This page is part of the ICVP (v0.1.0: Releases Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Questionnaire: DVC Model Questionnaire
Branch:Generated Narrative: Questionnaire Questionnaire-DVCModel
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  | Questionnaire for DVC Logical Model | Questionnaire | http://smart.who.int/icvp/Questionnaire/Questionnaire-DVCModel#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 | |
 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: Disease Targeted |
| vaccineClassification | Vaccine or Prophylaxis classification code | 1..1 | choice | Value Set: DVC - Vaccines |
| 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
Generated Narrative: ValueSet #v2-0001
Language: en
Profile: Shareable ValueSet
- Include all codes defined in
http://terminology.hl7.org/CodeSystem/v2-0001
Generated Narrative: ValueSet #v3-Country
Language: en
- Include codes from
urn:iso:std:iso:3166where code matches (by regex) [A-Z]{3}
Generated Narrative: ValueSet #DiseaseTargeted
- Include these codes as defined in
http://id.who.int/icd/release/11/mmsCode Display Definition 1A07 Typhoid Typhoid 1E32 Influenza Influenza 1F03 Measles Measles 1C12 Pertussis Pertussis 1D80 Mumps Mumps 1E90 Varicella Varicella 1E50.0 Viral hepatitis A Viral hepatitis A 1B1Z Tuberculosis Tuberculosis 1E50.1 Viral hepatitis B Viral hepatitis B XN0FG Haemophilus influenzae type b Haemophilus influenzae type b 1C13 Tetanus Tetanus XN6N7 Rotavirus Rotavirus XN8JY Human papillomavirus Human papillomavirus 1C85 Japanese encephalitis Japanese encephalitis 1C81 Poliomyelitis Poliomyelitis 1C17 Diphtheria Diphtheria CA40.07 Pneumococcal disease Pneumococcal disease 1F02 Rubella Rubella 1D2Z Dengue Dengue 1C82 Rabies Rabies 1C1C Meningococcal Meningococcal 1A00 Cholera Cholera 1C80 Tick-borne encephalitis Tick-borne encephalitis 1D47 Yellow fever Yellow fever RA01 COVID-19 COVID-19
Generated Narrative: ValueSet #DVCVaccines
- Include these codes as defined in
http://id.who.int/icd/release/11/mmsCode Display Definition XM4639 Tuberculosis vaccines Tuberculosis vaccines XM8142 Tuberculosis, live attenuated vaccines Tuberculosis, live attenuated vaccines XM29K4 Cholera vaccines Cholera vaccines XM3Z26 Cholera, inactivated, whole cell vaccines Cholera, inactivated, whole cell vaccines XM72A0 Cholera, live attenuated vaccines Cholera, live attenuated vaccines XM1FT6 Cholera, combinations with typhoid vaccine, inactivated, whole cell vaccines Cholera, combinations with typhoid vaccine, inactivated, whole cell vaccines XM8AW3 Diphtheria vaccines Diphtheria vaccines XM9744 Diphtheria, rubella, tetanus vaccines Diphtheria, rubella, tetanus vaccines XM31Q8 Tetanus, diphtheria, acellular pertussis Tetanus, diphtheria, acellular pertussis XM8AW1 Diphtheria, poliomyelitis, tetanus vaccines Diphtheria, poliomyelitis, tetanus vaccines XM09Q7 Diphtheria, pertussis, poliomyelitis, tetanus vaccines Diphtheria, pertussis, poliomyelitis, tetanus vaccines XM41N3 Diphtheria, hepatitis B, pertussis, tetanus vaccines Diphtheria, hepatitis B, pertussis, tetanus vaccines XM1LX9 Diphtheria, hemophilus influenzae B, pertussis, poliomyelitis, tetanus vaccines Diphtheria, hemophilus influenzae B, pertussis, poliomyelitis, tetanus vaccines XM3G68 Diphtheria, hepatitis B, tetanus vaccines Diphtheria, hepatitis B, tetanus vaccines XM0LT9 Diphtheria, pertussis, poliomyelitis, tetanus, hepatitis B vaccines Diphtheria, pertussis, poliomyelitis, tetanus, hepatitis B vaccines XM7JP3 Diphtheria, hemophilus influenzae B, pertussis, tetanus, hepatitis B vaccines Diphtheria, hemophilus influenzae B, pertussis, tetanus, hepatitis B vaccines XM5XP9 Diphtheria, hemophilus influenzae B, pertussis, tetanus-hepatitis B, meningococcus A + C vaccines Diphtheria, hemophilus influenzae B, pertussis, tetanus-hepatitis B, meningococcus A + C vaccines XM1G86 Tetanus toxoid, combinations with diphtheria toxoid vaccines Tetanus toxoid, combinations with diphtheria toxoid vaccines XM32Q5 Tetanus and diphtheria vaccines Tetanus and diphtheria vaccines XM2CV8 Vaccines pertussis with diphtheria Vaccines pertussis with diphtheria XM21E6 Diphtheria tetanus, acellular