<?xml version="1.0" encoding="UTF-8"?>

<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="espen-mda-location-registration"/>
  <meta>
    <tag>
      <system value="https://icr.healthcampaigns.org/CodeSystem/icr-project-tag-cs"/>
      <code value="espen"/>
      <display value="ESPEN"/>
    </tag>
  </meta>
  <text>
    <status value="extensions"/><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 &amp; 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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
  </text>
  <contained>
    <Location>
      <id value="loc-template"/>
      <meta>
        <profile value="https://icr.healthcampaigns.org/StructureDefinition/ICRLocation"/>
      </meta>
      <identifier>
        <system value="https://icr.healthcampaigns.org/identifier/espen-location-id"/>
        <value>
          <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
            <valueString value="%resource.repeat(item).where(linkId='l_location_id').answer.value.first()"/>
          </extension>
        </value>
      </identifier>
      <status value="active"/>
      <name>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
          <valueString value="%resource.repeat(item).where(linkId='l_location').answer.value.first()"/>
        </extension>
      </name>
      <physicalType>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
          <code value="area"/>
          <display value="Area"/>
        </coding>
      </physicalType>
      <position>
        <longitude>
          <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
            <valueString value="%resource.repeat(item).where(linkId='l_gps_lng').answer.value.first()"/>
          </extension>
        </longitude>
        <latitude>
          <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
            <valueString value="%resource.repeat(item).where(linkId='l_gps_lat').answer.value.first()"/>
          </extension>
        </latitude>
      </position>
    </Location>
  </contained>
  <contained>
    <Group>
      <id value="pop-total-template"/>
      <meta>
        <profile value="https://icr.healthcampaigns.org/StructureDefinition/ICRTargetPopulation"/>
      </meta>
      <extension url="https://icr.healthcampaigns.org/StructureDefinition/denominator-source">
        <valueCodeableConcept>
          <coding>
            <system value="https://icr.healthcampaigns.org/CodeSystem/icr-denominator-source-cs"/>
            <code value="microcensus"/>
            <display value="Microcensus / enumeration"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://icr.healthcampaigns.org/StructureDefinition/estimate-date">
        <valueDate value="2026-01-01">
          <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
            <valueString value="%resource.authored.toString().substring(0,10)"/>
          </extension>
        </valueDate>
      </extension>
      <type value="person"/>
      <actual value="false"/>
      <name value="Total population (village census, ESPEN Form 1)"/>
      <quantity value="0">
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
          <valueString value="%resource.repeat(item).where(linkId='l_total_pop').answer.value.first()"/>
        </extension>
      </quantity>
      <characteristic>
        <code>
          <coding>
            <system value="https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs"/>
            <code value="geography"/>
            <display value="Geographic scope"/>
          </coding>
        </code>
        <valueReference>
          <reference>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
              <valueString value="%newLocationId"/>
            </extension>
          </reference>
        </valueReference>
        <exclude value="false"/>
      </characteristic>
    </Group>
  </contained>
  <contained>
    <Group>
      <id value="pop-eligible-template"/>
      <meta>
        <profile value="https://icr.healthcampaigns.org/StructureDefinition/ICRTargetPopulation"/>
      </meta>
      <extension url="https://icr.healthcampaigns.org/StructureDefinition/denominator-source">
        <valueCodeableConcept>
          <coding>
            <system value="https://icr.healthcampaigns.org/CodeSystem/icr-denominator-source-cs"/>
            <code value="microcensus"/>
            <display value="Microcensus / enumeration"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://icr.healthcampaigns.org/StructureDefinition/estimate-date">
        <valueDate value="2026-01-01">
          <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
            <valueString value="%resource.authored.toString().substring(0,10)"/>
          </extension>
        </valueDate>
      </extension>
      <type value="person"/>
      <actual value="false"/>
      <name value="Eligible population (village census, ESPEN Form 1)"/>
      <quantity value="0">
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
          <valueString value="%resource.repeat(item).where(linkId='l_eligible_pop').answer.value.first()"/>
        </extension>
      </quantity>
      <characteristic>
        <code>
          <coding>
            <system value="https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs"/>
            <code value="geography"/>
            <display value="Geographic scope"/>
          </coding>
        </code>
        <valueReference>
          <reference>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
              <valueString value="%newLocationId"/>
            </extension>
          </reference>
        </valueReference>
        <exclude value="false"/>
      </characteristic>
    </Group>
  </contained>
  <contained>
    <Group>
      <id value="pop-1-4-template"/>
      <meta>
