Implementation Guide CH VACD
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Implementation Guide CH VACD, published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ci-build 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

: Test Case C 03: Document HCP1 with Medical Problem Entries - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "C-D3-HCP1-C1",
  "meta" : {
    "profile" : [
      🔗 "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-document-immunization-administration"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:7718e25a-409d-432d-9e15-ad24be2630de"
  },
  "type" : "document",
  "timestamp" : "2021-10-20T14:00:00.390+02:00",
  "entry" : [
    {
      "fullUrl" : "http://test.fhir.ch/r4/Composition/C-D3-HCP1-C1-Composition",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "C-D3-HCP1-C1-Composition",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-composition-immunization-administration"
          ]
        },
        "language" : "en-US",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><div class=\"hapiHeaderText\">Immunization Administration</div><table class=\"hapiPropertyTable\"><tr><td>Patient</td><td>Monika <b>WEGMUELLER</b></td></tr><tr><td>Author</td><td><div><table><tr><td>Practitioner</td><td>Dr. med. Allzeit <b>BEREIT</b></td></tr><tr><td>Organization</td><td>Gruppenpraxis CH</td></tr></table></div></td></tr><tr><td>Status</td><td>FINAL</td></tr><tr><td>Language</td><td>en-US</td></tr><tr><td>Relates To</td><td><table><tr><td>REPLACES</td></tr></table></td></tr><tr><td>Sections</td><td><table><tr><td>Medical Problems</td></tr></table></td></tr></table></div>"
        },
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:3fd0bf78-948d-4015-bb23-0f0c5b391242"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "41000179103",
              "display" : "Immunization record"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "urn:oid:2.16.756.5.30.1.127.3.10.10",
                "code" : "urn:che:epr:ch-vacd:immunization-administration:2022"
              }
            ]
          }
        ],
        "subject" : {
          🔗 "reference" : "Patient/TC-patient"
        },
        "date" : "2021-10-20T14:00:00.390+02:00",
        "author" : [
          {
            🔗 "reference" : "PractitionerRole/TC-HCP1-ORG1-ROLE-author"
          }
        ],
        "title" : "Immunization Administration",
        "confidentiality" : "N",
        "_confidentiality" : {
          "extension" : [
            {
              "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "17621005",
                    "display" : "Normal (qualifier value)"
                  }
                ]
              }
            }
          ]
        },
        "custodian" : {
          🔗 "reference" : "Organization/TC-ORG1"
        },
        "relatesTo" : [
          {
            "code" : "replaces",
            "targetReference" : {
              "type" : "Composition",
              "identifier" : {
                "system" : "urn:ietf:rfc:3986",
                "value" : "urn:uuid:ddd50da7-3358-4d36-85cf-569ba7473dc5"
              }
            }
          }
        ],
        "section" : [
          {
            "id" : "medicalproblems",
            "title" : "Medical Problems",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "11450-4",
                  "display" : "Problem list Reported"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><p><b>Code: </b><span>Problem list Reported (http://loinc.org#11450-4)</span></p><p><b>Entries:</b></p><table><tr><td><a href=\"Condition-TCC03-EXPRISK1.html\">Condition/TCC03-EXPRISK1</a></td></tr></table></div>"
            },
            "entry" : [
              {
                🔗 "reference" : "Condition/TCC03-EXPRISK1"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Patient/TC-patient",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "TC-patient",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-epr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_TC-patient\"> </a><p><b>Generated Narrative: Patient</b><a name=\"TC-patient\"> </a><a name=\"hcTC-patient\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Patient &quot;TC-patient&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/hl7ch/ch-core//StructureDefinition-ch-core-patient-epr.html\">CH Core Patient EPR</a></p></div><p><b>identifier</b>: Medical record number/12345678</p><p><b>name</b>: Monika Wegmueller </p><p><b>telecom</b>: ph: tel:+41.32.685.12.34(HOME)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1967-02-10</p><p><b>address</b>: Leidensweg 10 Specimendorf 9876 CH </p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "urn:oid:1.2.3.4",
