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Narrative

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

Generated Narrative: Questionnaire pPreQual

Profile: Extractable Questionnaire - StructureMap

LinkID	Text	Cardinality	Type	Description & Constraints
			Questionnaire	http://smart.who.int/icvp/Questionnaire/pPreQual#0.2.0
name	Full Name of the client	1..1	string
dob	Date of Birth	1..1	date
sex	Sex	0..1	choice	Value Set: hl7VS-administrativeSex
nationality	Nationality	0..1	choice	Value Set: Country
nid	National Identification Document	0..1	string
guardian	Parent or Guardian Details	0..1	group
guardianName	Name of Parent or Guardian	0..1	string
vaccineDetails	Vaccine Certificate Details	1..*	group
productID	Vaccine or Prophylaxis ID	1..1	choice	Value Set: WHO PreQualificaiton Vaccine Product Ids
date	Date of Vaccination	1..1	date
clinicianName	Name of supervising clinician	0..1	string
issuer	Relevant authoring reponsible for issuing the certificate, or for overseeing the administration center	0..1	string
batchNo.text	Batch Number	1..1	string
validityPeriod	Certificate Validity Period	0..1	group
startDate	From	0..1	date
endDate	To	0..1	date
attachment	Upload Paper Form image or PDF	0..1	attachment
Documentation for this format

Source1

{
  "resourceType": "Questionnaire",
  "id": "pPreQual",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-smap"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://smart.who.int/icvp/Questionnaire/pPreQual",
  "version": "0.2.0",
  "status": "active",
  "date": "2025-10-08T14:32:12+00:00",
  "publisher": "WHO",
  "contact": [
    {
      "name": "WHO",
      "telecom": [
        {
          "system": "url",
          "value": "http://who.int"
        }
      ]
    }
  ],
  "item": [
    {
      "linkId": "name",
      "text": "Full Name of the client",
      "type": "string",
      "required": true,
      "repeats": false
    },
    {
      "linkId": "dob",
      "text": "Date of Birth",
      "type": "date",
      "required": true,
      "repeats": false
    },
    {
      "linkId": "sex",
      "text": "Sex",
      "type": "choice",
      "required": false,
      "repeats": false,
      "answerValueSet": "http://terminology.hl7.org/ValueSet/v2-0001"
    },
    {
      "linkId": "nationality",
      "text": "Nationality",
      "type": "choice",
      "required": false,
      "repeats": false,
      "answerValueSet": "http://terminology.hl7.org/ValueSet/v3-Country|3.0.0"
    },
    {
      "linkId": "nid",
      "text": "National Identification Document",
      "type": "string",
      "required": false,
      "repeats": false
    },
    {
      "linkId": "guardian",
      "text": "Parent or Guardian Details",
      "type": "group",
      "required": false,
      "repeats": false,
      "item": [
        {
          "linkId": "guardianName",
          "text": "Name of Parent or Guardian",
          "type": "string",
          "required": false,
          "repeats": false
        }
      ]
    },
    {
      "linkId": "vaccineDetails",
      "text": "Vaccine Certificate Details",
      "type": "group",
      "required": true,
      "repeats": true,
      "item": [
        {
          "linkId": "productID",
          "text": "Vaccine or Prophylaxis ID",
          "type": "choice",
          "required": true,
          "repeats": false,
          "answerValueSet": "http://smart.who.int/pcmt-vaxprequal/ValueSet/PreQualProductIds"
        },
        {
          "linkId": "date",
          "text": "Date of Vaccination",
          "type": "date",
          "required": true,
          "repeats": false
        },
        {
          "linkId": "clinicianName",
          "text": "Name of supervising clinician",
          "type": "string",
          "required": false,
          "repeats": false
        },
        {
          "linkId": "issuer",
          "text": "Relevant authoring reponsible for issuing the certificate, or for overseeing the administration center",
          "type": "string",
          "required": false,
          "repeats": false
        },
        {
          "linkId": "batchNo.text",
          "text": "Batch Number",
          "type": "string",
          "required": true,
          "repeats": false
        },
        {
          "linkId": "validityPeriod",
          "text": "Certificate Validity Period",
          "type": "group",
          "required": false,
          "repeats": false,
          "item": [
            {
              "linkId": "startDate",
              "text": "From",
              "type": "date",
              "required": false,
              "repeats": false
            },
            {
              "linkId": "endDate",
              "text": "To",
              "type": "date",
              "required": false,
              "repeats": false
            }
          ]
        }
      ]
    },
    {
      "linkId": "attachment",
      "text": "Upload Paper Form image or PDF",
      "type": "attachment",
      "required": false,
      "repeats": false
    }
  ]
}