SMART ICVP
0.1.0 - ci-build

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. For a full list of available versions, see the Directory of published versions

Questionnaire: DVC Model Questionnaire

Branch:

Generated Narrative: Questionnaire Questionnaire-DVCModel

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. Questionnaire for DVC Logical ModelQuestionnairehttp://smart.who.int/icvp/Questionnaire/Questionnaire-DVCModel#0.1.0
... nameFull Name of the client1..1string
... dobDate of Birth1..1date
... sexSex0..1choiceValue Set: hl7VS-administrativeSex
... nationalityNationality0..1choiceValue Set: Country
... nidNational Identification Document0..1string
... guardianParent or Guardian Details0..1group
.... guardianNameName of Parent or Guardian0..1string
.... guardianRelationshipRelationship Status0..1choiceValue Set: Relationship Status for Contact in Patient
... vaccineDetailsVaccine Certificate Details1..*group
.... doseNumberDose Number1..1choiceValue Set: Dose Number
.... diseaseName of disease of condition vaccinated or received prophylaxis against1..1choiceValue Set: Disease Targeted
.... vaccineClassificationVaccine or Prophylaxis classification code1..1choiceValue Set: DVC - Vaccines
.... vaccineTradeItemVaccine Trade Item0..1string
.... dateDate of Vaccination1..1date
.... clinicianNameName of supervising clinician0..1string
.... issuerRelevant authoring reponsible for issuing the certificate, or for overseeing the administration center0..1string
.... manufacturerIdManufacturer ID0..1string
.... manufacturerName of Manufacturer of Vaccine1..1string
.... batchNoBatch Number1..1string
.... validityPeriodCertificate Validity Period0..1group
..... startDateFrom0..1date
..... endDateTo0..1date

doco Documentation for this format

Contained Resources


Generated Narrative: ValueSet #v2-0001

Language: en

Profile: Shareable ValueSet


Generated Narrative: ValueSet #v3-Country

Language: en


Generated Narrative: ValueSet #DiseaseTargeted

  • Include these codes as defined in http://id.who.int/icd/release/11/mms
    CodeDisplayDefinition
    1A07TyphoidTyphoid
    1E32InfluenzaInfluenza
    1F03MeaslesMeasles
    1C12PertussisPertussis
    1D80MumpsMumps
    1E90VaricellaVaricella
    1E50.0Viral hepatitis AViral hepatitis A
    1B1ZTuberculosisTuberculosis
    1E50.1Viral hepatitis BViral hepatitis B
    XN0FGHaemophilus influenzae type bHaemophilus influenzae type b
    1C13TetanusTetanus
    XN6N7RotavirusRotavirus
    XN8JYHuman papillomavirusHuman papillomavirus
    1C85Japanese encephalitisJapanese encephalitis
    1C81PoliomyelitisPoliomyelitis
    1C17DiphtheriaDiphtheria
    CA40.07Pneumococcal diseasePneumococcal disease
    1F02RubellaRubella
    1D2ZDengueDengue
    1C82RabiesRabies
    1C1CMeningococcalMeningococcal
    1A00CholeraCholera
    1C80Tick-borne encephalitisTick-borne encephalitis
    1D47Yellow feverYellow fever
    RA01COVID-19COVID-19

