example-questionnaire - XML Representation - Vaccination CDS Implementation Guide v0.1.0

Vaccination CDS Implementation Guide, published by Euvabeco. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/EUVABECO/VCDS/ and changes regularly. See the Directory of published versions
: example-questionnaire - XML Representation

Active as of 2026-10-22
Raw xml | Download

<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="example-questionnaire"/>
  <meta>
    <profile
             value="https://euvabeco.net/vcds-ig/StructureDefinition/Questionnaire"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire example-questionnaire</b></p><a name="example-questionnaire"> </a><a name="hcexample-questionnaire"> </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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Questionnaire.html">Questionnaire</a></p></div><table border="1" cellpadding="0" cellspacing="0" class="xhtTableBorder1"><tr class="xhtRowBorder2"><th scope="col" style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/formats.html#table" title="The linkID for the item">LinkID</a></th><th scope="col" style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/formats.html#table" title="Text for the item">Text</a></th><th scope="col" style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th scope="col" style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/formats.html#table" title="The type of the item">Type</a></th><th scope="col" style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/formats.html#table" title="Additional information about the item">Description &amp; Constraints</a><span style="float: right"><a href="https://hl7.org/fhir/R5/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 class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1">Questionnaire</td><td style="" class="hierarchy xhtCellBorder1">https://euvabeco.net/vcds-ig/Questionnaire/example-questionnaire#0.1.0</td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck11.png)" id="item.e358c115-9c07-45e2-b1f7-3616637887f9" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> e358c115-9c07-45e2-b1f7-3616637887f9</td><td style="" class="hierarchy xhtCellBorder1">Medical history</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-group">group</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck101.png)" id="item.aadd20de-aec1-449d-b545-8efbcb8152aa" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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-group.png" alt="" style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">e358c115-9c07-45e2-b1f7-3616637887f9 / </span>aadd20de-aec1-449d-b545-8efbcb8152aa</td><td style="" class="hierarchy xhtCellBorder1">Infections</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-group">group</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1011.png)" id="item.3b779e76-ae66-4e18-bba4-7ed81f1befb3" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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_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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">e358c115-9c07-45e2-b1f7-3616637887f9 / aadd20de-aec1-449d-b545-8efbcb8152aa / </span>3b779e76-ae66-4e18-bba4-7ed81f1befb3</td><td style="" class="hierarchy xhtCellBorder1">Date of last history of pertussis</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-date">date</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck10100.png)" id="item.help-3b779e76-ae66-4e18-bba4-7ed81f1befb3" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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_blank.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-display.png" alt="" style="background-color: white; background-color: inherit" title="display" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">e358c115-9c07-45e2-b1f7-3616637887f9 / aadd20de-aec1-449d-b545-8efbcb8152aa / 3b779e76-ae66-4e18-bba4-7ed81f1befb3 / </span>help-3b779e76-ae66-4e18-bba4-7ed81f1befb3</td><td style="" class="hierarchy xhtCellBorder1">You must be sure that it is pertussis (proven by a biological test, check with your doctor). 
It is estimated that a person who has had pertussis is protected from getting a new pertussis 
infection for about 10 years. If this box is checked, vaccination is not considered necessary. 
