FHIR IG Statistics: Questionnaire/ICVP

Resources that use this resource

No resources found

Resources that this resource uses

No resources found

Narrative

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

Generated Narrative: Questionnaire ICVP

Profile: Extractable Questionnaire - StructureMap

LinkID	Text	Cardinality	Type	Description & Constraints
	Questionnaire for DVC Logical Model with the WHO ICVP		Questionnaire	http://smart.who.int/icvp/Questionnaire/ICVP#0.1.0
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
guardianRelationship	Relationship Status	0..1	choice	Value Set: Relationship Status for Contact in Patient
vaccineDetails	Vaccine Certificate Details	1..*	group
productID	Vaccine or Prophylaxis ID	1..1	choice	Value Set: WHO ICVP 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
Documentation for this format

Contained Resources

---

ValueSet #v3-Country

Language: en

• Include codes fromurn:iso:std:iso:3166 where code matches (by regex) [A-Z]{3}

---

ValueSet #ICVPProductIds

• Include these codes as defined in http://smart.who.int/pcmt-vaxprequal/CodeSystem/PreQualProductIDs

  Code	Display
  YellowFeverProductd2c75a15ed309658b3968519ddb31690	26/03/2009Yellow Fevern/aAmpoule2Federal State Autonomous Scientific Institution «Chumakov Federal Scientific Center for Research & Development of Immune-And Biological Products», Russian Academy of SciencesFederal Service on Surveillance in Healthcare (ROSZDRAVNADZOR) of the Russian Federation
  YellowFeverProduct771d1a5c0acaee3e2dc9d56af1aba49d	26/03/2009Yellow Fevern/aAmpoule5Federal State Autonomous Scientific Institution «Chumakov Federal Scientific Center for Research & Development of Immune-And Biological Products», Russian Academy of SciencesFederal Service on Surveillance in Healthcare (ROSZDRAVNADZOR) of the Russian Federation
  YellowFeverProducte929626497bdbb71adbe925f0c09c79f	26/03/2009Yellow Fevern/aAmpoule10Federal State Autonomous Scientific Institution «Chumakov Federal Scientific Center for Research & Development of Immune-And Biological Products», Russian Academy of SciencesFederal Service on Surveillance in Healthcare (ROSZDRAVNADZOR) of the Russian Federation
  YellowFeverProduct01a3b83cf13e87948437db11cf5c34eb	14/10/2022Yellow FeverSinSaVac™Vial10Federal State Autonomous Scientific Institution «Chumakov Federal Scientific Center for Research & Development of Immune-And Biological Products», Russian Academy of SciencesFederal Service on Surveillance in Healthcare (ROSZDRAVNADZOR) of the Russian Federation
  YellowFeverProductf82b015dfb3b1feeacd4c44d95b3b3ec	20/03/2001Yellow FeverStabilized Yellow Fever VaccineAmpoule5Institut Pasteur de DakarMinistère de la Santé publique
  YellowFeverProduct223330a7c15da86b21cc363f591de002	20/03/2001Yellow FeverStabilized Yellow Fever VaccineAmpoule10Institut Pasteur de DakarMinistère de la Santé publique
  YellowFeverProductffea8448252ee58b7a92add05f0c3431	20/03/2001Yellow FeverStabilized Yellow Fever VaccineAmpoule20Institut Pasteur de DakarMinistère de la Santé publique
  YellowFeverProductd8a09f80301dc05e124f99ffe7711fc0	01/01/1987Yellow FeverSTAMARILVial + Ampoule10Sanofi PasteurAgence nationale de sécurité du médicament et des produits de santé
  YellowFeverProductab01f006f8b24113f4a28cb50bfe6d9d	17/10/2001Yellow FeverYellow FeverTwo vial set (active + excipient)5Bio-Manguinhos/FiocruzAgencia Nacional da Vigilancia Sanitaria
  YellowFeverProduct5f0639d8e4d52afef089aa7148c5060c	10/12/2007Yellow FeverYellow FeverTwo vial set (active + excipient)10Bio-Manguinhos/FiocruzAgencia Nacional da Vigilancia Sanitaria
  YellowFeverProducte0534dbc71a6cc09f56dce25216c538c	17/10/2001Yellow FeverYellow FeverTwo vial set (active + excipient)50Bio-Manguinhos/FiocruzAgencia Nacional da Vigilancia Sanitaria