            "value" : "12345678"
          }
        ],
        "name" : [
          {
            "family" : "Wegmueller",
            "given" : [
              "Monika"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "tel:+41.32.685.12.34",
            "use" : "home"
          }
        ],
        "gender" : "female",
        "birthDate" : "1967-02-10",
        "address" : [
          {
            "type" : "both",
            "line" : [
              "Leidensweg 10"
            ],
            "city" : "Specimendorf",
            "postalCode" : "9876",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Organization/TC-ORG1",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "TC-ORG1",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization-epr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_TC-ORG1\"> </a><p><b>Generated Narrative: Organization</b><a name=\"TC-ORG1\"> </a><a name=\"hcTC-ORG1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Organization &quot;TC-ORG1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/hl7ch/ch-core//StructureDefinition-ch-core-organization-epr.html\">CH Core Organization EPR</a></p></div><p><b>identifier</b>: <a href=\"https://www.gs1.org/standards/id-keys/gln\" title=\"Global Location Number\">GLN</a>/7601777777718</p><p><b>name</b>: Gruppenpraxis Müller</p><p><b>telecom</b>: ph: tel:+41.32.234.55.66(WORK), fax: fax:+41.32.234.55.67(WORK), <a href=\"mailto:mailto:bereit@gruppenpraxis.ch\">mailto:bereit@gruppenpraxis.ch</a>, <a href=\"http://www.gruppenpraxis.ch\">http://www.gruppenpraxis.ch</a></p><p><b>address</b>: Grabenstrasse 2 Zürich ZH 8005 CH </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601777777718"
          }
        ],
        "name" : "Gruppenpraxis Müller",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "tel:+41.32.234.55.66",
            "use" : "work"
          },
          {
            "system" : "fax",
            "value" : "fax:+41.32.234.55.67",
            "use" : "work"
          },
          {
            "system" : "email",
            "value" : "mailto:bereit@gruppenpraxis.ch",
            "use" : "work"
          },
          {
            "system" : "url",
            "value" : "http://www.gruppenpraxis.ch",
            "use" : "work"
          }
        ],
        "address" : [
          {
            "line" : [
              "Grabenstrasse 2"
            ],
            "city" : "Zürich",
            "state" : "ZH",
            "postalCode" : "8005",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Practitioner/TC-HCP1-C1",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "TC-HCP1-C1",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner-epr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_TC-HCP1-C1\"> </a><p><b>Generated Narrative: Practitioner</b><a name=\"TC-HCP1-C1\"> </a><a name=\"hcTC-HCP1-C1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Practitioner &quot;TC-HCP1-C1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/hl7ch/ch-core//StructureDefinition-ch-core-practitioner-epr.html\">CH Core Practitioner EPR</a></p></div><p><b>identifier</b>: <a href=\"https://www.gs1.org/standards/id-keys/gln\" title=\"Global Location Number\">GLN</a>/7601888888884</p><p><b>active</b>: true</p><p><b>name</b>: Peter Müller </p><p><b>telecom</b>: ph: tel:+41.32.234.55.66(WORK), fax: fax:+41.32.234.55.67(WORK), <a href=\"mailto:mailto:allzeit.bereit@gruppenpraxis.ch\">mailto:allzeit.bereit@gruppenpraxis.ch</a>, <a href=\"http://www.gruppenpraxis.ch\">http://www.gruppenpraxis.ch</a></p><p><b>address</b>: Grabenstrasse 2 Zürich 8005 CH </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601888888884"
          }
        ],
        "active" : true,
        "name" : [
          {
            "family" : "Müller",
            "given" : [
              "Peter"
            ],
            "prefix" : [
              "Dr. med."
