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

• Narrative Content
• XML
• JSON
• TTL

: AIR - Overseas, Historic, Not Done - XML Representation

Draft as of 2024-06-20

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<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="ImmsotVaccinationDataEntryQuestionnaire"/>
  <text>
    <status value="generated"/>
    <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 &amp; 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>
<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>
<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>
<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>
<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>
<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 &quot;Given overseas&quot;</td></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_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 &quot;Given historically&quot;</td></tr>
<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>
<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 &quot;NIR Overseas Clinic&quot;</td></tr>
<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 &quot;NIR Unknown NZ Clinic&quot;</td></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_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>
<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>
<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>
<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>
<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>
<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>
<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>
<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 (&quot;Overseas&quot;)</li><li style="font-size: 11px">null#null (&quot;Historic&quot;)</li><li style="font-size: 11px">null#null (&quot;Not done&quot;)</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 (&quot;Declined by parent/guardian&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-status-reason-terms#DIC (&quot;Declined by individual&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-status-reason-terms#DMC (&quot;Permanent contraindication&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-status-reason-terms#DNI (&quot;Immune&quot;)</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 (&quot;03 - MMR&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#05 (&quot;05 - Measles&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#06 (&quot;06 - Rubella&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#08 (&quot;08 - HepB&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#09 (&quot;09 - Td&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#10 (&quot;10 - IPV&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#19 (&quot;19 - BCG&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#20 (&quot;20 - DTaP&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#21 (&quot;21 - VV&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#22 (&quot;22 - DTP-Hib&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#25 (&quot;25 - Typhoid&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#26 (&quot;26 - Cholera&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#28 (&quot;28 - DT&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#30 (&quot;30 - HBIG&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#33 (&quot;33 - 23PPV&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#35 (&quot;35 - Tetanus&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#37 (&quot;37 - YFV&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#39 (&quot;39 - JEV&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#43 (&quot;43 - HepB&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#44 (&quot;44 - HepB&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#48 (&quot;48 - Hib-PRP-T&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#50 (&quot;50 - DTaP-Hib&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#51 (&quot;51 - Hib-HepB&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#52 (&quot;52 - HepA&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#56 (&quot;56 - Dengue&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#62 (&quot;62 - HPV4&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#75 (&quot;75 - MPX&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#83 (&quot;83 - HepA&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#100 (&quot;100 - PCV7&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#101 (&quot;101 - Typhoid&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#103 (&quot;103 - MenC&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#104 (&quot;104 - HepB-HepA&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#110 (&quot;110 - DTaP-IPV-HepB&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#114 (&quot;114 - MenACWY&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#115 (&quot;115 - Tdap&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#116 (&quot;116 - RV5&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#118 (&quot;118 - HPV2&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#119 (&quot;119 - RV1&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#120 (&quot;120 - DTaP-IPV-Hib&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#121 (&quot;121 - rZV&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#127 (&quot;127 - Influenza A (H1N1)&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#130 (&quot;130 - DTaP-IPV&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#133 (&quot;133 - PCV13&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#134 (&quot;134 - JEV&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#150 (&quot;150 - Influenza&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#160 (&quot;160 - Influenza A (H5N1)&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#161 (&quot;161 - Influenza&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#163 (&quot;163 - MenB&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#165 (&quot;165 - HPV9&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#182 (&quot;182 - OPV&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#187 (&quot;187 - rZV&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#202 (&quot;202 - Influenza&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#205 (&quot;205 - Influenza&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#208 (&quot;208 - COVID-19&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#210 (&quot;210 - COVID-19&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#211 (&quot;211 - COVID-19&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#217 (&quot;217 - COVID-19&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#218 (&quot;218 - COVID-19&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#219 (&quot;219 - COVID-19&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#222 (&quot;222 - TBE&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#300 (&quot;300 - COVID-19&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#303 (&quot;303 - RSV&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#500 (&quot;500 - COVID-19&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#52101 (&quot;52101 - HepA-Typhoid&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#090306 (&quot;090306 - PCV unspecified&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#90906 (&quot;90906 - Td&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99001 (&quot;99001 - DTaP-IPV&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99002 (&quot;99002 - MeNZB&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99003 (&quot;99003 - Diphtheria, paed&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99004 (&quot;99004 - aP&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99005 (&quot;99005 - Diphtheria, adult&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99006 (&quot;99006 - Influenza&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99007 (&quot;99007 - HepA&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99008 (&quot;99008 - MenACWY&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99009 (&quot;99009 - Rabies&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99010 (&quot;99010 - RIG&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99011 (&quot;99011 - Tdap-IPV&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99012 (&quot;99012 - Tdap&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99013 (&quot;99013 - MenC&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#210307 (&quot;210307 - DTaP-IPV-HepB/Hib&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#260209 (&quot;260209 - PCV10&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#EVPMnC (&quot;EVPMnC - MenC&quot;)</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 (&quot;Influenza, eligible over 65 years&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#2 (&quot;Influenza, eligible under 18 years&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#3 (&quot;Influenza, eligible criteria&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#4 (&quot;Sexual or household contact&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#5 (&quot;Primary course&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#6 (&quot;Booster&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#7 (&quot;Post partum&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#8 (&quot;Low birth weight&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#9 (&quot;HepB carrier mother&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#10 (&quot;At risk for TB&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#11 (&quot;Pre-post splenectomy schedule&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#12 (&quot;At risk, no previous history&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#13 (&quot;At risk, previous PCV history&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#14 (&quot;At risk, previous 23PPV&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#15 (&quot;Pre-emergency&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#16 (&quot;Pregnant&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#21 (&quot;PCV catch up&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#Pre (&quot;Pre-primary course&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#Stn (&quot;Funded, if not otherwise specified&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#6W (&quot;6 weeks&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#3M (&quot;3 months&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#5M (&quot;5 months&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#12M (&quot;12 months&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#15M (&quot;15 months&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#4Y (&quot;4 years&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#11Y (&quot;11 years&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#14Y (&quot;14 years&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#45Y (&quot;45 years&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#65Y (&quot;65 years&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#96 (&quot;HepB high risk, booster or extra dose&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#TPW (&quot;Tetanus-prone wound&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#5P (&quot;Privately funded, primary course&quot;)</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#6P (&quot;Privately funded, booster&quot;)</li></ul></div>
  </text>
  <url
       value="https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/ImmsotVaccinationDataEntryQuestionnaire"/>
  <identifier>
    <use value="usual"/>
    <value value="ImmsotVaccinationDataEntryQuestionnaire"/>
    <period>
      <start value="2023-07-05"/>
    </period>
  </identifier>
  <version value="0.3.9"/>
  <title value="AIR - Overseas, Historic, Not Done"/>
  <status value="draft"/>
  <date value="2024-06-20T01:54:07+00:00"/>
  <publisher value="Te Whatu Ora"/>
  <contact>
    <name value="Te Whatu Ora"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.tewhatuora.govt.nz/"/>
    </telecom>
  </contact>
  <contact>
    <name value="David Grainger"/>
    <telecom>
      <system value="email"/>
