Unattributed Code Systems

Copyright and Registered Trademark Uses

External References

Type Reference Content
web en.wikipedia.org ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code SAU : Saudi Arabia
web en.wikipedia.org ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code CHN : China
web en.wikipedia.org ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code USA : United States of America
web en.wikipedia.org ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code FRA : France
web en.wikipedia.org ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code RUS : Russian Federation
web en.wikipedia.org ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code ESP : Spain
web github.com WHO Digital Documentation of COVID-19 Certificates (DDCC), published by WHO. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/ddcc/tree/main and changes regularly. See the Directory of published versions
web who.int IG © 2021+ WHO . Package who.ddcc#1.0.0 based on FHIR 4.0.1 . Generated 2025-03-10
Links: Table of Contents | QA Report | Issues | Version History | License
web github.com Links: Table of Contents | QA Report | Issues | Version History | License
web divoc.digit.org The official DIVOC documentation appears to be at https://divoc.digit.org . However, this does not include a full list of elements included in DIVOC certificates.
web github.com There is a JSON-LD context referenced in DIVOC certificate examples ( https://cowin.gov.in/credentials/vaccination/v1 ), which would provide some element-level information, but this URL does not resolve. There is a copy of this JSON-LD context at https://github.com/egovernments/DIVOC/blob/main/vaccination-context/vaccination-context.js .
web www.icao.int Data elements for the ICAO Visible Digital Seal Core Data Set. Based on https://www.icao.int/vdsnc-spec as of 2023-02-02.
web wiki.ihe.net This is a metadata field from XDS/MHD .
web en.wikipedia.org Both Bundle.link and Bundle.entry.link are defined to support providing additional context when Bundles are used (e.g. HATEOAS ).
web www.omg.org Mappings for ServD ( http://www.omg.org/spec/ServD/1.0/ )
web browser.ihtsdotools.org QuestionnaireAnswerCodes (a valid code from SNOMED CT )
http://hl7.org/fhir/ValueSet/questionnaire-answers
from the FHIR Standard
web health.ec.europa.eu Data elements for the EU Digital COVID Certificate Core Data Set. Based on the official specification for COVID-19-related payloads https://health.ec.europa.eu/system/files/2021-06/covid-certificate_json_specification_en_0.pdf as of 2023-01-31, and Implementing Decision (EU) 2021/1073, Annex 1 https://eur-lex.europa.eu/legal-content/EN/TXT/HTML/?uri=CELEX:32021D1073&from=EN#d1e34-35-1 .
web eur-lex.europa.eu Data elements for the EU Digital COVID Certificate Core Data Set. Based on the official specification for COVID-19-related payloads https://health.ec.europa.eu/system/files/2021-06/covid-certificate_json_specification_en_0.pdf as of 2023-01-31, and Implementing Decision (EU) 2021/1073, Annex 1 https://eur-lex.europa.eu/legal-content/EN/TXT/HTML/?uri=CELEX:32021D1073&from=EN#d1e34-35-1 .
web divoc.digit.org This is a one-time snapshot of the allowed values for pathogens, retrieved in February 2023. Contents may need to be updated and readers should consult the credential's documentation. Some information on DIVOC's test certificate can be found at https://github.com/egovernments/DIVOC/blob/main/test-certificate-context/test-certificate-context.js. Additional information on DIVOC can be found at https://divoc.digit.org/platform/divocs-verifiable-certificate-features
web divoc.digit.org This is a one-time snapshot of the allowed values for lab test results, retrieved in February 2023. Contents may need to be updated and readers should consult the credential's documentation. Some information on DIVOC's test certificate can be found at https://github.com/egovernments/DIVOC/blob/main/test-certificate-context/test-certificate-context.js. Additional information on DIVOC can be found at https://divoc.digit.org/platform/divocs-verifiable-certificate-features
web divoc.digit.org This is a one-time snapshot of the allowed values for lab test types, retrieved in February 2023. Contents may need to be updated and readers should consult the credential's documentation. Some information on DIVOC's test certificate can be found at https://github.com/egovernments/DIVOC/blob/main/test-certificate-context/test-certificate-context.js. Additional information on DIVOC can be found at https://divoc.digit.org/platform/divocs-verifiable-certificate-features
web ec.europa.eu Union Register of medicinal products for vaccines with EU-wide authorisation. The Union Register is found at https://ec.europa.eu/health/documents/community-register/html/index_en.htm . However, the contents of this ValueSet are based on v1.14 (2023-01-25) of the EU DCC value set guidelines .
web health.ec.europa.eu Union Register of medicinal products for vaccines with EU-wide authorisation. The Union Register is found at https://ec.europa.eu/health/documents/community-register/html/index_en.htm . However, the contents of this ValueSet are based on v1.14 (2023-01-25) of the EU DCC value set guidelines .
web icd.who.int WHO Agent Targeted List (COVID-19) from ICD 11
web icd.who.int WHO DDCC Brand List (COVID-19) from ICD 11
web icd.who.int WHO Disease or Agent Targeted List (COVID-19) from ICD 11
web icd.who.int WHO Vaccine List (COVID-19) from ICD 11
web divoc.digit.org This is a one-time snapshot of the allowed values for lab test sample origins, retrieved in February 2023. Contents may need to be updated and readers should consult the credential's documentation. Some information on DIVOC's test certificate is at https://github.com/egovernments/DIVOC/blob/main/test-certificate-context/test-certificate-context.js. Additional information on DIVOC can be found at https://divoc.digit.org/platform/divocs-verifiable-certificate-features
web icd.who.int WHO COVID-19 Test Result from ICD 11
web health.ec.europa.eu Union Register of medicinal products for vaccines with EU-wide authorisation. The Union Register is found at <https://ec.europa.eu/health/documents/community-register/html/index_en.htm>. However, the contents of this ValueSet are based on v1.14 (2023-01-25) of the EU DCC value set guidelines .
web www.who.int Key concepts are described here. Definitions come from the Glossary and "Key settings, personas and digital services" sections of the Digital Documentation of COVID-19 Certificates: Vaccination Status (DDCC:VS) — Technical Specifications and Implementation Guidance and the DDCC: Test Result (DDCC:TR) — Technical Specifications and Implementation Guidance .
web www.who.int Key concepts are described here. Definitions come from the Glossary and "Key settings, personas and digital services" sections of the Digital Documentation of COVID-19 Certificates: Vaccination Status (DDCC:VS) — Technical Specifications and Implementation Guidance and the DDCC: Test Result (DDCC:TR) — Technical Specifications and Implementation Guidance .
web ec.europa.eu European Union (EU) Digital COVID Certificate
web divoc.egov.org.in DIVOC (Digital Infrastructure for Vaccination Open Credentialing) in India
web smarthealth.cards SMART Health Cards
web www.icao.int International Civil Aviation Organization (ICAO) Guidelines: visible digital seals (VDS-NC) for travel-related health proofs
web openhie.github.io OpenHIE DDCC FHIR Implementation Guide
web spec.smarthealth.cards SMART Health Cards Framework
web profiles.ihe.net Audit Trail and Node Authentication (ATNA) Profile
web www.ihe.net Sharing Value Sets and Concept Maps (SVCM) Profile
web www.ihe.net Mobile Care Services Discovery (mCSD) Profile
web www.ihe.net Mobile Health Document Sharing (MHDS) Profile , which also uses the Mobile Access to Health Documents (MHD) Profile
web icd.who.int WHO International Classification of Diseases 11th Revision (ICD-11)
web www.who.int

Contents:

The recommended core data set in the WHO Digital Documentation of COVID-19 Certificates guidance is intended to include the critical data required for interoperability, specific to the scenarios of use defined and driven by the public health needs. A published version of the data dictionary is available in spreadsheet format in Web Annex A of the DDCC:Vaccination Status guidance and in an annex to the DDCC:Test Result guidance .

