Implementation Guide CH VACD
4.0.1 - trial-use
Implementation Guide CH VACD
4.0.1 - trial-use
This page is part of the CH VACD (R4) (v4.0.1: STU 4) 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
| Official URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-immunization | Version: 4.0.1 | |||
| Active as of 2023-12-28 | Computable Name: CHVACDImmunization | |||
Copyright/Legal: CC0-1.0 |
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Definition of the immunization part for all documents, except recommendation request and response documents.
An immunization can be recorded by an Practitioner or a Patient (Extension: Author of the content) . In the case a practitioner is recorder, the immunization entry is directly validated. In the case a patient is recording an immunization, a practitioner has to validate the immunization entry.
Recorder == Patient means not validated
Recorder == PractitionerRole means validated
This can be done by changing the recorder of the immunization. This will be done by an Immunization Administration document which will replace the existing entry using the Extension ch-core-ext-entry-resource-cross-references.
By aggregation of different Immunization Administration documents, dupplicates could be detected. If so, the entries in the Vaccination Record document (as result of the aggregation) should be completed with the extension CH VACD Extension Merging Conflict Entry Reference. The criterias of duplicate detection can be found here.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Immunization
| Path | Conformance | ValueSet |
| Immunization.vaccineCode | extensible | SwissVaccines |
| Immunization.vaccineCode.coding:swissVaccines | required | SwissVaccines |
| Immunization.vaccineCode.coding:snomedctVaccines | required | SnomedCTForVaccineCode |
| Immunization.vaccineCode.coding:absentOrUnknownImmunization | required | NoImmunizationInfoUvIps |
| Immunization.route | extensible | RouteOfAdministrationImmunization |
| Immunization.protocolApplied.targetDisease | extensible | TargetDiseasesAndIllnessesUndergoneForImmunization |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Immunization | 0..* | Immunization | CH VACD Immunization | |
  implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| contained | 0..1 | Resource | Immunization inline resource | |
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 recorder | S | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author |
| medication | S | 0..1 | Reference(CH VACD Medication For Immunization) | Extension to reference immunization medication resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-immunization-medication-reference |
| relatesTo | 0..1 | (Complex) | Entry Resource Cross References URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references | |
| conflict | S | 0..* | (Complex) | Reference to related resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier | 1..* | Identifier | Immunization item ID | |
| status | ?!SΣ | 1..1 | code | completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. |
 vaccineCode | SΣ | 1..1 | CodeableConcept | Vaccine product administered Binding: Swissmedic code for vaccine code (extensible) |
   Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
  coding:swissVaccines | Σ | 0..1 | Coding | Swiss Vaccine Code Binding: Swissmedic code for vaccine code (required) |
| coding:snomedctVaccines | Σ | 0..1 | Coding | Vaccine Code by SNOMED CT Binding: Snomed CT for vaccine code (required) |
 coding:absentOrUnknownImmunization | Σ | 0..1 | Coding | Absent Unknown Immunization Binding: Absent or Unknown Immunization - IPS (required) |
 patient | Σ | 1..1 | Reference(CH Core Patient) | Patient |
| encounter | 0..1 | Reference(CH Core Encounter) | Encounter | |
| Slices for occurrence[x] | Σ | 1..1 | Vaccine administration date Slice: Unordered, Open by type:$this | |
| occurrenceDateTime | dateTime | |||
| occurrenceString | string | |||
| occurrence[x]:occurrenceDateTime | SΣ | 0..1 | dateTime | Vaccine administration date |
| lotNumber | S | 0..1 | string | Vaccine lot number |
| site | S | 0..1 | CodeableConcept | Body site vaccine was administered Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered. |
| route | S | 0..1 | CodeableConcept | How vaccine entered body. Binding: Route of Administration for Immunization (extensible) |
| performer | Σ | 0..* | BackboneElement | Who performed event |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
 actor | SΣ | 1..1 | Reference(CH Core PractitionerRole) | The performer who applied the vaccine |
| reasonCode | S | 0..* | CodeableConcept | Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered. |
| isSubpotent | ?!Σ | 0..1 | boolean | Dose potency |
