FHIR Server FHIR Server Version n/a

Resource Questionnaire/FHIR Server from package smart.who.int.icvp#current (109 ms)

Package
smart.who.int.icvp
Type
Questionnaire
FHIR Version
Source
http://smart.who.int/icvp/https://build.fhir.org/ig/WorldHealthOrganization/smart-icvp/Questionnaire-Questionnaire-ICVPModel.html
Url
http://smart.who.int/icvp/Questionnaire/Questionnaire-ICVPModel
Version
0.1.0
Status
draft
Date
2024-12-11T15:44:25+00:00
Title
ICVP Model Questionnaire
Experimental
False
Authority
who
Description
Questionnaire for ICVP Logical Model
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 Questionnaire-ICVPModel
LinkID	Text	Cardinality	Type	Description & Constraints
	Questionnaire for ICVP Logical Model		Questionnaire	http://smart.who.int/icvp/Questionnaire/Questionnaire-ICVPModel#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
vaccinDetails	Vaccine Certificate Details	1..*	group
doseNumber	Dose Number	1..1	choice	Value Set: Dose Number
disease	Name of disease of condition vaccinated or received prophylaxis against	1..1	choice	Value Set: ICVP Disease Targeted
vaccineClassification	Vaccine or Prophylaxis classification code	1..1	choice	Value Set: ICVP - Vaccine Codes
vaccineTradeItem	Vaccine Trade Item	0..1	string
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
manufacturerId	Manufacturer ID	0..1	string
manufacturer	Name of Manufacturer of Vaccine	1..1	string
batchNo	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 #v2-0001
Language: en
Profile: Shareable ValueSet
Include all codes defined in http://terminology.hl7.org/CodeSystem/v2-0001
ValueSet #v3-Country
Language: en
Include codes fromurn:iso:std:iso:3166 where code matches (by regex) [A-Z]{3}
ValueSet #ICVPDiseaseTargeted
Include these codes as defined in http://id.who.int/icd/release/11/mms
Code Display Definition
1D47 Yellow fever Yellow fever
1C81 Poliomyelitis Poliomyelitis
ValueSet #ICVPVaccineCodes
Include these codes as defined in http://id.who.int/icd/release/11/mms
ValueSet #doseNumber
Include all codes defined in http://smart.who.int/icvp/CodeSystem/doseNumber
ValueSet #DVCRelationshipStatus
Include all codes defined in http://smart.who.int/icvp/CodeSystem/DVCRelationshipStatus
Source

{
  "resourceType" : "Questionnaire",
  "id" : "Questionnaire-ICVPModel",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-smap"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire Questionnaire-ICVPModel</b></p><a name=\"Questionnaire-ICVPModel\"> </a><a name=\"hcQuestionnaire-ICVPModel\"> </a><a name=\"Questionnaire-ICVPModel-en-US\"> </a><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> </td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire for ICVP Logical Model</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">http://smart.who.int/icvp/Questionnaire/Questionnaire-ICVPModel#0.1.0</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.name\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> name</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Full Name of the client</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.dob\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> dob</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date of Birth</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.sex\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> sex</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Sex</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Value Set: <a href=\"http://terminology.hl7.org/3.1.0/ValueSet-v2-0001.html\">hl7VS-administrativeSex</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.nationality\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> nationality</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Nationality</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Value Set: <a href=\"http://terminology.hl7.org/6.0.2/ValueSet-v3-Country.html\">Country</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.nid\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> nid</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">National Identification Document</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.guardian\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> guardian</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Parent or Guardian Details</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.guardianName\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> guardianName</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Name of Parent or Guardian</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.guardianRelationship\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> guardianRelationship</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Relationship Status</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Value Set: <a href=\"ValueSet-Questionnaire-ICVPModel_DVCRelationshipStatus.html\">Relationship Status for Contact in Patient</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" id=\"item.vaccinDetails\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> vaccinDetails</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Vaccine Certificate Details</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.doseNumber\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> doseNumber</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Dose Number</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Value Set: <a href=\"ValueSet-Questionnaire-ICVPModel_doseNumber.html\">Dose Number</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.disease\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> disease</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Name