pertussis, inactivated polio virus, haemophilus Influenzae type B vaccines Diphtheria tetanus, acellular pertussis, inactivated polio virus, haemophilus Influenzae type B vaccines XM84S1 Diphtheria, hepatitis B, tetanus, acellular pertussis, inactivated polio virus, haemophilus Influenzae type B vaccines Diphtheria, hepatitis B, tetanus, acellular pertussis, inactivated polio virus, haemophilus Influenzae type B vaccines XM9JP8 Diphtheria, tetanus, acellular pertussis, inactivated polio virus vaccines Diphtheria, tetanus, acellular pertussis, inactivated polio virus vaccines XM46V1 Diphtheria vaccines combination including pertussis Diphtheria vaccines combination including pertussis XM4039 Vaccines diphtheria with tetanus Vaccines diphtheria with tetanus XM11V3 Haemophilus influenzae B vaccines Haemophilus influenzae B vaccines XM01H1 Hemophilus influenzae B and poliomyelitis vaccines Hemophilus influenzae B and poliomyelitis vaccines XM32L7 Hemophilus influenzae B and hepatitis B vaccines Hemophilus influenzae B and hepatitis B vaccines XM6LL6 Hepatitis vaccines Hepatitis vaccines XM2A12 Hepatitis A, inactivated, whole virus Hepatitis A, inactivated, whole virus XM3JA6 Typhoid, hepatitis A vaccines Typhoid, hepatitis A vaccines XM03Y7 Combinations hepatitis vaccines Combinations hepatitis vaccines XM9V38 Hepatitis B, purified antigen Hepatitis B, purified antigen XM9QP0 Papillomavirus vaccine Papillomavirus vaccine XM1821 Papillomavirus (human types 6,11,16,18) Papillomavirus (human types 6,11,16,18) XM9BT4 Papillomavirus (human types 16,18) Papillomavirus (human types 16,18) XM5CE9 Papillomavirus (human types 6,11,16,18,31,33,45,52,58) Papillomavirus (human types 6,11,16,18,31,33,45,52,58) XM0LB5 Encephalitis, Japanese, inactivated, whole virus Encephalitis, Japanese, inactivated, whole virus XM47S0 Encephalitis, Japanese, live attenuated Encephalitis, Japanese, live attenuated XM28X5 Measles vaccines Measles vaccines XM8L15 Measles, live attenuated Measles, live attenuated XM8TF3 Measles, combinations with mumps and rubella, live attenuated Measles, combinations with mumps and rubella, live attenuated XM21H2 Measles, combinations with rubella, live attenuated Measles, combinations with rubella, live attenuated XM4AJ8 Measles, combinations with mumps, rubella and varicella, live attenuated Measles, combinations with mumps, rubella and varicella, live attenuated XM9439 Measles, combinations with mumps, live attenuated Measles, combinations with mumps, live attenuated XM2WV4 Meningococcal vaccines Meningococcal vaccines XM92B2 Meningococcal monovalent purified polysaccharides antigen vaccines Meningococcal monovalent purified polysaccharides antigen vaccines XM5LC2 Meningococcal polyvalent purified polysaccharides antigen vaccines Meningococcal polyvalent purified polysaccharides antigen vaccines XM18Y8 Meningococcus C, purified polysaccharides antigen conjugated vaccines Meningococcus C, purified polysaccharides antigen conjugated vaccines XM2280 Meningococcus A, purified polysaccharides antigen conjugated vaccines Meningococcus A, purified polysaccharides antigen conjugated vaccines XM9GJ1 Meningococcus B, outer membrane vesicle vaccines Meningococcus B, outer membrane vesicle vaccines XM1X81 Meningococcus B, multicomponent vaccines Meningococcus B, multicomponent vaccines XM37L5 Meningococcus A, purified polysaccharides antigen vaccines Meningococcus A, purified polysaccharides antigen vaccines XM1131 Mumps vaccine Mumps vaccine XM2340 Mumps, live attenuated Mumps, live attenuated XM3B09 Rubella, combinations with mumps, live attenuated Rubella, combinations with mumps, live attenuated XM43M9 Pertussis vaccines Pertussis vaccines XM45L8 Pertussis, inactivated, whole cell vaccines Pertussis, inactivated, whole cell vaccines XM62J1 Pertussis, purified antigen vaccines Pertussis, purified antigen vaccines XM2TK2 Pertussis, inactivated, whole cell, combinations with toxoids vaccines Pertussis, inactivated, whole cell, combinations with toxoids vaccines XM4082 Pertussis, purified antigen, combinations with toxoids vaccines Pertussis, purified antigen, combinations with toxoids vaccines XM9EM7 