      <value value="david.grainger@middleware.co.nz"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description
               value="Submit an overseas, historic, or not-done vaccination to AIR"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="NZ"/>
      <display value="New Zealand"/>
    </coding>
  </jurisdiction>
  <item>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/sdc-questionnaire-itemExtractionContext">
      <valueCode value="Immunization"/>
    </extension>
    <linkId value="p01-Immunisation"/>
    <prefix value="page 1"/>
    <text value="Page 1"/>
    <type value="group"/>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="drop-down"/>
            <display value="Drop down"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="p01-q01-Type"/>
      <prefix value="page 1 question 1"/>
      <text value="Type of vaccination"/>
      <type value="choice"/>
      <required value="true"/>
      <answerOption>
        <valueCoding>
          <display value="Overseas"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <display value="Historic"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <display value="Not done"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
        <valueBoolean value="true"/>
      </extension>
      <linkId value="p01-q02-StatusCompleted"/>
      <definition
                  value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.status"/>
      <prefix value="page 1 question 2"/>
      <text value="Extract - Status completed"/>
      <type value="string"/>
      <enableWhen>
        <question value="p01-q01-Type"/>
        <operator value="="/>
        <answerCoding>
          <display value="Overseas"/>
        </answerCoding>
      </enableWhen>
      <enableWhen>
        <question value="p01-q01-Type"/>
        <operator value="="/>
        <answerCoding>
          <display value="Historic"/>
        </answerCoding>
      </enableWhen>
      <enableBehavior value="any"/>
      <required value="true"/>
      <initial>
        <valueString value="completed"/>
      </initial>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
        <valueBoolean value="true"/>
      </extension>
      <linkId value="p01-q03-StatusNotDone"/>
      <definition
                  value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.status"/>
      <prefix value="page 1 question 3"/>
      <text value="Extract - Status not done"/>
      <type value="string"/>
      <enableWhen>
        <question value="p01-q01-Type"/>
        <operator value="="/>
        <answerCoding>
          <display value="Not done"/>
        </answerCoding>
      </enableWhen>
      <enableBehavior value="all"/>
      <initial>
        <valueString value="not-done"/>
      </initial>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
        <valueBoolean value="true"/>
      </extension>
      <linkId value="p01-q04-StatusReasonOverseas"/>
      <definition
                  value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.statusReason.coding[]"/>
      <prefix value="page 1 question 4"/>
      <text value="Extract - Status reason"/>
      <type value="choice"/>
      <enableWhen>
        <question value="p01-q01-Type"/>
        <operator value="="/>
        <answerCoding>
          <display value="Overseas"/>
        </answerCoding>
      </enableWhen>
      <enableBehavior value="all"/>
      <initial>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-status-reason-terms"/>
          <code value="GIVNOS"/>
          <display value="Given overseas"/>
        </valueCoding>
      </initial>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
        <valueBoolean value="true"/>
      </extension>
      <linkId value="p01-q05-StatusReasonHistoric"/>
      <definition
                  value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.statusReason.coding[]"/>
      <prefix value="page 1 question 5"/>
      <text value="Extract - Status reason"/>
      <type value="choice"/>
      <enableWhen>
        <question value="p01-q01-Type"/>
        <operator value="="/>
        <answerCoding>
          <display value="Historic"/>
        </answerCoding>
      </enableWhen>
      <enableBehavior value="all"/>
      <initial>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-status-reason-terms"/>
          <code value="HSTGIVN"/>
          <display value="Given historically"/>
        </valueCoding>
      </initial>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="drop-down"/>
            <display value="Drop down"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="p01-q06-StatusReasonNotDone"/>
      <definition
                  value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.statusReason.coding[]"/>
      <prefix value="page 1 question 6"/>
      <text value="Status reason"/>
      <type value="choice"/>
      <enableWhen>
        <question value="p01-q01-Type"/>
        <operator value="="/>
        <answerCoding>
          <display value="Not done"/>
        </answerCoding>
      </enableWhen>
      <enableBehavior value="all"/>
      <required value="true"/>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-status-reason-terms"/>
          <code value="DPC"/>
          <display value="Declined by parent/guardian"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-status-reason-terms"/>
          <code value="DIC"/>
          <display value="Declined by individual"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-status-reason-terms"/>
          <code value="DMC"/>
          <display value="Permanent contraindication"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-status-reason-terms"/>
          <code value="DNI"/>
          <display value="Immune"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
        <valueBoolean value="true"/>
      </extension>
      <linkId value="p01-q07-FacilityOverseas"/>
      <definition
                  value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.location"/>
      <prefix value="page 1 question 7"/>
      <text value="Extract - Overseas facility"/>
