1.4 Immunization Recommendation Request - Implementation Guide CH VACD v4.0.0

Implementation Guide CH VACD, published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 4.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-vacd/ and changes regularly. See the Directory of published versions

Example Bundle: 1.4 Immunization Recommendation Request

Bundle 1-4-ImmunizationRecommendationRequest of type message

Entry 1 - fullUrl = http://test.fhir.ch/r4/MessageHeader/2-4-ImmunizationRecommendationRequestMessageHeader

Resource MessageHeader:

Generated Narrative: MessageHeader
Resource MessageHeader "2-4-ImmunizationRecommendationRequestMessageHeader" Updated "2021-06-01 00:00:00+0200"
Profile: CH VACD Immunization Recommendation Request MessageHeader
event: Immunization Recommendation Request (Details: http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-clinical-decision-support-event-cs code immunrecorequest = 'Immunization Recommendation Request', stated as 'Immunization Recommendation Request')
Destinations
- Name Endpoint Receiver
* Example Vaccination Clinical Decision Support System https://example.com/cds/immunization/ws See above (Organization/CDSS-Organization)
sender: See above (PractitionerRole/6-4-PractitionerRole)
Sources
- Name Software Version Endpoint
* Example Portal EPR EPR-Portal-VacModule V1.1 urn:oid:1.2.3.4.5
responsible: See above (PractitionerRole/6-4-PractitionerRole)
reason: Recommendation regarding vaccination (procedure) (SNOMED CT#830152006)
focus:
See above (Immunization/7-7-Immunization)
See above (Immunization/7-8-Immunization)
See above (Immunization/7-9-Immunization)
See above (Immunization/7-10-Immunization)
See above (Immunization/7-11-Immunization)
See above (Condition/8-6-Condition)
See above (Condition/8-7-Condition)
See above (Condition/8-8-Condition)
See above (AllergyIntolerance/11-3-AllergyIntolerance)
See above (AllergyIntolerance/11-4-AllergyIntolerance)
See above (Observation/9-2-Observation)

Entry 2 - fullUrl = http://test.fhir.ch/r4/Patient/3-2-Patient

Resource Patient:

Monika Wegmueller Female, DoB: 1967-03-10 ( Medical record number: 12345678)

Entry 3 - fullUrl = http://test.fhir.ch/r4/Organization/CDSS-Organization

Resource Organization:

Generated Narrative: Organization
Resource Organization "CDSS-Organization"
Profile: CH Core Organization
identifier: id: 7601000000781
name: Immunization CDS Service
Contacts
- Address
* Mustergasse 99 Beispielen SG 9876 CH

Entry 4 - fullUrl = http://test.fhir.ch/r4/Practitioner/4-4-Practitioner

Resource Practitioner:

Generated Narrative: Practitioner
Resource Practitioner "4-4-Practitioner"
Profile: CH Core Practitioner
identifier: id: 7601013000013
active: true
name: Max Muster

Entry 5 - fullUrl = http://test.fhir.ch/r4/Organization/5-4-Organization

Resource Organization:

Generated Narrative: Organization
Resource Organization "5-4-Organization"
Profile: CH Core Organization
identifier: id: 7601023000119
name: CDSS Requesting Org

Entry 6 - fullUrl = http://test.fhir.ch/r4/PractitionerRole/6-4-PractitionerRole

Resource PractitionerRole:

Generated Narrative: PractitionerRole
Resource PractitionerRole "6-4-PractitionerRole"
Profile: CH Core PractitionerRole
active: true
practitioner: See above (Practitioner/4-4-Practitioner)
organization: See above (Organization/5-4-Organization)

Entry 7 - fullUrl = http://test.fhir.ch/r4/PractitionerRole/6-5-PractitionerRole

Resource PractitionerRole:

Generated Narrative: PractitionerRole
Resource PractitionerRole "6-5-PractitionerRole"
Profile: CH Core PractitionerRole
active: true
practitioner: See above (Practitioner/4-5-Practitioner)
organization: See above (Organization/5-5-Organization)

Entry 8 - fullUrl = http://test.fhir.ch/r4/Practitioner/4-5-Practitioner

Resource Practitioner:

Generated Narrative: Practitioner
Resource Practitioner "4-5-Practitioner"
Profile: CH Core Practitioner
identifier: id: 7601000000309
active: true
name: Detlef Demo
address: 3456 CH

Entry 9 - fullUrl = http://test.fhir.ch/r4/Organization/5-5-Organization

Resource Organization:

Generated Narrative: Organization
Resource Organization "5-5-Organization"
Profile: CH Core Organization
identifier: id: 7601000000415
name: Praxis Demo
Contacts
- Address
* 3456 CH