Pneumococcal vaccines Pneumococcal vaccines XM9G97 Pneumococcal conjugate (13-valent) vaccines Pneumococcal conjugate (13-valent) vaccines XM2249 Pneumococcal polysaccharide 23-valent vaccines Pneumococcal polysaccharide 23-valent vaccines XM91D7 Pneumococcus, purified polysaccharides antigen vaccines Pneumococcus, purified polysaccharides antigen vaccines XM96S7 Pneumococcus, purified polysaccharides antigen conjugated vaccines Pneumococcus, purified polysaccharides antigen conjugated vaccines XM4R39 Pneumococcus purified polysaccharides antigen and Haemophilus influenzae, conjugated vaccines Pneumococcus purified polysaccharides antigen and Haemophilus influenzae, conjugated vaccines XM0N50 Poliomyelitis vaccines Poliomyelitis vaccines XM5V19 Poliomyelitis, trivalent, inactivated, whole virus Poliomyelitis, trivalent, inactivated, whole virus XM79H3 Poliomyelitis oral, bivalent, live attenuated Poliomyelitis oral, bivalent, live attenuated XM0VX8 Poliomyelitis oral, monovalent live attenuated Poliomyelitis oral, monovalent live attenuated XM0KZ1 Poliomyelitis oral, trivalent, live attenuated Poliomyelitis oral, trivalent, live attenuated XM6T09 Rabies vaccine Rabies vaccine XM7BE8 Rabies, inactivated, whole virus Rabies, inactivated, whole virus XM1CE0 Rotavirus diarrhoea vaccines Rotavirus diarrhoea vaccines XM4GV0 Rota virus, live attenuated Rota virus, live attenuated XM4VG1 Rota virus, pentavalent, live, reassorted Rota virus, pentavalent, live, reassorted XM7PP1 Rubella vaccine Rubella vaccine XM9PS9 Rubella, live attenuated Rubella, live attenuated XM1LR5 Influenza vaccines Influenza vaccines XM8857 Influenza vaccine, inactivated, whole virus Influenza vaccine, inactivated, whole virus XM5V64 Influenza vaccines, live attenuated Influenza vaccines, live attenuated XM8MP2 Influenza vaccines, inactivated, split virus or surface antigen Influenza vaccines, inactivated, split virus or surface antigen XM9E16 Influenza vaccines, virus like particle Influenza vaccines, virus like particle XM33X8 Influenza, purified antigen Influenza, purified antigen XM5L44 Tetanus vaccines Tetanus vaccines XM29H5 Tetanus toxoid vaccines Tetanus toxoid vaccines XM9AK2 Tetanus toxoid, combinations with tetanus immunoglobulin vaccines Tetanus toxoid, combinations with tetanus immunoglobulin vaccines XM0RC1 Encephalitis vaccines Encephalitis vaccines XM8MP6 Encephalitis, tick borne, inactivated, whole virus Encephalitis, tick borne, inactivated, whole virus XM8BU8 Typhoid vaccines Typhoid vaccines XM33K4 Typhoid, oral, live attenuated vaccines Typhoid, oral, live attenuated vaccines XM89G3 Typhoid, inactivated, whole cell vaccines Typhoid, inactivated, whole cell vaccines XM3SF6 Typhoid, purified polysaccharide antigen vaccines Typhoid, purified polysaccharide antigen vaccines XM9UB1 Typhoid-paratyphoid vaccines Typhoid-paratyphoid vaccines XM8DG3 Varicella zoster vaccines Varicella zoster vaccines XM0NS8 Varicella, live attenuated Varicella, live attenuated XM0N24 Yellow fever vaccine Yellow fever vaccine XM3418 Yellow fever, live attenuated Yellow fever, live attenuated XM38G7 Dengue vaccine Dengue vaccine XM68M6 COVID-19 vaccines COVID-19 vaccines XM0GQ8 COVID-19 vaccine, RNA based COVID-19 vaccine, RNA based XM1NL1 COVID-19 vaccine, inactivated virus COVID-19 vaccine, inactivated virus XM1J92 COVID-19 vaccine, virus like particle COVID-19 vaccine, virus like particle XM9QW8 COVID-19 vaccine, non-replicating viral vector COVID-19 vaccine, non-replicating viral vector XM6AT1 COVID-19 vaccine, DNA based COVID-19 vaccine, DNA based XM5JC5 COVID-19 vaccine, virus protein subunit COVID-19 vaccine, virus protein subunit XM3CT4 Recombinant SARS-CoV-2 vaccine Recombinant SARS-CoV-2 vaccine XM0CX4 COVID-19 vaccine, replicating viral vector COVID-19 vaccine, replicating viral vector XM5DF6 COVID-19 vaccine, live attenuated virus COVID-19 vaccine, live attenuated virus
Generated Narrative: ValueSet #doseNumber
- Include all codes defined in
http://smart.who.int/icvp/CodeSystem/doseNumber
Generated Narrative: ValueSet #DVCRelationshipStatus
- Include all codes defined in
http://smart.who.int/icvp/CodeSystem/DVCRelationshipStatus