{
    "resourceType": "QuestionnaireResponse",
    "id": "urn:uuid:{{questionnaireResponseId}}",
    "meta": {
      "versionId": "1",
      "lastUpdated": "{{dateString}}",
      "source": "#KkWVzmGHRV76T9qY",
      "profile": [ "http://worldhealthorganization.github.io/ddcc/StructureDefinition/DDCCQuestionnaireResponse" ]
    },
    "questionnaire": "http://worldhealthorganization.github.io/ddcc/DDCCVSCoreDataSetQuestionnaire",
    "status": "completed",
    "subject": {
      "reference": "urn:uuid:{{patientId}}"
    },
    "authored": "{{dateString}}",
    "item": [ {
      "linkId": "name",
      "answer": [ {
        "valueString": "{{patientName}}"
      } ]
    }, {
      "linkId": "birthDate",
      "answer": [ {
        "valueDate": "{{dob}}"
      } ]
    }, {
      "linkId": "identifier",
      "answer": [ {
        "valueString": "{{refId}}"
      } ]
    }, {
      "linkId": "sex",
      "answer": [ {
        "valueCoding": {
          "system": "http://hl7.org/fhir/administrative-gender",
          "code": "{{patientGender}}"
        }
      } ]
    }, {
      "linkId": "vaccine",
      "answer": [ {
        "valueCoding": {
          "system": "http://id.who.int/icd11/mms",
          "code": "{{vaccineCode}}"
        }
      } ]
    }, {
      "linkId": "brand",
      "answer": [ {
        "valueCoding": {
          "system": "http://worldhealthorganization.github.io/ddcc/CodeSystem/DDCC-Example-Test-CodeSystem",
          "code": "{{vaccineName}}"
        }
      } ]
    }, {
      "linkId": "manufacturer",
      "answer": [ {
        "valueCoding": {
          "system": "http://worldhealthorganization.github.io/ddcc/CodeSystem/DDCC-Example-Test-CodeSystem",
          "code": "{{manufacturer}}"
        }
      } ]
    }, {
      "linkId": "ma_holder",
      "answer": [ {
        "valueCoding": {
          "system": "http://worldhealthorganization.github.io/ddcc/CodeSystem/DDCC-Example-Test-CodeSystem",
          "code": "TEST"
        }
      } ]
    }, {
      "linkId": "lot",
      "answer": [ {
        "valueString": "{{batchNumber}}"
      } ]
    }, {
      "linkId": "date",
      "answer": [ {
        "valueDate": "{{vaccinationDate}}"
      } ]
    }, {
      "linkId": "vaccine_valid",
      "answer": [ {
        "valueDate": "{{effectiveUntilDate}}"
      } ]
    }, {
      "linkId": "dose",
      "answer": [ {
        "valueInteger": {{dose}}
      } ]
    }, {
      "linkId": "total_doses",
      "answer": [ {
        "valueInteger": {{totalDoses}}
      } ]
    }, {
      "linkId": "country",
      "answer": [ {
        "valueCoding": {
          "system": "urn:iso:std:iso:3166",
          "code": "{{facilityCountry}}"
        }
      } ]
    }, {
      "linkId": "centre",
      "answer": [ {
        "valueString": "{{facilityName}}"
      } ]
    }, {
      "linkId": "hw",
      "answer": [ {
        "valueString": "{{practitionerName}}"
      } ]
    }, {
      "linkId": "disease",
      "answer": [ {
        "valueCoding": {
          "system": "http://id.who.int/icd11/mms",
          "code": "{{diseaseCode}}"
        }
      } ]
    }, {
      "linkId": "due_date",
      "answer": [ {
        "valueDate": "{{effectiveUntilDate}}"
      } ]
    }, {
      "linkId": "pha",
      "answer": [ {
        "valueString": "{{publicHealthAuthority}}"
      } ]
    }, {
      "linkId": "hcid",
      "answer": [ {
        "valueString": "{{certificateId}}"
      } ]
    }, {
      "linkId": "valid_from",
      "answer": [ {
        "valueDate": "{{effectiveStartDate}}"
      } ]
    } ]
}