// Instance: pICVPForm // InstanceOf: sdc-questionnaire-extr-smap // Description: "Questionnaire that models data entry into EIR during a vaccination event" // Title: "dICVP Model Questionnaire" // * status = #draft Instance: pPreQual InstanceOf: sdc-questionnaire-extr-smap Description: "Questionnaire for DVC Logical Model with the WHO PreQual DB and paper attachment" Title: "DVC Model Questionnaire" * status = #active //* contained[+] = http://terminology.hl7.org/ValueSet/v3-Country // * contained[+] = $DVCRelationshipStatus //* contained[+] = ICVPProductIds * url = Canonical(pPreQual) * insert Question(name, Full Name of the client, string, false, true) * insert Question(dob, Date of Birth, date, false, true) * insert Question(sex, Sex, choice, false, false) * item[=].answerValueSet = "http://terminology.hl7.org/ValueSet/v2-0001" * insert Question(nationality, Nationality, choice, false, false) * item[=].answerValueSet = "http://terminology.hl7.org/ValueSet/v3-Country" * insert Question(nid, National Identification Document, string, false, false) * insert Question(guardian, Parent or Guardian Details, group, false, false) * item[=] * insert Question(guardianName, Name of Parent or Guardian, string, false, false) * insert Question(vaccineDetails,Vaccine Certificate Details,group, true, true) * item[=] * insert Question(productID, Vaccine or Prophylaxis ID, choice, false, true) * item[=].answerValueSet = $PreQualProductIDsVS * insert Question(date, Date of Vaccination, date, false, true) * insert Question(clinicianName, Name of supervising clinician, string, false, false) * insert Question(issuer, Relevant authoring reponsible for issuing the certificate\, or for overseeing the administration center, string, false, false) * insert Question(batchNo.text , Batch Number, string, false, true ) * insert Question(validityPeriod, Certificate Validity Period, group, false, false) * item[=] * insert Question(startDate, From, date, false, false) * insert Question(endDate, To, date, false, false) * insert Question(attachment, Upload Paper Form image or PDF, attachment, false, false)