Logical Models

DDCC:VS Core Data Set

The following table is an abbreviated copy of the DDCC:VS:Web Annex A , the published version of the DDCC:VS Core data dictionary with the following differences:

  • Date formats are updated to be compatible with FHIR (this means that dashes are required, e.g., YYYY-MM-DD, not YYYYMMDD),
  • Only SNOMED GPS mappings are included (columns SNOMED CT International was removed, but values are the same as SNOMED GPS)
  • It will include mappings to the HL7 FHIR elements used on the StructureDefinitions for the core data set. (forthcoming)
  • ICD-11 Comments/Considerations for vaccines refer back to source content and a related note for readability.

Section Requirement status for
Continuity of Care 		Requirement status for
Proof of Vaccination 		Data Element Label Description and Definition Data Type Preferred Code System Quantity Sub-Type Multiple-Choice Type
(if applicable) 		Input Options Validation Condition Notes ICD-11
Code 		ICD-11
URI 		ICD-11 Comments / Considerations ICD-10
code 		ICD-10
code title 		SNOMED CT (GPS)
Concept ID 		SNOMED CT (GPS)
Concept Description 		ATC
code 		ATC
code title
Header - input once REQUIRED REQUIRED Name The full name of the vaccinated person. String N/A N/A N/A N/A ISO 10646 - UTF-8 is recommended N/A N/A N/A N/A N/A N/A N/A N/A N/A
Header - input once REQUIRED REQUIRED Date of birth The vaccinated person's date of birth (DOB) if known. If unknown, use assigned DOB for administrative purposes. Date Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date (e.g. YYYY-MM-DD) 		N/A N/A N/A Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date 		N/A N/A N/A N/A N/A N/A N/A N/A N/A
Header - input once OPTIONAL - RECOMMENDED OPTIONAL - RECOMMENDED Unique identifier Unique identifier for the vaccinated person, according to the policies applicable to each country. There can be more than one unique identifier used to link records (e.g. national ID, health ID, immunization information system ID, medical record ID). ID N/A N/A N/A N/A N/A This will NOT be restricted to globally accepted identifiers, and will be the responsibility of the Member State to determine how they want to utilize unique identifiers and related extensions. N/A N/A N/A N/A N/A N/A N/A N/A N/A
Header - input once OPTIONAL - RECOMMENDED NOT NEEDED Sex Documentation of a specific instance of sex information for the vaccinated person. Coding As defined by Member State N/A Select one N/A N/A It is recommended to collect sex. However, it will be up to the Member State to determine which code system to use. N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event REQUIRED REQUIRED Vaccine or prophylaxis Generic description of the vaccine or vaccine sub-type, e.g. COVID-19 mRNA vaccine, HPV vaccine. Coding ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Select one N/A N/A Vaccines http://id.who.int/icd/
entity/164949870 		There are no index terms associated with this entity
COVID-19 vaccine Codes ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Input Option COVID-19 vaccine N/A XM68M6 http://id.who.int/icd/
entity/894585096 		Inclusion of any particular product or entity in any of these landscape documents does not constitute, and shall not be deemed or construed as, any approval or endorsement by WHO of such product or entity (or any of its businesses or activities). not found not found 28531000087107 Vaccine product against Severe acute respiratory syndrome coronavirus 2 (medicinal product) J07BXxx COVID-19 vaccines
COVID-19 vaccine, inactivated virus Codes ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Input Option COVID-19 vaccine, inactivated virus N/A XM1NL1 http://id.who.int/icd/
entity/1104808441 		See note for COVID-19 vaccine: XM68M6. __________________ not found not found 1157024006 Vaccine product containing only inactivated whole Severe acute respiratory syndrome coronavirus 2 antigen (medicinal product)| not found not found
COVID-19 vaccine, live attenuated virus Codes ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Input Option COVID-19 vaccine, live attenuated virus N/A XM5DF6 http://id.who.int/icd/
entity/993066376 		See note for COVID-19 vaccine: XM68M6. not found not found not found not found not found not found
COVID-19 vaccine, non-replicating viral vector Codes ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Input Option COVID-19 vaccine, non-replicating viral vector N/A XM9QW8 http://id.who.int/icd/
entity/264142908 		See note for COVID-19 vaccine: XM68M6. not found not found 29061000087103 Vaccine product containing only recombinant non-replicating viral vector encoding Severe acute respiratory syndrome coronavirus 2 spike protein (medicinal product)| not found not found
COVID-19 vaccine, replicating viral vector Codes ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Input Option COVID-19 vaccine, replicating viral vector N/A XM0CX4 http://id.who.int/icd/
entity/877986394 		See note for COVID-19 vaccine: XM68M6. not found not found not found not found not found not found
COVID-19 vaccine, virus protein subunit Codes ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Input Option COVID-19 vaccine, virus protein subunit N/A XM5JC5 http://id.who.int/icd/
entity/1368305645 		See note for COVID-19 vaccine: XM68M6. not found not found not found not found not found not found
COVID-19 vaccine, virus-like particle (VLP) Codes ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Input Option COVID-19 vaccine, virus-like particle (VLP) N/A XM1J92 http://id.who.int/icd/
entity/729916172 		See note for COVID-19 vaccine: XM68M6. not found not found not found not found not found not found
COVID-19 vaccine, DNA based Codes ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Input Option COVID-19 vaccine, DNA based N/A XM6AT1 http://id.who.int/icd/
entity/1316179031 		See note for COVID-19 vaccine: XM68M6. not found not found not found not found not found not found
COVID-19 vaccine, RNA based Codes ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Input Option COVID-19 vaccine, RNA based N/A XM0GQ8 http://id.who.int/icd/
entity/873941688 		See note for COVID-19 vaccine: XM68M6. not found not found 1119349007 Vaccine product containing only Severe acute respiratory syndrome coronavirus 2 messenger ribonucleic acid (medicinal product) not found not found
Data needed for each vaccination event REQUIRED REQUIRED Vaccine brand The brand or trade name used to refer to the vaccine received. Coding As defined by Member State N/A N/A N/A N/A This data element can be predetermined by a vaccine product registry. If vaccine registry is unavailable, we can capture this as a string. N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event REQUIRED - CONDITIONAL REQUIRED - CONDITIONAL Vaccine manufacturer Name of the manufacturer of the vaccine received. e.g. Serum institute of India, AstraZeneca. If vaccine manufacturer is unknown, market authorization holder is REQUIRED. Coding As defined by Member State N/A N/A N/A N/A This data element can be predetermined by a vaccine product registry. If vaccine registry is unavailable, we can capture this as a string. N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event REQUIRED - CONDITIONAL REQUIRED - CONDITIONAL Vaccine market authorization holder Name of the market authorization holder of the vaccine received. If market authorization holder is unknown, vaccine manufacturer is REQUIRED. Coding As defined by Member State N/A N/A N/A N/A This data element can be predetermined by a vaccine product registry. If vaccine registry is unavailable, we can capture this as a string. N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event REQUIRED REQUIRED Vaccine batch number Batch number or lot number of vaccine. String N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event REQUIRED REQUIRED Date of vaccination Date in which the vaccine was provided. Date Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date (e.g. YYYY-MM-DD) 		N/A N/A N/A Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date 		N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event REQUIRED REQUIRED Dose number Vaccine dose number. Quantity N/A Integer Quantity N/A N/A Must be greater than 0 N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event OPTIONAL OPTIONAL Vaccination valid from Date upon which provided vaccination is considered valid. This data should only be considered valid at the time of issuance, as guidance is likely to evolve with further scientific evidence. Any user of this data (Vaccinator, Verifier) should validate this date according to their national policy. In the case of repeated doses, the data field for a subsequent dose should override the data field for a predecessor dose. Date Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date (e.g. YYYY-MM-DD) 		N/A N/A N/A Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date 		This data should only be considered valid at the time of issuance, as guidance is likely to evolve with further scientific evidence. Any user of this data (Vaccinator, Verifier) should validate this date according to their national policy. In the case of repeated doses, the data field for a subsequent dose should override the data field for a predecessor dose. N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event OPTIONAL - RECOMMENDED OPTIONAL - RECOMMENDED Total doses Total expected doses as defined by Member State care plan and immunization programme policies. Quantity N/A Integer Quantity N/A N/A Must be greater than 0 This data element can also be predetermined by a vaccine product registry. N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event REQUIRED REQUIRED Country of vaccination The country in which the individual has been vaccinated. Coding ISO 3166-1 alpha-3 (or numeric) N/A Select one N/A ISO 3166-1 alpha-3 (or numeric) N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event REQUIRED OPTIONAL - RECOMMENDED Administering centre The name or identifier of the vaccination facility responsible for providing the vaccination. String As defined by Member State N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event OPTIONAL - RECOMMENDED REQUIRED - CONDITIONAL Signature of health worker REQUIRED for PAPER vaccination certificates that have been filled out with handwriting ONLY. A printed paper vaccine certificate does not require the handwritten signature of a health worker. The health worker who provided the vaccination or the supervising clinician's hand-written signature. Signature N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event OPTIONAL - RECOMMENDED OPTIONAL - RECOMMENDED Health worker identifier OPTIONAL for DIGITAL and PAPER vaccination certificates. The unique identifier for the health worker as determined by the member state. There can be more than one unique identifier used. (e.g. system generated ID, health profession number, cryptographic signature, or any other form of health worker unique identifier). This can be used in lieu of a paper-based signature. ID N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event OPTIONAL - RECOMMENDED OPTIONAL - RECOMMENDED Disease or agent targeted Name of disease vaccinated to protect against (such as COVID-19). Coding ICD-11 N/A Select all that apply N/A N/A
COVID-19 COVID-19 Codes ICD-11 N/A Input option COVID-19 N/A RA01 http://id.who.int/icd/
entity/1730556128 		N/A U07.1 COVID-19, not otherwise specified 840539006 Disease caused by Severe acute respiratory syndrome coronavirus 2 (disorder) N/A N/A
Data needed for each vaccination event OPTIONAL - RECOMMENDED NOT NEEDED Due date of next dose Date on which the next vaccination should be administered, if a next dose is required. ______________________________ Date Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date (e.g. YYYY-MM-DD) 		N/A N/A N/A Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date 		N/A N/A N/A N/A N/A N/A N/A N/A N/A
Certificate metadata REQUIRED REQUIRED Certificate issuer The authority or authorized organization that issued the vaccination certificate. String N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Certificate metadata REQUIRED REQUIRED Health Certificate Identifier (HCID) Unique identifier used to associate the vaccination status represented in a paper vaccination card to its digital representation(s). ID N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event OPTIONAL OPTIONAL Certificate valid from Date in which the certificate for a vaccination event became valid. No health or clinical inferences should be made from this date Date Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date (e.g. YYYY-MM-DD) 		N/A N/A N/A Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date 		N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event OPTIONAL OPTIONAL Certificate valid until Last date in which the certificate for a vaccination event is valid. No health or clinical inferences should be made from this date. Date Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date (e.g. YYYY-MM-DD) 		N/A N/A N/A Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date 		___________________________ N/A N/A N/A N/A N/A N/A N/A __________________ N/A N/A