      <type value="choice"/>
      <enableWhen>
        <question value="p01-q01-Type"/>
        <operator value="="/>
        <answerCoding>
          <display value="Overseas"/>
        </answerCoding>
      </enableWhen>
      <enableBehavior value="all"/>
      <initial>
        <valueCoding>
          <code value="F3R789-A"/>
          <display value="NIR Overseas Clinic"/>
        </valueCoding>
      </initial>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="drop-down"/>
            <display value="Drop down"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
        <valueBoolean value="true"/>
      </extension>
      <linkId value="p01-q08-FacilityHistoric"/>
      <definition
                  value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.location"/>
      <prefix value="page 1 question 8"/>
      <text value="Extract - Historic facility"/>
      <type value="choice"/>
      <enableWhen>
        <question value="p01-q01-Type"/>
        <operator value="="/>
        <answerCoding>
          <display value="Historic"/>
        </answerCoding>
      </enableWhen>
      <enableWhen>
        <question value="p01-q01-Type"/>
        <operator value="="/>
        <answerCoding>
          <display value="Not done"/>
        </answerCoding>
      </enableWhen>
      <enableBehavior value="any"/>
      <initial>
        <valueCoding>
          <code value="F3R790-H"/>
          <display value="NIR Unknown NZ Clinic"/>
        </valueCoding>
      </initial>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="drop-down"/>
            <display value="Drop down"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="p01-q09-Antigens"/>
      <definition
                  value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.vaccineCode.coding[]"/>
      <prefix value="page 1 question 9"/>
      <text value="Vaccine antigens"/>
      <type value="choice"/>
      <enableWhen>
        <question value="p01-q01-Type"/>
        <operator value="exists"/>
        <answerBoolean value="true"/>
      </enableWhen>
      <enableBehavior value="all"/>
      <required value="true"/>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="03"/>
          <display value="03 - MMR"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="05"/>
          <display value="05 - Measles"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="06"/>
          <display value="06 - Rubella"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="08"/>
          <display value="08 - HepB"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="09"/>
          <display value="09 - Td"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="10"/>
          <display value="10 - IPV"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="19"/>
          <display value="19 - BCG"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="20"/>
          <display value="20 - DTaP"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="21"/>
          <display value="21 - VV"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="22"/>
          <display value="22 - DTP-Hib"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="25"/>
          <display value="25 - Typhoid"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="26"/>
          <display value="26 - Cholera"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="28"/>
          <display value="28 - DT"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="30"/>
          <display value="30 - HBIG"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="33"/>
          <display value="33 - 23PPV"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="35"/>
          <display value="35 - Tetanus"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="37"/>
          <display value="37 - YFV"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="39"/>
          <display value="39 - JEV"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="43"/>
          <display value="43 - HepB"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="44"/>
          <display value="44 - HepB"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="48"/>
          <display value="48 - Hib-PRP-T"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="50"/>
          <display value="50 - DTaP-Hib"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="51"/>
          <display value="51 - Hib-HepB"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="52"/>
          <display value="52 - HepA"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="56"/>
          <display value="56 - Dengue"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="62"/>
          <display value="62 - HPV4"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="75"/>
          <display value="75 - MPX"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="83"/>
          <display value="83 - HepA"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="100"/>
          <display value="100 - PCV7"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="101"/>
          <display value="101 - Typhoid"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="103"/>
          <display value="103 - MenC"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="104"/>
          <display value="104 - HepB-HepA"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="110"/>
          <display value="110 - DTaP-IPV-HepB"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="114"/>
          <display value="114 - MenACWY"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="115"/>
          <display value="115 - Tdap"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="116"/>
          <display value="116 - RV5"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="118"/>
          <display value="118 - HPV2"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="119"/>
          <display value="119 - RV1"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="120"/>
          <display value="120 - DTaP-IPV-Hib"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="121"/>
          <display value="121 - rZV"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="127"/>
