SMART ICVP
0.2.0 - ci-build
SMART ICVP, published by WHO. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-icvp/ and changes regularly. See the Directory of published versions
Profile: SDC Questionnaire Response
Tag: lformsVersion: 33.3.6 (Details: [not stated] code lformsVersion: 33.3.6)
LinkID | Text | Definition | Answer |
---|---|---|---|
![]() ![]() | Questionnaire:ICVP Model Questionnaire | ||
![]() ![]() ![]() | Full Name of the client | John Doe | |
![]() ![]() ![]() | Date of Birth | 2017-05-17 | |
![]() ![]() ![]() | Sex | administrativeSex M: Male | |
![]() ![]() ![]() | Nationality | ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code ATG: Antigua and Barbuda | |
![]() ![]() ![]() | National Identification Document | ASVPR24682C | |
![]() ![]() ![]() | Parent or Guardian Details | ||
![]() ![]() ![]() ![]() | Name of Parent or Guardian | Father Doe | |
![]() ![]() ![]() ![]() | Relationship Status | DVCRelationshipStatus Parent: Parent | |
![]() ![]() ![]() | Vaccine Certificate Details | ||
![]() ![]() ![]() ![]() | Vaccine or Prophylaxis ID | ICVPProductIds YellowFeverProductd8a09f80301dc05e124f99ffe7711fc0: 01/01/1987Yellow FeverSTAMARILVial + Ampoule10Sanofi PasteurAgence nationale de sécurité du médicament et des produits de santé | |
![]() ![]() ![]() ![]() | Date of Vaccination | 2025-08-08 | |
![]() ![]() ![]() ![]() | Name of supervising clinician | Mr. Supervisor | |
![]() ![]() ![]() ![]() | Relevant authoring reponsible for issuing the certificate, or for overseeing the administration center | National Health Institute | |
![]() ![]() ![]() ![]() | Batch Number | 23543657LOT | |
![]() ![]() ![]() ![]() | Certificate Validity Period | ||
![]() ![]() ![]() ![]() ![]() | From | 2025-08-15 | |