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FHIR IG Statistics: Questionnaire/PreQual

Packagesmart.who.int.trust-phw
TypeQuestionnaire
IdPreQual
FHIR VersionR4
Sourcehttp://smart.who.int/trust-phw/https://build.fhir.org/ig/WorldHealthOrganization/smart-trust-phw/Questionnaire-PreQual.html
URLhttp://smart.who.int/trust-phw/Questionnaire/PreQual
Version0.1.0
Statusdraft
Date2025-07-08T11:27:10+00:00
TitleDVC Model Questionnaire
Realmuv
Authoritywho
DescriptionQuestionnaire for DVC Logical Model with the WHO PreQual DB

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 PreQual

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. Questionnaire for DVC Logical Model with the WHO PreQual DBQuestionnairehttp://smart.who.int/trust-phw/Questionnaire/PreQual#0.1.0
... nameFull Name of the client0..*string
... dobDate of Birth0..*date
... sexSex0..1choiceValue Set: hl7VS-administrativeSex
... nationalityNationality0..1choiceValue Set: Country
... nidNational Identification Document0..1string
... guardianParent or Guardian Details0..1group
.... guardianNameName of Parent or Guardian0..1string
... vaccineDetailsVaccine Certificate Details1..*group
.... productIDVaccine or Prophylaxis ID0..*choiceValue Set: http://smart.who.int/pcmt-vaxprequal/ValueSet/PreQualProductIDs
.... dateDate of Vaccination0..*date
.... clinicianNameName of supervising clinician0..1string
.... issuerRelevant authoring reponsible for issuing the certificate, or for overseeing the administration center0..1string
.... batchNo.textBatch Number0..*string
.... validityPeriodCertificate Validity Period0..1group
..... startDateFrom0..1date
..... endDateTo0..1date
... attachmentUpload Paper Form image or PDF0..1attachment

doco Documentation for this format

Contained Resources


ValueSet #v3-Country

Language: en


ValueSet #DVCRelationshipStatus

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

ValueSet #PreQualProductIds


Source

{
  "resourceType": "Questionnaire",
  "id": "PreQual",
  "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\"><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",
      "compose": {
        "include": [
          {
            "system": "urn:iso:std:iso:3166",
            "filter": [
              {
                "property": "code",
                "op": "regex",
                "value": "[A-Z]{3}"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType": "ValueSet",
      "id": "DVCRelationshipStatus",
      "url": "http://smart.who.int/trust-phw/ValueSet/DVCRelationshipStatus",
      "name": "DVCRelationshipStatus",
      "title": "Relationship Status for Contact in Patient",
      "status": "draft",
      "description": "Relationship Status for Contact in Patient",
      "compose": {
        "include": [
          {
            "system": "http://smart.who.int/icvp/CodeSystem/DVCRelationshipStatus"
          }
        ]
      }
    },
    {
      "resourceType": "ValueSet",
      "id": "PreQualProductIds",
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet PreQualProductIds</b></p><a name=\"PreQualProductIds\"> </a><a name=\"hcPreQualProductIds\"> </a><ul><li>Include all codes defined in <a href=\"CodeSystem-PreQualProductIds.html\"><code>http://smart.who.int/pcmt-vaxprequal/CodeSystem/PreQualProductIds</code></a></li></ul></div>"
      },
      "url": "http://smart.who.int/pcmt-vaxprequal/ValueSet/PreQualProductIds",
      "version": "0.2.0",
      "name": "PreQualProductIds",
      "title": "WHO PreQualificaiton Vaccine Product Ids",
      "status": "draft",
      "date": "2025-07-01T11:06:49+00:00",
      "publisher": "WHO",
      "contact": [
        {
          "name": "WHO",
          "telecom": [
            {
              "system": "url",
              "value": "http://who.int"
            }
          ]
        }
      ],
      "description": "WHO PreQualificaiton Vaccine Product Ids",
      "compose": {
        "include": [
          {
            "system": "http://smart.who.int/pcmt-vaxprequal/CodeSystem/PreQualProductIds"
          }
        ]
      }
    }
  ],
  "url": "http://smart.who.int/trust-phw/Questionnaire/PreQual",
  "version": "0.1.0",
  "title": "DVC Model Questionnaire",
  "status": "draft",
  "date": "2025-07-08T11:27:10+00:00",
  "publisher": "WHO",
  "contact": [
    {
      "name": "WHO",
      "telecom": [
        {
          "system": "url",
          "value": "http://who.int"
        }
      ]
    }
  ],
  "description": "Questionnaire for DVC Logical Model with the WHO PreQual DB",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "item": [
    {
      "linkId": "name",
      "text": "Full Name of the client",
      "type": "string",
      "required": false,
      "repeats": true
    },
    {
      "linkId": "dob",
      "text": "Date of Birth",
      "type": "date",
      "required": false,
      "repeats": true
    },
    {
      "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": "vaccineDetails",
      "text": "Vaccine Certificate Details",
      "type": "group",
      "required": true,
      "repeats": true,
      "item": [
        {
          "linkId": "productID",
          "text": "Vaccine or Prophylaxis ID",
          "type": "choice",
          "required": false,
          "repeats": true,
          "answerValueSet": "http://smart.who.int/pcmt-vaxprequal/ValueSet/PreQualProductIDs"
        },
        {
          "linkId": "date",
          "text": "Date of Vaccination",
          "type": "date",
          "required": false,
          "repeats": true
        },
        {
          "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": false,
          "repeats": true
        },
        {
          "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
    }
  ]
}