DDCC:TR Core Data Set

The following table is a copy of the published version of the DDCC:TR Core data dictionary with the following difference: this version will include mappings to the HL7 FHIR elements used (forthcoming).

Section Requirement status for
Proof of Negative SARS-CoV-2 Test Result 		Requirement status for
Proof of Previous SARS-CoV-2 Infection 		Data Element Label Description and Definition Data Type Preferred Code System Quantity Sub-Type Multiple-Choice Type
(if applicable) 		Input Options Validation Condition Notes ICD-11
Code 		ICD-11
URI 		ICD-11 Code Title ICD-11 Comments / Considerations SNOMED CT (GPS)
Concept ID 		SNOMED CT (GPS)
Concept Description 		ICHI
code 		ICHI
code title 		ICHI
URl
Header - input once REQUIRED REQUIRED Name The full name of the tested person String N/A N/A N/A N/A ISO 10646 - UTF-8 is recommended N/A N/A N/A N/A N/A N/A N/A N/A N/A
Header - input once REQUIRED REQUIRED Date of birth The tested person's date of birth (DOB) if known. If unknown, use assigned DOB for administrative purposes. Date Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date (e.g. YYYY-MM-DD) 		N/A N/A N/A Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date 		N/A N/A N/A N/A N/A N/A N/A N/A N/A
Header - input once OPTIONAL - RECOMMENDED OPTIONAL - RECOMMENDED Unique identifier Unique identifier for the tested person, according to the policies applicable to each country. There can be more than one unique identifier used to link records (e.g. national ID, health ID, medical record ID). ID N/A N/A N/A N/A N/A This will NOT be restricted to globally accepted identifiers, and will be the responsibility of the Member State to determine how they want to utilize unique identifiers and related extensions. N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each SARS-CoV-2 test event REQUIRED REQUIRED Pathogen targeted Name of the agent being targeted for (such as SARS-CoV-2) Coding ICD-11 N/A Select one N/A N/A N/A N/A N/A There are no index terms associated with this entity 410607006 Organism N/A N/A N/A
SARS-CoV-2 Codes ICD-11 N/A Input option SARS-CoV-2 N/A XN109 http://id.who.int/icd/
entity/243015485 		SARS-CoV-2 840533007 Severe acute respiratory syndrome coronavirus 2 (organism) not found not found not found
SARS-CoV-2 Alpha Codes ICD-11 N/A Input option SARS-CoV-2 Alpha N/A XN0HL http://id.who.int/icd/
entity/932811678 		SARS-CoV-2 Alpha not found not found not found not found not found
SARS-CoV-2 Beta Codes ICD-11 N/A Input option SARS-CoV-2 Beta N/A XN4Q7 http://id.who.int/icd/
entity/2101382247 		SARS-CoV-2 Beta not found not found not found not found not found
SARS-CoV-2 Gamma Codes ICD-11 N/A Input option SARS-CoV-2 Gamma N/A XN5BQ http://id.who.int/icd/
entity/1822694497 		SARS-CoV-2 Gamma not found not found not found not found not found
SARS-CoV-2 Delta Codes ICD-11 N/A Input option SARS-CoV-2 Delta N/A XN8V6 http://id.who.int/icd/
entity/867842560 		SARS-CoV-2 Delta not found not found not found not found not found
SARS-CoV-2 Epsilon Codes ICD-11 N/A Input option SARS-CoV-2 Epsilon N/A XN1GK http://id.who.int/icd/
entity/1503287239 		SARS-CoV-2 Epsilon not found not found not found not found not found
SARS-CoV-2 Zeta Codes ICD-11 N/A Input option SARS-CoV-2 Zeta N/A XN3ZE http://id.who.int/icd/
entity/755161604 		SARS-CoV-2 Zeta not found not found not found not found not found
SARS-CoV-2 Eta Codes ICD-11 N/A Input option SARS-CoV-2 Eta N/A XN2V4 http://id.who.int/icd/
entity/60855142 		SARS-CoV-2 Eta not found not found not found not found not found
SARS-CoV-2 Theta Codes ICD-11 N/A Input option SARS-CoV-2 Theta N/A XN4Q1 http://id.who.int/icd/
entity/217899880 		SARS-CoV-2 Theta not found not found not found not found not found
SARS-CoV-2 Iota Codes ICD-11 N/A Input option SARS-CoV-2 Iota N/A XN3UD http://id.who.int/icd/
entity/1721681473 		SARS-CoV-2 Iota not found not found not found not found not found
SARS-CoV-2 Kappa Codes ICD-11 N/A Input option SARS-CoV-2 Kappa N/A XN9L8 http://id.who.int/icd/
entity/1325943094 		SARS-CoV-2 Kappa not found not found not found not found not found
SARS-CoV-2 Lambda Codes ICD-11 N/A Input option SARS-CoV-2 Lambda N/A XN6AM http://id.who.int/icd/
entity/403405056 		SARS-CoV-2 Lambda not found not found not found not found not found
SARS-CoV-2 Mu Codes ICD-11 N/A Input option SARS-CoV-2 Mu N/A XN39J http://id.who.int/icd/
entity/1453315432 		SARS-CoV-2 Mu not found not found not found not found not found
SARS-CoV-2 Omicron Codes ICD-11 N/A Input option SARS-CoV-2 Omicron N/A XN161 http://id.who.int/icd/
entity/335495681 		SARS-CoV-2 Omicron not found not found not found not found not found
Data needed for each SARS-CoV-2 test event REQUIRED REQUIRED Type of Test Name of the type of test that was conducted e.g. NAAT or Ag-RDT Coding ICHI N/A Select one N/A N/A N/A N/A N/A There are no index terms associated with this entity 15220000 Laboratory test (procedure) N/A N/A N/A
Viral nucleic acid amplification test or NAAT Codes ICHI N/A Input Option Viral nucleic acid amplification test or NAAT N/A not found not found not found 117244003 Nucleic acid probe method with amplification (procedure) http://id.who.int/icd/
entity/1334426561 		Viral nucleic acid amplification test http://id.who.int/icd/
entity/1334426561
Rapid immunoassay detecting viral proteins or Ag-RDT Codes ICHI N/A Input Option Rapid immunoassay detecting viral proteins or Ag-RDT N/A not found not found not found 414464004 Immunoassay method (procedure) http://id.who.int/icd/
entity/2056159157 		Rapid immunoassay detecting viral proteins http://id.who.int/icd/
entity/2056159157