If the disease occurred before the age of two, the vaccination program is continued as usual.</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-display">display</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1011.png)" id="item.b6a2264e-c150-41ed-94cd-83205259b17b" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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_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-boolean.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="boolean" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">e358c115-9c07-45e2-b1f7-3616637887f9 / aadd20de-aec1-449d-b545-8efbcb8152aa / </span>b6a2264e-c150-41ed-94cd-83205259b17b</td><td style="" class="hierarchy xhtCellBorder1">Dengue (proven by virological test)</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck10100.png)" id="item.help-b6a2264e-c150-41ed-94cd-83205259b17b" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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_blank.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-display.png" alt="" style="background-color: white; background-color: inherit" title="display" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">e358c115-9c07-45e2-b1f7-3616637887f9 / aadd20de-aec1-449d-b545-8efbcb8152aa / b6a2264e-c150-41ed-94cd-83205259b17b / </span>help-b6a2264e-c150-41ed-94cd-83205259b17b</td><td style="" class="hierarchy xhtCellBorder1">To check this choice, the diagnosis of dengue must be documented and proven by a virological 
test performed at the time of the onset of the disease (see the medical file and ask your doctor 
for help).</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-display">display</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1001.png)" id="item.af34705f-a8ad-4c00-b3f7-2057807db19b" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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_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-boolean.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="boolean" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">e358c115-9c07-45e2-b1f7-3616637887f9 / aadd20de-aec1-449d-b545-8efbcb8152aa / </span>af34705f-a8ad-4c00-b3f7-2057807db19b</td><td style="" class="hierarchy xhtCellBorder1">Severe pneumococcal infection</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck10000.png)" id="item.help-af34705f-a8ad-4c00-b3f7-2057807db19b" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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_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-display.png" alt="" style="background-color: white; background-color: inherit" title="display" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">e358c115-9c07-45e2-b1f7-3616637887f9 / aadd20de-aec1-449d-b545-8efbcb8152aa / af34705f-a8ad-4c00-b3f7-2057807db19b / </span>help-af34705f-a8ad-4c00-b3f7-2057807db19b</td><td style="" class="hierarchy xhtCellBorder1">It is a history of pulmonary or invasive (meningitis, septicemia) pneumococcal infection. 
If in doubt, ask your doctor for advice.</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-display">display</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck11.png)" id="item.803a0bb5-0c74-4e89-8146-424a96af84a9" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 803a0bb5-0c74-4e89-8146-424a96af84a9</td><td style="" class="hierarchy xhtCellBorder1">Occupation</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-group">group</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck100.png)" id="item.b761aff7-1a8c-4b95-8c5f-01f6768b1d99" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">803a0bb5-0c74-4e89-8146-424a96af84a9 / </span>b761aff7-1a8c-4b95-8c5f-01f6768b1d99</td><td style="" class="hierarchy xhtCellBorder1">Health profession</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-coding">coding</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-HealthProfession.html">Health professions</a></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck01.png)" id="item.1ed50b04-2834-4193-9212-9fcea1c53f15" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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"/> 1ed50b04-2834-4193-9212-9fcea1c53f15</td><td style="" class="hierarchy xhtCellBorder1">Chronic diseases</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-group">group</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck001.png)" id="item.74a61dc8-f817-42bb-8604-87da0711d03e" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">1ed50b04-2834-4193-9212-9fcea1c53f15 / </span>74a61dc8-f817-42bb-8604-87da0711d03e</td><td style="" class="hierarchy xhtCellBorder1">Diabetes</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-group">group</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck0001.png)" id="item.f8cedc4a-283b-43f0-ae53-196bbcb5d19a" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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-boolean.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="boolean" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">1ed50b04-2834-4193-9212-9fcea1c53f15 / 74a61dc8-f817-42bb-8604-87da0711d03e / </span>f8cedc4a-283b-43f0-ae53-196bbcb5d19a</td><td style="" class="hierarchy xhtCellBorder1">Treated diabetes</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck00000.png)" id="item.help-f8cedc4a-283b-43f0-ae53-196bbcb5d19a" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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_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-display.png" alt="" style="background-color: white; background-color: inherit" title="display" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">1ed50b04-2834-4193-9212-9fcea1c53f15 / 74a61dc8-f817-42bb-8604-87da0711d03e / f8cedc4a-283b-43f0-ae53-196bbcb5d19a / </span>help-f8cedc4a-283b-43f0-ae53-196bbcb5d19a</td><td style="" class="hierarchy xhtCellBorder1">Oral anti-diabetic medication or insulin.</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-display">display</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://hl7.org/fhir/R5/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></div>
  </text>
  <url
       value="https://euvabeco.net/vcds-ig/Questionnaire/example-questionnaire"/>
  <version value="0.1.0"/>
  <status value="active"/>
  <date value="2026-10-22T06:45:21+00:00"/>
  <publisher value="Euvabeco"/>
  <contact>
    <name value="Euvabeco"/>
    <telecom>
      <system value="url"/>
      <value value="https://euvabeco.eu"/>
    </telecom>
  </contact>
  <item>
    <linkId value="e358c115-9c07-45e2-b1f7-3616637887f9"/>
    <text value="Medical history"/>
    <type value="group"/>
    <item>
      <linkId value="aadd20de-aec1-449d-b545-8efbcb8152aa"/>
      <text value="Infections"/>
      <type value="group"/>
      <item>
        <linkId value="3b779e76-ae66-4e18-bba4-7ed81f1befb3"/>
        <code>
          <system value="https://euvabeco.net/vcds-ig/CodeSystem/Conditions"/>
          <code value="3b779e76-ae66-4e18-bba4-7ed81f1befb3"/>
        </code>
        <text value="Date of last history of pertussis"/>
        <type value="date"/>
        <item>
          <linkId value="help-3b779e76-ae66-4e18-bba4-7ed81f1befb3"/>
          <text
                value="You must be sure that it is pertussis (proven by a biological test, check with your doctor). 
