Te Whatu Ora Shared Care FHIR API
0.3.9 - release
Te Whatu Ora Shared Care FHIR API
0.3.9 - release
Te Whatu Ora Shared Care FHIR API - Local Development build (v0.3.9) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2024-06-20 |
{
"resourceType" : "Questionnaire",
"id" : "ImmsotVaccinationDataEntryQuestionnaire",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Other attributes of the item\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description & Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/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 style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><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=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Submit an overseas, historic, or not-done vaccination to AIR</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/ImmsotVaccinationDataEntryQuestionnaire#0.3.9</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" id=\"item.p01-Immunisation\" class=\"hierarchy\"><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\"/> p01-Immunisation</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 1. Page 1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q01-Type\" class=\"hierarchy\"><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.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\"/> p01-q01-Type</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 1 question 1. Type of vaccination</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.p01-q01-Type\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q02-StatusCompleted\" class=\"hierarchy\"><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.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"String\" class=\"hierarchy\"/> p01-q02-StatusCompleted</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 1 question 2. Extract - Status completed</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extension-questionnaire-hidden.html\" title=\"Is a hidden item\"><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></a><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"http://hl7.org/fhir/R4/immunization.html#Immunization.status\">Immunization.status</a><br/>Enable When: <ul><li><a href=\"#item.p01-q01-Type\">p01-q01-Type</a> = Overseas</li><li><a href=\"#item.p01-q01-Type\">p01-q01-Type</a> = Historic</li></ul><br/>Initial Value: string = completed</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q03-StatusNotDone\" class=\"hierarchy\"><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.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"String\" class=\"hierarchy\"/> p01-q03-StatusNotDone</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 1 question 3. Extract - Status not done</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extension-questionnaire-hidden.html\" title=\"Is a hidden item\"><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></a><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"http://hl7.org/fhir/R4/immunization.html#Immunization.status\">Immunization.status</a><br/>Enable When: <span><a href=\"#item.p01-q01-Type\">p01-q01-Type</a> = Not done</span><br/>Initial Value: string = not-done</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q04-StatusReasonOverseas\" class=\"hierarchy\"><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.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> p01-q04-StatusReasonOverseas</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 1 question 4. Extract - Status reason</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extension-questionnaire-hidden.html\" title=\"Is a hidden item\"><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></a><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"http://hl7.org/fhir/R4/immunization.html#Immunization.statusReason.coding[]\">Immunization.statusReason.coding[]</a><br/>Enable When: <span><a href=\"#item.p01-q01-Type\">p01-q01-Type</a> = Overseas</span><br/>Initial Value: Coding = <span title=\"https://standards.digital.health.nz/ns/air-status-reason-terms\">air-status-reason-terms</span>#GIVNOS "Given overseas"</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q05-StatusReasonHistoric\" class=\"hierarchy\"><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.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\"/> p01-q05-StatusReasonHistoric</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 1 question 5. Extract - Status reason</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extension-questionnaire-hidden.html\" title=\"Is a hidden item\"><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></a><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"http://hl7.org/fhir/R4/immunization.html#Immunization.statusReason.coding[]\">Immunization.statusReason.coding[]</a><br/>Enable When: <span><a href=\"#item.p01-q01-Type\">p01-q01-Type</a> = Historic</span><br/>Initial Value: Coding = <span title=\"https://standards.digital.health.nz/ns/air-status-reason-terms\">air-status-reason-terms</span>#HSTGIVN "Given historically"</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q06-StatusReasonNotDone\" class=\"hierarchy\"><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.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> p01-q06-StatusReasonNotDone</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 1 question 6. Status reason</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"http://hl7.org/fhir/R4/immunization.html#Immunization.statusReason.coding[]\">Immunization.statusReason.coding[]</a><br/>Enable When: <span><a href=\"#item.p01-q01-Type\">p01-q01-Type</a> = Not done</span><br/>Options: <a href=\"#opt-item.p01-q06-StatusReasonNotDone\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q07-FacilityOverseas\" class=\"hierarchy\"><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.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\"/> p01-q07-FacilityOverseas</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 1 question 7. Extract - Overseas facility</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extension-questionnaire-hidden.html\" title=\"Is a hidden item\"><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></a><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"http://hl7.org/fhir/R4/immunization.html#Immunization.location\">Immunization.location</a><br/>Enable When: <span><a href=\"#item.p01-q01-Type\">p01-q01-Type</a> = Overseas</span><br/>Initial Value: Coding = <span title=\"null\">[not stated]</span>#F3R789-A "NIR Overseas Clinic"</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q08-FacilityHistoric\" class=\"hierarchy\"><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.