XIG: Questionnaire/HIV.D19AssessForVaccinePreventableDiseases

FHIR IG Statistics: Questionnaire/HIV.D19AssessForVaccinePreventableDiseases

Package	smart.who.int.hiv
Resource Type	Questionnaire
Id	HIV.D19AssessForVaccinePreventableDiseases
FHIR Version	R4
Source	http://smart.who.int/hiv/https://build.fhir.org/ig/WorldHealthOrganization/smart-hiv/Questionnaire-HIV.D19AssessForVaccinePreventableDiseases.html
URL	http://smart.who.int/hiv/Questionnaire/HIV.D19AssessForVaccinePreventableDiseases
Version	0.4.4
Status	draft
Date	2025-07-24T19:24:35+00:00
Title	Assess for vaccine-preventable diseases
Authority	who
Description	Questionnaire for assess for vaccine-preventable diseases

Resources that use this resource

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Resources that this resource uses

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Questionnaire HIV.D19AssessForVaccinePreventableDiseases

Language: en

Profiles: Extractable Questionnaire - StructureMap, CRMI Shareable Questionnaire, CRMI Publishable Questionnaire

LinkID	Text	Cardinality	Type	Description & Constraints
	Questionnaire for assess for vaccine-preventable diseases		Questionnaire	http://smart.who.int/hiv/Questionnaire/HIV.D19AssessForVaccinePreventableDiseases#0.4.4
HIV.D.DE602	Hepatitis B negative counselling conducted	0..1	boolean
HIV.D.DE603	Vaccine brand	0..1	choice	Value Set: #HIV.D.DE603
HIV.D.DE604	Vaccine type	0..1	choice	Value Set: #HIV.D.DE604
HIV.D.DE605	Date and time of vaccination	0..1	dateTime
HIV.D.DE606	Vaccination location	0..1	choice	Value Set: #HIV.D.DE606
HIV.D.DE607	Dose number	0..1	integer
HIV.D.DE608	Dose quantity	0..1	integer
HIV.D.DE609	Total doses in series	0..1	integer
HIV.D.DE610	Disease targeted	0..1	choice	Value Set: #HIV.D.DE610
HIV.D.DE636	Reason immunization was not provided	1..1	choice	Value Set: #HIV.D.DE636
HIV.D.DE642	Other reason immunization not provided (specify)	0..1	string
Documentation for this format

Source

{
  "resourceType": "Questionnaire",
  "id": "HIV.D19AssessForVaccinePreventableDiseases",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-smap",
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablequestionnaire",
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablequestionnaire"
    ]
  },
  "language": "en",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://smart.who.int/hiv/Questionnaire/HIV.D19AssessForVaccinePreventableDiseases",
  "version": "0.4.4",
  "title": "Assess for vaccine-preventable diseases",
  "status": "draft",
  "experimental": true,
  "subjectType": [
    "Patient"
  ],
  "date": "2025-07-24T19:24:35+00:00",
  "publisher": "WHO",
  "contact": [
    {
      "name": "WHO",
      "telecom": [
        {
          "system": "url",
          "value": "http://who.int"
        }
      ]
    }
  ],
  "description": "Questionnaire for assess for vaccine-preventable diseases",
  "item": [
    {
      "id": "HIV.D.DE602",
      "linkId": "HIV.D.DE602",
      "text": "Hepatitis B negative counselling conducted",
      "type": "boolean",
      "required": false,
      "repeats": false,
      "readOnly": false
    },
    {
      "id": "HIV.D.DE603",
      "linkId": "HIV.D.DE603",
      "text": "Vaccine brand",
      "type": "choice",
      "required": false,
      "repeats": false,
      "readOnly": false,
      "answerValueSet": "#HIV.D.DE603"
    },
    {
      "id": "HIV.D.DE604",
      "linkId": "HIV.D.DE604",
      "text": "Vaccine type",
      "type": "choice",
      "required": false,
      "repeats": false,
      "readOnly": false,
      "answerValueSet": "#HIV.D.DE604"
    },
    {
      "id": "HIV.D.DE605",
      "linkId": "HIV.D.DE605",
      "text": "Date and time of vaccination",
      "type": "dateTime",
      "required": false,
      "repeats": false,
      "readOnly": false
    },
    {
      "id": "HIV.D.DE606",
      "linkId": "HIV.D.DE606",
      "text": "Vaccination location",
      "type": "choice",
      "required": false,
      "repeats": false,
      "readOnly": false,
      "answerValueSet": "#HIV.D.DE606"
    },
    {
      "id": "HIV.D.DE607",
      "linkId": "HIV.D.DE607",
      "text": "Dose number",
      "type": "integer",
      "required": false,
      "repeats": false,
      "readOnly": false
    },
    {
      "id": "HIV.D.DE608",
      "linkId": "HIV.D.DE608",
      "text": "Dose quantity",
      "type": "integer",
      "required": false,
      "repeats": false,
      "readOnly": false
    },
    {
      "id": "HIV.D.DE609",
      "linkId": "HIV.D.DE609",
      "text": "Total doses in series",
      "type": "integer",
      "required": false,
      "repeats": false,
      "readOnly": false
    },
    {
      "id": "HIV.D.DE610",
      "linkId": "HIV.D.DE610",
      "text": "Disease targeted",
      "type": "choice",
      "required": false,
      "repeats": false,
      "readOnly": false,
      "answerValueSet": "#HIV.D.DE610"
    },
    {
      "id": "HIV.D.DE636",
      "linkId": "HIV.D.DE636",
      "text": "Reason immunization was not provided",
      "type": "choice",
      "required": true,
      "repeats": false,
      "readOnly": false,
      "answerValueSet": "#HIV.D.DE636"
    },
    {
      "id": "HIV.D.DE642",
      "linkId": "HIV.D.DE642",
      "text": "Other reason immunization not provided (specify)",
      "type": "string",
      "required": false,
      "repeats": false,
      "readOnly": false
    }
  ]
}