of disease of condition vaccinated or received prophylaxis against</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Value Set: <a href=\"ValueSet-Questionnaire-ICVPModel_ICVPDiseaseTargeted.html\">ICVP Disease Targeted</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.vaccineClassification\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> vaccineClassification</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Vaccine or Prophylaxis classification code</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Value Set: <a href=\"ValueSet-Questionnaire-ICVPModel_ICVPVaccineCodes.html\">ICVP - Vaccine Codes</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.vaccineTradeItem\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> vaccineTradeItem</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Vaccine Trade Item</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.date\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> date</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date of Vaccination</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.clinicianName\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> clinicianName</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Name of supervising clinician</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.issuer\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> issuer</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Relevant authoring reponsible for issuing the certificate, or for overseeing the administration center</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.manufacturerId\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> manufacturerId</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Manufacturer ID</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.manufacturer\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> manufacturer</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Name of Manufacturer of Vaccine</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.batchNo\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> batchNo</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Batch Number</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)\" id=\"item.validityPeriod\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> validityPeriod</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Certificate Validity Period</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0010.png)\" id=\"item.startDate\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> startDate</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">From</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0000.png)\" id=\"item.endDate\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> endDate</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">To</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><h2>Contained Resources</h2><hr/><p class=\"res-header-id\"><b>ValueSet  #v2-0001</b></p><a name=\"Questionnaire-ICVPModel/v2-0001\"> </a><a name=\"hcQuestionnaire-ICVPModel/v2-0001\"> </a><a name=\"Questionnaire-ICVPModel/v2-0001-en-US\"> </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><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/R4/shareablevalueset.html\">Shareable ValueSet</a></p></div><ul><li>Include all codes defined in <a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v2-0001.html\"><code>http://terminology.hl7.org/CodeSystem/v2-0001</code></a></li></ul><hr/><p class=\"res-header-id\"><b>ValueSet  #v3-Country</b></p><a name=\"Questionnaire-ICVPModel/v3-Country\"> </a><a name=\"hcQuestionnaire-ICVPModel/v3-Country\"> </a><a name=\"Questionnaire-ICVPModel/v3-Country-en-US\"> </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=\"http://terminology.hl7.org/6.0.2/CodeSystem-ISO3166Part1.html\"><code>urn:iso:std:iso:3166</code></a> where code  matches (by regex) [A-Z]{3}</li></ul><hr/><p class=\"res-header-id\"><b>ValueSet  #ICVPDiseaseTargeted</b></p><a name=\"Questionnaire-ICVPModel/ICVPDiseaseTargeted\"> </a><a name=\"hcQuestionnaire-ICVPModel/ICVPDiseaseTargeted\"> </a><a name=\"Questionnaire-ICVPModel/ICVPDiseaseTargeted-en-US\"> </a><ul><li>Include these codes as defined in <a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html\"><code>http://id.who.int/icd/release/11/mms</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html#ICD11-1D47\">1D47</a></td><td>Yellow fever</td><td>Yellow fever</td></tr><tr><td><a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html#ICD11-1C81\">1C81</a></td><td>Poliomyelitis</td><td>Poliomyelitis</td></tr></table></li></ul><hr/><p class=\"res-header-id\"><b>ValueSet  #ICVPVaccineCodes</b></p><a name=\"Questionnaire-ICVPModel/ICVPVaccineCodes\"> </a><a name=\"hcQuestionnaire-ICVPModel/ICVPVaccineCodes\"> </a><a name=\"Questionnaire-ICVPModel/ICVPVaccineCodes-en-US\"> </a><ul><li>Include these codes as defined in <a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html\"><code>http://id.who.int/icd/release/11/mms</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html#ICD11-XM0N24\">XM0N24</a></td><td>Yellow fever vaccines</td><td>Yellow fever vaccine</td></tr><tr><td><a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html#ICD11-XM3418\">XM3418</a></td><td>Yellow fever, live attenuated</td><td>Yellow fever, live attenuated</td></tr><tr><td><a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html#ICD11-XM0N50\">XM0N50</a></td><td>Poliomyelitis vaccines</td><td>Poliomyelitis vaccines</td></tr><tr><td><a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html#ICD11-XM1LX9\">XM1LX9</a></td><td>Diphtheria, hemophilus