Implementation Guide CH VACD
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This page is part of the CH VACD (R4) (v5.0.0: STU 5) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Test Case F 01: Add comment (note) to an existing AllergyIntolerance - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "F-D4-HCP1-C1",
  "meta" : {
    "profile" : [
      🔗 "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-document-immunization-administration"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:9f0d4bfd-9232-401f-9c5c-1a0187c22d1a"
  },
  "type" : "document",
  "timestamp" : "2022-01-05T00:00:00.390+02:00",
  "entry" : [
    {
      "fullUrl" : "http://test.fhir.ch/r4/Composition/F-D4-HCP1-C1-Composition",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "F-D4-HCP1-C1-Composition",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-composition-immunization-administration"
          ]
        },
        "language" : "en-US",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><h3>Immunization Administration</h3><p><b>Id: </b>A-D2-HCP1-C1-Composition</p><p><b>Identifier: </b><span>urn:ietf:rfc:3986#urn:uuid:ab0add6e-0049-4567-8609-8d3ffdd84af0</span></p><p><b>Status: </b>Final</p><p><b>Code: </b><span>Immunization record (http://snomed.info/sct#41000179103)</span></p><p><b>Patient: </b><a href=\"Patient-TC-patient.html\">Patient/TC-patient</a> Wegmueller Monika</p><p><b>Date: </b>June 15, 2021</p><p><b>Authors:</b></p><table><tr><td><p><a href=\"Practitioner-TC-HCP1-C1.html\">Practitioner/TC-HCP1-C1</a> Bereit Allzeit</p><p><a href=\"Organization-TC-ORG1.html\">Organization/TC-ORG1</a> Gruppenpraxis CH</p></td></tr></table><p><b>Confidentiality: </b>null<span> Normal (qualifier value) (http://snomed.info/sct#17621005)</span></p><p><b>Sections:</b></p><table><tr><td>Immunization Administration</td></tr></table></div>"
        },
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:9f0d4bfd-9232-401f-9c5c-1a0187c22d1a"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "41000179103",
              "display" : "Immunization record"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "urn:oid:2.16.756.5.30.1.127.3.10.10",
                "code" : "urn:che:epr:ch-vacd:immunization-administration:2022"
              }
            ]
          }
        ],
        "subject" : {
          🔗 "reference" : "Patient/TC-patient"
        },
        "date" : "2022-01-05T00:00:00.390+02:00",
        "author" : [
          {
            🔗 "reference" : "PractitionerRole/TC-HCP1-ORG1-ROLE-author"
          }
        ],
        "title" : "Immunization Administration",
        "confidentiality" : "N",
        "_confidentiality" : {
          "extension" : [
            {
              "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "17621005",
                    "display" : "Normal (qualifier value)"
                  }
                ]
              }
            }
          ]
        },
        "custodian" : {
          🔗 "reference" : "Organization/TC-ORG1"
        },
        "section" : [
          {
            "id" : "allergies",
            "title" : "Allergies",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48765-2",
                  "display" : "Allergies and adverse reactions Document"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><p><b>Code: </b><span>Allergies and adverse reactions Document (http://loinc.org#48765-2)</span></p><p><b>Entries:</b></p><table><tr><td><a href=\"AllergyIntolerance-TCF02-ALLINTO2.html\">AllergyIntolerance/TCF02-ALLINTO2</a></td></tr></table></div>"
            },
            "entry" : [
              {
                🔗 "reference" : "AllergyIntolerance/TCF02-ALLINTO2"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Patient/TC-patient",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "TC-patient",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-epr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_TC-patient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient TC-patient</b></p><a name=\"TC-patient\"> </a><a name=\"hcTC-patient\"> </a><a name=\"TC-patient-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Monika Wegmueller  Female, DoB: 1967-02-10 ( Medical record number)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: tel:+41.32.685.12.34(Home)</li><li>Leidensweg 10 Specimendorf 9876 CH </li></ul></td></tr></table></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "urn:oid:1.2.3.4",
            "value" : "12345678"
          }
        ],