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "tel:+41.32.234.55.66",
            "use" : "work"
          },
          {
            "system" : "fax",
            "value" : "fax:+41.32.234.55.67",
            "use" : "work"
          },
          {
            "system" : "email",
            "value" : "mailto:allzeit.bereit@gruppenpraxis.ch",
            "use" : "work"
          },
          {
            "system" : "url",
            "value" : "http://www.gruppenpraxis.ch",
            "use" : "work"
          }
        ],
        "address" : [
          {
            "type" : "physical",
            "line" : [
              "Grabenstrasse 2"
            ],
            "city" : "Zürich",
            "postalCode" : "8005",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/PractitionerRole/TC-HCP1-ORG1-ROLE-author",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "TC-HCP1-ORG1-ROLE-author",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole-epr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_TC-HCP1-ORG1-ROLE-author\"> </a><p><b>Generated Narrative: PractitionerRole</b><a name=\"TC-HCP1-ORG1-ROLE-author\"> </a><a name=\"hcTC-HCP1-ORG1-ROLE-author\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource PractitionerRole &quot;TC-HCP1-ORG1-ROLE-author&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/hl7ch/ch-core//StructureDefinition-ch-core-practitionerrole-epr.html\">CH Core PractitionerRole EPR</a></p></div><p><b>active</b>: true</p><p><b>practitioner</b>: <a href=\"#Practitioner_TC-HCP1-C1\">See above (Practitioner/TC-HCP1-C1)</a></p><p><b>organization</b>: <a href=\"#Organization_TC-ORG1\">See above (Organization/TC-ORG1)</a></p></div>"
        },
        "active" : true,
        "practitioner" : {
          🔗 "reference" : "Practitioner/TC-HCP1-C1"
        },
        "organization" : {
          🔗 "reference" : "Organization/TC-ORG1"
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Condition/TCC03-EXPRISK1",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "TCC03-EXPRISK1",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-medical-problems"
          ]
        },
        "language" : "en-US",
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><a name=\"Condition_TCC03-EXPRISK1\"> </a><p><b>Generated Narrative: Condition</b><a name=\"TCC03-EXPRISK1\"> </a><a name=\"hcTCC03-EXPRISK1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Condition &quot;TCC03-EXPRISK1&quot;  (Language &quot;en-US&quot;) </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-vacd-medical-problems.html\">CH VACD Medical Problems</a></p></div><blockquote><p><b>Entry Resource Cross References</b></p><blockquote><p><b>url</b></p><code>entry</code></blockquote><p><b>value</b>: <span><code>urn:oid:2.16.756.5.30.1.402.1.3.1.1.1</code>/30327ea1-6893-4c65-896e-c32c394f1ec6</span></p><blockquote><p><b>url</b></p><code>container</code></blockquote><p><b>value</b>: <span><a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:ddd50da7-3358-4d36-85cf-569ba7473dc5</span></p><blockquote><p><b>url</b></p><code>relationcode</code></blockquote><p><b>value</b>: replaces</p></blockquote><p><b>identifier</b>: <code>urn:oid:2.16.756.5.30.1.402.1.3.1.1.2</code>/30327ea1-6893-4c65-896e-c32c394f1ec6</p><p><b>clinicalStatus</b>: Inactive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#inactive)</span></p><p><b>verificationStatus</b>: Refuted <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#refuted)</span></p><p><b>category</b>: Problem List Item <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#problem-list-item)</span></p><p><b>code</b>: Healthcare professional (occupation) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#223366009)</span></p><p><b>subject</b>: <a href=\"#Patient_TC-patient\">See above (Patient/TC-patient)</a></p><p><b>onset</b>: 2021-10-01</p><p><b>abatement</b>: 2021-12-20</p><p><b>recordedDate</b>: 2021-12-20</p><p><b>recorder</b>: <a href=\"#PractitionerRole_TC-HCP1-ORG1-ROLE-author\">See above (PractitionerRole/TC-HCP1-ORG1-ROLE-author)</a></p></div>"
        },
        "extension" : [
          {
            "extension" : [
              {
                "url" : "entry",
                "valueReference" : {
                  "type" : "Condition",
                  "identifier" : {
                    "system" : "urn:oid:2.16.756.5.30.1.402.1.3.1.1.1",
                    "value" : "30327ea1-6893-4c65-896e-c32c394f1ec6"
                  }
                }
              },
              {
                "url" : "container",
                "valueReference" : {
                  "type" : "Composition",
                  "identifier" : {
                    "system" : "urn:ietf:rfc:3986",
                    "value" : "urn:uuid:ddd50da7-3358-4d36-85cf-569ba7473dc5"
                  }
                }
              },
              {
                "url" : "relationcode",
                "valueCode" : "replaces"
              }
            ],
            "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references"
          }
        ],
        "identifier" : [
          {
            "system" : "urn:oid:2.16.756.5.30.1.402.1.3.1.1.2",
            "value" : "30327ea1-6893-4c65-896e-c32c394f1ec6"
          }
        ],
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "inactive",
              "display" : "Inactive"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code" : "refuted",
              "display" : "Refuted"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                "code" : "problem-list-item",
                "display" : "Problem List Item"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "223366009",
              "display" : "Healthcare professional (occupation)"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/TC-patient"
        },
        "onsetDateTime" : "2021-10-01",
        "abatementDateTime" : "2021-12-20",
        "recordedDate" : "2021-12-20",
        "recorder" : {
          🔗 "reference" : "PractitionerRole/TC-HCP1-ORG1-ROLE-author"
        }
      }
    }
  ]
}