Implementation Guide CH VACD
5.0.0-ballot - ballot Switzerland flag

This page is part of the CH VACD (R4) (v5.0.0-ballot: STU 5 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: CH VACD Immunization Administration Composition

Official URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-composition-immunization-administration Version: 5.0.0-ballot
Active as of 2024-05-17 Computable Name: CHVACDCompositionImmunizationAdministration

Copyright/Legal: CC0-1.0

Definition of the composition for the immunization administration document.

Scope and Usage

This composition is defined to use in an immunization administration context. This means to document and/or exchange one or more vaccination given/applied to a referenced patient.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from CHCoreCompositionEPR

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* CHCoreCompositionEPR CH VACD Immunization Administration Composition
... language 1..1 code Language of the document
... Slices for extension Content/Rules for all slices
.... extension:informationRecipient 0..* EPRInformationRecipient A recipient of this document (person or organization)
.... extension:dataEnterer 0..1 EPRDataEnterer Person who entered information into this document if it is a person other than the author
... identifier 1..1 Identifier Identification number of the document
... type 1..1 CodeableConcept Document type Immunization record
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 41000179103
... category 1..1 CodeableConcept Category or format Immunization Administration
Binding: DocumentEntry.formatCode (required)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.10
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: urn:che:epr:ch-vacd:immunization-administration:2022
... subject 1..1 Reference(CH Core Patient EPR) A patient for whom this document instance was created
... date 1..1 dateTime The document's creation date and time
... author 1..* Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR) The author of the document (person or device)
.... ch-ext-epr-time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
... title 1..1 string 'Verabreichte Impfung' in german or 'Vaccin administré' in french or 'Vaccinazione somministrata' in italian or 'Immunization Administration' in english or titles in other languages are also allowed
... confidentiality
.... Slices for extension Content/Rules for all slices
..... extension:confidentialityCode 1..1 EPRConfidentialityCode Swiss realm of confidentiality code according to the Swiss EPR regulation
... custodian 0..1 Reference(CH Core Organization EPR) The organization in whose name the document has been created
... relatesTo 0..* BackboneElement Relationships to other compositions in order to replace other documents or fix/correct elements of an other document.
... section 1..* BackboneElement Composition is broken into sections
... Slices for section Content/Rules for all slices
.... section:administration S 0..1 BackboneElement Immunization Administration
..... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... title 1..1 string 'Liste der verabreichten Impfungen' in german or 'Liste Vaccin administré' in french or 'Lista Vaccinazione somministrata' in italian or 'List Immunization Administration' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Hx of Immunization
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
..... author 0..* Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) The author of the section (person or device) if different from the author/timestamp of the document
...... ch-ext-epr-time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... text 0..1 Narrative Human readable text of this section
..... entry 0..* Reference(CH VACD Immunization | CH VACD Basic Immunization) Immunization
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... section 0..0
.... section:medicalproblems S 0..1 BackboneElement Medical Problems
..... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... title 1..1 string 'Liste der Medizinischen Problemen' in german or 'Liste Vaccin administré' in french or 'Lista Vaccinazione somministrata' in italian or 'List Immunization Administration' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Problem list Reported
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
..... author 0..* Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) The author of the section (person or device) if different from the author/timestamp of the document
...... ch-ext-epr-time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... text 0..1 Narrative Human readable text of this section
..... entry 0..* Reference(CH VACD Medical Problems) MedicalProblems
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... section 0..0
.... section:pastillnesses S 0..1 BackboneElement Past Illnesses
..... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... title 1..1 string 'Bisherige Krankheiten' in german or 'Maladies antérieures' in french or 'Malattie precedenti' in italian or 'Previous illnesses' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Hx of Past illness
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
..... author 0..* Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) The author of the section (person or device) if different from the author/timestamp of the document
...... ch-ext-epr-time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... text 0..1 Narrative Human readable text of this section
..... entry 0..* Reference(CH VACD Past Illness) PastIllnesses
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... section 0..0
.... section:allergyintolerances S 0..1 BackboneElement Allergies and Intolerences
..... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... title 1..1 string 'Allergien' in german or 'Les allergies' in french or 'Allergie' in italian or 'Allergies' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Allergies and adverse reactions Document
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
..... author 0..* Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) The author of the section (person or device) if different from the author/timestamp of the document
...... ch-ext-epr-time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... text 0..1 Narrative Human readable text of this section
..... entry 0..* Reference(CH VACD AllergyIntolerance) Allergies
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... section 0..0
.... section:laboratory-serology S 0..1 BackboneElement Laboratory-Serology
..... title 1..1 string 'Laborbefund - Serologie' in german or 'Résultats de laboratoire - Sérologie' in french or 'Risultati di laboratorio - Sierologia' in italian or 'Laboratory findings - Serology' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Serology studies (set)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18727-8
..... author 0..* Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) The author of the section (person or device) if different from the author/timestamp of the document
...... ch-ext-epr-time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... text 0..1 Narrative Human readable text of this section
..... entry 0..* Reference(CH VACD Laboratory And Serology) LaboratorySerology
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... section 0..0
.... section:annotation 0..1 BackboneElement Annotation
..... title 1..1 string 'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Annotation comment Imp
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48767-8
..... text 0..1 Narrative Human readable text of this section
..... entry 0..* Reference(Resource) General comments
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... section 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet / CodeURI
Composition.categoryrequiredPattern: urn:che:epr:ch-vacd:immunization-administration:2022
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* CHCoreCompositionEPR CH VACD Immunization Administration Composition
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 1..1 code Language of the document
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... Slices for extension Content/Rules for all slices
.... informationRecipient 0..* Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization) A recipient of this document (person or organization)
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
.... dataEnterer 0..1 (Complex) Person who entered information into this document if it is a person other than the author
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
... identifier Σ 1..1 Identifier Identification number of the document
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ 1..1 string The value that is unique
Example General: 123456
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