---

ValueSet #DVCRelationshipStatus

• Include all codes defined in http://smart.who.int/icvp/CodeSystem/DVCRelationshipStatus

---

ValueSet #preQualVaccines

• Include all codes defined in http://smart.who.int/icvp/CodeSystem/preQualVaccines

Source

{
  "resourceType": "Questionnaire",
  "id": "ICVP",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-smap"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "contained": [
    {
      "resourceType": "ValueSet",
      "id": "v3-Country",
      "language": "en",
      "text": {
        "status": "generated",
        "div": "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet v3-Country</b></p><a name=\"v3-Country\"> </a><a name=\"hcv3-Country\"> </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\">Language: en</p></div><ul><li>Include codes from<a href=\"CodeSystem-ISO3166Part1.html\"><code>urn:iso:std:iso:3166</code></a> where code  matches (by regex) [A-Z]{3}</li></ul></div>"
      },
      "url": "http://terminology.hl7.org/ValueSet/v3-Country",
      "identifier": [
        {
          "system": "urn:ietf:rfc:3986",
          "value": "urn:oid:2.16.840.1.113883.1.11.171"
        }
      ],
      "version": "3.0.0",
      "name": "Country",
      "title": "Country",
      "status": "active",
      "experimental": false,
      "date": "2014-03-26",
      "publisher": "Health Level Seven International",
      "contact": [
        {
          "telecom": [
            {
              "system": "url",
              "value": "http://hl7.org"
            },
            {
              "system": "email",
              "value": "hq@HL7.org"
            }
          ]
        }
      ],
      "description": "Countries of the world. ISO 3166, part 1, alpha-3 set.",
      "copyright": "This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html",
      "compose": {
        "include": [
          {
            "system": "urn:iso:std:iso:3166",
            "filter": [
              {
                "property": "code",
                "op": "regex",
                "value": "[A-Z]{3}"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType": "ValueSet",
      "id": "ICVPProductIds",
      "url": "http://smart.who.int/icvp/ValueSet/ICVPProductIds",
      "name": "ICVPProductIds",
      "title": "WHO ICVP Vaccine Product Ids",
      "status": "active",
      "experimental": true,
      "description": "WHO ICVP Vaccine Product Ids",
      "compose": {
        "include": [
          {
            "system": "http://smart.who.int/pcmt-vaxprequal/CodeSystem/PreQualProductIDs",
            "concept": [
              {
                "code": "YellowFeverProductd2c75a15ed309658b3968519ddb31690",
                "display": "26/03/2009Yellow Fevern/aAmpoule2Federal State Autonomous Scientific Institution «Chumakov Federal Scientific Center for Research & Development of Immune-And Biological Products», Russian Academy of SciencesFederal Service on Surveillance in Healthcare (ROSZDRAVNADZOR) of the Russian Federation"
              },
              {
                "code": "YellowFeverProduct771d1a5c0acaee3e2dc9d56af1aba49d",
                "display": "26/03/2009Yellow Fevern/aAmpoule5Federal State Autonomous Scientific Institution «Chumakov Federal Scientific Center for Research & Development of Immune-And Biological Products», Russian Academy of SciencesFederal Service on Surveillance in Healthcare (ROSZDRAVNADZOR) of the Russian Federation"
              },
              {
                "code": "YellowFeverProducte929626497bdbb71adbe925f0c09c79f",
                "display": "26/03/2009Yellow Fevern/aAmpoule10Federal State Autonomous Scientific Institution «Chumakov Federal Scientific Center for Research & Development of Immune-And Biological Products», Russian Academy of SciencesFederal Service on Surveillance in Healthcare (ROSZDRAVNADZOR) of the Russian Federation"
              },
              {
                "code": "YellowFeverProduct01a3b83cf13e87948437db11cf5c34eb",
                "display": "14/10/2022Yellow FeverSinSaVac™Vial10Federal State Autonomous Scientific Institution «Chumakov Federal Scientific Center for Research & Development of Immune-And Biological Products», Russian Academy of SciencesFederal Service on Surveillance in Healthcare (ROSZDRAVNADZOR) of the Russian Federation"
              },
              {
                "code": "YellowFeverProductf82b015dfb3b1feeacd4c44d95b3b3ec",
                "display": "20/03/2001Yellow FeverStabilized Yellow Fever VaccineAmpoule5Institut Pasteur de DakarMinistère de la Santé publique"