          <display value="127 - Influenza A (H1N1)"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="130"/>
          <display value="130 - DTaP-IPV"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="133"/>
          <display value="133 - PCV13"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="134"/>
          <display value="134 - JEV"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="150"/>
          <display value="150 - Influenza"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="160"/>
          <display value="160 - Influenza A (H5N1)"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="161"/>
          <display value="161 - Influenza"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="163"/>
          <display value="163 - MenB"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="165"/>
          <display value="165 - HPV9"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="182"/>
          <display value="182 - OPV"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="187"/>
          <display value="187 - rZV"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="202"/>
          <display value="202 - Influenza"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="205"/>
          <display value="205 - Influenza"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="208"/>
          <display value="208 - COVID-19"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="210"/>
          <display value="210 - COVID-19"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="211"/>
          <display value="211 - COVID-19"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="217"/>
          <display value="217 - COVID-19"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="218"/>
          <display value="218 - COVID-19"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="219"/>
          <display value="219 - COVID-19"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="222"/>
          <display value="222 - TBE"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="300"/>
          <display value="300 - COVID-19"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="303"/>
          <display value="303 - RSV"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="500"/>
          <display value="500 - COVID-19"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="52101"/>
          <display value="52101 - HepA-Typhoid"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="090306"/>
          <display value="090306 - PCV unspecified"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="90906"/>
          <display value="90906 - Td"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="99001"/>
          <display value="99001 - DTaP-IPV"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="99002"/>
          <display value="99002 - MeNZB"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="99003"/>
          <display value="99003 - Diphtheria, paed"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="99004"/>
          <display value="99004 - aP"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="99005"/>
          <display value="99005 - Diphtheria, adult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="99006"/>
          <display value="99006 - Influenza"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="99007"/>
          <display value="99007 - HepA"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="99008"/>
          <display value="99008 - MenACWY"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="99009"/>
          <display value="99009 - Rabies"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="99010"/>
          <display value="99010 - RIG"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="99011"/>
          <display value="99011 - Tdap-IPV"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="99012"/>
          <display value="99012 - Tdap"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="99013"/>
          <display value="99013 - MenC"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="210307"/>
          <display value="210307 - DTaP-IPV-HepB/Hib"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="260209"/>
          <display value="260209 - PCV10"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/immunisation-code"/>
          <code value="EVPMnC"/>
          <display value="EVPMnC - MenC"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <linkId value="p01-q10-DoseNumber"/>
      <definition
                  value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.protocolApplied[].doseNumberPositiveInt"/>
      <prefix value="page 1 question 10"/>
      <text value="Dose number"/>
      <type value="integer"/>
      <enableWhen>
        <question value="p01-q01-Type"/>
        <operator value="="/>
        <answerCoding>
          <display value="Overseas"/>
        </answerCoding>
      </enableWhen>
      <enableWhen>
        <question value="p01-q01-Type"/>
        <operator value="="/>
        <answerCoding>
          <display value="Historic"/>
        </answerCoding>
      </enableWhen>
      <enableBehavior value="any"/>
    </item>
    <item>
      <linkId value="p01-q11-DoseNumber"/>
      <definition
                  value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.protocolApplied[].doseNumberPositiveInt"/>
      <prefix value="page 1 question 11"/>
      <text value="Dose number"/>
      <type value="integer"/>
      <enableWhen>
        <question value="p01-q01-Type"/>
        <operator value="="/>
        <answerCoding>
          <display value="Not done"/>
        </answerCoding>
      </enableWhen>
      <enableBehavior value="all"/>
      <required value="true"/>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="drop-down"/>
            <display value="Drop down"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="p01-q12-Indication"/>
      <definition
                  value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.reasonCode[].coding[]"/>
      <prefix value="page 1 question 12"/>