influenzae B, pertussis, poliomyelitis, tetanus vaccines</td><td>Diphtheria, hemophilus influenzae B, pertussis, poliomyelitis, tetanus vaccines</td></tr><tr><td><a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html#ICD11-XM09Q7\">XM09Q7</a></td><td>Diphtheria, pertussis, poliomyelitis, tetanus vaccines</td><td>Diphtheria, pertussis, poliomyelitis, tetanus vaccines</td></tr><tr><td><a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html#ICD11-XM0LT9\">XM0LT9</a></td><td>Diphtheria, pertussis, poliomyelitis, tetanus, hepatitis B vaccines</td><td>Diphtheria, pertussis, poliomyelitis, tetanus, hepatitis B vaccines</td></tr><tr><td><a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html#ICD11-XM8AW1\">XM8AW1</a></td><td>Diphtheria, poliomyelitis, tetanus vaccines</td><td>Diphtheria, poliomyelitis, tetanus vaccines</td></tr><tr><td><a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html#ICD11-XM01H1\">XM01H1</a></td><td>Hemophilus influenzae B and poliomyelitis vaccines</td><td>Hemophilus influenzae B and poliomyelitis vaccines</td></tr><tr><td><a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html#ICD11-XM21E6\">XM21E6</a></td><td>Diphtheria tetanus, acellular pertussis, inactivated polio virus, haemophilus Influenzae type B vaccines</td><td>Diphtheria tetanus, acellular pertussis, inactivated polio virus, haemophilus Influenzae type B vaccines</td></tr><tr><td><a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html#ICD11-XM84S1\">XM84S1</a></td><td>Diphtheria, hepatitis B, tetanus, acellular pertussis, inactivated polio virus, haemophilus Influenzae type B vaccines</td><td>Diphtheria, hepatitis B, tetanus, acellular pertussis, inactivated polio virus, haemophilus Influenzae type B vaccines</td></tr><tr><td><a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html#ICD11-XM9JP8\">XM9JP8</a></td><td>Diphtheria, tetanus, acellular pertussis, inactivated polio virus vaccines</td><td>Diphtheria, tetanus, acellular pertussis, inactivated polio virus vaccines</td></tr><tr><td><a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html#ICD11-XM5V19\">XM5V19</a></td><td>Poliomyelitis, trivalent, inactivated, whole virus</td><td>Poliomyelitis, trivalent, inactivated, whole virus</td></tr><tr><td><a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html#ICD11-XM79H3\">XM79H3</a></td><td>Poliomyelitis oral, bivalent, live attenuated</td><td>Poliomyelitis oral, bivalent, live attenuated</td></tr><tr><td><a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html#ICD11-XM0VX8\">XM0VX8</a></td><td>Poliomyelitis oral, monovalent live attenuated</td><td>Poliomyelitis oral, monovalent live attenuated</td></tr><tr><td><a href=\"http://smart.who.int/ts/0.1.0/CodeSystem-ICD11.html#ICD11-XM0KZ1\">XM0KZ1</a></td><td>Poliomyelitis oral, trivalent, live attenuated</td><td>Poliomyelitis oral, trivalent, live attenuated</td></tr></table></li></ul><hr/><p class=\"res-header-id\"><b>ValueSet  #doseNumber</b></p><a name=\"Questionnaire-ICVPModel/doseNumber\"> </a><a name=\"hcQuestionnaire-ICVPModel/doseNumber\"> </a><a name=\"Questionnaire-ICVPModel/doseNumber-en-US\"> </a><ul><li>Include all codes defined in <a href=\"CodeSystem-doseNumber.html\"><code>http://smart.who.int/icvp/CodeSystem/doseNumber</code></a></li></ul><hr/><p class=\"res-header-id\"><b>ValueSet  #DVCRelationshipStatus</b></p><a name=\"Questionnaire-ICVPModel/DVCRelationshipStatus\"> </a><a name=\"hcQuestionnaire-ICVPModel/DVCRelationshipStatus\"> </a><a name=\"Questionnaire-ICVPModel/DVCRelationshipStatus-en-US\"> </a><ul><li>Include all codes defined in <a href=\"CodeSystem-DVCRelationshipStatus.html\"><code>http://smart.who.int/icvp/CodeSystem/DVCRelationshipStatus</code></a></li></ul></div>"
  },
  "contained" : [
    {
      "resourceType" : "ValueSet",
      "id" : "v2-0001",
      "meta" : {
        "profile" : [
          "http://hl7.org/fhir/StructureDefinition/shareablevalueset"
        ]
      },
      "language" : "en",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "external"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
          "valueInteger" : 0
        }
      ],
      "url" : "http://terminology.hl7.org/ValueSet/v2-0001",
      "version" : "2.9",
      "name" : "v2.0001",
      "title" : "v2 SEX",
      "status" : "active",
      "experimental" : false,
      "publisher" : "HL7, Inc",
      "contact" : [
        {
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://hl7.org"
            }
          ]
        }
      ],
      "description" : "FHIR Value set/code system definition for HL7 v2 table 0001 ( SEX)",
      "immutable" : true,
      "compose" : {
        "include" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0001"
          }
        ]
      }
    },
    {
      "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><a name=\"v3-Country-en-US\"> </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 Â©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" : "ICVPDiseaseTargeted",
      "url" : "http://smart.who.int/icvp/ValueSet/ICVPDiseaseTargeted",
      "name" : "ICVPDiseaseTargeted",
      "title" : "ICVP Disease Targeted",
      "status" : "draft",
      "description" : "Value set for yellow fever and polio only",
      "compose" : {
        "include" : [
          {
            "system" : "http://id.who.int/icd/release/11/mms",
            "concept" : [
              {
                "code" : "1D47",
                "display" : "Yellow fever"
              },
              {
                "code" : "1C81",
                "display" : "Poliomyelitis"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "ICVPVaccineCodes",