              },
              {
                "code": "YellowFeverProduct223330a7c15da86b21cc363f591de002",
                "display": "20/03/2001Yellow FeverStabilized Yellow Fever VaccineAmpoule10Institut Pasteur de DakarMinistère de la Santé publique"
              },
              {
                "code": "YellowFeverProductffea8448252ee58b7a92add05f0c3431",
                "display": "20/03/2001Yellow FeverStabilized Yellow Fever VaccineAmpoule20Institut Pasteur de DakarMinistère de la Santé publique"
              },
              {
                "code": "YellowFeverProductd8a09f80301dc05e124f99ffe7711fc0",
                "display": "01/01/1987Yellow FeverSTAMARILVial + Ampoule10Sanofi PasteurAgence nationale de sécurité du médicament et des produits de santé"
              },
              {
                "code": "YellowFeverProductab01f006f8b24113f4a28cb50bfe6d9d",
                "display": "17/10/2001Yellow FeverYellow FeverTwo vial set (active + excipient)5Bio-Manguinhos/FiocruzAgencia Nacional da Vigilancia Sanitaria"
              },
              {
                "code": "YellowFeverProduct5f0639d8e4d52afef089aa7148c5060c",
                "display": "10/12/2007Yellow FeverYellow FeverTwo vial set (active + excipient)10Bio-Manguinhos/FiocruzAgencia Nacional da Vigilancia Sanitaria"
              },
              {
                "code": "YellowFeverProducte0534dbc71a6cc09f56dce25216c538c",
                "display": "17/10/2001Yellow FeverYellow FeverTwo vial set (active + excipient)50Bio-Manguinhos/FiocruzAgencia Nacional da Vigilancia Sanitaria"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType": "ValueSet",
      "id": "DVCRelationshipStatus",
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet DVCRelationshipStatus</b></p><a name=\"DVCRelationshipStatus\"> </a><a name=\"hcDVCRelationshipStatus\"> </a><ul><li>Include all codes defined in <code>http://smart.who.int/icvp/CodeSystem/DVCRelationshipStatus</code></li></ul></div>"
      },
      "url": "http://smart.who.int/trust-phw/ValueSet/DVCRelationshipStatus",
      "version": "0.1.0",
      "name": "DVCRelationshipStatus",
      "title": "Relationship Status for Contact in Patient",
      "status": "draft",
      "date": "2025-07-08T11:27:10+00:00",
      "publisher": "WHO",
      "contact": [
        {
          "name": "WHO",
          "telecom": [
            {
              "system": "url",
              "value": "http://who.int"
            }
          ]
        }
      ],
      "description": "Relationship Status for Contact in Patient",
      "jurisdiction": [
        {
          "coding": [
            {
              "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
              "code": "001",
              "display": "World"
            }
          ]
        }
      ],
      "compose": {
        "include": [
          {
            "system": "http://smart.who.int/icvp/CodeSystem/DVCRelationshipStatus"
          }
        ]
      }
    },
    {
      "resourceType": "ValueSet",
      "id": "preQualVaccines",
      "url": "http://smart.who.int/icvp/ValueSet/preQualVaccines",
      "name": "preQualVaccines",
      "title": "preQualVaccines",
      "status": "draft",
      "description": "preQualVaccines value set",
      "compose": {
        "include": [
          {
            "system": "http://smart.who.int/icvp/CodeSystem/preQualVaccines"
          }
        ]
      }
    }
  ],
  "url": "http://smart.who.int/icvp/Questionnaire/ICVP",
  "version": "0.1.0",
  "title": "ICVP Model Questionnaire",
  "status": "draft",
  "date": "2025-07-15T19:22:42+00:00",
  "publisher": "WHO",
  "contact": [
    {
      "name": "WHO",
      "telecom": [
        {
          "system": "url",
          "value": "http://who.int"
        }
      ]
    }
  ],
  "description": "Questionnaire for DVC Logical Model with the WHO ICVP",
  "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"
    },
    {
      "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": "guardianRelationship",
          "text": "Relationship Status",
          "type": "choice",
          "required": false,
          "repeats": false,
          "answerValueSet": "#DVCRelationshipStatus"
        }
      ]
    },
    {
      "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/icvp/ValueSet/ICVPProductIds"
        },
        {
          "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
            }
          ]
        }
      ]
    }
  ]
}