        <profile value="https://icr.healthcampaigns.org/StructureDefinition/ICRTargetPopulation"/>
      </meta>
      <extension url="https://icr.healthcampaigns.org/StructureDefinition/denominator-source">
        <valueCodeableConcept>
          <coding>
            <system value="https://icr.healthcampaigns.org/CodeSystem/icr-denominator-source-cs"/>
            <code value="microcensus"/>
            <display value="Microcensus / enumeration"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://icr.healthcampaigns.org/StructureDefinition/estimate-date">
        <valueDate value="2026-01-01">
          <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
            <valueString value="%resource.authored.toString().substring(0,10)"/>
          </extension>
        </valueDate>
      </extension>
      <type value="person"/>
      <actual value="false"/>
      <name value="Population aged 1-4 (village census, ESPEN Form 1)"/>
      <quantity value="0">
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
          <valueString value="%resource.repeat(item).where(linkId='I_total_popn_1_4').answer.value.first()"/>
        </extension>
      </quantity>
      <characteristic>
        <code>
          <coding>
            <system value="https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs"/>
            <code value="geography"/>
            <display value="Geographic scope"/>
          </coding>
        </code>
        <valueReference>
          <reference>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
              <valueString value="%newLocationId"/>
            </extension>
          </reference>
        </valueReference>
        <exclude value="false"/>
      </characteristic>
      <characteristic>
        <code>
          <coding>
            <system value="https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs"/>
            <code value="age-band"/>
            <display value="Age band"/>
          </coding>
        </code>
        <valueCodeableConcept>
          <text value="1-4 years"/>
        </valueCodeableConcept>
        <exclude value="false"/>
      </characteristic>
    </Group>
  </contained>
  <contained>
    <Group>
      <id value="pop-5-14-template"/>
      <meta>
        <profile value="https://icr.healthcampaigns.org/StructureDefinition/ICRTargetPopulation"/>
      </meta>
      <extension url="https://icr.healthcampaigns.org/StructureDefinition/denominator-source">
        <valueCodeableConcept>
          <coding>
            <system value="https://icr.healthcampaigns.org/CodeSystem/icr-denominator-source-cs"/>
            <code value="microcensus"/>
            <display value="Microcensus / enumeration"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://icr.healthcampaigns.org/StructureDefinition/estimate-date">
        <valueDate value="2026-01-01">
          <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
            <valueString value="%resource.authored.toString().substring(0,10)"/>
          </extension>
        </valueDate>
      </extension>
      <type value="person"/>
      <actual value="false"/>
      <name value="Population aged 5-14 (village census, ESPEN Form 1)"/>
      <quantity value="0">
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
          <valueString value="%resource.repeat(item).where(linkId='I_total_popn_5_14').answer.value.first()"/>
        </extension>
      </quantity>
      <characteristic>
        <code>
          <coding>
            <system value="https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs"/>
            <code value="geography"/>
            <display value="Geographic scope"/>
          </coding>
        </code>
        <valueReference>
          <reference>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
              <valueString value="%newLocationId"/>
            </extension>
          </reference>
        </valueReference>
        <exclude value="false"/>
      </characteristic>
      <characteristic>
        <code>
          <coding>
            <system value="https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs"/>
            <code value="age-band"/>
            <display value="Age band"/>
          </coding>
        </code>
        <valueCodeableConcept>
          <text value="5-14 years"/>
        </valueCodeableConcept>
        <exclude value="false"/>
      </characteristic>
    </Group>
  </contained>
  <contained>
    <Group>
      <id value="pop-15-plus-template"/>
      <meta>
        <profile value="https://icr.healthcampaigns.org/StructureDefinition/ICRTargetPopulation"/>
      </meta>
      <extension url="https://icr.healthcampaigns.org/StructureDefinition/denominator-source">
        <valueCodeableConcept>
          <coding>
            <system value="https://icr.healthcampaigns.org/CodeSystem/icr-denominator-source-cs"/>
            <code value="microcensus"/>
            <display value="Microcensus / enumeration"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://icr.healthcampaigns.org/StructureDefinition/estimate-date">
        <valueDate value="2026-01-01">
          <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
            <valueString value="%resource.authored.toString().substring(0,10)"/>
          </extension>
        </valueDate>
      </extension>
      <type value="person"/>
      <actual value="false"/>
      <name value="Population aged 15+ (village census, ESPEN Form 1)"/>
      <quantity value="0">
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
          <valueString value="%resource.repeat(item).where(linkId='I_total_popn_15_More').answer.value.first()"/>
        </extension>
      </quantity>
      <characteristic>
        <code>
          <coding>