Data needed for each SARS-CoV-2 test event OPTIONAL - RECOMMENDED OPTIONAL - RECOMMENDED Test brand The brand or trade name used to refer to the test conducted Coding As defined by Member State N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each SARS-CoV-2 test event OPTIONAL - RECOMMENDED OPTIONAL - RECOMMENDED Test manufacturer Name of the manufacturer of the test conducted Coding As defined by Member State N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each SARS-CoV-2 test event OPTIONAL - RECOMMENDED OPTIONAL - RECOMMENDED Specimen Sample Origin The type of sample that was taken (e.g. Nasopharyngeal swab, Oropharyngeal swab, Saliva specimen) Coding ICHI N/A Select one N/A N/A N/A N/A N/A N/A 123038009 Specimen (specimen) AH Specimen collection http://id.who.int/icd/
entity/1789591527
Nasopharyngeal swab Codes ICHI N/A Input Option Nasopharyngeal swab N/A not found not found not found N/A 258500001 Nasopharyngeal swab (specimen) JAM.AH.XF Specimen collection, nasopharynx http://id.who.int/icd/
entity/350872817
Oropharyngeal swab Codes ICHI N/A Input Option Oropharyngeal swab N/A not found not found not found N/A 461911000124106 Swab specimen from oropharynx (specimen) KAR.AH.XF Specimen collection, oropharynx http://id.who.int/icd/
entity/555916027
Pharyngeal swab Codes ICHI N/A Input Option Pharyngeal swab N/A not found not found not found N/A 472881004 Swab from pharynx (specimen) KAR.AH.XF Specimen collection, oropharynx http://id.who.int/icd/
entity/555916027
Swab from nasal sinus Codes ICHI N/A Input Option Swab from nasal sinus N/A not found not found not found N/A 472901003 Swab from nasal sinus (specimen) JAE.AH.XF Specimen collection, paranasal sinus, not elsewhere classified http://id.who.int/icd/
entity/608172011
Saliva specimen Codes ICHI N/A Input Option Saliva specimen N/A not found not found not found N/A 119342007 Saliva specimen (specimen) KAZ.AH.XD Specimen collection, saliva http://id.who.int/icd/
entity/1162766848
Blood specimen Codes ICHI N/A Input Option Blood specimen N/A not found not found not found N/A 119297000 Blood specimen (specimen) DIA.AH.XA Specimen collection, blood http://id.who.int/icd/
entity/1695591348
Plasma specimen Codes ICHI N/A Input Option Plasma specimen N/A not found not found not found N/A 119361006 Plasma specimen (specimen) DIA.AH.XA Specimen collection, blood http://id.who.int/icd/
entity/1695591348
Serum specimen Codes ICHI N/A Input Option Serum specimen N/A not found not found not found N/A 119364003 Serum specimen (specimen) DIA.AH.XA Specimen collection, blood http://id.who.int/icd/
entity/1695591348
Acellular blood (serum or plasma) specimen Codes ICHI N/A Input Option Acellular blood (serum or plasma) specimen N/A not found not found not found N/A 122592007 Acellular blood (serum or plasma) specimen (specimen) DIA.AH.XA Specimen collection, blood http://id.who.int/icd/
entity/1695591348
Data needed for each SARS-CoV-2 test event REQUIRED REQUIRED Date and time of sample collection Date and time when sample was collected ___________________ DateTime Compatible with HL7 FHIR dateTime with time zone specified https://www.hl7.org/fhir/
datatypes.html#dateTime 		N/A N/A N/A Compatible with HL7 FHIR dateTime with time zone specified https://www.hl7.org/fhir/
datatypes.html#dateTime" 		N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each SARS-CoV-2 test event REQUIRED REQUIRED Test Result Detected or Not Detected presence of SARS-CoV-2 infection Coding ICD-11 N/A Select one N/A N/A N/A http://id.who.int/icd/
entity/1730556128 		N/A N/A N/A N/A N/A N/A N/A
Detected Codes ICD-11 N/A Input Option Detected N/A RA01.0 http://id.who.int/icd/
entity/1790791774 		COVID-19, virus identified includes index term COVID-19 confirmed with laboratory testing with symptoms 1240581000000104 Severe acute respiratory syndrome coronavirus 2 detected (finding) not found not found not found
Not Detected Codes ICD-11 N/A Input Option Not Detected N/A QA02 http://id.who.int/icd/
entity/461464819 		Medical observation or evaluation for suspected diseases or conditions, ruled out 1240591000000102 Severe acute respiratory syndrome coronavirus 2 not detected (finding) not found not found not found
Data needed for each SARS-CoV-2 test event OPTIONAL - RECOMMENDED OPTIONAL - RECOMMENDED Test centre or facility name A codable name or identifier of the facility responsible for conducting the test Coding As defined by Member State N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each SARS-CoV-2 test event REQUIRED REQUIRED Test centre country The country in which the individual has been tested Coding ISO 3166-1 alpha-3 (or numeric) N/A N/A N/A ISO 3166-1 alpha-3 (or numeric) N/A N/A N/A N/A N/A N/A N/A N/A N/A
Certificate metadata REQUIRED REQUIRED Certificate issuer The authority or authorized organization that issued the laboratory results certificate. String N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Certificate metadata REQUIRED REQUIRED Health Certificate Identifier (HCID) Unique identifier used to associate the lab result represented in a paper lab report to its digital representation(s). ID N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Certificate metadata OPTIONAL OPTIONAL Certificate valid from Date and time at which lab result certificate became valid. No health or clinical inferences should be made from this date DateTime Compatible with HL7 FHIR dateTime with time zone specified https://www.hl7.org/fhir/
datatypes.html#dateTime 		N/A N/A Compatible with HL7 FHIR dateTime with time zone specified ___________________________ N/A N/A N/A N/A N/A N/A N/A N/A N/A
Certificate metadata REQUIRED REQUIRED Certificate schema version Version of the core data set and HL7 FHIR Implementation Guide that the certificate is using. String N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
web apps.who.int