      <text value="Indication (reason code)"/>
      <type value="choice"/>
      <enableWhen>
        <question value="p01-q01-Type"/>
        <operator value="exists"/>
        <answerBoolean value="true"/>
      </enableWhen>
      <enableBehavior value="all"/>
      <required value="true"/>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="1"/>
          <display value="Influenza, eligible over 65 years"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="2"/>
          <display value="Influenza, eligible under 18 years"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="3"/>
          <display value="Influenza, eligible criteria"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="4"/>
          <display value="Sexual or household contact"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="5"/>
          <display value="Primary course"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="6"/>
          <display value="Booster"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="7"/>
          <display value="Post partum"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="8"/>
          <display value="Low birth weight"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="9"/>
          <display value="HepB carrier mother"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="10"/>
          <display value="At risk for TB"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="11"/>
          <display value="Pre-post splenectomy schedule"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="12"/>
          <display value="At risk, no previous history"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="13"/>
          <display value="At risk, previous PCV history"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="14"/>
          <display value="At risk, previous 23PPV"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="15"/>
          <display value="Pre-emergency"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="16"/>
          <display value="Pregnant"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="21"/>
          <display value="PCV catch up"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="Pre"/>
          <display value="Pre-primary course"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="Stn"/>
          <display value="Funded, if not otherwise specified"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="6W"/>
          <display value="6 weeks"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="3M"/>
          <display value="3 months"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="5M"/>
          <display value="5 months"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="12M"/>
          <display value="12 months"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="15M"/>
          <display value="15 months"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="4Y"/>
          <display value="4 years"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="11Y"/>
          <display value="11 years"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="14Y"/>
          <display value="14 years"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="45Y"/>
          <display value="45 years"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="65Y"/>
          <display value="65 years"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="96"/>
          <display value="HepB high risk, booster or extra dose"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="TPW"/>
          <display value="Tetanus-prone wound"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="5P"/>
          <display value="Privately funded, primary course"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://standards.digital.health.nz/ns/air-terms-code"/>
          <code value="6P"/>
          <display value="Privately funded, booster"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <linkId value="p01-q13-DateAdministered"/>
      <definition
                  value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.occurrenceDateTime"/>
      <prefix value="page 1 question 13"/>
      <text value="Date vaccine administered"/>
      <type value="date"/>
      <enableWhen>
        <question value="p01-q01-Type"/>
        <operator value="="/>
        <answerCoding>
          <display value="Overseas"/>
        </answerCoding>
      </enableWhen>
      <enableWhen>
        <question value="p01-q01-Type"/>
        <operator value="="/>
        <answerCoding>
          <display value="Historic"/>
        </answerCoding>
      </enableWhen>
      <enableBehavior value="any"/>
      <required value="true"/>
    </item>
    <item>
      <linkId value="p01-q14-DateNotDone"/>
      <definition
                  value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.occurrenceDateTime"/>
      <prefix value="page 1 question 14"/>
      <text value="Date vaccine determined as not done"/>
      <type value="date"/>
      <enableWhen>
        <question value="p01-q01-Type"/>
        <operator value="="/>
        <answerCoding>
          <display value="Not done"/>
        </answerCoding>
      </enableWhen>
      <enableBehavior value="all"/>
      <required value="true"/>
    </item>
    <item>
      <extension
                 url="http://health.govt.nz/fhir/StructureDefinition/sdc-questionnaire-extractMetadata">
        <extension url="source">
          <valueExpression>
            <language value="text/fhirpath"/>
            <expression value="QuestionnaireResponse.subject"/>
          </valueExpression>
        </extension>
        <extension url="destination">
          <valueExpression>
            <language value="text/fhirpath"/>
            <expression value="Immunization.patient"/>
          </valueExpression>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
        <valueBoolean value="true"/>
      </extension>
      <linkId value="p01-q15-SubjectMeta"/>
      <prefix value="page 1 question 15"/>
      <type value="boolean"/>
      <initial>
        <valueBoolean value="true"/>
      </initial>
    </item>
  </item>
</Questionnaire>