{ "resourceType" : "Questionnaire", "id" : "icr-mda-supervision-checklist", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire icr-mda-supervision-checklist

\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
LinkIDTextCardinalityTypeDescription & Constraints\"doco\"
\".\"\".\" ICRMDASupervisionChecklistStructured supervision checklist for community-directed MDA (ESPEN Forms 5 & 6), grouped: supplies, CDD observation, stock & wastage, social mobilization.Questionnairehttps://fhir.icr.unicef.org/Questionnaire/icr-mda-supervision-checklist#0.1.0
\".\"\".\"\".\" suppliesMDA supplies available0..1group
\".\"\".\"\".\"\".\" supplies.height-chartHeight chart / dose pole present0..1boolean
\".\"\".\"\".\"\".\" supplies.registerRegister present0..1boolean
\".\"\".\"\".\"\".\" supplies.checklistRecords/checklist present0..1boolean
\".\"\".\"\".\" cdd-observationCDD observation0..1group
\".\"\".\"\".\"\".\" cdd.docMedicine taken in the presence of the distributor (DOC)0..1boolean
\".\"\".\"\".\"\".\" cdd.height-chart-usedHeight chart used correctly0..1boolean
\".\"\".\"\".\"\".\" cdd.ineligiblesIneligible individuals correctly identified0..1boolean
\".\"\".\"\".\"\".\" cdd.side-effect-procedureProcedure for adverse events is known0..1boolean
\".\"\".\"\".\" stockStock & wastage0..1group
\".\"\".\"\".\"\".\" stock.remainingRemaining stock present0..1boolean
\".\"\".\"\".\"\".\" stock.expiredAny expired medicines0..1boolean
\".\"\".\"\".\"\".\" stock.concordantPhysical stock matches theoretical stock0..1boolean
\".\"\".\"\".\" mobilizationSocial mobilization0..1group
\".\"\".\"\".\"\".\" mob.informedPopulation informed before the campaign0..1boolean

\"doco\" Documentation for this format
" }, "url" : "https://fhir.icr.unicef.org/Questionnaire/icr-mda-supervision-checklist", "version" : "0.1.0", "name" : "ICRMDASupervisionChecklist", "title" : "ICR MDA Supervision Checklist", "status" : "active", "experimental" : false, "subjectType" : ["Group", "Location"], "date" : "2026-07-03T15:57:55-04:00", "publisher" : "UNICEF Integrated Campaign Registry project (Ona + Crosscut)", "contact" : [{ "name" : "UNICEF Integrated Campaign Registry project (Ona + Crosscut)", "telecom" : [{ "system" : "url", "value" : "https://ona.io" }] }], "description" : "Structured supervision checklist for community-directed MDA (ESPEN Forms 5 & 6), grouped: supplies, CDD observation, stock & wastage, social mobilization.", "jurisdiction" : [{ "coding" : [{ "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm", "code" : "001", "display" : "World" }] }], "item" : [{ "linkId" : "supplies", "text" : "MDA supplies available", "type" : "group", "item" : [{ "linkId" : "supplies.height-chart", "text" : "Height chart / dose pole present", "type" : "boolean" }, { "linkId" : "supplies.register", "text" : "Register present", "type" : "boolean" }, { "linkId" : "supplies.checklist", "text" : "Records/checklist present", "type" : "boolean" }] }, { "linkId" : "cdd-observation", "text" : "CDD observation", "type" : "group", "item" : [{ "linkId" : "cdd.doc", "text" : "Medicine taken in the presence of the distributor (DOC)", "type" : "boolean" }, { "linkId" : "cdd.height-chart-used", "text" : "Height chart used correctly", "type" : "boolean" }, { "linkId" : "cdd.ineligibles", "text" : "Ineligible individuals correctly identified", "type" : "boolean" }, { "linkId" : "cdd.side-effect-procedure", "text" : "Procedure for adverse events is known", "type" : "boolean" }] }, { "linkId" : "stock", "text" : "Stock & wastage", "type" : "group", "item" : [{ "linkId" : "stock.remaining", "text" : "Remaining stock present", "type" : "boolean" }, { "linkId" : "stock.expired", "text" : "Any expired medicines", "type" : "boolean" }, { "linkId" : "stock.concordant", "text" : "Physical stock matches theoretical stock", "type" : "boolean" }] }, { "linkId" : "mobilization", "text" : "Social mobilization", "type" : "group", "item" : [{ "linkId" : "mob.informed", "text" : "Population informed before the campaign", "type" : "boolean" }] }] }