},
"exclude": false
}
]
},
{
"resourceType": "Group",
"id": "pop-15-plus-template",
"meta": {
"profile": [
"https://icr.healthcampaigns.org/StructureDefinition/ICRTargetPopulation"
]
},
"extension": [
{
"url": "https://icr.healthcampaigns.org/StructureDefinition/denominator-source",
"valueCodeableConcept": {
"coding": [
{
"system": "https://icr.healthcampaigns.org/CodeSystem/icr-denominator-source-cs",
"code": "microcensus",
"display": "Microcensus / enumeration"
}
]
}
},
{
"url": "https://icr.healthcampaigns.org/StructureDefinition/estimate-date",
"valueDate": "2026-01-01",
"_valueDate": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%resource.authored.toString().substring(0,10)"
}
]
}
}
],
"type": "person",
"actual": false,
"name": "Population aged 15+ (village census, ESPEN Form 1)",
"quantity": 0,
"_quantity": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%resource.repeat(item).where(linkId='I_total_popn_15_More').answer.value.first()"
}
]
},
"characteristic": [
{
"code": {
"coding": [
{
"system": "https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs",
"code": "geography",
"display": "Geographic scope"
}
]
},
"valueReference": {
"_reference": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%newLocationId"
}
]
}
},
"exclude": false
},
{
"code": {
"coding": [
{
"system": "https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs",
"code": "age-band",
"display": "Age band"
}
]
},
"valueCodeableConcept": {
"text": "15+ years"
},
"exclude": false
}
]
}
],
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extractAllocateId",
"valueString": "newLocationId"
},
{
"extension": [
{
"url": "template",
"valueReference": {
"reference": "#loc-template"
}
},
{
"url": "fullUrl",
"valueString": "%newLocationId"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtract"
},
{
"extension": [
{
"url": "template",
"valueReference": {
"reference": "#pop-total-template"
}
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtract"
},
{
"extension": [
{
"url": "template",
"valueReference": {
"reference": "#pop-eligible-template"
}
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtract"
},
{
"extension": [
{
"url": "template",
"valueReference": {
"reference": "#pop-1-4-template"
}
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtract"
},
{
"extension": [
{
"url": "template",
"valueReference": {
"reference": "#pop-5-14-template"
}
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtract"
},
{
"extension": [
{
"url": "template",
"valueReference": {
"reference": "#pop-15-plus-template"
}
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtract"
}
],
"url": "https://icr.healthcampaigns.org/Questionnaire/espen-mda-location-registration",
"version": "0.1.0",
"name": "EspenMDALocationRegistration",
"status": "active",
"experimental": false,
"subjectType": [
"Location"
],
"date": "2026-07-05T19:26:53+00:00",
"publisher": "UNICEF",
"contact": [
{
"name": "UNICEF",
"telecom": [
{
"system": "url",
"value": "https://www.unicef.org"
}
]
}
],
"description": "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).",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"item": [
{
"linkId": "l_recorder_id",
"text": "Select the recorder ID",
"type": "string"
},
{
"linkId": "l_state",
"text": "Select State / Region / Province",
"type": "string",
"required": true
},
{
"linkId": "l_district",
"text": "Select District / LGA / County",
"type": "string",
"required": true
},
{
"linkId": "l_health_facility",
"text": "Enter the Health facility / Sub district",
"type": "string",
"required": true
},
{
"linkId": "l_location",
"text": "Enter the village / location / site",
"type": "string",
"required": true
},
{
"linkId": "l_location_id",
"text": "Enter the ID of village / location / site",
"type": "string",
"required": true
},
{
"linkId": "l_total_pop",
"text": "Enter the total population of the village",
"type": "integer",
"required": true
},
{
"linkId": "I_total_popn_1_4",
"text": "Total number of people aged 1-4 years of the village",
"type": "integer",
"required": true
},
{
"linkId": "I_total_popn_5_14",
"text": "Total number of people aged 5-14 years of the Village",
"type": "integer",
"required": true
},
{
"linkId": "I_total_popn_15_More",
"text": "Total number of people aged 15 years and above in the village",
"type": "integer",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%resource.repeat(item).where(linkId='I_total_popn_1_4').answer.exists(), %resource.repeat(item).where(linkId='I_total_popn_1_4').answer.value.first(), 0) + iif(%resource.repeat(item).where(linkId='I_total_popn_5_14').answer.exists(), %resource.repeat(item).where(linkId='I_total_popn_5_14').answer.value.first(), 0) + iif(%resource.repeat(item).where(linkId='I_total_popn_15_More').answer.exists(), %resource.repeat(item).where(linkId='I_total_popn_15_More').answer.value.first(), 0)"
}
}
],
"linkId": "l_eligible_pop",
"text": "Total eligible population of the village",
"type": "integer",
"readOnly": true
},
{
"linkId": "l_gps",
"text": "GPS of the village",
"type": "group",
"item": [
{
"linkId": "l_gps_lat",
"text": "Latitude",
"type": "decimal"
},
{
"linkId": "l_gps_lng",
"text": "Longitude",
"type": "decimal"
}
]
},
{
"linkId": "l_submitting_report",
"text": "Enter name of person submitting report",
"type": "string",
"required": true
},
{
"linkId": "l_additional_note",
"text": "Any other information",
"type": "text"
}
]
}