            <system value="https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs"/>
            <code value="geography"/>
            <display value="Geographic scope"/>
          </coding>
        </code>
        <valueReference>
          <reference>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
              <valueString value="%newLocationId"/>
            </extension>
          </reference>
        </valueReference>
        <exclude value="false"/>
      </characteristic>
      <characteristic>
        <code>
          <coding>
            <system value="https://icr.healthcampaigns.org/CodeSystem/icr-group-characteristic-cs"/>
            <code value="age-band"/>
            <display value="Age band"/>
          </coding>
        </code>
        <valueCodeableConcept>
          <text value="15+ years"/>
        </valueCodeableConcept>
        <exclude value="false"/>
      </characteristic>
    </Group>
  </contained>
  <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extractAllocateId">
    <valueString value="newLocationId"/>
  </extension>
  <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtract">
    <extension url="template">
      <valueReference>
        <reference value="#loc-template"/>
      </valueReference>
    </extension>
    <extension url="fullUrl">
      <valueString value="%newLocationId"/>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtract">
    <extension url="template">
      <valueReference>
        <reference value="#pop-total-template"/>
      </valueReference>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtract">
    <extension url="template">
      <valueReference>
        <reference value="#pop-eligible-template"/>
      </valueReference>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtract">
    <extension url="template">
      <valueReference>
        <reference value="#pop-1-4-template"/>
      </valueReference>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtract">
    <extension url="template">
      <valueReference>
        <reference value="#pop-5-14-template"/>
      </valueReference>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtract">
    <extension url="template">
      <valueReference>
        <reference value="#pop-15-plus-template"/>
      </valueReference>
    </extension>
  </extension>
  <url value="https://icr.healthcampaigns.org/Questionnaire/espen-mda-location-registration"/>
  <version value="0.1.0"/>
  <name value="EspenMDALocationRegistration"/>
  <status value="active"/>
  <experimental value="false"/>
  <subjectType value="Location"/>
  <date value="2026-07-05T20:56:14+00:00"/>
  <publisher value="UNICEF"/>
  <contact>
    <name value="UNICEF"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.unicef.org"/>
    </telecom>
  </contact>
  <description value="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 value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <item>
    <linkId value="l_recorder_id"/>
    <text value="Select the recorder ID"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="l_state"/>
    <text value="Select State / Region / Province"/>
    <type value="string"/>
    <required value="true"/>
  </item>
  <item>
    <linkId value="l_district"/>
    <text value="Select District / LGA / County"/>
    <type value="string"/>
    <required value="true"/>
  </item>
  <item>
    <linkId value="l_health_facility"/>
    <text value="Enter the Health facility / Sub district"/>
    <type value="string"/>
    <required value="true"/>
  </item>
  <item>
    <linkId value="l_location"/>
    <text value="Enter the village / location / site"/>
    <type value="string"/>
    <required value="true"/>
  </item>
  <item>
    <linkId value="l_location_id"/>
    <text value="Enter the ID of village / location / site"/>
    <type value="string"/>
    <required value="true"/>
  </item>
  <item>
    <linkId value="l_total_pop"/>
    <text value="Enter the total population of the village"/>
    <type value="integer"/>
    <required value="true"/>
  </item>
  <item>
    <linkId value="I_total_popn_1_4"/>
    <text value="Total number of people aged 1-4 years of the village"/>
    <type value="integer"/>
    <required value="true"/>
  </item>
  <item>
    <linkId value="I_total_popn_5_14"/>
    <text value="Total number of people aged 5-14 years of the Village"/>
    <type value="integer"/>
    <required value="true"/>
  </item>
  <item>
    <linkId value="I_total_popn_15_More"/>
    <text value="Total number of people aged 15 years and above in the village"/>
    <type value="integer"/>
    <required value="true"/>
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
      <valueBoolean value="true"/>
    </extension>
    <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
      <valueExpression>
        <language value="text/fhirpath"/>
        <expression value="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)"/>
      </valueExpression>
    </extension>
    <linkId value="l_eligible_pop"/>
    <text value="Total eligible population of the village"/>
    <type value="integer"/>
    <readOnly value="true"/>
  </item>
  <item>
    <linkId value="l_gps"/>
    <text value="GPS of the village"/>
    <type value="group"/>
    <item>
      <linkId value="l_gps_lat"/>
      <text value="Latitude"/>
      <type value="decimal"/>
    </item>
    <item>
      <linkId value="l_gps_lng"/>
      <text value="Longitude"/>
      <type value="decimal"/>
    </item>
  </item>
  <item>
    <linkId value="l_submitting_report"/>
    <text value="Enter name of person submitting report"/>
    <type value="string"/>
    <required value="true"/>
  </item>
  <item>
    <linkId value="l_additional_note"/>
    <text value="Any other information"/>
    <type value="text"/>
  </item>
</Questionnaire>