      "url" : "http://smart.who.int/icvp/ValueSet/ICVPVaccineCodes",
      "name" : "ICVPVaccineCodes",
      "title" : "ICVP - Vaccine Codes",
      "status" : "draft",
      "description" : "This value set includes codes from ICVP",
      "compose" : {
        "include" : [
          {
            "system" : "http://id.who.int/icd/release/11/mms",
            "concept" : [
              {
                "code" : "XM0N24",
                "display" : "Yellow fever vaccines"
              },
              {
                "code" : "XM3418",
                "display" : "Yellow fever, live attenuated"
              },
              {
                "code" : "XM0N50",
                "display" : "Poliomyelitis vaccines"
              },
              {
                "code" : "XM1LX9",
                "display" : "Diphtheria, hemophilus influenzae B, pertussis, poliomyelitis, tetanus vaccines"
              },
              {
                "code" : "XM09Q7",
                "display" : "Diphtheria, pertussis, poliomyelitis, tetanus vaccines"
              },
              {
                "code" : "XM0LT9",
                "display" : "Diphtheria, pertussis, poliomyelitis, tetanus, hepatitis B vaccines"
              },
              {
                "code" : "XM8AW1",
                "display" : "Diphtheria, poliomyelitis, tetanus vaccines"
              },
              {
                "code" : "XM01H1",
                "display" : "Hemophilus influenzae B and poliomyelitis vaccines"
              },
              {
                "code" : "XM21E6",
                "display" : "Diphtheria tetanus, acellular pertussis, inactivated polio virus, haemophilus Influenzae type B vaccines"
              },
              {
                "code" : "XM84S1",
                "display" : "Diphtheria, hepatitis B, tetanus, acellular pertussis, inactivated polio virus, haemophilus Influenzae type B vaccines"
              },
              {
                "code" : "XM9JP8",
                "display" : "Diphtheria, tetanus, acellular pertussis, inactivated polio virus vaccines"
              },
              {
                "code" : "XM5V19",
                "display" : "Poliomyelitis, trivalent, inactivated, whole virus"
              },
              {
                "code" : "XM79H3",
                "display" : "Poliomyelitis oral, bivalent, live attenuated"
              },
              {
                "code" : "XM0VX8",
                "display" : "Poliomyelitis oral, monovalent live attenuated"
              },
              {
                "code" : "XM0KZ1",
                "display" : "Poliomyelitis oral, trivalent, live attenuated"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "doseNumber",
      "url" : "http://smart.who.int/icvp/ValueSet/doseNumber",
      "name" : "doseNumber",
      "title" : "Dose Number",
      "status" : "draft",
      "description" : "Dose Number value set",
      "compose" : {
        "include" : [
          {
            "system" : "http://smart.who.int/icvp/CodeSystem/doseNumber"
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "DVCRelationshipStatus",
      "url" : "http://smart.who.int/icvp/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"
          }
        ]
      }
    }
  ],
  "url" : "http://smart.who.int/icvp/Questionnaire/Questionnaire-ICVPModel",
  "version" : "0.1.0",
  "title" : "ICVP Model Questionnaire",
  "status" : "draft",
  "date" : "2024-12-11T15:44:25+00:00",
  "publisher" : "WHO",
  "contact" : [
    {
      "name" : "WHO",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://who.int"
        }
      ]
    }
  ],
  "description" : "Questionnaire for ICVP Logical Model",
  "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" : "vaccinDetails",
      "text" : "Vaccine Certificate Details",
      "type" : "group",
      "required" : true,
      "repeats" : true,
      "item" : [
        {
          "linkId" : "doseNumber",
          "text" : "Dose Number",
          "type" : "choice",
          "required" : true,
          "repeats" : false,
          "answerValueSet" : "#doseNumber"
        },
        {
          "linkId" : "disease",
          "text" : "Name of disease of condition vaccinated or received prophylaxis against",
          "type" : "choice",
          "required" : true,
          "repeats" : false,
          "answerValueSet" : "#ICVPDiseaseTargeted"
        },
        {
          "linkId" : "vaccineClassification",
          "text" : "Vaccine or Prophylaxis classification code",
          "type" : "choice",
          "required" : true,
          "repeats" : false,
          "answerValueSet" : "#ICVPVaccineCodes"
        },
        {
          "linkId" : "vaccineTradeItem",
          "text" : "Vaccine Trade Item",
          "type" : "string",
          "required" : false,
          "repeats" : false
        },
        {
          "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" : "manufacturerId",
          "text" : "Manufacturer ID",
          "type" : "string",
          "required" : false,
          "repeats" : false
        },
        {
          "linkId" : "manufacturer",
          "text" : "Name of Manufacturer of Vaccine",
          "type" : "string",
          "required" : true,
          "repeats" : false
        },
        {
          "linkId" : "batchNo",
          "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
            }
          ]
        }
      ]
    }
  ]
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.
Code	Display	Definition
1D47	Yellow fever	Yellow fever
1C81	Poliomyelitis	Poliomyelitis