Contents:

The recommended core data set in the WHO Digital Documentation of COVID-19 Certificates guidance is intended to include the critical data required for interoperability, specific to the scenarios of use defined and driven by the public health needs. A published version of the data dictionary is available in spreadsheet format in Web Annex A of the DDCC:Vaccination Status guidance and in an annex to the DDCC:Test Result guidance .

Logical Models

DDCC:VS Core Data Set

The following table is an abbreviated copy of the DDCC:VS:Web Annex A , the published version of the DDCC:VS Core data dictionary with the following differences:

  • Date formats are updated to be compatible with FHIR (this means that dashes are required, e.g., YYYY-MM-DD, not YYYYMMDD),
  • Only SNOMED GPS mappings are included (columns SNOMED CT International was removed, but values are the same as SNOMED GPS)
  • It will include mappings to the HL7 FHIR elements used on the StructureDefinitions for the core data set. (forthcoming)
  • ICD-11 Comments/Considerations for vaccines refer back to source content and a related note for readability.

Section Requirement status for
Continuity of Care 		Requirement status for
Proof of Vaccination 		Data Element Label Description and Definition Data Type Preferred Code System Quantity Sub-Type Multiple-Choice Type
(if applicable) 		Input Options Validation Condition Notes ICD-11
Code 		ICD-11
URI 		ICD-11 Comments / Considerations ICD-10
code 		ICD-10
code title 		SNOMED CT (GPS)
Concept ID 		SNOMED CT (GPS)
Concept Description 		ATC
code 		ATC
code title
Header - input once REQUIRED REQUIRED Name The full name of the vaccinated person. String N/A N/A N/A N/A ISO 10646 - UTF-8 is recommended N/A N/A N/A N/A N/A N/A N/A N/A N/A
Header - input once REQUIRED REQUIRED Date of birth The vaccinated person's date of birth (DOB) if known. If unknown, use assigned DOB for administrative purposes. Date Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date (e.g. YYYY-MM-DD) 		N/A N/A N/A Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date 		N/A N/A N/A N/A N/A N/A N/A N/A N/A
Header - input once OPTIONAL - RECOMMENDED OPTIONAL - RECOMMENDED Unique identifier Unique identifier for the vaccinated person, according to the policies applicable to each country. There can be more than one unique identifier used to link records (e.g. national ID, health ID, immunization information system ID, medical record ID). ID N/A N/A N/A N/A N/A This will NOT be restricted to globally accepted identifiers, and will be the responsibility of the Member State to determine how they want to utilize unique identifiers and related extensions. N/A N/A N/A N/A N/A N/A N/A N/A N/A
Header - input once OPTIONAL - RECOMMENDED NOT NEEDED Sex Documentation of a specific instance of sex information for the vaccinated person. Coding As defined by Member State N/A Select one N/A N/A It is recommended to collect sex. However, it will be up to the Member State to determine which code system to use. N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event REQUIRED REQUIRED Vaccine or prophylaxis Generic description of the vaccine or vaccine sub-type, e.g. COVID-19 mRNA vaccine, HPV vaccine. Coding ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Select one N/A N/A Vaccines http://id.who.int/icd/
entity/164949870 		There are no index terms associated with this entity
COVID-19 vaccine Codes ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Input Option COVID-19 vaccine N/A XM68M6 http://id.who.int/icd/
entity/894585096 		Inclusion of any particular product or entity in any of these landscape documents does not constitute, and shall not be deemed or construed as, any approval or endorsement by WHO of such product or entity (or any of its businesses or activities). not found not found 28531000087107 Vaccine product against Severe acute respiratory syndrome coronavirus 2 (medicinal product) J07BXxx COVID-19 vaccines
COVID-19 vaccine, inactivated virus Codes ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Input Option COVID-19 vaccine, inactivated virus N/A XM1NL1 http://id.who.int/icd/
entity/1104808441 		See note for COVID-19 vaccine: XM68M6. __________________ not found not found 1157024006 Vaccine product containing only inactivated whole Severe acute respiratory syndrome coronavirus 2 antigen (medicinal product)| not found not found
COVID-19 vaccine, live attenuated virus Codes ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Input Option COVID-19 vaccine, live attenuated virus N/A XM5DF6 http://id.who.int/icd/
entity/993066376 		See note for COVID-19 vaccine: XM68M6. not found not found not found not found not found not found
COVID-19 vaccine, non-replicating viral vector Codes ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Input Option COVID-19 vaccine, non-replicating viral vector N/A XM9QW8 http://id.who.int/icd/
entity/264142908 		See note for COVID-19 vaccine: XM68M6. not found not found 29061000087103 Vaccine product containing only recombinant non-replicating viral vector encoding Severe acute respiratory syndrome coronavirus 2 spike protein (medicinal product)| not found not found
COVID-19 vaccine, replicating viral vector Codes ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Input Option COVID-19 vaccine, replicating viral vector N/A XM0CX4 http://id.who.int/icd/
entity/877986394 		See note for COVID-19 vaccine: XM68M6. not found not found not found not found not found not found
COVID-19 vaccine, virus protein subunit Codes ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Input Option COVID-19 vaccine, virus protein subunit N/A XM5JC5 http://id.who.int/icd/
entity/1368305645 		See note for COVID-19 vaccine: XM68M6. not found not found not found not found not found not found
COVID-19 vaccine, virus-like particle (VLP) Codes ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Input Option COVID-19 vaccine, virus-like particle (VLP) N/A XM1J92 http://id.who.int/icd/
entity/729916172 		See note for COVID-19 vaccine: XM68M6. not found not found not found not found not found not found
COVID-19 vaccine, DNA based Codes ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Input Option COVID-19 vaccine, DNA based N/A XM6AT1 http://id.who.int/icd/
entity/1316179031 		See note for COVID-19 vaccine: XM68M6. not found not found not found not found not found not found
COVID-19 vaccine, RNA based Codes ICD-11 extension codes (http://id.who.int/icd/
entity/164949870) 		N/A Input Option COVID-19 vaccine, RNA based N/A XM0GQ8 http://id.who.int/icd/
entity/873941688 		See note for COVID-19 vaccine: XM68M6. not found not found 1119349007 Vaccine product containing only Severe acute respiratory syndrome coronavirus 2 messenger ribonucleic acid (medicinal product) not found not found