Generated Narrative: ValueSet #DVCVaccines

  • Include these codes as defined in http://id.who.int/icd/release/11/mms
    CodeDisplayDefinition
    XM4639Tuberculosis vaccinesTuberculosis vaccines
    XM8142Tuberculosis, live attenuated vaccinesTuberculosis, live attenuated vaccines
    XM29K4Cholera vaccinesCholera vaccines
    XM3Z26Cholera, inactivated, whole cell vaccinesCholera, inactivated, whole cell vaccines
    XM72A0Cholera, live attenuated vaccinesCholera, live attenuated vaccines
    XM1FT6Cholera, combinations with typhoid vaccine, inactivated, whole cell vaccinesCholera, combinations with typhoid vaccine, inactivated, whole cell vaccines
    XM8AW3Diphtheria vaccinesDiphtheria vaccines
    XM9744Diphtheria, rubella, tetanus vaccinesDiphtheria, rubella, tetanus vaccines
    XM31Q8Tetanus, diphtheria, acellular pertussisTetanus, diphtheria, acellular pertussis
    XM8AW1Diphtheria, poliomyelitis, tetanus vaccinesDiphtheria, poliomyelitis, tetanus vaccines
    XM09Q7Diphtheria, pertussis, poliomyelitis, tetanus vaccinesDiphtheria, pertussis, poliomyelitis, tetanus vaccines
    XM41N3Diphtheria, hepatitis B, pertussis, tetanus vaccinesDiphtheria, hepatitis B, pertussis, tetanus vaccines
    XM1LX9Diphtheria, hemophilus influenzae B, pertussis, poliomyelitis, tetanus vaccinesDiphtheria, hemophilus influenzae B, pertussis, poliomyelitis, tetanus vaccines
    XM3G68Diphtheria, hepatitis B, tetanus vaccinesDiphtheria, hepatitis B, tetanus vaccines
    XM0LT9Diphtheria, pertussis, poliomyelitis, tetanus, hepatitis B vaccinesDiphtheria, pertussis, poliomyelitis, tetanus, hepatitis B vaccines
    XM7JP3Diphtheria, hemophilus influenzae B, pertussis, tetanus, hepatitis B vaccinesDiphtheria, hemophilus influenzae B, pertussis, tetanus, hepatitis B vaccines
    XM5XP9Diphtheria, hemophilus influenzae B, pertussis, tetanus-hepatitis B, meningococcus A + C vaccinesDiphtheria, hemophilus influenzae B, pertussis, tetanus-hepatitis B, meningococcus A + C vaccines
    XM1G86Tetanus toxoid, combinations with diphtheria toxoid vaccinesTetanus toxoid, combinations with diphtheria toxoid vaccines
    XM32Q5Tetanus and diphtheria vaccinesTetanus and diphtheria vaccines
    XM2CV8Vaccines pertussis with diphtheriaVaccines pertussis with diphtheria
    XM21E6Diphtheria tetanus, acellular pertussis, inactivated polio virus, haemophilus Influenzae type B vaccinesDiphtheria tetanus, acellular pertussis, inactivated polio virus, haemophilus Influenzae type B vaccines
    XM84S1Diphtheria, hepatitis B, tetanus, acellular pertussis, inactivated polio virus, haemophilus Influenzae type B vaccinesDiphtheria, hepatitis B, tetanus, acellular pertussis, inactivated polio virus, haemophilus Influenzae type B vaccines
    XM9JP8Diphtheria, tetanus, acellular pertussis, inactivated polio virus vaccinesDiphtheria, tetanus, acellular pertussis, inactivated polio virus vaccines
    XM46V1Diphtheria vaccines combination including pertussisDiphtheria vaccines combination including pertussis
    XM4039Vaccines diphtheria with tetanusVaccines diphtheria with tetanus
    XM11V3Haemophilus influenzae B vaccinesHaemophilus influenzae B vaccines
    XM01H1Hemophilus influenzae B and poliomyelitis vaccinesHemophilus influenzae B and poliomyelitis vaccines
    XM32L7Hemophilus influenzae B and hepatitis B vaccinesHemophilus influenzae B and hepatitis B vaccines
    XM6LL6Hepatitis vaccinesHepatitis vaccines
    XM2A12Hepatitis A, inactivated, whole virusHepatitis A, inactivated, whole virus
    XM3JA6Typhoid, hepatitis A vaccinesTyphoid, hepatitis A vaccines