        "name" : [
          {
            "family" : "Wegmueller",
            "given" : [
              "Monika"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "tel:+41.32.685.12.34",
            "use" : "home"
          }
        ],
        "gender" : "female",
        "birthDate" : "1967-02-10",
        "address" : [
          {
            "type" : "both",
            "line" : [
              "Leidensweg 10"
            ],
            "city" : "Specimendorf",
            "postalCode" : "9876",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Practitioner/TC-HCP1-C1",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "TC-HCP1-C1",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner-epr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_TC-HCP1-C1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner TC-HCP1-C1</b></p><a name=\"TC-HCP1-C1\"> </a><a name=\"hcTC-HCP1-C1\"> </a><a name=\"TC-HCP1-C1-en-US\"> </a><p><b>identifier</b>: <a href=\"https://www.gs1.org/standards/id-keys/gln\" title=\"Global Location Number\">GLN</a>/7601888888884</p><p><b>active</b>: true</p><p><b>name</b>: Peter Müller </p><p><b>telecom</b>: ph: tel:+41.32.234.55.66(Work), fax: fax:+41.32.234.55.67(Work), <a href=\"mailto:mailto:allzeit.bereit@gruppenpraxis.ch\">mailto:allzeit.bereit@gruppenpraxis.ch</a>, <a href=\"http://www.gruppenpraxis.ch\">http://www.gruppenpraxis.ch</a></p><p><b>address</b>: Grabenstrasse 2 Zürich 8005 CH </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601888888884"
          }
        ],
        "active" : true,
        "name" : [
          {
            "family" : "Müller",
            "given" : [
              "Peter"
            ],
            "prefix" : [
              "Dr. med."
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "tel:+41.32.234.55.66",
            "use" : "work"
          },
          {
            "system" : "fax",
            "value" : "fax:+41.32.234.55.67",
            "use" : "work"
          },
          {
            "system" : "email",
            "value" : "mailto:allzeit.bereit@gruppenpraxis.ch",
            "use" : "work"
          },
          {
            "system" : "url",
            "value" : "http://www.gruppenpraxis.ch",
            "use" : "work"
          }
        ],
        "address" : [
          {
            "type" : "physical",
            "line" : [
              "Grabenstrasse 2"
            ],
            "city" : "Zürich",
            "postalCode" : "8005",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Organization/TC-ORG1",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "TC-ORG1",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization-epr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_TC-ORG1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization TC-ORG1</b></p><a name=\"TC-ORG1\"> </a><a name=\"hcTC-ORG1\"> </a><a name=\"TC-ORG1-en-US\"> </a><p><b>identifier</b>: <a href=\"https://www.gs1.org/standards/id-keys/gln\" title=\"Global Location Number\">GLN</a>/7601777777718</p><p><b>name</b>: Gruppenpraxis Müller</p><p><b>telecom</b>: ph: tel:+41.32.234.55.66(Work), fax: fax:+41.32.234.55.67(Work), <a href=\"mailto:mailto:bereit@gruppenpraxis.ch\">mailto:bereit@gruppenpraxis.ch</a>, <a href=\"http://www.gruppenpraxis.ch\">http://www.gruppenpraxis.ch</a></p><p><b>address</b>: Grabenstrasse 2 Zürich ZH 8005 CH </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601777777718"
          }
        ],
        "name" : "Gruppenpraxis Müller",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "tel:+41.32.234.55.66",
            "use" : "work"
          },
          {
            "system" : "fax",
            "value" : "fax:+41.32.234.55.67",
            "use" : "work"
          },
          {
            "system" : "email",
            "value" : "mailto:bereit@gruppenpraxis.ch",
            "use" : "work"
          },
          {
            "system" : "url",
            "value" : "http://www.gruppenpraxis.ch",
            "use" : "work"
          }
        ],
        "address" : [
          {
            "line" : [
              "Grabenstrasse 2"
            ],
            "city" : "Zürich",
            "state" : "ZH",