| protocolApplied | 1..* | BackboneElement | Protocol followed by the provider | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| targetDisease | S | 1..* | CodeableConcept | Vaccine preventatable disease being targetted Binding: Target disease and illnesses undergone for immunization (extensible): The code for disease. |
| Slices for doseNumber[x] | 1..1 | Dose number within series Slice: Unordered, Open by type:$this | ||
| doseNumberPositiveInt | positiveInt | |||
| doseNumberString | string | |||
| doseNumber[x]:doseNumberPositiveInt | S | 0..1 | positiveInt | Dose number within series |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Immunization.status | required | ImmunizationStatusCodes |
| Immunization.vaccineCode | extensible | SwissVaccines |
| Immunization.vaccineCode.coding:swissVaccines | required | SwissVaccines |
| Immunization.vaccineCode.coding:snomedctVaccines | required | SnomedCTForVaccineCode |
| Immunization.vaccineCode.coding:absentOrUnknownImmunization | required | NoImmunizationInfoUvIps |
| Immunization.site | example | CodesForImmunizationSiteOfAdministration |
| Immunization.route | extensible | RouteOfAdministrationImmunization |
| Immunization.reasonCode | example | ImmunizationReasonCodes |
| Immunization.protocolApplied.targetDisease | extensible | TargetDiseasesAndIllnessesUndergoneForImmunization |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Immunization | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Immunization | If 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-4 | error | Immunization | If 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-5 | error | Immunization | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Immunization | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Immunization | 0..* | Immunization | CH VACD Immunization | |||||
| 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 | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..1 | Resource | Immunization inline resource | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| recorder | S | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author | ||||
| medication | S | 0..1 | Reference(CH VACD Medication For Immunization) | Extension to reference immunization medication resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-immunization-medication-reference | ||||
| relatesTo | 0..1 | (Complex) | Entry Resource Cross References URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references | |||||
| conflict | S | 0..* | (Complex) | Reference to related resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 1..* | Identifier | Immunization item ID | |||||
| status | ?!SΣ | 1..1 | code | completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. | ||||
| statusReason | 0..1 | CodeableConcept | Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered. | |||||
| vaccineCode | SΣ | 1..1 | CodeableConcept | Vaccine product administered Binding: Swissmedic code for vaccine code (extensible) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:swissVaccines | Σ | 0..1 | Coding | Swiss Vaccine Code Binding: Swissmedic code for vaccine code (required) | ||||
| coding:snomedctVaccines | Σ | 0..1 | Coding | Vaccine Code by SNOMED CT Binding: Snomed CT for vaccine code (required) | ||||
| coding:absentOrUnknownImmunization | Σ | 0..1 | Coding | Absent Unknown Immunization Binding: Absent or Unknown Immunization - IPS (required) | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| patient | Σ | 1..1 | Reference(CH Core Patient) | Patient | ||||
| encounter | 0..1 | Reference(CH Core Encounter) | Encounter | |||||
| Slices for occurrence[x] | Σ | 1..1 | Vaccine administration date Slice: Unordered, Open by type:$this | |||||
| occurrenceDateTime | dateTime | |||||||
| occurrenceString | string | |||||||
| occurrence[x]:occurrenceDateTime | SΣ | 0..1 | dateTime | Vaccine administration date | ||||
| recorded | 0..1 | dateTime | When the immunization was first captured in the subject's record | |||||
| primarySource | Σ | 0..1 | boolean | Indicates context the data was recorded in | ||||
| reportOrigin | 0..1 | CodeableConcept | Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source. | |||||
| location | 0..1 | Reference(Location) | Where immunization occurred | |||||
| manufacturer | 0..1 | Reference(Organization) | Vaccine manufacturer | |||||
| lotNumber | S | 0..1 | string | Vaccine lot number | ||||
| expirationDate | 0..1 | date | Vaccine expiration date | |||||
| site | S | 0..1 | CodeableConcept | Body site vaccine was administered Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered. | ||||
| route | S | 0..1 | CodeableConcept | How vaccine entered body. Binding: Route of Administration for Immunization (extensible) | ||||
| doseQuantity | 0..1 | SimpleQuantity | Amount of vaccine administered | |||||