    XM03Y7Combinations hepatitis vaccinesCombinations hepatitis vaccines
    XM9V38Hepatitis B, purified antigenHepatitis B, purified antigen
    XM9QP0Papillomavirus vaccinePapillomavirus vaccine
    XM1821Papillomavirus (human types 6,11,16,18)Papillomavirus (human types 6,11,16,18)
    XM9BT4Papillomavirus (human types 16,18)Papillomavirus (human types 16,18)
    XM5CE9Papillomavirus (human types 6,11,16,18,31,33,45,52,58)Papillomavirus (human types 6,11,16,18,31,33,45,52,58)
    XM0LB5Encephalitis, Japanese, inactivated, whole virusEncephalitis, Japanese, inactivated, whole virus
    XM47S0Encephalitis, Japanese, live attenuatedEncephalitis, Japanese, live attenuated
    XM28X5Measles vaccinesMeasles vaccines
    XM8L15Measles, live attenuatedMeasles, live attenuated
    XM8TF3Measles, combinations with mumps and rubella, live attenuatedMeasles, combinations with mumps and rubella, live attenuated
    XM21H2Measles, combinations with rubella, live attenuatedMeasles, combinations with rubella, live attenuated
    XM4AJ8Measles, combinations with mumps, rubella and varicella, live attenuatedMeasles, combinations with mumps, rubella and varicella, live attenuated
    XM9439Measles, combinations with mumps, live attenuatedMeasles, combinations with mumps, live attenuated
    XM2WV4Meningococcal vaccinesMeningococcal vaccines
    XM92B2Meningococcal monovalent purified polysaccharides antigen vaccinesMeningococcal monovalent purified polysaccharides antigen vaccines
    XM5LC2Meningococcal polyvalent purified polysaccharides antigen vaccinesMeningococcal polyvalent purified polysaccharides antigen vaccines
    XM18Y8Meningococcus C, purified polysaccharides antigen conjugated vaccinesMeningococcus C, purified polysaccharides antigen conjugated vaccines
    XM2280Meningococcus A, purified polysaccharides antigen conjugated vaccinesMeningococcus A, purified polysaccharides antigen conjugated vaccines
    XM9GJ1Meningococcus B, outer membrane vesicle vaccinesMeningococcus B, outer membrane vesicle vaccines
    XM1X81Meningococcus B, multicomponent vaccinesMeningococcus B, multicomponent vaccines
    XM37L5Meningococcus A, purified polysaccharides antigen vaccinesMeningococcus A, purified polysaccharides antigen vaccines
    XM1131Mumps vaccineMumps vaccine
    XM2340Mumps, live attenuatedMumps, live attenuated
    XM3B09Rubella, combinations with mumps, live attenuatedRubella, combinations with mumps, live attenuated
    XM43M9Pertussis vaccines Pertussis vaccines
    XM45L8Pertussis, inactivated, whole cell vaccinesPertussis, inactivated, whole cell vaccines
    XM62J1Pertussis, purified antigen vaccinesPertussis, purified antigen vaccines
    XM2TK2Pertussis, inactivated, whole cell, combinations with toxoids vaccinesPertussis, inactivated, whole cell, combinations with toxoids vaccines
    XM4082Pertussis, purified antigen, combinations with toxoids vaccinesPertussis, purified antigen, combinations with toxoids vaccines
    XM9EM7Pneumococcal vaccinesPneumococcal vaccines
    XM9G97Pneumococcal conjugate (13-valent) vaccinesPneumococcal conjugate (13-valent) vaccines
    XM2249Pneumococcal polysaccharide 23-valent vaccinesPneumococcal polysaccharide 23-valent vaccines
    XM91D7Pneumococcus, purified polysaccharides antigen vaccinesPneumococcus, purified polysaccharides antigen vaccines
    XM96S7Pneumococcus, purified polysaccharides antigen conjugated vaccinesPneumococcus, purified polysaccharides antigen conjugated vaccines