Fixed Value: final
... type Σ 1..1 CodeableConcept Document type Immunization record
Binding: DocumentEntry.typeCode (extensible)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 41000179103
... category Σ 1..1 CodeableConcept Category or format Immunization Administration
Binding: DocumentEntry.formatCode (required)

Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.10
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: urn:che:epr:ch-vacd:immunization-administration:2022
... subject Σ 1..1 Reference(CH Core Patient EPR) A patient for whom this document instance was created
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... date Σ 1..1 dateTime The document's creation date and time
... author Σ 1..* Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR) The author of the document (person or device)
.... ch-ext-epr-time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
Slice: Unordered, Open by value:url
..... time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... title Σ 1..1 string 'Verabreichte Impfung' in german or 'Vaccin administré' in french or 'Vaccinazione somministrata' in italian or 'Immunization Administration' in english or titles in other languages are also allowed
... confidentiality Σ 1..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... confidentialityCode 1..1 CodeableConcept Swiss realm of confidentiality code according to the Swiss EPR regulation
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
Binding: DocumentEntry.confidentialityCode (extensible)
... Slices for attester 0..* BackboneElement Attests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... attester:legalAuthenticator 0..1 BackboneElement legal authenticator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Fixed Value: legal
..... party 1..1 Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR) Who attested the composition
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... custodian Σ 0..1 Reference(CH Core Organization EPR) The organization in whose name the document has been created
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... relatesTo 0..* BackboneElement Relationships to other compositions in order to replace other documents or fix/correct elements of an other document.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(CH Core Composition EPR)
... Slices for section C 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:originalRepresentation C 0..1 BackboneElement Contains the original representation as a PDF of the current document.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Original representation
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55108-5
..... text C 1..1 Narrative Representation of the original view
..... entry C 1..1 Reference(Binary) According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
...... Slices for extension Content/Rules for all slices
....... narrativeLink 0..1 url narrativeLink to img src attribute
URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
.... section:administration SC 0..1 BackboneElement Immunization Administration
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string 'Liste der verabreichten Impfungen' in german or 'Liste Vaccin administré' in french or 'Lista Vaccinazione somministrata' in italian or 'List Immunization Administration' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Hx of Immunization
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
..... author 0..* Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) The author of the section (person or device) if different from the author/timestamp of the document
...... ch-ext-epr-time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... text C 0..1 Narrative Human readable text of this section
..... entry C 0..* Reference(CH VACD Immunization | CH VACD Basic Immunization) Immunization
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:medicalproblems SC 0..1 BackboneElement Medical Problems
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string 'Liste der Medizinischen Problemen' in german or 'Liste Vaccin administré' in french or 'Lista Vaccinazione somministrata' in italian or 'List Immunization Administration' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Problem list Reported
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
..... author 0..* Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) The author of the section (person or device) if different from the author/timestamp of the document
...... ch-ext-epr-time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... text C 0..1 Narrative Human readable text of this section
..... entry C 0..* Reference(CH VACD Medical Problems) MedicalProblems
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:pastillnesses SC 0..1 BackboneElement Past Illnesses
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string 'Bisherige Krankheiten' in german or 'Maladies antérieures' in french or 'Malattie precedenti' in italian or 'Previous illnesses' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Hx of Past illness
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
..... author 0..* Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) The author of the section (person or device) if different from the author/timestamp of the document
...... ch-ext-epr-time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... text C 0..1 Narrative Human readable text of this section
..... entry C 0..* Reference(CH VACD Past Illness) PastIllnesses
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:allergyintolerances SC 0..1 BackboneElement Allergies and Intolerences
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string 'Allergien' in german or 'Les allergies' in french or 'Allergie' in italian or 'Allergies' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Allergies and adverse reactions Document
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
..... author 0..* Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) The author of the section (person or device) if different from the author/timestamp of the document
...... ch-ext-epr-time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... text C 0..1 Narrative Human readable text of this section
..... entry C 0..* Reference(CH VACD AllergyIntolerance) Allergies
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:laboratory-serology SC 0..1 BackboneElement Laboratory-Serology
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string 'Laborbefund - Serologie' in german or 'Résultats de laboratoire - Sérologie' in french or 'Risultati di laboratorio - Sierologia' in italian or 'Laboratory findings - Serology' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Serology studies (set)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18727-8
..... author 0..* Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) The author of the section (person or device) if different from the author/timestamp of the document
...... ch-ext-epr-time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... text C 0..1 Narrative Human readable text of this section
..... entry C 0..* Reference(CH VACD Laboratory And Serology) LaboratorySerology
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:annotation C 0..1 BackboneElement Annotation
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string 'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Annotation comment Imp
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48767-8
..... text C 0..1 Narrative Human readable text of this section
..... entry C 0..* Reference(Resource) General comments
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Composition.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typeextensiblePattern: SNOMED CT code 41000179103
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
Composition.categoryrequiredPattern: urn:che:epr:ch-vacd:immunization-administration:2022
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.attester:legalAuthenticator.moderequiredFixed Value: legal
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.section:originalRepresentation.codeexamplePattern: LOINC code 55108-5
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:administration.codeexamplePattern: LOINC code 11369-6
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:medicalproblems.codeexamplePattern: LOINC code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:pastillnesses.codeexamplePattern: LOINC code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:allergyintolerances.codeexamplePattern: LOINC code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:laboratory-serology.codeexamplePattern: LOINC code 18727-8
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:annotation.codeexamplePattern: LOINC code 48767-8
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:originalRepresentation, Composition.section:administration, Composition.section:medicalproblems, Composition.section:pastillnesses, Composition.section:allergyintolerances, Composition.section:laboratory-serology, Composition.section:annotationA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:originalRepresentation, Composition.section:administration, Composition.section:medicalproblems, Composition.section:pastillnesses, Composition.section:allergyintolerances, Composition.section:laboratory-serology, Composition.section:annotationA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* CHCoreCompositionEPR CH VACD Immunization Administration Composition
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... informationRecipient 0..* Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization) A recipient of this document (person or organization)
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
.... dataEnterer 0..1 (Complex) Person who entered information into this document if it is a person other than the author
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier Identification number of the document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


