{ "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" : "

Generated Narrative: Questionnaire espen-mda-location-registration

Tag: ESPEN (Details: ICR Project Tag code espen = 'ESPEN')

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeFlagsDescription & Constraints\"doco\"
\".\"\".\" 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..1string
\".\"\".\"\".\" l_stateSelect State / Region / Province1..1string
\".\"\".\"\".\" l_districtSelect District / LGA / County1..1string
\".\"\".\"\".\" l_health_facilityEnter the Health facility / Sub district1..1string
\".\"\".\"\".\" l_locationEnter the village / location / site1..1string
\".\"\".\"\".\" l_location_idEnter the ID of village / location / site1..1string
\".\"\".\"\".\" l_total_popEnter the total population of the village1..1integer
\".\"\".\"\".\" I_total_popn_1_4Total number of people aged 1-4 years of the village1..1integer
\".\"\".\"\".\" I_total_popn_5_14Total number of people aged 5-14 years of the Village1..1integer
\".\"\".\"\".\" I_total_popn_15_MoreTotal number of people aged 15 years and above in the village1..1integer
\".\"\".\"\".\" l_eligible_popTotal eligible population of the village0..1integer\"icon\"/\"icon\"/\"icon\"/
\".\"\".\"\".\" l_gpsGPS of the village0..1group
\".\"\".\"\".\"\".\" l_gps_latLatitude0..1decimal
\".\"\".\"\".\"\".\" l_gps_lngLongitude0..1decimal
\".\"\".\"\".\" l_submitting_reportEnter name of person submitting report1..1string
\".\"\".\"\".\" l_additional_noteAny other information0..1text

\"doco\" Documentation for this format

Contained Resources

Location #loc-template

Profile: ICR Location

identifier: https://icr.healthcampaigns.org/identifier/espen-location-id/?ngen-9?

status: Active

name: Extract Template - Extract value: %resource.repeat(item).where(linkId='l_location').answer.value.first()

Positions

-LongitudeLatitude
*Extract Template - Extract value: %resource.repeat(item).where(linkId='l_gps_lng').answer.value.first()Extract Template - Extract value: %resource.repeat(item).where(linkId='l_gps_lat').answer.value.first()

Group #pop-total-template

Profile: ICR Target Population

Denominator Source: Microcensus / enumeration

Estimate Date: 2026-01-01

type: Person

name: Total population (village census, ESPEN Form 1)

quantity: 0

Characteristics

-CodeValue[x]Exclude
*Geographic scope?rref?false

Group #pop-eligible-template

Profile: ICR Target Population

Denominator Source: Microcensus / enumeration

Estimate Date: 2026-01-01

type: Person

name: Eligible population (village census, ESPEN Form 1)

quantity: 0

Characteristics

-CodeValue[x]Exclude
*Geographic scope?rref?false

Group #pop-1-4-template

Profile: ICR Target Population

Denominator Source: Microcensus / enumeration

Estimate Date: 2026-01-01

type: Person

name: Population aged 1-4 (village census, ESPEN Form 1)

quantity: 0

characteristic

code: Geographic scope

value: ?rref?

exclude: false

characteristic

code: Age band

value: 1-4 years

exclude: false

Group #pop-5-14-template

Profile: ICR Target Population

Denominator Source: Microcensus / enumeration

Estimate Date: 2026-01-01

type: Person

name: Population aged 5-14 (village census, ESPEN Form 1)

quantity: 0

characteristic

code: Geographic scope

value: ?rref?

exclude: false

characteristic

code: Age band

value: 5-14 years

exclude: false

Group #pop-15-plus-template

Profile: ICR Target Population

Denominator Source: Microcensus / enumeration

Estimate Date: 2026-01-01

type: Person

name: Population aged 15+ (village census, ESPEN Form 1)

quantity: 0

characteristic

code: Geographic scope

value: ?rref?

exclude: false

characteristic

code: Age band

value: 15+ years

exclude: false

" }, "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" : "2026-07-05T20:56:14+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" }] }