It is estimated that a person who has had pertussis is protected from getting a new pertussis 
infection for about 10 years. If this box is checked, vaccination is not considered necessary. 
If the disease occurred before the age of two, the vaccination program is continued as usual."/>
          <type value="display"/>
        </item>
      </item>
      <item>
        <linkId value="b6a2264e-c150-41ed-94cd-83205259b17b"/>
        <code>
          <system value="https://euvabeco.net/vcds-ig/CodeSystem/Conditions"/>
          <code value="b6a2264e-c150-41ed-94cd-83205259b17b"/>
        </code>
        <text value="Dengue (proven by virological test)"/>
        <type value="boolean"/>
        <item>
          <linkId value="help-b6a2264e-c150-41ed-94cd-83205259b17b"/>
          <text
                value="To check this choice, the diagnosis of dengue must be documented and proven by a virological 
test performed at the time of the onset of the disease (see the medical file and ask your doctor 
for help)."/>
          <type value="display"/>
        </item>
      </item>
      <item>
        <linkId value="af34705f-a8ad-4c00-b3f7-2057807db19b"/>
        <code>
          <system value="https://euvabeco.net/vcds-ig/CodeSystem/Conditions"/>
          <code value="af34705f-a8ad-4c00-b3f7-2057807db19b"/>
        </code>
        <text value="Severe pneumococcal infection"/>
        <type value="boolean"/>
        <item>
          <linkId value="help-af34705f-a8ad-4c00-b3f7-2057807db19b"/>
          <text
                value="It is a history of pulmonary or invasive (meningitis, septicemia) pneumococcal infection. 
If in doubt, ask your doctor for advice."/>
          <type value="display"/>
        </item>
      </item>
    </item>
  </item>
  <item>
    <linkId value="803a0bb5-0c74-4e89-8146-424a96af84a9"/>
    <text value="Occupation"/>
    <type value="group"/>
    <item>
      <linkId value="b761aff7-1a8c-4b95-8c5f-01f6768b1d99"/>
      <code>
        <system value="https://euvabeco.net/vcds-ig/CodeSystem/Conditions"/>
        <code value="b761aff7-1a8c-4b95-8c5f-01f6768b1d99"/>
      </code>
      <text value="Health profession"/>
      <type value="coding"/>
      <answerValueSet
                      value="https://euvabeco.net/vcds-ig/ValueSet/HealthProfession"/>
    </item>
  </item>
  <item>
    <linkId value="1ed50b04-2834-4193-9212-9fcea1c53f15"/>
    <text value="Chronic diseases"/>
    <type value="group"/>
    <item>
      <linkId value="74a61dc8-f817-42bb-8604-87da0711d03e"/>
      <text value="Diabetes"/>
      <type value="group"/>
      <item>
        <linkId value="f8cedc4a-283b-43f0-ae53-196bbcb5d19a"/>
        <code>
          <system value="https://euvabeco.net/vcds-ig/CodeSystem/Conditions"/>
          <code value="f8cedc4a-283b-43f0-ae53-196bbcb5d19a"/>
        </code>
        <text value="Treated diabetes"/>
        <type value="boolean"/>
        <item>
          <linkId value="help-f8cedc4a-283b-43f0-ae53-196bbcb5d19a"/>
          <text value="Oral anti-diabetic medication or insulin."/>
          <type value="display"/>
        </item>
      </item>
    </item>
  </item>
</Questionnaire>