| Package | smart.who.int.immunizations |
| Resource Type | Questionnaire |
| Id | QIMMZD17 |
| FHIR Version | R4 |
| Source | http://smart.who.int/immunizations/https://build.fhir.org/ig/WorldHealthOrganization/smart-immunizations/Questionnaire-QIMMZD17.html |
| URL | http://smart.who.int/immunizations/Questionnaire/QIMMZD17 |
| Version | 0.2.0 |
| Status | draft |
| Date | 2025-07-25T21:56:21+00:00 |
| Title | IMMZ.D17.Report AEFI |
| Authority | who |
| Description | Questionnaire for IMMZ.D17.Report AEFI |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire QIMMZD17
Language: en
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  | Questionnaire for IMMZ.D17.Report AEFI | Questionnaire | http://smart.who.int/immunizations/Questionnaire/QIMMZD17#0.2.0 | |
  reactionReported | Reaction reported | 0..1 | boolean | |
 reactionDate | Reaction date | 1..1 | date | Enable When: reactionReported = |
 reactionManifestation | Reaction manifestation | 1..1 | choice | Enable When: reactionReported = Value Set: IMMZ.D.DE95 ValueSet for Reaction manifestation |
| typeOfReaction | Type of reaction | 1..1 | choice | Enable When: reactionReported = Value Set: IMMZ.D.DE107 ValueSet for Type of reaction |
 otherImportantMedicalEvent | Other important medical event (specify) | 0..1 | string | |
 reactionOutcome | Reaction outcome | 1..1 | choice | Enable When: reactionReported = Value Set: IMMZ.D.DE115 ValueSet for Reaction outcome |
| Documentation for this format | ||||
ValueSet #IMMZ.D.DE95
This value set expansion contains 9 concepts.
| Code | System | Display | Definition |
| DE96 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Severe local reaction | The client's reaction manifested in severe local reaction |
| DE98 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Seizures | The client's reaction manifested in seizures |
| DE99 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Abscess | The client's reaction manifested in an abscess |
| DE100 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Sepsis | The client's reaction manifested in sepsis |
| DE101 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Encephalopathy | The client's reaction manifested in encephalopathy |
| DE102 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Toxic shock syndrome | The client's reaction manifested in toxic shock syndrome |
| DE103 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Anaphylaxis | The client's reaction manifested in anaphylaxis |
| DE104 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Fever | The client's reaction manifested as a fever |
| DE105 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Other | The client's reaction manifested in another way |
ValueSet #IMMZ.D.DE107
This value set expansion contains 6 concepts.
| Code | System | Display | Definition |
| DE174 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Non serious | The reaction resulted in a mild or minor response and did not pose a significant threat to client's health |
| DE108 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Death | The reaction resulted in the client's death |
| DE109 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Life threatening | The reaction threatened the client's life |
| DE110 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Disability | The reaction resulted in a disability |
| DE111 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Hospitalization | The reaction resulted in a hospitalization |
| DE112 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Congenital anomaly | The reaction was a congenital anomaly or birth defect |
ValueSet #IMMZ.D.DE115
This value set expansion contains 6 concepts.
| Code | System | Display | Definition |
| DE116 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Died | The adverse event resulted in the client's death |
| DE117 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Recovered | The client fully recovered |
| DE118 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Recovered with sequelae | The client has recovered with sequelae as a consequence of the reaction/vaccination |
| DE119 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Recovering | The client is recovering |
| DE120 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Not recovered | The client has not recovered |
| DE121 | http://smart.who.int/immunizations/CodeSystem/IMMZ.D | Unknown | The client's reaction outcome is unknown |
FHIR{
"resourceType": "Questionnaire",
"id": "QIMMZD17",
"meta": {
"profile": [
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]
},
"language": "en",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"contained": [
{
"resourceType": "ValueSet",
"id": "IMMZ.D.DE95",
"url": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE95",
"name": "IMMZ_D_DE95",
"title": "IMMZ.D.DE95 ValueSet for Reaction manifestation",
"status": "active",
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"compose": {
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{
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},
{
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"display": "Seizures"
},
{
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"display": "Abscess"
},
{
"code": "DE100",
"display": "Sepsis"
},
{
"code": "DE101",
"display": "Encephalopathy"
},
{
"code": "DE102",
"display": "Toxic shock syndrome"
},
{
"code": "DE103",
"display": "Anaphylaxis"
},
{
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"display": "Fever"
},
{
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{
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"display": "Sepsis"
},
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE101",
"display": "Encephalopathy"
},
{
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{
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{
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},
{
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}
]
}
},
{
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"id": "IMMZ.D.DE107",
"url": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE107",
"name": "IMMZ_D_DE107",
"title": "IMMZ.D.DE107 ValueSet for Type of reaction",
"status": "active",
"description": "ValueSet for Type of reaction for IMMZ.D.DE107",
"compose": {
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{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
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{
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},
{
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},
{
"code": "DE109",
"display": "Life threatening"
},
{
"code": "DE110",
"display": "Disability"
},
{
"code": "DE111",
"display": "Hospitalization"
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{
"code": "DE112",
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}
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{
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},
{
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"code": "DE112",
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},
{
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"id": "IMMZ.D.DE115",
"url": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE115",
"name": "IMMZ_D_DE115",
"title": "IMMZ.D.DE115 ValueSet for Reaction outcome",
"status": "active",
"description": "ValueSet for Reaction outcome for IMMZ.D.DE115",
"compose": {
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{
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"concept": [
{
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"display": "Died"
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{
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},
{
"code": "DE118",
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{
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}
],
"url": "http://smart.who.int/immunizations/Questionnaire/QIMMZD17",
"version": "0.2.0",
"title": "IMMZ.D17.Report AEFI",
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"description": "Questionnaire for IMMZ.D17.Report AEFI",
"item": [
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{
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{
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}