{
  "description": "DDCC Questionnaire for an Immunization event.",
  "_filename": "Questionnaire-DDCCVSCoreDataSetQuestionnaire.json",
  "package_name": "who.ddcc",
  "date": "2021-12-22",
  "meta": {
    "profile": [ "http://smart.who.int/ddcc/StructureDefinition/DDCCQuestionnaire" ]
  },
  "publisher": "WHO",
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm"
    } ]
  } ],
  "name": "DDCCVSCoreDataSetQuestionnaire",
  "item": [ {
    "text": "Name",
    "type": "string",
    "linkId": "name",
    "required": true
  }, {
    "text": "Date of birth",
    "type": "date",
    "linkId": "birthDate",
    "required": false
  }, {
    "text": "Unique identifier",
    "type": "string",
    "linkId": "identifier",
    "required": false
  }, {
    "text": "Sex",
    "type": "choice",
    "linkId": "sex",
    "required": false,
    "answerValueSet": "http://hl7.org/fhir/ValueSet/administrative-gender"
  }, {
    "text": "Vaccine or prophylaxis",
    "type": "choice",
    "linkId": "vaccine",
    "required": true,
    "answerValueSet": "http://smart.who.int/ddcc/ValueSet/WHODDCCVaccinesCOVID19"
  }, {
    "text": "Vaccine brand",
    "type": "choice",
    "linkId": "brand",
    "required": true
  }, {
    "text": "Vaccine manufacturer",
    "type": "choice",
    "linkId": "manufacturer",
    "required": false
  }, {
    "text": "Vaccine market authorization holder",
    "type": "choice",
    "linkId": "ma_holder",
    "required": false
  }, {
    "text": "Vaccine batch number",
    "type": "string",
    "linkId": "lot",
    "required": true
  }, {
    "text": "Date of vaccine",
    "type": "date",
    "linkId": "date",
    "required": true
  }, {
    "text": "Vaccination valid from",
    "type": "date",
    "linkId": "vaccine_valid",
    "required": false
  }, {
    "text": "Dose number",
    "type": "integer",
    "linkId": "dose",
    "required": true
  }, {
    "text": "Total doses",
    "type": "integer",
    "linkId": "total_doses",
    "required": false
  }, {
    "text": "Country of vaccination",
    "type": "choice",
    "linkId": "country",
    "required": true,
    "answerValueSet": "http://hl7.org/fhir/ValueSet/iso3166-1-3"
  }, {
    "text": "Administering centre",
    "type": "string",
    "linkId": "centre",
    "required": true
  }, {
    "text": "Health worker identifier",
    "type": "string",
    "linkId": "hw",
    "required": false
  }, {
    "text": "Disease or agent targeted",
    "type": "choice",
    "linkId": "disease",
    "required": false,
    "answerValueSet": "http://smart.who.int/ddcc/ValueSet/WHODDCCAgentTargetedCOVID19"
  }, {
    "text": "Due date of next dose",
    "type": "date",
    "linkId": "due_date",
    "required": false
  }, {
    "text": "Certificate issuer",
    "type": "string",
    "linkId": "pha",
    "required": true
  }, {
    "text": "Health certificate identifier",
    "type": "string",
    "linkId": "hcid",
    "required": true
  }, {
    "text": "Certificate valid from",
    "type": "date",
    "linkId": "valid_from",
    "required": false
  }, {
    "text": "Certificate valid until",
    "type": "date",
    "linkId": "valid_until",
    "required": false
  } ],
  "type": null,
  "experimental": "true",
  "resourceType": "Questionnaire",
  "title": "DDCC:VS Core Data Set Questionnaire",
  "package_version": "1.0.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap",
    "valueCanonical": "http://smart.who.int/ddcc/StructureMap/QRespToVSCoreDataSet"
  } ],
  "status": "draft",
  "id": "1572911f-9970-4ff7-a087-5b0bf22bb0de",
  "kind": null,
  "url": "http://smart.who.int/ddcc/DDCCVSCoreDataSetQuestionnaire",
  "version": "1.0.0",
  "contact": [ {
    "name": "WHO",
    "telecom": [ {
      "value": "http://who.int",
      "system": "url"
    } ]
  } ]
}