Implementation Guide CH VACD
5.0.0-ballot - ballot Switzerland flag

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-ballot 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 F 03: Add comment (note) to an existing Condition(PastIllness) - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "F-D6-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:5e20d52b-5dc2-4b96-8ce3-5b092bad7307"
  },
  "type" : "document",
  "timestamp" : "2017-01-20T00:00:00.390+02:00",
  "entry" : [
    {
      "fullUrl" : "http://test.fhir.ch/r4/Composition/F-D6-HCP1-C1-Composition",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "F-D6-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\"><h3>Immunization Administration</h3><p><b>Id: </b>F-D5-HCP1-C1-Composition</p><p><b>Identifier: </b><span>urn:ietf:rfc:3986#urn:uuid:b9d9efbc-2115-42c0-98e6-b374f942560b</span></p><p><b>Status: </b>Final</p><p><b>Code: </b><span>Immunization record (http://snomed.info/sct#41000179103)</span></p><p><b>Patient: </b><a href=\"Patient-TC-patient.html\">Patient/TC-patient</a> Wegmueller Monika</p><p><b>Date: </b>October 6, 2021</p><p><b>Authors:</b></p><table><tr><td><p><a href=\"Practitioner-TC-HCP1-C1.html\">Practitioner/TC-HCP1-C1</a> Bereit Allzeit</p><p><a href=\"Organization-TC-ORG1.html\">Organization/TC-ORG1</a> Gruppenpraxis CH</p></td></tr></table><p><b>Confidentiality: </b>null<span> Normal (qualifier value) (http://snomed.info/sct#17621005)</span></p><p><b>Sections:</b></p><table><tr><td>Previous illnesses</td></tr></table></div>"
        },
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:8e6ae348-05a3-415b-b37d-bcb3f98c84ba"
        },
        "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" : "2017-01-20T00:00:00.390+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"
        },
        "section" : [
          {
            "id" : "pastillnesses",
            "title" : "Previous illnesses",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "11348-0",
                  "display" : "Hx of Past illness"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><p><b>Code: </b><span>Hx of Past illness (http://loinc.org#11348-0)</span></p><p><b>Entries:</b></p><table><tr><td><a href=\"Condition-TCF03-UNDILL2.html\">Condition/TCF03-UNDILL2</a></td></tr></table></div>"
            },
            "entry" : [
              {
                🔗 "reference" : "Condition/TCF03-UNDILL2"
              }
            ]
          }
        ]
      }
    },
    {
      "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\">ResourcePatient &quot;TC-patient&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://fhir.ch/ig/ch-core/5.0.0-ballot/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\">ResourceOrganization &quot;TC-ORG1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://fhir.ch/ig/ch-core/5.0.0-ballot/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\">ResourcePractitioner &quot;TC-HCP1-C1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://fhir.ch/ig/ch-core/5.0.0-ballot/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\">ResourcePractitionerRole &quot;TC-HCP1-ORG1-ROLE-author&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://fhir.ch/ig/ch-core/5.0.0-ballot/StructureDefinition-ch-core-practitionerrole-epr.html\">CH Core PractitionerRole EPR</a></p></div><p><b>active</b>: true</p><p><b>practitioner</b>: See on this page: Practitioner/TC-HCP1-C1</p><p><b>organization</b>: See on this page: Organization/TC-ORG1</p></div>"
        },
        "active" : true,
        "practitioner" : {
          🔗 "reference" : "Practitioner/TC-HCP1-C1"
        },
        "organization" : {
          🔗 "reference" : "Organization/TC-ORG1"
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Condition/TCF03-UNDILL2",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "TCF03-UNDILL2",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-pastillnesses"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_TCF03-UNDILL2\"> </a><p><b>Generated Narrative: Condition</b><a name=\"TCF03-UNDILL2\"> </a><a name=\"hcTCF03-UNDILL2\"> </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\">ResourceCondition &quot;TCF03-UNDILL2&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-vacd-pastillnesses.html\">CH VACD Past Illness</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>/14802b84-6b1d-4545-930d-17ce5ca7443c</span></p><blockquote><p><b>url</b></p><code>container</code></blockquote><p><b>value</b>: <span><a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \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.\">URI</a>/urn:uuid:fb253a1b-7e26-48db-a9c8-d605875bcdc4</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>/70cd36a7-5bd5-41fa-bbb9-5e3d10ca43ef</p><p><b>clinicalStatus</b>: Resolved <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#resolved)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>code</b>: Varicella (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#38907003)</span></p><p><b>subject</b>: See on this page: Patient/TC-patient</p><p><b>onset</b>: 2015-05-30</p><p><b>recordedDate</b>: 2015-05-30</p><p><b>recorder</b>: See on this page: PractitionerRole/TC-HCP1-ORG1-ROLE-author</p><p><b>note</b>: Der Patient hatte einen milden Verlauf der Windpockenerkrankung (By Practitioner/TC-HCP1-C1 @2017-01-20)</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" : "14802b84-6b1d-4545-930d-17ce5ca7443c"
                  }
                }
              },
              {
                "url" : "container",
                "valueReference" : {
                  "type" : "Composition",
                  "identifier" : {
                    "system" : "urn:ietf:rfc:3986",
                    "value" : "urn:uuid:fb253a1b-7e26-48db-a9c8-d605875bcdc4"
                  }
                }
              },
              {
                "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" : "70cd36a7-5bd5-41fa-bbb9-5e3d10ca43ef"
          }
        ],
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "resolved",
              "display" : "Resolved"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code" : "confirmed",
              "display" : "Confirmed"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "38907003",
              "display" : "Varicella (disorder)"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/TC-patient"
        },
        "onsetDateTime" : "2015-05-30",
        "recordedDate" : "2015-05-30",
        "recorder" : {
          🔗 "reference" : "PractitionerRole/TC-HCP1-ORG1-ROLE-author"
        },
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Practitioner/TC-HCP1-C1"
            },
            "time" : "2017-01-20",
            "text" : "Der Patient hatte einen milden Verlauf der Windpockenerkrankung"
          }
        ]
      }
    }
  ]
}