            "postalCode" : "8005",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/PractitionerRole/TC-HCP1-ORG1-ROLE-author",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "TC-HCP1-ORG1-ROLE-author",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole-epr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_TC-HCP1-ORG1-ROLE-author\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole TC-HCP1-ORG1-ROLE-author</b></p><a name=\"TC-HCP1-ORG1-ROLE-author\"> </a><a name=\"hcTC-HCP1-ORG1-ROLE-author\"> </a><a name=\"TC-HCP1-ORG1-ROLE-author-en-US\"> </a><p><b>active</b>: true</p><p><b>practitioner</b>: <a href=\"Practitioner-TC-HCP1-C1.html\">Practitioner Peter Müller </a></p><p><b>organization</b>: <a href=\"Organization-TC-ORG1.html\">Organization Gruppenpraxis Müller</a></p></div>"
        },
        "active" : true,
        "practitioner" : {
          🔗 "reference" : "Practitioner/TC-HCP1-C1"
        },
        "organization" : {
          🔗 "reference" : "Organization/TC-ORG1"
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/AllergyIntolerance/TCF02-ALLINTO2",
      "resource" : {
        "resourceType" : "AllergyIntolerance",
        "id" : "TCF02-ALLINTO2",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-allergyintolerances"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_TCF02-ALLINTO2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance TCF02-ALLINTO2</b></p><a name=\"TCF02-ALLINTO2\"> </a><a name=\"hcTCF02-ALLINTO2\"> </a><a name=\"TCF02-ALLINTO2-en-US\"> </a><blockquote><p><b>Entry Resource Cross References</b></p><ul><li>entry: Identifier: <code>urn:oid:2.16.756.5.30.1.402.1.3.1.1.1</code>/cbc8c8c1-4f47-4ec3-99a7-ae775b75c621</li><li>container: Identifier: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">URI</a>/urn:uuid:98dbfa14-1b2e-40f8-8110-932c631db1df</li><li>relationcode: replaces</li></ul></blockquote><p><b>identifier</b>: <code>urn:oid:2.16.756.5.30.1.402.1.3.1.1.2</code>/e6e14c17-b468-4ecb-a4d7-8dfd5ddb36d8</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}\">Confirmed</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 24079001}\">Atopic dermatitis (disorder)</span></p><p><b>patient</b>: <a href=\"Patient-TC-patient.html\">Monika Wegmueller  Female, DoB: 1967-02-10 ( Medical record number)</a></p><p><b>onset</b>: 2021-10-06</p><p><b>recordedDate</b>: 2021-10-06</p><p><b>recorder</b>: <a href=\"PractitionerRole-TC-HCP1-ORG1-ROLE-author.html\">PractitionerRole</a></p><p><b>lastOccurrence</b>: 2021-10-06</p><p><b>note</b>: This disorder will only occure if the time between the consumation of an apple and an vaccination is less than 10h (By Practitioner/TC-HCP1-C1 @2022-01-05)</p></div>"
        },
        "extension" : [
          {
            "extension" : [
              {
                "url" : "entry",
                "valueReference" : {
                  "type" : "AllergyIntolerance",
                  "identifier" : {
                    "system" : "urn:oid:2.16.756.5.30.1.402.1.3.1.1.1",
                    "value" : "cbc8c8c1-4f47-4ec3-99a7-ae775b75c621"
                  }
                }
              },
              {
                "url" : "container",
                "valueReference" : {
                  "type" : "Composition",
                  "identifier" : {
                    "system" : "urn:ietf:rfc:3986",
                    "value" : "urn:uuid:98dbfa14-1b2e-40f8-8110-932c631db1df"
                  }
                }
              },
              {
                "url" : "relationcode",
                "valueCode" : "replaces"
              }
            ],
            "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references"
          }
        ],
        "identifier" : [
          {
            "system" : "urn:oid:2.16.756.5.30.1.402.1.3.1.1.2",
            "value" : "e6e14c17-b468-4ecb-a4d7-8dfd5ddb36d8"
          }
        ],
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code" : "active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code" : "confirmed"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "24079001",
              "display" : "Atopic dermatitis (disorder)"
            }
          ]
        },
        "patient" : {
          🔗 "reference" : "Patient/TC-patient"
        },
        "onsetDateTime" : "2021-10-06",
        "recordedDate" : "2021-10-06",
        "recorder" : {
          🔗 "reference" : "PractitionerRole/TC-HCP1-ORG1-ROLE-author"
        },
        "lastOccurrence" : "2021-10-06",
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Practitioner/TC-HCP1-C1"
            },
            "time" : "2022-01-05",
            "text" : "This disorder will only occure if the time between the consumation of an apple and an vaccination is less than 10h"
          }
        ]
      }
    }
  ]
}