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> p01-q08-FacilityHistoric</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 1 question 8. Extract - Historic facility</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extension-questionnaire-hidden.html\" title=\"Is a hidden item\"><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></a><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"http://hl7.org/fhir/R4/immunization.html#Immunization.location\">Immunization.location</a><br/>Enable When: <ul><li><a href=\"#item.p01-q01-Type\">p01-q01-Type</a> = Historic</li><li><a href=\"#item.p01-q01-Type\">p01-q01-Type</a> = Not done</li></ul><br/>Initial Value: Coding = <span title=\"null\">[not stated]</span>#F3R790-H "NIR Unknown NZ Clinic"</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q09-Antigens\" class=\"hierarchy\"><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.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\"/> p01-q09-Antigens</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 1 question 9. Vaccine antigens</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"http://hl7.org/fhir/R4/immunization.html#Immunization.vaccineCode.coding[]\">Immunization.vaccineCode.coding[]</a><br/>Enable When: <span><a href=\"#item.p01-q01-Type\">p01-q01-Type</a> exists true</span><br/>Options: <a href=\"#opt-item.p01-q09-Antigens\">82 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q10-DoseNumber\" class=\"hierarchy\"><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.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Integer\" class=\"hierarchy\"/> p01-q10-DoseNumber</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 1 question 10. Dose number</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"http://hl7.org/fhir/R4/immunization.html#Immunization.protocolApplied[].doseNumberPositiveInt\">Immunization.protocolApplied[].doseNumberPositiveInt</a><br/>Enable When: <ul><li><a href=\"#item.p01-q01-Type\">p01-q01-Type</a> = Overseas</li><li><a href=\"#item.p01-q01-Type\">p01-q01-Type</a> = Historic</li></ul></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q11-DoseNumber\" class=\"hierarchy\"><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.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Integer\" class=\"hierarchy\"/> p01-q11-DoseNumber</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 1 question 11. Dose number</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"http://hl7.org/fhir/R4/immunization.html#Immunization.protocolApplied[].doseNumberPositiveInt\">Immunization.protocolApplied[].doseNumberPositiveInt</a><br/>Enable When: <span><a href=\"#item.p01-q01-Type\">p01-q01-Type</a> = Not done</span></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q12-Indication\" class=\"hierarchy\"><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.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> p01-q12-Indication</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 1 question 12. Indication (reason code)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"http://hl7.org/fhir/R4/immunization.html#Immunization.reasonCode[].coding[]\">Immunization.reasonCode[].coding[]</a><br/>Enable When: <span><a href=\"#item.p01-q01-Type\">p01-q01-Type</a> exists true</span><br/>Options: <a href=\"#opt-item.p01-q12-Indication\">33 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q13-DateAdministered\" class=\"hierarchy\"><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.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Date\" class=\"hierarchy\"/> p01-q13-DateAdministered</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 1 question 13. Date vaccine administered</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"http://hl7.org/fhir/R4/immunization.html#Immunization.occurrenceDateTime\">Immunization.occurrenceDateTime</a><br/>Enable When: <ul><li><a href=\"#item.p01-q01-Type\">p01-q01-Type</a> = Overseas</li><li><a href=\"#item.p01-q01-Type\">p01-q01-Type</a> = Historic</li></ul></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q14-DateNotDone\" class=\"hierarchy\"><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.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\"/> p01-q14-DateNotDone</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 1 question 14. Date vaccine determined as not done</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"http://hl7.org/fhir/R4/immunization.html#Immunization.occurrenceDateTime\">Immunization.occurrenceDateTime</a><br/>Enable When: <span><a href=\"#item.p01-q01-Type\">p01-q01-Type</a> = Not done</span></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" id=\"item.p01-q15-SubjectMeta\" class=\"hierarchy\"><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-boolean.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Boolean\" class=\"hierarchy\"/> p01-q15-SubjectMeta</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 1 question 15. null</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extension-questionnaire-hidden.html\" title=\"Is a hidden item\"><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></a><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Initial Value: boolean = true</td></tr>\r\n<tr><td colspan=\"6\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/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><hr/><p><b>Options Sets</b></p><a name=\"opt-item.p01-q01-Type\"> </a><p><b>Answer options for p01-q01-Type </b></p><ul><li style=\"font-size: 11px\">null#null ("Overseas")</li><li style=\"font-size: 11px\">null#null ("Historic")</li><li style=\"font-size: 11px\">null#null ("Not done")</li></ul><a name=\"opt-item.p01-q06-StatusReasonNotDone\"> </a><p><b>Answer options for p01-q06-StatusReasonNotDone </b></p><ul><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-status-reason-terms#DPC ("Declined by parent/guardian")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-status-reason-terms#DIC ("Declined by individual")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-status-reason-terms#DMC ("Permanent contraindication")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-status-reason-terms#DNI ("Immune")</li></ul><a name=\"opt-item.p01-q09-Antigens\"> </a><p><b>Answer options for p01-q09-Antigens </b></p><ul><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#03 ("03 - MMR")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#05 ("05 - Measles")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#06 ("06 - Rubella")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#08 ("08 - HepB")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#09 ("09 - Td")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#10 ("10 - IPV")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#19 ("19 - BCG")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#20 ("20 - DTaP")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#21 ("21 - VV")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#22 ("22 - DTP-Hib")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#25 ("25 - Typhoid")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#26 ("26 - Cholera")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#28 ("28 - DT")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#30 ("30 - HBIG")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#33 ("33 - 23PPV")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#35 ("35 - Tetanus")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#37 ("37 - YFV")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#39 ("39 - JEV")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#43 ("43 - HepB")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#44 ("44 - HepB")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#48 ("48 - Hib-PRP-T")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#50 ("50 - DTaP-Hib")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#51 ("51 - Hib-HepB")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#52 ("52 - HepA")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#56 ("56 - Dengue")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#62 ("62 - HPV4")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#75 ("75 - MPX")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#83 ("83 - HepA")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#100 ("100 - PCV7")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#101 ("101 - Typhoid")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#103 ("103 - MenC")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#104 ("104 - HepB-HepA")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#110 ("110 - DTaP-IPV-HepB")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#114 ("114 - MenACWY")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#115 ("115 - Tdap")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#116 ("116 - RV5")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#118 ("118 - HPV2")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#119 ("119 - RV1")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#120 ("120 - DTaP-IPV-Hib")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#121 ("121 - rZV")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#127 ("127 - Influenza A (H1N1)")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#130 ("130 - DTaP-IPV")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#133 ("133 - PCV13")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#134 ("134 - JEV")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#150 ("150 - Influenza")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#160 ("160 - Influenza A (H5N1)")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#161 ("161 - Influenza")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#163 ("163 - MenB")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#165 ("165 - HPV9")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#182 ("182 - OPV")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#187 ("187 - rZV")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#202 ("202 - Influenza")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#205 ("205 - Influenza")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#208 ("208 - COVID-19")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#210 ("210 - COVID-19")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#211 ("211 - COVID-19")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#217 ("217 - COVID-19")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#218 ("218 - COVID-19")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#219 ("219 - COVID-19")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#222 ("222 - TBE")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#300 ("300 - COVID-19")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#303 ("303 - RSV")</li><li style=\"font-size: 11px\">http://hl7.org/fhir/sid/cvx#500 ("500 - COVID-19")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#52101 ("52101 - HepA-Typhoid")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#090306 ("090306 - PCV unspecified")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#90906 ("90906 - Td")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#99001 ("99001 - DTaP-IPV")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#99002 ("99002 - MeNZB")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#99003 ("99003 - Diphtheria, paed")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#99004 ("99004 - aP")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#99005 ("99005 - Diphtheria, adult")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#99006 ("99006 - Influenza")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#99007 ("99007 - HepA")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#99008 ("99008 - MenACWY")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#99009 ("99009 - Rabies")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#99010 ("99010 - RIG")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#99011 ("99011 - Tdap-IPV")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#99012 ("99012 - Tdap")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#99013 ("99013 - MenC")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#210307 ("210307 - DTaP-IPV-HepB/Hib")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#260209 ("260209 - PCV10")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/immunisation-code#EVPMnC ("EVPMnC - MenC")</li></ul><a name=\"opt-item.p01-q12-Indication\"> </a><p><b>Answer options for p01-q12-Indication </b></p><ul><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#1 ("Influenza, eligible over 65 years")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#2 ("Influenza, eligible under 18 years")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#3 ("Influenza, eligible criteria")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#4 ("Sexual or household