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 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="F-D4-HCP1-C1"/>
  <meta>
    <profile
             value="http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-document-immunization-administration"/>
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:9f0d4bfd-9232-401f-9c5c-1a0187c22d1a"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2022-01-05T00:00:00.390+02:00"/>
  <entry>
    <fullUrl
             value="http://test.fhir.ch/r4/Composition/F-D4-HCP1-C1-Composition"/>
    <resource>
      <Composition>
        <id value="F-D4-HCP1-C1-Composition"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-composition-immunization-administration"/>
        </meta>
        <language value="en-US"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:9f0d4bfd-9232-401f-9c5c-1a0187c22d1a"/>
        </identifier>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="41000179103"/>
            <display value="Immunization record"/>
          </coding>
        </type>
        <category>
          <coding>
            <system value="urn:oid:2.16.756.5.30.1.127.3.10.10"/>
            <code
                  value="urn:che:epr:ch-vacd:immunization-administration:2022"/>
          </coding>
        </category>
        <subject>🔗 
          <reference value="Patient/TC-patient"/>
        </subject>
        <date value="2022-01-05T00:00:00.390+02:00"/>
        <author>🔗 
          <reference value="PractitionerRole/TC-HCP1-ORG1-ROLE-author"/>
        </author>
        <title value="Immunization Administration"/>
        <confidentiality value="N">
          <extension
                     url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode">
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="17621005"/>
                <display value="Normal (qualifier value)"/>
              </coding>
            </valueCodeableConcept>
          </extension>
        </confidentiality>
        <custodian>🔗 
          <reference value="Organization/TC-ORG1"/>
        </custodian>
        <section id="allergies">
          <title value="Allergies"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="48765-2"/>
              <display value="Allergies and adverse reactions Document"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <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>
          </text>
          <entry>🔗 
            <reference value="AllergyIntolerance/TCF02-ALLINTO2"/>
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Patient/TC-patient"/>
    <resource>
      <Patient>
        <id value="TC-patient"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-epr"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
            </coding>
          </type>
          <system value="urn:oid:1.2.3.4"/>
          <value value="12345678"/>
        </identifier>
        <name>
          <family value="Wegmueller"/>
          <given value="Monika"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="tel:+41.32.685.12.34"/>
          <use value="home"/>
        </telecom>
        <gender value="female"/>
        <birthDate value="1967-02-10"/>
        <address>
          <type value="both"/>
          <line value="Leidensweg 10"/>
          <city value="Specimendorf"/>
          <postalCode value="9876"/>
          <country value="CH"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Practitioner/TC-HCP1-C1"/>
    <resource>
      <Practitioner>
        <id value="TC-HCP1-C1"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner-epr"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="urn:oid:2.51.1.3"/>
          <value value="7601888888884"/>
        </identifier>
        <active value="true"/>
        <name>
          <family value="Müller"/>
          <given value="Peter"/>
          <prefix value="Dr. med."/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="tel:+41.32.234.55.66"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="fax"/>
          <value value="fax:+41.32.234.55.67"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="mailto:allzeit.bereit@gruppenpraxis.ch"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="url"/>
          <value value="http://www.gruppenpraxis.ch"/>
          <use value="work"/>
        </telecom>
        <address>
          <type value="physical"/>
          <line value="Grabenstrasse 2"/>
          <city value="Zürich"/>
          <postalCode value="8005"/>
          <country value="CH"/>
        </address>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Organization/TC-ORG1"/>
    <resource>
      <Organization>
        <id value="TC-ORG1"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization-epr"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="urn:oid:2.51.1.3"/>
          <value value="7601777777718"/>
        </identifier>
        <name value="Gruppenpraxis Müller"/>
        <telecom>
          <system value="phone"/>
          <value value="tel:+41.32.234.55.66"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="fax"/>
          <value value="fax:+41.32.234.55.67"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="mailto:bereit@gruppenpraxis.ch"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="url"/>
          <value value="http://www.gruppenpraxis.ch"/>
          <use value="work"/>
        </telecom>
        <address>
          <line value="Grabenstrasse 2"/>
          <city value="Zürich"/>
          <state value="ZH"/>
          <postalCode value="8005"/>
          <country value="CH"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://test.fhir.ch/r4/PractitionerRole/TC-HCP1-ORG1-ROLE-author"/>
    <resource>
      <PractitionerRole>
        <id value="TC-HCP1-ORG1-ROLE-author"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole-epr"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <active value="true"/>
        <practitioner>🔗 
          <reference value="Practitioner/TC-HCP1-C1"/>
        </practitioner>
        <organization>🔗 
          <reference value="Organization/TC-ORG1"/>
        </organization>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://test.fhir.ch/r4/AllergyIntolerance/TCF02-ALLINTO2"/>
    <resource>
      <AllergyIntolerance>
        <id value="TCF02-ALLINTO2"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-allergyintolerances"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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 

This 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: 

Note 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.

This 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>
        </text>
        <extension
                   url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references">
          <extension url="entry">
            <valueReference>
              <type value="AllergyIntolerance"/>
              <identifier>
                <system value="urn:oid:2.16.756.5.30.1.402.1.3.1.1.1"/>
                <value value="cbc8c8c1-4f47-4ec3-99a7-ae775b75c621"/>
              </identifier>
            </valueReference>
          </extension>
          <extension url="container">
            <valueReference>
              <type value="Composition"/>
              <identifier>
                <system value="urn:ietf:rfc:3986"/>
                <value value="urn:uuid:98dbfa14-1b2e-40f8-8110-932c631db1df"/>
              </identifier>
            </valueReference>
          </extension>
          <extension url="relationcode">
            <valueCode value="replaces"/>
          </extension>
        </extension>
        <identifier>
          <system value="urn:oid:2.16.756.5.30.1.402.1.3.1.1.2"/>
          <value value="e6e14c17-b468-4ecb-a4d7-8dfd5ddb36d8"/>
        </identifier>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
            <code value="active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
            <code value="confirmed"/>
          </coding>
        </verificationStatus>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="24079001"/>
            <display value="Atopic dermatitis (disorder)"/>
          </coding>
        </code>
        <patient>🔗 
          <reference value="Patient/TC-patient"/>
        </patient>
        <onsetDateTime value="2021-10-06"/>
        <recordedDate value="2021-10-06"/>
        <recorder>🔗 
          <reference value="PractitionerRole/TC-HCP1-ORG1-ROLE-author"/>
        </recorder>
        <lastOccurrence value="2021-10-06"/>
        <note>
          <authorReference>🔗 
            <reference value="Practitioner/TC-HCP1-C1"/>
          </authorReference>
          <time value="2022-01-05"/>
          <text
                value="This disorder will only occure if the time between the consumation of an apple and an vaccination is less than 10h"/>
        </note>
      </AllergyIntolerance>
    </resource>
  </entry>
</Bundle>