Package | smart.who.int.trust-phw |
Type | Questionnaire |
Id | PreQual |
FHIR Version | R4 |
Source | http://smart.who.int/trust-phw/https://build.fhir.org/ig/WorldHealthOrganization/smart-trust-phw/Questionnaire-PreQual.html |
URL | http://smart.who.int/trust-phw/Questionnaire/PreQual |
Version | 0.1.0 |
Status | draft |
Date | 2025-07-08T11:27:10+00:00 |
Title | DVC Model Questionnaire |
Realm | uv |
Authority | who |
Description | Questionnaire for DVC Logical Model with the WHO PreQual DB |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire PreQual
LinkID | Text | Cardinality | Type | Description & Constraints |
---|---|---|---|---|
![]() ![]() | Questionnaire for DVC Logical Model with the WHO PreQual DB | Questionnaire | http://smart.who.int/trust-phw/Questionnaire/PreQual#0.1.0 | |
![]() ![]() ![]() | Full Name of the client | 0..* | string | |
![]() ![]() ![]() | Date of Birth | 0..* | date | |
![]() ![]() ![]() | Sex | 0..1 | choice | Value Set: hl7VS-administrativeSex |
![]() ![]() ![]() | Nationality | 0..1 | choice | Value Set: Country |
![]() ![]() ![]() | National Identification Document | 0..1 | string | |
![]() ![]() ![]() | Parent or Guardian Details | 0..1 | group | |
![]() ![]() ![]() ![]() | Name of Parent or Guardian | 0..1 | string | |
![]() ![]() ![]() | Vaccine Certificate Details | 1..* | group | |
![]() ![]() ![]() ![]() | Vaccine or Prophylaxis ID | 0..* | choice | Value Set: http://smart.who.int/pcmt-vaxprequal/ValueSet/PreQualProductIDs |
![]() ![]() ![]() ![]() | Date of Vaccination | 0..* | date | |
![]() ![]() ![]() ![]() | Name of supervising clinician | 0..1 | string | |
![]() ![]() ![]() ![]() | Relevant authoring reponsible for issuing the certificate, or for overseeing the administration center | 0..1 | string | |
![]() ![]() ![]() ![]() | Batch Number | 0..* | string | |
![]() ![]() ![]() ![]() | Certificate Validity Period | 0..1 | group | |
![]() ![]() ![]() ![]() ![]() | From | 0..1 | date | |
![]() ![]() ![]() ![]() ![]() | To | 0..1 | date | |
![]() ![]() ![]() | Upload Paper Form image or PDF | 0..1 | attachment | |
ValueSet #v3-Country
Language: en
urn:iso:std:iso:3166
where code matches (by regex) [A-Z]{3}ValueSet #DVCRelationshipStatus
http://smart.who.int/icvp/CodeSystem/DVCRelationshipStatus
ValueSet #PreQualProductIds
http://smart.who.int/pcmt-vaxprequal/CodeSystem/PreQualProductIds
{ "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 } ] }