| performer | Σ | 0..* | BackboneElement | Who performed event | ||||
| 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 | ||||
| function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. | ||||
| actor | SΣ | 1..1 | Reference(CH Core PractitionerRole) | The performer who applied the vaccine | ||||
| note | Σ | 0..* | Annotation | Additional immunization notes | ||||
| reasonCode | S | 0..* | CodeableConcept | Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered. | ||||
| reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why immunization occurred | |||||
| isSubpotent | ?!Σ | 0..1 | boolean | Dose potency | ||||
| subpotentReason | 0..* | CodeableConcept | Reason for being subpotent Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent. | |||||
| education | C | 0..* | BackboneElement | Educational material presented to patient | ||||
| 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 | ||||
| documentType | 0..1 | string | Educational material document identifier | |||||
| reference | 0..1 | uri | Educational material reference pointer | |||||
| publicationDate | 0..1 | dateTime | Educational material publication date | |||||
| presentationDate | 0..1 | dateTime | Educational material presentation date | |||||
| programEligibility | 0..* | CodeableConcept | Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program. | |||||
| fundingSource | 0..1 | CodeableConcept | Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered. | |||||
| reaction | 0..* | BackboneElement | Details of a reaction that follows immunization | |||||
| 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 | ||||
| date | 0..1 | dateTime | When reaction started | |||||
| detail | 0..1 | Reference(Observation) | Additional information on reaction | |||||
| reported | 0..1 | boolean | Indicates self-reported reaction | |||||
| protocolApplied | 1..* | BackboneElement | Protocol followed by the provider | |||||
| 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 | ||||
| series | 0..1 | string | Name of vaccine series | |||||
| authority | 0..1 | Reference(Organization) | Who is responsible for publishing the recommendations | |||||
| targetDisease | S | 1..* | CodeableConcept | Vaccine preventatable disease being targetted Binding: Target disease and illnesses undergone for immunization (extensible): The code for disease. | ||||
| Slices for doseNumber[x] | 1..1 | Dose number within series Slice: Unordered, Open by type:$this | ||||||
| doseNumberPositiveInt | positiveInt | |||||||
| doseNumberString | string | |||||||
| doseNumber[x]:doseNumberPositiveInt | S | 0..1 | positiveInt | Dose number within series | ||||
 seriesDoses[x] | 0..1 | Recommended number of doses for immunity | ||||||
| seriesDosesPositiveInt | positiveInt | |||||||
| seriesDosesString | string | |||||||
| Documentation for this format | ||||||||
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Immunization | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Immunization | If 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-4 | error | Immunization | If 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-5 | error | Immunization | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Immunization | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| imm-1 | error | Immunization.education | One of documentType or reference SHALL be present : documentType.exists() or reference.exists() |
This structure is derived from Immunization
Summary
Mandatory: 3 elements
Must-Support: 11 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Immunization
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Immunization | 0..* | Immunization | CH VACD Immunization | |
 contained | 0..1 | Resource | Immunization inline resource | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| recorder | S | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author |
| medication | 0..1 | Reference(CH VACD Medication For Immunization) | Extension to reference immunization medication resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-immunization-medication-reference | |
| relatesTo | 0..1 | (Complex) | Entry Resource Cross References URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references | |
| conflict | 0..* | (Complex) | Reference to related resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference | |
| identifier | 1..* | Identifier | Immunization item ID | |
| status | S | 1..1 | code | completed | entered-in-error | not-done |
| vaccineCode | S | 1..1 | CodeableConcept | Vaccine product administered Binding: Swissmedic code for vaccine code (extensible) |
| Slices for coding | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |
| coding:swissVaccines | 0..1 | Coding | Swiss Vaccine Code Binding: Swissmedic code for vaccine code (required) | |
