{ "description": "DDCC Questionnaire for a Test event.", "_filename": "Questionnaire-DDCCTRCoreDataSetQuestionnaire.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": "DDCCTRCoreDataSetQuestionnaire", "item": [ { "text": "Name", "type": "string", "linkId": "name", "required": true }, { "text": "Date of birth", "type": "date", "linkId": "birthDate", "required": true }, { "text": "Unique identifier", "type": "string", "linkId": "identifier", "required": false }, { "text": "Pathogen targeted", "type": "choice", "linkId": "pathogen", "required": true, "answerValueSet": "http://smart.who.int/ddcc/ValueSet/WHODDCCAgentTargetedCOVID19" }, { "text": "Type of test", "type": "choice", "linkId": "type", "required": true, "answerValueSet": "http://smart.who.int/ddcc/ValueSet/WHODDCCTypeofTestCOVID19" }, { "text": "Test brand", "type": "choice", "linkId": "brand", "required": false }, { "text": "Test manufacturer", "type": "choice", "linkId": "manufacturer", "required": false }, { "text": "Specimen Sample Origin", "type": "choice", "linkId": "origin", "required": false, "answerValueSet": "http://smart.who.int/ddcc/ValueSet/WHODDCCSampleOriginCOVID19" }, { "text": "Date and time of sample collection", "type": "date", "linkId": "date", "required": true }, { "text": "Test result", "type": "choice", "linkId": "result", "required": true, "answerValueSet": "http://smart.who.int/ddcc/ValueSet/who-ddcc-test-result-covid-19" }, { "text": "Vaccination valid from", "type": "date", "linkId": "vaccine_valid", "required": false }, { "text": "Test centre or facility name", "type": "choice", "linkId": "centre", "required": false }, { "text": "Test centre country", "type": "choice", "linkId": "country", "required": true, "answerValueSet": "http://hl7.org/fhir/ValueSet/iso3166-1-3" }, { "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:TR Core Data Set Questionnaire", "package_version": "1.0.1", "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap", "valueCanonical": "http://smart.who.int/ddcc/StructureMap/QRespToTRCoreDataSet" } ], "status": "draft", "id": "5508da90-6f92-458c-9521-e1430d75fdc5", "kind": null, "url": "http://smart.who.int/ddcc/DDCCTRCoreDataSetQuestionnaire", "version": "1.0.1", "contact": [ { "name": "WHO", "telecom": [ { "value": "http://who.int", "system": "url" } ] } ] }