Entry 10 - fullUrl = http://test.fhir.ch/r4/PractitionerRole/6-6-PractitionerRole

Resource PractitionerRole:

Generated Narrative: PractitionerRole
Resource PractitionerRole "6-6-PractitionerRole"
Profile: CH Core PractitionerRole
active: true
practitioner: See above (Practitioner/4-6-Practitioner)
organization: See above (Organization/5-6-Organization)

Entry 11 - fullUrl = http://test.fhir.ch/r4/Practitioner/4-6-Practitioner

Resource Practitioner:

Generated Narrative: Practitioner
Resource Practitioner "4-6-Practitioner"
Profile: CH Core Practitioner
identifier: id: 7601000000514
active: true
name: Max Muster
address: 9876 CH

Entry 12 - fullUrl = http://test.fhir.ch/r4/Organization/5-6-Organization

Resource Organization:

Generated Narrative: Organization
Resource Organization "5-6-Organization"
Profile: CH Core Organization
identifier: id: 7601000000514
name: Praxis Muster
Contacts
- Address
* 9876 CH

Entry 13 - fullUrl = http://test.fhir.ch/r4/Immunization/7-7-Immunization

Resource Immunization:

Generated Narrative: Immunization
Resource Immunization "7-7-Immunization"
Profile: CH VACD Immunization
identifier: id: 12345
status: COMPLETED
vaccineCode: Boostrix (Swiss Medic Authorized Vaccines Codesystem#637)
lotNumber: 12345
patient: See above (Patient/3-2-Patient)
occurrence: 2013-09-15 00:00:00+0200
Performers
- Actor
* See above (PractitionerRole/6-5-PractitionerRole)
ProtocolApplieds
- TargetDisease
* Diphtheria caused by Corynebacterium diphtheriae (disorder) (SNOMED CT#397430003), Tetanus (disorder) (SNOMED CT#76902006), Pertussis (disorder) (SNOMED CT#27836007)

Entry 14 - fullUrl = http://test.fhir.ch/r4/Immunization/7-8-Immunization

Resource Immunization:

Generated Narrative: Immunization
Resource Immunization "7-8-Immunization"
Profile: CH VACD Immunization
identifier: id: 23456
status: COMPLETED
vaccineCode: Boostrix (Swiss Medic Authorized Vaccines Codesystem#637)
lotNumber: 12345
patient: See above (Patient/3-2-Patient)
occurrence: 2014-08-12 00:00:00+0200
Performers
- Actor
* See above (PractitionerRole/6-5-PractitionerRole)
ProtocolApplieds
- TargetDisease
* Diphtheria caused by Corynebacterium diphtheriae (disorder) (SNOMED CT#397430003), Tetanus (disorder) (SNOMED CT#76902006), Pertussis (disorder) (SNOMED CT#27836007)

Entry 15 - fullUrl = http://test.fhir.ch/r4/Immunization/7-9-Immunization

Resource Immunization:

Generated Narrative: Immunization
Resource Immunization "7-9-Immunization"
Profile: CH VACD Immunization
identifier: id: 34567
status: COMPLETED
vaccineCode: Boostrix (Swiss Medic Authorized Vaccines Codesystem#637)
lotNumber: 12345
patient: See above (Patient/3-2-Patient)
occurrence: 2015-11-01 00:00:00+0100
Performers
- Actor
* See above (PractitionerRole/6-5-PractitionerRole)
ProtocolApplieds
- TargetDisease
* Diphtheria caused by Corynebacterium diphtheriae (disorder) (SNOMED CT#397430003), Tetanus (disorder) (SNOMED CT#76902006), Pertussis (disorder) (SNOMED CT#27836007)

Entry 16 - fullUrl = http://test.fhir.ch/r4/Immunization/7-10-Immunization

Resource Immunization:

Generated Narrative: Immunization
Resource Immunization "7-10-Immunization"
Profile: CH VACD Immunization
identifier: id: 45678
status: COMPLETED
vaccineCode: MMR-II (Swiss Medic Authorized Vaccines Codesystem#268)
lotNumber: 12345
patient: See above (Patient/3-2-Patient)
occurrence: 2016-03-05 00:00:00+0100
Performers
- Actor
* See above (PractitionerRole/6-6-PractitionerRole)
ProtocolApplieds
- TargetDisease
* Measles (disorder) (SNOMED CT#14189004), Mumps (disorder) (SNOMED CT#36989005), Rubella (disorder) (SNOMED CT#36653000)

