FHIR IG analytics| Package | smart.who.int.icvp |
| Resource Type | QuestionnaireResponse |
| Id | QuestionnaireResponse-ICVPQRExample.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: QuestionnaireResponse ICVPQRExample
Profile: SDC Questionnaire Response
Tag: lformsVersion: 33.3.6 (Details: [not stated] code lformsVersion: 33.3.6)
| LinkID | Text | Definition | Answer |
|---|---|---|---|
![]() | Questionnaire:ICVP Model Questionnaire | ||
![]() ![]() | Full Name of the client | John Doe | |
![]() ![]() | Date of Birth | 2017-05-17 | |
![]() ![]() | Sex | administrativeSex M: Male | |
![]() ![]() | Nationality | ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code ATG: Antigua and Barbuda | |
![]() ![]() | National Identification Document | ASVPR24682C | |
![]() ![]() | Parent or Guardian Details | ||
![]() ![]() ![]() | Name of Parent or Guardian | Father Doe | |
![]() ![]() ![]() | Relationship Status | DVCRelationshipStatus Parent: Parent | |
![]() ![]() | Vaccine Certificate Details | ||
![]() ![]() ![]() | Vaccine or Prophylaxis ID | ICVPProductIds YellowFeverProductd8a09f80301dc05e124f99ffe7711fc0: 01/01/1987Yellow FeverSTAMARILVial + Ampoule10Sanofi PasteurAgence nationale de sécurité du médicament et des produits de santé | |
![]() ![]() ![]() | Date of Vaccination | 2025-08-08 | |
![]() ![]() ![]() | Name of supervising clinician | Mr. Supervisor | |
![]() ![]() ![]() | Relevant authoring reponsible for issuing the certificate, or for overseeing the administration center | National Health Institute | |
![]() ![]() ![]() | Batch Number | 23543657LOT | |
![]() ![]() ![]() | Certificate Validity Period | ||
![]() ![]() ![]() ![]() | From | 2025-08-15 | |
{
"resourceType": "QuestionnaireResponse",
"id": "ICVPQRExample",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse"
],
"tag": [
{
"code": "lformsVersion: 33.3.6"
}
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"questionnaire": "http://smart.who.int/icvp/Questionnaire/ICVP",
"status": "completed",
"authored": "2025-08-08T08:16:27.352Z",
"item": [
{
"linkId": "name",
"text": "Full Name of the client",
"answer": [
{
"valueString": "John Doe"
}
]
},
{
"linkId": "dob",
"text": "Date of Birth",
"answer": [
{
"valueDate": "2017-05-17"
}
]
},
{
"linkId": "sex",
"text": "Sex",
"answer": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0001",
"code": "M",
"display": "Male"
}
}
]
},
{
"linkId": "nationality",
"text": "Nationality",
"answer": [
{
"valueCoding": {
"system": "urn:iso:std:iso:3166",
"code": "ATG"
}
}
]
},
{
"linkId": "nid",
"text": "National Identification Document",
"answer": [
{
"valueString": "ASVPR24682C"
}
]
},
{
"linkId": "guardian",
"text": "Parent or Guardian Details",
"item": [
{
"linkId": "guardianName",
"text": "Name of Parent or Guardian",
"answer": [
{
"valueString": "Father Doe"
}
]
},
{
"linkId": "guardianRelationship",
"text": "Relationship Status",
"answer": [
{
"valueCoding": {
"system": "http://smart.who.int/icvp/CodeSystem/DVCRelationshipStatus",
"code": "Parent",
"display": "Parent"
}
}
]
}
]
},
{
"linkId": "vaccineDetails",
"text": "Vaccine Certificate Details",
"item": [
{
"linkId": "productID",
"text": "Vaccine or Prophylaxis ID",
"answer": [
{
"valueCoding": {
"system": "http://smart.who.int/icvp/CodeSystem/ICVPProductIds",
"code": "YellowFeverProductd8a09f80301dc05e124f99ffe7711fc0",
"display": "01/01/1987Yellow FeverSTAMARILVial + Ampoule10Sanofi PasteurAgence nationale de sécurité du médicament et des produits de santé"
}
}
]
},
{
"linkId": "date",
"text": "Date of Vaccination",
"answer": [
{
"valueDate": "2025-08-08"
}
]
},
{
"linkId": "clinicianName",
"text": "Name of supervising clinician",
"answer": [
{
"valueString": "Mr. Supervisor"
}
]
},
{
"linkId": "issuer",
"text": "Relevant authoring reponsible for issuing the certificate, or for overseeing the administration center",
"answer": [
{
"valueString": "National Health Institute"
}
]
},
{
"linkId": "batchNo",
"text": "Batch Number",
"answer": [
{
"valueString": "23543657LOT"
}
]
},
{
"linkId": "validityPeriod",
"text": "Certificate Validity Period",
"item": [
{
"linkId": "startDate",
"text": "From",
"answer": [
{
"valueDate": "2025-08-15"
}
]
}
]
}
]
}
]
}