Data needed for each vaccination event REQUIRED REQUIRED Vaccine brand The brand or trade name used to refer to the vaccine received. Coding As defined by Member State N/A N/A N/A N/A This data element can be predetermined by a vaccine product registry. If vaccine registry is unavailable, we can capture this as a string. N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event REQUIRED - CONDITIONAL REQUIRED - CONDITIONAL Vaccine manufacturer Name of the manufacturer of the vaccine received. e.g. Serum institute of India, AstraZeneca. If vaccine manufacturer is unknown, market authorization holder is REQUIRED. Coding As defined by Member State N/A N/A N/A N/A This data element can be predetermined by a vaccine product registry. If vaccine registry is unavailable, we can capture this as a string. N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event REQUIRED - CONDITIONAL REQUIRED - CONDITIONAL Vaccine market authorization holder Name of the market authorization holder of the vaccine received. If market authorization holder is unknown, vaccine manufacturer is REQUIRED. Coding As defined by Member State N/A N/A N/A N/A This data element can be predetermined by a vaccine product registry. If vaccine registry is unavailable, we can capture this as a string. N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event REQUIRED REQUIRED Vaccine batch number Batch number or lot number of vaccine. String N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event REQUIRED REQUIRED Date of vaccination Date in which the vaccine was provided. Date Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date (e.g. YYYY-MM-DD) 		N/A N/A N/A Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date 		N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event REQUIRED REQUIRED Dose number Vaccine dose number. Quantity N/A Integer Quantity N/A N/A Must be greater than 0 N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event OPTIONAL OPTIONAL Vaccination valid from Date upon which provided vaccination is considered valid. This data should only be considered valid at the time of issuance, as guidance is likely to evolve with further scientific evidence. Any user of this data (Vaccinator, Verifier) should validate this date according to their national policy. In the case of repeated doses, the data field for a subsequent dose should override the data field for a predecessor dose. Date Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date (e.g. YYYY-MM-DD) 		N/A N/A N/A Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date 		This data should only be considered valid at the time of issuance, as guidance is likely to evolve with further scientific evidence. Any user of this data (Vaccinator, Verifier) should validate this date according to their national policy. In the case of repeated doses, the data field for a subsequent dose should override the data field for a predecessor dose. N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event OPTIONAL - RECOMMENDED OPTIONAL - RECOMMENDED Total doses Total expected doses as defined by Member State care plan and immunization programme policies. Quantity N/A Integer Quantity N/A N/A Must be greater than 0 This data element can also be predetermined by a vaccine product registry. N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event REQUIRED REQUIRED Country of vaccination The country in which the individual has been vaccinated. Coding ISO 3166-1 alpha-3 (or numeric) N/A Select one N/A ISO 3166-1 alpha-3 (or numeric) N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event REQUIRED OPTIONAL - RECOMMENDED Administering centre The name or identifier of the vaccination facility responsible for providing the vaccination. String As defined by Member State N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event OPTIONAL - RECOMMENDED REQUIRED - CONDITIONAL Signature of health worker REQUIRED for PAPER vaccination certificates that have been filled out with handwriting ONLY. A printed paper vaccine certificate does not require the handwritten signature of a health worker. The health worker who provided the vaccination or the supervising clinician's hand-written signature. Signature N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event OPTIONAL - RECOMMENDED OPTIONAL - RECOMMENDED Health worker identifier OPTIONAL for DIGITAL and PAPER vaccination certificates. The unique identifier for the health worker as determined by the member state. There can be more than one unique identifier used. (e.g. system generated ID, health profession number, cryptographic signature, or any other form of health worker unique identifier). This can be used in lieu of a paper-based signature. ID N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event OPTIONAL - RECOMMENDED OPTIONAL - RECOMMENDED Disease or agent targeted Name of disease vaccinated to protect against (such as COVID-19). Coding ICD-11 N/A Select all that apply N/A N/A
COVID-19 COVID-19 Codes ICD-11 N/A Input option COVID-19 N/A RA01 http://id.who.int/icd/
entity/1730556128 		N/A U07.1 COVID-19, not otherwise specified 840539006 Disease caused by Severe acute respiratory syndrome coronavirus 2 (disorder) N/A N/A
Data needed for each vaccination event OPTIONAL - RECOMMENDED NOT NEEDED Due date of next dose Date on which the next vaccination should be administered, if a next dose is required. ______________________________ Date Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date (e.g. YYYY-MM-DD) 		N/A N/A N/A Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date 		N/A N/A N/A N/A N/A N/A N/A N/A N/A
Certificate metadata REQUIRED REQUIRED Certificate issuer The authority or authorized organization that issued the vaccination certificate. String N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Certificate metadata REQUIRED REQUIRED Health Certificate Identifier (HCID) Unique identifier used to associate the vaccination status represented in a paper vaccination card to its digital representation(s). ID N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event OPTIONAL OPTIONAL Certificate valid from Date in which the certificate for a vaccination event became valid. No health or clinical inferences should be made from this date Date Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date (e.g. YYYY-MM-DD) 		N/A N/A N/A Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date 		N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each vaccination event OPTIONAL OPTIONAL Certificate valid until Last date in which the certificate for a vaccination event is valid. No health or clinical inferences should be made from this date. Date Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date (e.g. YYYY-MM-DD) 		N/A N/A N/A Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date 		___________________________ N/A N/A N/A N/A N/A N/A N/A __________________ N/A N/A