| coding:snomedctVaccines | 0..1 | Coding | Vaccine Code by SNOMED CT Binding: Snomed CT for vaccine code (required) | |
| coding:absentOrUnknownImmunization | 0..1 | Coding | Absent Unknown Immunization Binding: Absent or Unknown Immunization - IPS (required) | |
| patient | 1..1 | Reference(CH Core Patient) | Patient | |
| encounter | 0..1 | Reference(CH Core Encounter) | Encounter | |
| Slices for occurrence[x] | 1..1 | dateTime, string | Vaccine administration date Slice: Unordered, Open by type:$this | |
| occurrence[x]:occurrenceDateTime | S | 0..1 | dateTime | Vaccine administration date |
| lotNumber | S | 0..1 | string | Vaccine lot number |
| site | S | 0..1 | CodeableConcept | Body site vaccine was administered |
| route | S | 0..1 | CodeableConcept | How vaccine entered body. Binding: Route of Administration for Immunization (extensible) |
| performer | ||||
| actor | S | 1..1 | Reference(CH Core PractitionerRole) | The performer who applied the vaccine |
| reasonCode | S | 0..* | CodeableConcept | Why immunization occurred |
| protocolApplied | 1..* | BackboneElement | Protocol followed by the provider | |
| targetDisease | S | 1..* | CodeableConcept | Vaccine preventatable disease being targetted Binding: Target disease and illnesses undergone for immunization (extensible): The code for disease. |
| Slices for doseNumber[x] | 1..1 | positiveInt, string | Dose number within series Slice: Unordered, Open by type:$this | |
| doseNumber[x]:doseNumberPositiveInt | S | 0..1 | positiveInt | Dose number within series |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Immunization.vaccineCode | extensible | SwissVaccines |
| Immunization.vaccineCode.coding:swissVaccines | required | SwissVaccines |
| Immunization.vaccineCode.coding:snomedctVaccines | required | SnomedCTForVaccineCode |
| Immunization.vaccineCode.coding:absentOrUnknownImmunization | required | NoImmunizationInfoUvIps |
| Immunization.route | extensible | RouteOfAdministrationImmunization |
| Immunization.protocolApplied.targetDisease | extensible | TargetDiseasesAndIllnessesUndergoneForImmunization |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Immunization | 0..* | Immunization | CH VACD Immunization | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| contained | 0..1 | Resource | Immunization inline resource | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| recorder | S | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author |
| medication | S | 0..1 | Reference(CH VACD Medication For Immunization) | Extension to reference immunization medication resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-immunization-medication-reference |
| relatesTo | 0..1 | (Complex) | Entry Resource Cross References URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references | |
| conflict | S | 0..* | (Complex) | Reference to related resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | 1..* | Identifier | Immunization item ID | |
| status | ?!SΣ | 1..1 | code | completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. |
| vaccineCode | SΣ | 1..1 | CodeableConcept | Vaccine product administered Binding: Swissmedic code for vaccine code (extensible) |
| Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:swissVaccines | Σ | 0..1 | Coding | Swiss Vaccine Code Binding: Swissmedic code for vaccine code (required) |
| coding:snomedctVaccines | Σ | 0..1 | Coding | Vaccine Code by SNOMED CT Binding: Snomed CT for vaccine code (required) |
| coding:absentOrUnknownImmunization | Σ | 0..1 | Coding | Absent Unknown Immunization Binding: Absent or Unknown Immunization - IPS (required) |
| patient | Σ | 1..1 | Reference(CH Core Patient) | Patient |
| encounter | 0..1 | Reference(CH Core Encounter) | Encounter | |
| Slices for occurrence[x] | Σ | 1..1 | Vaccine administration date Slice: Unordered, Open by type:$this | |
| occurrenceDateTime | dateTime | |||
| occurrenceString | string | |||
| occurrence[x]:occurrenceDateTime | SΣ | 0..1 | dateTime | Vaccine administration date |
| lotNumber | S | 0..1 | string | Vaccine lot number |
| site | S | 0..1 | CodeableConcept | Body site vaccine was administered Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered. |
| route | S | 0..1 | CodeableConcept | How vaccine entered body. Binding: Route of Administration for Immunization (extensible) |
| performer | Σ | 0..* | BackboneElement | Who performed event |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| actor | SΣ | 1..1 | Reference(CH Core PractitionerRole) | The performer who applied the vaccine |
| reasonCode | S | 0..* | CodeableConcept | Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered. |
| isSubpotent | ?!Σ | 0..1 | boolean | Dose potency |