Entry 17 - fullUrl = http://test.fhir.ch/r4/Immunization/7-11-Immunization

Resource Immunization:

Generated Narrative: Immunization
Resource Immunization "7-11-Immunization"
Profile: CH VACD Immunization
identifier: id: 12312
status: COMPLETED
vaccineCode: HBVAXPRO 40 (Swiss Medic Authorized Vaccines Codesystem#545)
lotNumber: 12345
patient: See above (Patient/3-2-Patient)
occurrence: 2012-02-26 00:00:00+0100
Performers
- Actor
* See above (PractitionerRole/6-6-PractitionerRole)
ProtocolApplieds
- TargetDisease
* Viral hepatitis type B (disorder) (SNOMED CT#66071002)

Entry 18 - fullUrl = http://test.fhir.ch/r4/Condition/8-6-Condition

Resource Condition:

Generated Narrative: Condition
Resource Condition "8-6-Condition"
Profile: CH VACD Medical Problems
identifier: id: #urn:uuid:634c70b8-6a73-4a06-8858-0a6ad0f2f5c9
clinicalStatus: Active (Condition Clinical Status Codes#active)
category: Problem List Item (Condition Category Codes#problem-list-item)
code: Disorder of liver (disorder) (SNOMED CT#235856003)
subject: See above (Patient/3-2-Patient)
recordedDate: 2019-04-01 00:00:00+0200

Entry 19 - fullUrl = http://test.fhir.ch/r4/Condition/8-7-Condition

Resource Condition:

Generated Narrative: Condition
Resource Condition "8-7-Condition"
Profile: CH VACD Medical Problems
identifier: id: #urn:uuid:36d1ebae-564e-4c2a-8af6-c1224c3d9e77
clinicalStatus: Active (Condition Clinical Status Codes#active)
category: Problem List Item (Condition Category Codes#problem-list-item)
code: Animal health occupation (occupation) (SNOMED CT#265940000)
subject: See above (Patient/3-2-Patient)
recordedDate: 2009-04-01 00:00:00+0200

Entry 20 - fullUrl = http://test.fhir.ch/r4/Condition/8-8-Condition

Resource Condition:

Generated Narrative: Condition
Resource Condition "8-8-Condition"
Profile: CH VACD Past Illness
identifier: id: #urn:uuid:a8831ab5-37f5-4273-a127-4c5da6daa5ed
clinicalStatus: Resolved (Condition Clinical Status Codes#resolved)
code: Measles (disorder) (SNOMED CT#14189004)
subject: See above (Patient/3-2-Patient)
onset: 1966-11-30 00:00:00+0100
recordedDate: 1999-04-01 00:00:00+0200

Entry 21 - fullUrl = http://test.fhir.ch/r4/AllergyIntolerance/11-3-AllergyIntolerance

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance
Resource AllergyIntolerance "11-3-AllergyIntolerance"
Profile: CH VACD AllergyIntolerance
identifier: id: #urn:uuid:c6ebe781-e4b3-451e-82cf-ee68aa61904d
clinicalStatus: Active (AllergyIntolerance Clinical Status Codes#active)
code: Allergy to egg protein (finding) (SNOMED CT#213020009)
patient: See above (Patient/3-2-Patient)
recordedDate: 2004-07-11 00:00:00+0200

Entry 22 - fullUrl = http://test.fhir.ch/r4/AllergyIntolerance/11-4-AllergyIntolerance

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance
Resource AllergyIntolerance "11-4-AllergyIntolerance"
Profile: CH VACD AllergyIntolerance
identifier: id: #urn:uuid:36b26038-a43e-4319-9c2e-0fdad5b8f06e
clinicalStatus: Active (AllergyIntolerance Clinical Status Codes#active)
code: Atopic dermatitis (disorder) (SNOMED CT#24079001)
patient: See above (Patient/3-2-Patient)
recordedDate: 1996-07-11 00:00:00+0200

Entry 23 - fullUrl = http://test.fhir.ch/r4/Observation/9-2-Observation

Resource Observation:

Generated Narrative: Observation
Resource Observation "9-2-Observation"
Profile: CH VACD Laboratory And Serology
identifier: id: #urn:uuid:2c4d07e4-d978-4a1f-88de-440920f4913f
status: FINAL
code: Hepatitis B virus surface Ab [Units/volume] in Serum (LOINC#16935-9)
subject: See above (Patient/3-2-Patient)
effective: 1971-10
performer: See above (PractitionerRole/6-4-PractitionerRole)
value: 99 [iU]/L (Details: UCUM code [iU]/L = '[iU]/L')
interpretation: Positive (ObservationInterpretation#POS)