DDCC:TR Core Data Set

The following table is a copy of the published version of the DDCC:TR Core data dictionary with the following difference: this version will include mappings to the HL7 FHIR elements used (forthcoming).

Section Requirement status for
Proof of Negative SARS-CoV-2 Test Result 		Requirement status for
Proof of Previous SARS-CoV-2 Infection 		Data Element Label Description and Definition Data Type Preferred Code System Quantity Sub-Type Multiple-Choice Type
(if applicable) 		Input Options Validation Condition Notes ICD-11
Code 		ICD-11
URI 		ICD-11 Code Title ICD-11 Comments / Considerations SNOMED CT (GPS)
Concept ID 		SNOMED CT (GPS)
Concept Description 		ICHI
code 		ICHI
code title 		ICHI
URl
Header - input once REQUIRED REQUIRED Name The full name of the tested person String N/A N/A N/A N/A ISO 10646 - UTF-8 is recommended N/A N/A N/A N/A N/A N/A N/A N/A N/A
Header - input once REQUIRED REQUIRED Date of birth The tested person's date of birth (DOB) if known. If unknown, use assigned DOB for administrative purposes. Date Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date (e.g. YYYY-MM-DD) 		N/A N/A N/A Compatible with HL7 FHIR date https://www.hl7.org/fhir/
datatypes.html#date 		N/A N/A N/A N/A N/A N/A N/A N/A N/A
Header - input once OPTIONAL - RECOMMENDED OPTIONAL - RECOMMENDED Unique identifier Unique identifier for the tested person, according to the policies applicable to each country. There can be more than one unique identifier used to link records (e.g. national ID, health ID, medical record ID). ID N/A N/A N/A N/A N/A This will NOT be restricted to globally accepted identifiers, and will be the responsibility of the Member State to determine how they want to utilize unique identifiers and related extensions. N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each SARS-CoV-2 test event REQUIRED REQUIRED Pathogen targeted Name of the agent being targeted for (such as SARS-CoV-2) Coding ICD-11 N/A Select one N/A N/A N/A N/A N/A There are no index terms associated with this entity 410607006 Organism N/A N/A N/A
SARS-CoV-2 Codes ICD-11 N/A Input option SARS-CoV-2 N/A XN109 http://id.who.int/icd/
entity/243015485 		SARS-CoV-2 840533007 Severe acute respiratory syndrome coronavirus 2 (organism) not found not found not found
SARS-CoV-2 Alpha Codes ICD-11 N/A Input option SARS-CoV-2 Alpha N/A XN0HL http://id.who.int/icd/
entity/932811678 		SARS-CoV-2 Alpha not found not found not found not found not found
SARS-CoV-2 Beta Codes ICD-11 N/A Input option SARS-CoV-2 Beta N/A XN4Q7 http://id.who.int/icd/
entity/2101382247 		SARS-CoV-2 Beta not found not found not found not found not found
SARS-CoV-2 Gamma Codes ICD-11 N/A Input option SARS-CoV-2 Gamma N/A XN5BQ http://id.who.int/icd/
entity/1822694497 		SARS-CoV-2 Gamma not found not found not found not found not found
SARS-CoV-2 Delta Codes ICD-11 N/A Input option SARS-CoV-2 Delta N/A XN8V6 http://id.who.int/icd/
entity/867842560 		SARS-CoV-2 Delta not found not found not found not found not found
SARS-CoV-2 Epsilon Codes ICD-11 N/A Input option SARS-CoV-2 Epsilon N/A XN1GK http://id.who.int/icd/
entity/1503287239 		SARS-CoV-2 Epsilon not found not found not found not found not found
SARS-CoV-2 Zeta Codes ICD-11 N/A Input option SARS-CoV-2 Zeta N/A XN3ZE http://id.who.int/icd/
entity/755161604 		SARS-CoV-2 Zeta not found not found not found not found not found
SARS-CoV-2 Eta Codes ICD-11 N/A Input option SARS-CoV-2 Eta N/A XN2V4 http://id.who.int/icd/
entity/60855142 		SARS-CoV-2 Eta not found not found not found not found not found
SARS-CoV-2 Theta Codes ICD-11 N/A Input option SARS-CoV-2 Theta N/A XN4Q1 http://id.who.int/icd/
entity/217899880 		SARS-CoV-2 Theta not found not found not found not found not found
SARS-CoV-2 Iota Codes ICD-11 N/A Input option SARS-CoV-2 Iota N/A XN3UD http://id.who.int/icd/
entity/1721681473 		SARS-CoV-2 Iota not found not found not found not found not found
SARS-CoV-2 Kappa Codes ICD-11 N/A Input option SARS-CoV-2 Kappa N/A XN9L8 http://id.who.int/icd/
entity/1325943094 		SARS-CoV-2 Kappa not found not found not found not found not found
SARS-CoV-2 Lambda Codes ICD-11 N/A Input option SARS-CoV-2 Lambda N/A XN6AM http://id.who.int/icd/
entity/403405056 		SARS-CoV-2 Lambda not found not found not found not found not found
SARS-CoV-2 Mu Codes ICD-11 N/A Input option SARS-CoV-2 Mu N/A XN39J http://id.who.int/icd/
entity/1453315432 		SARS-CoV-2 Mu not found not found not found not found not found
SARS-CoV-2 Omicron Codes ICD-11 N/A Input option SARS-CoV-2 Omicron N/A XN161 http://id.who.int/icd/
entity/335495681 		SARS-CoV-2 Omicron not found not found not found not found not found
Data needed for each SARS-CoV-2 test event REQUIRED REQUIRED Type of Test Name of the type of test that was conducted e.g. NAAT or Ag-RDT Coding ICHI N/A Select one N/A N/A N/A N/A N/A There are no index terms associated with this entity 15220000 Laboratory test (procedure) N/A N/A N/A
Viral nucleic acid amplification test or NAAT Codes ICHI N/A Input Option Viral nucleic acid amplification test or NAAT N/A not found not found not found 117244003 Nucleic acid probe method with amplification (procedure) http://id.who.int/icd/
entity/1334426561 		Viral nucleic acid amplification test http://id.who.int/icd/
entity/1334426561
Rapid immunoassay detecting viral proteins or Ag-RDT Codes ICHI N/A Input Option Rapid immunoassay detecting viral proteins or Ag-RDT N/A not found not found not found 414464004 Immunoassay method (procedure) http://id.who.int/icd/
entity/2056159157 		Rapid immunoassay detecting viral proteins http://id.who.int/icd/
entity/2056159157
Data needed for each SARS-CoV-2 test event OPTIONAL - RECOMMENDED OPTIONAL - RECOMMENDED Test brand The brand or trade name used to refer to the test conducted Coding As defined by Member State N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each SARS-CoV-2 test event OPTIONAL - RECOMMENDED OPTIONAL - RECOMMENDED Test manufacturer Name of the manufacturer of the test conducted Coding As defined by Member State N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each SARS-CoV-2 test event OPTIONAL - RECOMMENDED OPTIONAL - RECOMMENDED Specimen Sample Origin The type of sample that was taken (e.g. Nasopharyngeal swab, Oropharyngeal swab, Saliva specimen) Coding ICHI N/A Select one N/A N/A N/A N/A N/A N/A 123038009 Specimen (specimen) AH Specimen collection http://id.who.int/icd/
entity/1789591527
Nasopharyngeal swab Codes ICHI N/A Input Option Nasopharyngeal swab N/A not found not found not found N/A 258500001 Nasopharyngeal swab (specimen) JAM.AH.XF Specimen collection, nasopharynx http://id.who.int/icd/
entity/350872817
Oropharyngeal swab Codes ICHI N/A Input Option Oropharyngeal swab N/A not found not found not found N/A 461911000124106 Swab specimen from oropharynx (specimen) KAR.AH.XF Specimen collection, oropharynx http://id.who.int/icd/
entity/555916027
Pharyngeal swab Codes ICHI N/A Input Option Pharyngeal swab N/A not found not found not found N/A 472881004 Swab from pharynx (specimen) KAR.AH.XF Specimen collection, oropharynx http://id.who.int/icd/
entity/555916027
Swab from nasal sinus Codes ICHI N/A Input Option Swab from nasal sinus N/A not found not found not found N/A 472901003 Swab from nasal sinus (specimen) JAE.AH.XF Specimen collection, paranasal sinus, not elsewhere classified http://id.who.int/icd/
entity/608172011
Saliva specimen Codes ICHI N/A Input Option Saliva specimen N/A not found not found not found N/A 119342007 Saliva specimen (specimen) KAZ.AH.XD Specimen collection, saliva http://id.who.int/icd/
entity/1162766848
Blood specimen Codes ICHI N/A Input Option Blood specimen N/A not found not found not found N/A 119297000 Blood specimen (specimen) DIA.AH.XA Specimen collection, blood http://id.who.int/icd/
entity/1695591348
Plasma specimen Codes ICHI N/A Input Option Plasma specimen N/A not found not found not found N/A 119361006 Plasma specimen (specimen) DIA.AH.XA Specimen collection, blood http://id.who.int/icd/
entity/1695591348
Serum specimen Codes ICHI N/A Input Option Serum specimen N/A not found not found not found N/A 119364003 Serum specimen (specimen) DIA.AH.XA Specimen collection, blood http://id.who.int/icd/
entity/1695591348
Acellular blood (serum or plasma) specimen Codes ICHI N/A Input Option Acellular blood (serum or plasma) specimen N/A not found not found not found N/A 122592007 Acellular blood (serum or plasma) specimen (specimen) DIA.AH.XA Specimen collection, blood http://id.who.int/icd/
entity/1695591348