| protocolApplied | 1..* | BackboneElement | Protocol followed by the provider | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| targetDisease | S | 1..* | CodeableConcept | Vaccine preventatable disease being targetted Binding: Target disease and illnesses undergone for immunization (extensible): The code for disease. |
| Slices for doseNumber[x] | 1..1 | Dose number within series Slice: Unordered, Open by type:$this | ||
| doseNumberPositiveInt | positiveInt | |||
| doseNumberString | string | |||
| doseNumber[x]:doseNumberPositiveInt | S | 0..1 | positiveInt | Dose number within series |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Immunization.status | required | ImmunizationStatusCodes |
| Immunization.vaccineCode | extensible | SwissVaccines |
| Immunization.vaccineCode.coding:swissVaccines | required | SwissVaccines |
| Immunization.vaccineCode.coding:snomedctVaccines | required | SnomedCTForVaccineCode |
| Immunization.vaccineCode.coding:absentOrUnknownImmunization | required | NoImmunizationInfoUvIps |
| Immunization.site | example | CodesForImmunizationSiteOfAdministration |
| Immunization.route | extensible | RouteOfAdministrationImmunization |
| Immunization.reasonCode | example | ImmunizationReasonCodes |
| Immunization.protocolApplied.targetDisease | extensible | TargetDiseasesAndIllnessesUndergoneForImmunization |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Immunization | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Immunization | If 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-4 | error | Immunization | If 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-5 | error | Immunization | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Immunization | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Immunization | 0..* | Immunization | CH VACD Immunization | |||||
| 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 | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..1 | Resource | Immunization inline resource | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| recorder | S | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author | ||||
| medication | S | 0..1 | Reference(CH VACD Medication For Immunization) | Extension to reference immunization medication resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-immunization-medication-reference | ||||
| relatesTo | 0..1 | (Complex) | Entry Resource Cross References URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references | |||||
| conflict | S | 0..* | (Complex) | Reference to related resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 1..* | Identifier | Immunization item ID | |||||
| status | ?!SΣ | 1..1 | code | completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. | ||||
| statusReason | 0..1 | CodeableConcept | Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered. | |||||
| vaccineCode | SΣ | 1..1 | CodeableConcept | Vaccine product administered Binding: Swissmedic code for vaccine code (extensible) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:swissVaccines | Σ | 0..1 | Coding | Swiss Vaccine Code Binding: Swissmedic code for vaccine code (required) | ||||
| coding:snomedctVaccines | Σ | 0..1 | Coding | Vaccine Code by SNOMED CT Binding: Snomed CT for vaccine code (required) | ||||
| coding:absentOrUnknownImmunization | Σ | 0..1 | Coding | Absent Unknown Immunization Binding: Absent or Unknown Immunization - IPS (required) | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| patient | Σ | 1..1 | Reference(CH Core Patient) | Patient | ||||
| encounter | 0..1 | Reference(CH Core Encounter) | Encounter | |||||
| Slices for occurrence[x] | Σ | 1..1 | Vaccine administration date Slice: Unordered, Open by type:$this | |||||
| occurrenceDateTime | dateTime | |||||||
| occurrenceString | string | |||||||
| occurrence[x]:occurrenceDateTime | SΣ | 0..1 | dateTime | Vaccine administration date | ||||
| recorded | 0..1 | dateTime | When the immunization was first captured in the subject's record | |||||
| primarySource | Σ | 0..1 | boolean | Indicates context the data was recorded in | ||||
| reportOrigin | 0..1 | CodeableConcept | Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source. | |||||
| location | 0..1 | Reference(Location) | Where immunization occurred | |||||
| manufacturer | 0..1 | Reference(Organization) | Vaccine manufacturer | |||||
| lotNumber | S | 0..1 | string | Vaccine lot number | ||||
| expirationDate | 0..1 | date | Vaccine expiration date | |||||
| site | S | 0..1 | CodeableConcept | Body site vaccine was administered Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered. | ||||
| route | S | 0..1 | CodeableConcept | How vaccine entered body. Binding: Route of Administration for Immunization (extensible) | ||||
| doseQuantity | 0..1 | SimpleQuantity | Amount of vaccine administered | |||||
| performer | Σ | 0..* | BackboneElement | Who performed event | ||||