contact")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#5 ("Primary course")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#6 ("Booster")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#7 ("Post partum")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#8 ("Low birth weight")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#9 ("HepB carrier mother")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#10 ("At risk for TB")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#11 ("Pre-post splenectomy schedule")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#12 ("At risk, no previous history")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#13 ("At risk, previous PCV history")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#14 ("At risk, previous 23PPV")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#15 ("Pre-emergency")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#16 ("Pregnant")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#21 ("PCV catch up")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#Pre ("Pre-primary course")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#Stn ("Funded, if not otherwise specified")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#6W ("6 weeks")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#3M ("3 months")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#5M ("5 months")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#12M ("12 months")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#15M ("15 months")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#4Y ("4 years")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#11Y ("11 years")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#14Y ("14 years")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#45Y ("45 years")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#65Y ("65 years")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#96 ("HepB high risk, booster or extra dose")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#TPW ("Tetanus-prone wound")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#5P ("Privately funded, primary course")</li><li style=\"font-size: 11px\">https://standards.digital.health.nz/ns/air-terms-code#6P ("Privately funded, booster")</li></ul></div>"
},
"url" : "https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/ImmsotVaccinationDataEntryQuestionnaire",
"identifier" : [
{
"use" : "usual",
"value" : "ImmsotVaccinationDataEntryQuestionnaire",
"period" : {
"start" : "2023-07-05"
}
}
],
"version" : "0.3.9",
"title" : "AIR - Overseas, Historic, Not Done",
"status" : "draft",
"date" : "2024-06-20T01:54:07+00:00",
"publisher" : "Te Whatu Ora",
"contact" : [
{
"name" : "Te Whatu Ora",
"telecom" : [
{
"system" : "url",
"value" : "https://www.tewhatuora.govt.nz/"
}
]
},
{
"name" : "David Grainger",
"telecom" : [
{
"system" : "email",
"value" : "david.grainger@middleware.co.nz",
"use" : "work"
}
]
}
],
"description" : "Submit an overseas, historic, or not-done vaccination to AIR",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "NZ",
"display" : "New Zealand"
}
]
}
],
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueCode" : "Immunization"
}
],
"linkId" : "p01-Immunisation",
"prefix" : "page 1",
"text" : "Page 1",
"type" : "group",
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
]
}
}
],
"linkId" : "p01-q01-Type",
"prefix" : "page 1 question 1",
"text" : "Type of vaccination",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"display" : "Overseas"
}
},
{
"valueCoding" : {
"display" : "Historic"
}
},
{
"valueCoding" : {
"display" : "Not done"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean" : true
}
],
"linkId" : "p01-q02-StatusCompleted",
"definition" : "http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.status",
"prefix" : "page 1 question 2",
"text" : "Extract - Status completed",
"type" : "string",
"enableWhen" : [
{
"question" : "p01-q01-Type",
"operator" : "=",
"answerCoding" : {
"display" : "Overseas"
}
},
{
"question" : "p01-q01-Type",
"operator" : "=",
"answerCoding" : {
"display" : "Historic"
}
}
],
"enableBehavior" : "any",
"required" : true,
"initial" : [
{
"valueString" : "completed"
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean" : true
}
],
"linkId" : "p01-q03-StatusNotDone",
"definition" : "http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.status",
"prefix" : "page 1 question 3",
"text" : "Extract - Status not done",
"type" : "string",
"enableWhen" : [
{
"question" : "p01-q01-Type",
"operator" : "=",
"answerCoding" : {
"display" : "Not done"
}
}
],
"enableBehavior" : "all",
"initial" : [
{
"valueString" : "not-done"
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean" : true
}
],
"linkId" : "p01-q04-StatusReasonOverseas",
"definition" : "http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.statusReason.coding[]",
"prefix" : "page 1 question 4",
"text" : "Extract - Status reason",
"type" : "choice",
"enableWhen" : [
{
"question" : "p01-q01-Type",
"operator" : "=",
"answerCoding" : {
"display" : "Overseas"
}
}
],
"enableBehavior" : "all",
"initial" : [
{
"valueCoding" : {
"system" : "https://standards.digital.health.nz/ns/air-status-reason-terms",
"code" : "GIVNOS",
"display" : "Given overseas"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean" : true
}
],
"linkId" : "p01-q05-StatusReasonHistoric",
"definition" : "http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.statusReason.coding[]",
"prefix" : "page 1 question 5",
"text" : "Extract - Status reason",
"type" : "choice",
"enableWhen" : [
{
"question" : "p01-q01-Type",
"operator" : "=",
"answerCoding" : {
"display" : "Historic"
}
}
],
"enableBehavior" : "all",
"initial" : [
{
"valueCoding" : {
"system" : "https://standards.digital.health.nz/ns/air-status-reason-terms",
"code" : "HSTGIVN",
"display" : "Given historically"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
]
}
}
],
"linkId" : "p01-q06-StatusReasonNotDone",
"definition" : "http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.statusReason.coding[]",
"prefix" : "page 1 question 6",
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},
{
"valueCoding" : {
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},
{
"valueCoding" : {
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{
"valueCoding" : {
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{
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},
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"valueCoding" : {
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}