Data needed for each SARS-CoV-2 test event REQUIRED REQUIRED Date and time of sample collection Date and time when sample was collected ___________________ DateTime Compatible with HL7 FHIR dateTime with time zone specified https://www.hl7.org/fhir/
datatypes.html#dateTime 		N/A N/A N/A Compatible with HL7 FHIR dateTime with time zone specified https://www.hl7.org/fhir/
datatypes.html#dateTime" 		N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each SARS-CoV-2 test event REQUIRED REQUIRED Test Result Detected or Not Detected presence of SARS-CoV-2 infection Coding ICD-11 N/A Select one N/A N/A N/A http://id.who.int/icd/
entity/1730556128 		N/A N/A N/A N/A N/A N/A N/A
Detected Codes ICD-11 N/A Input Option Detected N/A RA01.0 http://id.who.int/icd/
entity/1790791774 		COVID-19, virus identified includes index term COVID-19 confirmed with laboratory testing with symptoms 1240581000000104 Severe acute respiratory syndrome coronavirus 2 detected (finding) not found not found not found
Not Detected Codes ICD-11 N/A Input Option Not Detected N/A QA02 http://id.who.int/icd/
entity/461464819 		Medical observation or evaluation for suspected diseases or conditions, ruled out 1240591000000102 Severe acute respiratory syndrome coronavirus 2 not detected (finding) not found not found not found
Data needed for each SARS-CoV-2 test event OPTIONAL - RECOMMENDED OPTIONAL - RECOMMENDED Test centre or facility name A codable name or identifier of the facility responsible for conducting the test Coding As defined by Member State N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Data needed for each SARS-CoV-2 test event REQUIRED REQUIRED Test centre country The country in which the individual has been tested Coding ISO 3166-1 alpha-3 (or numeric) N/A N/A N/A ISO 3166-1 alpha-3 (or numeric) N/A N/A N/A N/A N/A N/A N/A N/A N/A
Certificate metadata REQUIRED REQUIRED Certificate issuer The authority or authorized organization that issued the laboratory results certificate. String N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Certificate metadata REQUIRED REQUIRED Health Certificate Identifier (HCID) Unique identifier used to associate the lab result represented in a paper lab report to its digital representation(s). ID N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Certificate metadata OPTIONAL OPTIONAL Certificate valid from Date and time at which lab result certificate became valid. No health or clinical inferences should be made from this date DateTime Compatible with HL7 FHIR dateTime with time zone specified https://www.hl7.org/fhir/
datatypes.html#dateTime 		N/A N/A Compatible with HL7 FHIR dateTime with time zone specified ___________________________ N/A N/A N/A N/A N/A N/A N/A N/A N/A
Certificate metadata REQUIRED REQUIRED Certificate schema version Version of the core data set and HL7 FHIR Implementation Guide that the certificate is using. String N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
web www.who.int The following table is an abbreviated copy of the DDCC:VS:Web Annex A , the published version of the DDCC:VS Core data dictionary with the following differences:
  • Date formats are updated to be compatible with FHIR (this means that dashes are required, e.g., YYYY-MM-DD, not YYYYMMDD),
  • Only SNOMED GPS mappings are included (columns SNOMED CT International was removed, but values are the same as SNOMED GPS)
  • It will include mappings to the HL7 FHIR elements used on the StructureDefinitions for the core data set. (forthcoming)
  • ICD-11 Comments/Considerations for vaccines refer back to source content and a related note for readability.
web apps.who.int The following table is a copy of the published version of the DDCC:TR Core data dictionary with the following difference: this version will include mappings to the HL7 FHIR elements used (forthcoming).
web www.who.int Functional requirements are documented in the Digital Documentation of COVID-19 Certificates (DDCC): Vaccination Status (DDCC:VS) and the DDCC: Test Result (DDCC:TR) - Technical Specifications and Implementation Guidance .
web www.who.int Functional requirements are documented in the Digital Documentation of COVID-19 Certificates (DDCC): Vaccination Status (DDCC:VS) and the DDCC: Test Result (DDCC:TR) - Technical Specifications and Implementation Guidance .
web github.com This release of the implementation guide is based on the content at https://github.com/WorldHealthOrganization/ddcc/tree/v1.0.0
web www.who.int The DDCC: Vaccination Status (DDCC:VS) technical specifications and implementation guidance was issued for vaccination certificates for the purposes of continuity of care and proof of vaccination.
web www.who.int The DDCC: Test Result (DDCC:TR) technical specifications and implementation guidance is being issued for test result certificates that attests to: (a) the fact that an individual has been tested for SARS-CoV-2, and (b) the result of that SARS-CoV-2 diagnostic test.
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web creativecommons.org This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO License .
web opensource.org 3-clause BSD license
web github.com DDCC Transactions Mediator for generating certificates
web www.fhircore.org Open Smart Register Platform (OpenSRP) FHIR Core Demo application for vaccination certificates - Background and video
web github.com OpenSRP FHIR Core Smart Vaccination Certificates for Android - Github description
web github.com OpenSRP Demo Application User Guide
web github.com Verifier Application - QR code scanning app for Android
web github.com DDCC Trust Network
web github.com European Union (EU) Digital Green Certificates Gateway Software Design
web www.who.int DDCC:VS Technical specifications and implementation guidance
web www.who.int Web annex A: DDCC:VS core data dictionary
web www.who.int Web annex B: DDCC:VS technical briefing
web www.who.int Digital Documentation of COVID-19 Certificates (DDCC): Test Result (DDCC:TR)
web www.who.int Web annex A: DDCC:TR core data dictionary
web lib.digitalsquare.io DDCC Resource Library , within the WHO SMART Guidelines collection of the Digital Square Resource Library
web openhie.github.io Open Health Information Exchange (OpenHIE) DDCC Implementation Guide.
web www.who.int Digital implementation investment guide (DIIG): integrating digital interventions into health programmes. Geneva: World Health Organization; 15 September 2020 ( https://www.who.int/publications/i/item/9789240010567 ).
web www.who.int Please see the published Digital Documentation of COVID-19 Certificates (DDCC): Vaccination Status (DDCC:VS) and the Digital Documentation of COVID-19 Certificates (DDCC): Test Result (DDCC:TR) Technical Specifications and Implementation Guidance for security and privacy considerations. In particular, see the following content:
  • minimum requirements for a DDCC,
  • assumptions,
  • ethical considerations and data protection principles,
  • functional and non-functional requirements,
  • national governance considerations, and
  • implementation considerations.
web www.who.int Please see the published Digital Documentation of COVID-19 Certificates (DDCC): Vaccination Status (DDCC:VS) and the Digital Documentation of COVID-19 Certificates (DDCC): Test Result (DDCC:TR) Technical Specifications and Implementation Guidance for security and privacy considerations. In particular, see the following content:
  • minimum requirements for a DDCC,
  • assumptions,
  • ethical considerations and data protection principles,
  • functional and non-functional requirements,
  • national governance considerations, and
  • implementation considerations.
web github.com Overview and objectives of the framework
web github.com Code repository
web github.com Names code repository
web github.com Bulk FSH generator code repository
web github.com DDCC Compliance Testing Framework
web smart.who.int Generate Health Certificate
web www.who.int For the latest published guidance, refer to the Digital Documentation of COVID-19 Certificates (DDCC): Vaccination Status (DDCC:VS) and the Digital Documentation of COVID-19 Certificates (DDCC): Test Result (DDCC:TR) Technical Specifications and Implementation Guidance.
web www.who.int For the latest published guidance, refer to the Digital Documentation of COVID-19 Certificates (DDCC): Vaccination Status (DDCC:VS) and the Digital Documentation of COVID-19 Certificates (DDCC): Test Result (DDCC:TR) Technical Specifications and Implementation Guidance.

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