    XM4R39Pneumococcus purified polysaccharides antigen and Haemophilus influenzae, conjugated vaccinesPneumococcus purified polysaccharides antigen and Haemophilus influenzae, conjugated vaccines
    XM0N50Poliomyelitis vaccinesPoliomyelitis vaccines
    XM5V19Poliomyelitis, trivalent, inactivated, whole virusPoliomyelitis, trivalent, inactivated, whole virus
    XM79H3Poliomyelitis oral, bivalent, live attenuatedPoliomyelitis oral, bivalent, live attenuated
    XM0VX8Poliomyelitis oral, monovalent live attenuatedPoliomyelitis oral, monovalent live attenuated
    XM0KZ1Poliomyelitis oral, trivalent, live attenuatedPoliomyelitis oral, trivalent, live attenuated
    XM6T09Rabies vaccineRabies vaccine
    XM7BE8Rabies, inactivated, whole virusRabies, inactivated, whole virus
    XM1CE0Rotavirus diarrhoea vaccinesRotavirus diarrhoea vaccines
    XM4GV0Rota virus, live attenuatedRota virus, live attenuated
    XM4VG1Rota virus, pentavalent, live, reassortedRota virus, pentavalent, live, reassorted
    XM7PP1Rubella vaccineRubella vaccine
    XM9PS9Rubella, live attenuatedRubella, live attenuated
    XM1LR5Influenza vaccinesInfluenza vaccines
    XM8857Influenza vaccine, inactivated, whole virusInfluenza vaccine, inactivated, whole virus
    XM5V64Influenza vaccines, live attenuatedInfluenza vaccines, live attenuated
    XM8MP2Influenza vaccines, inactivated, split virus or surface antigenInfluenza vaccines, inactivated, split virus or surface antigen
    XM9E16Influenza vaccines, virus like particleInfluenza vaccines, virus like particle
    XM33X8Influenza, purified antigenInfluenza, purified antigen
    XM5L44Tetanus vaccinesTetanus vaccines
    XM29H5Tetanus toxoid vaccinesTetanus toxoid vaccines
    XM9AK2Tetanus toxoid, combinations with tetanus immunoglobulin vaccinesTetanus toxoid, combinations with tetanus immunoglobulin vaccines
    XM0RC1Encephalitis vaccinesEncephalitis vaccines
    XM8MP6Encephalitis, tick borne, inactivated, whole virusEncephalitis, tick borne, inactivated, whole virus
    XM8BU8Typhoid vaccinesTyphoid vaccines
    XM33K4Typhoid, oral, live attenuated vaccinesTyphoid, oral, live attenuated vaccines
    XM89G3Typhoid, inactivated, whole cell vaccinesTyphoid, inactivated, whole cell vaccines
    XM3SF6Typhoid, purified polysaccharide antigen vaccinesTyphoid, purified polysaccharide antigen vaccines
    XM9UB1Typhoid-paratyphoid vaccinesTyphoid-paratyphoid vaccines  
    XM8DG3Varicella zoster vaccinesVaricella zoster vaccines
    XM0NS8Varicella, live attenuated    Varicella, live attenuated  
    XM0N24Yellow fever vaccineYellow fever vaccine
    XM3418Yellow fever, live attenuatedYellow fever, live attenuated
    XM38G7Dengue vaccineDengue vaccine
    XM68M6COVID-19 vaccinesCOVID-19 vaccines
    XM0GQ8COVID-19 vaccine, RNA basedCOVID-19 vaccine, RNA based
    XM1NL1COVID-19 vaccine, inactivated virusCOVID-19 vaccine, inactivated virus
    XM1J92COVID-19 vaccine, virus like particleCOVID-19 vaccine, virus like particle
    XM9QW8COVID-19 vaccine, non-replicating viral vectorCOVID-19 vaccine, non-replicating viral vector
    XM6AT1COVID-19 vaccine, DNA basedCOVID-19 vaccine, DNA based
    XM5JC5COVID-19 vaccine, virus protein subunitCOVID-19 vaccine, virus protein subunit
    XM3CT4Recombinant SARS-CoV-2 vaccineRecombinant SARS-CoV-2 vaccine
    XM0CX4COVID-19 vaccine, replicating viral vectorCOVID-19 vaccine, replicating viral vector
    XM5DF6COVID-19 vaccine, live attenuated virusCOVID-19 vaccine, live attenuated virus

Generated Narrative: ValueSet #doseNumber


Generated Narrative: ValueSet #DVCRelationshipStatus