Fixed Value: final
... type Σ 1..1 CodeableConcept Document type Immunization record
Binding: DocumentEntry.typeCode (extensible)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 41000179103
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category Σ 1..1 CodeableConcept Category or format Immunization Administration
Binding: DocumentEntry.formatCode (required)

Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.10
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: urn:che:epr:ch-vacd:immunization-administration:2022
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(CH Core Patient EPR) A patient for whom this document instance was created
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(CH Core Encounter) Context of the Composition
... date Σ 1..1 dateTime The document's creation date and time
... author Σ 1..* Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR) The author of the document (person or device)
.... id 0..1 string Unique id for inter-element referencing
.... ch-ext-epr-time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
Slice: Unordered, Open by value:url
..... time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... title Σ 1..1 string 'Verabreichte Impfung' in german or 'Vaccin administré' in french or 'Vaccinazione somministrata' in italian or 'Immunization Administration' in english or titles in other languages are also allowed
... confidentiality Σ 1..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... confidentialityCode 1..1 CodeableConcept Swiss realm of confidentiality code according to the Swiss EPR regulation
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
Binding: DocumentEntry.confidentialityCode (extensible)
.... value 0..1 string Primitive value for code
... Slices for attester 0..* BackboneElement Attests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

..... time 0..1 dateTime When the composition was attested
..... party 0..1 Reference(CH Core Patient | RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Who attested the composition
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
.... attester:legalAuthenticator 0..1 BackboneElement legal authenticator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Fixed Value: legal
..... time 0..1 dateTime When the composition was attested
..... party 1..1 Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR) Who attested the composition
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
... custodian Σ 0..1 Reference(CH Core Organization EPR) The organization in whose name the document has been created
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... relatesTo 0..* BackboneElement Relationships to other compositions in order to replace other documents or fix/correct elements of an other document.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(CH Core Composition EPR)
... event Σ 0..* BackboneElement The clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section C 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

..... author 0..* Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:originalRepresentation C 0..1 BackboneElement Contains the original representation as a PDF of the current document.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Original representation
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55108-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 1..1 Narrative Representation of the original view
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 1..1 Reference(Binary) According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... narrativeLink 0..1 url narrativeLink to img src attribute
URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:administration SC 0..1 BackboneElement Immunization Administration
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string 'Liste der verabreichten Impfungen' in german or 'Liste Vaccin administré' in french or 'Lista Vaccinazione somministrata' in italian or 'List Immunization Administration' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Hx of Immunization
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) The author of the section (person or device) if different from the author/timestamp of the document
...... id 0..1 string Unique id for inter-element referencing
...... ch-ext-epr-time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Human readable text of this section
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(CH VACD Immunization | CH VACD Basic Immunization) Immunization
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:medicalproblems SC 0..1 BackboneElement Medical Problems
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string 'Liste der Medizinischen Problemen' in german or 'Liste Vaccin administré' in french or 'Lista Vaccinazione somministrata' in italian or 'List Immunization Administration' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Problem list Reported
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) The author of the section (person or device) if different from the author/timestamp of the document
...... id 0..1 string Unique id for inter-element referencing
...... ch-ext-epr-time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Human readable text of this section
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(CH VACD Medical Problems) MedicalProblems
.