| 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 | ||||
| function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. | ||||
| actor | SΣ | 1..1 | Reference(CH Core PractitionerRole) | The performer who applied the vaccine | ||||
| note | Σ | 0..* | Annotation | Additional immunization notes | ||||
| reasonCode | S | 0..* | CodeableConcept | Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered. | ||||
| reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why immunization occurred | |||||
| isSubpotent | ?!Σ | 0..1 | boolean | Dose potency | ||||
| subpotentReason | 0..* | CodeableConcept | Reason for being subpotent Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent. | |||||
| education | C | 0..* | BackboneElement | Educational material presented to patient | ||||
| 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 | ||||
| documentType | 0..1 | string | Educational material document identifier | |||||
| reference | 0..1 | uri | Educational material reference pointer | |||||
| publicationDate | 0..1 | dateTime | Educational material publication date | |||||
| presentationDate | 0..1 | dateTime | Educational material presentation date | |||||
| programEligibility | 0..* | CodeableConcept | Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program. | |||||
| fundingSource | 0..1 | CodeableConcept | Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered. | |||||
| reaction | 0..* | BackboneElement | Details of a reaction that follows immunization | |||||
| 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 | ||||
| date | 0..1 | dateTime | When reaction started | |||||
| detail | 0..1 | Reference(Observation) | Additional information on reaction | |||||
| reported | 0..1 | boolean | Indicates self-reported reaction | |||||
| protocolApplied | 1..* | BackboneElement | Protocol followed by the provider | |||||
| 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 | ||||
| series | 0..1 | string | Name of vaccine series | |||||
| authority | 0..1 | Reference(Organization) | Who is responsible for publishing the recommendations | |||||
| targetDisease | S | 1..* | CodeableConcept | Vaccine preventatable disease being targetted Binding: Target disease and illnesses undergone for immunization (extensible): The code for disease. | ||||
| Slices for doseNumber[x] | 1..1 | Dose number within series Slice: Unordered, Open by type:$this | ||||||
| doseNumberPositiveInt | positiveInt | |||||||
| doseNumberString | string | |||||||
| doseNumber[x]:doseNumberPositiveInt | S | 0..1 | positiveInt | Dose number within series | ||||
| seriesDoses[x] | 0..1 | Recommended number of doses for immunity | ||||||
| seriesDosesPositiveInt | positiveInt | |||||||
| seriesDosesString | string | |||||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Immunization.language | preferred | CommonLanguages
| ||||
| Immunization.status | required | ImmunizationStatusCodes | ||||
| Immunization.statusReason | example | ImmunizationStatusReasonCodes | ||||
| Immunization.vaccineCode | extensible | SwissVaccines | ||||
| Immunization.vaccineCode.coding:swissVaccines | required | SwissVaccines | ||||
| Immunization.vaccineCode.coding:snomedctVaccines | required | SnomedCTForVaccineCode | ||||
| Immunization.vaccineCode.coding:absentOrUnknownImmunization | required | NoImmunizationInfoUvIps | ||||
| Immunization.reportOrigin | example | ImmunizationOriginCodes | ||||
| Immunization.site | example | CodesForImmunizationSiteOfAdministration | ||||
| Immunization.route | extensible | RouteOfAdministrationImmunization | ||||
| Immunization.performer.function | extensible | ImmunizationFunctionCodes | ||||
| Immunization.reasonCode | example | ImmunizationReasonCodes | ||||
| Immunization.subpotentReason | example | ImmunizationSubpotentReason | ||||
| Immunization.programEligibility | example | ImmunizationProgramEligibility | ||||
| Immunization.fundingSource | example | ImmunizationFundingSource | ||||
| Immunization.protocolApplied.targetDisease | extensible | TargetDiseasesAndIllnessesUndergoneForImmunization |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Immunization | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Immunization | If 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-4 | error | Immunization | If 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-5 | error | Immunization | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Immunization | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| imm-1 | error | Immunization.education | One of documentType or reference SHALL be present : documentType.exists() or reference.exists() |
This structure is derived from Immunization
Summary
Mandatory: 3 elements
Must-Support: 11 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron