Implementation Guide CH VACD
5.0.0-ci-build - ci-build 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-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

Resource Profile: CH VACD Immunization Administration Composition

Official URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-composition-immunization-administration Version: 5.0.0-ci-build
Active as of 2024-03-28 Computable Name: CHVACDCompositionImmunizationAdministration

Copyright/Legal: CC0-1.0

Definition of the composition for the immunization administration document.

Scope and Usage

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

Usage:

Formal Views of Profile Content

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

This structure is derived from CHCoreCompositionEPR

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CHCoreCompositionEPRCH VACD Immunization Administration Composition
... language 1..1codeLanguage of the document
... extension:informationRecipient 0..*EPRInformationRecipientA recipient of this document (person or organization)
... extension:dataEnterer 0..1EPRDataEntererPerson who entered information into this document if it is a person other than the author
... status 1..1codepreliminary | final | amended | entered-in-error
Fixed Value: final
... type 1..1CodeableConceptDocument type Immunization record
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 41000179103
... category 1..1CodeableConceptCategory or format Immunization Administration
Binding: DocumentEntry.formatCode (required)
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.10
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: urn:che:epr:ch-vacd:immunization-administration:2022
... subject 1..1Reference(CH Core Patient EPR)A patient for whom this document instance was created
... date 1..1dateTimeThe document's creation date and time
... author 1..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR)The author of the document (person or device)
.... ch-ext-epr-time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
... title 1..1string'Verabreichte Impfung' in german or 'Vaccin administré' in french or 'Vaccinazione somministrata' in italian or 'Immunization Administration' in english or titles in other languages are also allowed
... confidentiality
.... extension:confidentialityCode 1..1EPRConfidentialityCodeSwiss realm of confidentiality code according to the Swiss EPR regulation
... custodian 0..1Reference(CH Core Organization EPR)The organization in whose name the document has been created
... relatesTo 0..*BackboneElementRelationships to other compositions in order to replace other documents or fix/correct elements of an other document.
... section 1..*BackboneElementComposition is broken into sections
... section:administration S0..1BackboneElementImmunization Administration
.... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... title 1..1string'Liste der verabreichten Impfungen' in german or 'Liste Vaccin administré' in french or 'Lista Vaccinazione somministrata' in italian or 'List Immunization Administration' in english or titles in other languages are also allowed
.... code 1..1CodeableConceptHx of Immunization
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11369-6
.... author 0..*Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson)The author of the section (person or device) if different from the author/timestamp of the document
..... ch-ext-epr-time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
..... reference 1..1stringLiteral reference, Relative, internal or absolute URL
.... text 0..1NarrativeHuman readable text of this section
.... entry 0..*Reference(CH VACD Immunization | CH VACD Basic Immunization)Immunization
..... reference 1..1stringLiteral reference, Relative, internal or absolute URL
.... section 0..0
... section:medicalproblems S0..1BackboneElementMedical Problems
.... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... title 1..1string'Liste der Medizinischen Problemen' in german or 'Liste Vaccin administré' in french or 'Lista Vaccinazione somministrata' in italian or 'List Immunization Administration' in english or titles in other languages are also allowed
.... code 1..1CodeableConceptProblem list Reported
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11450-4
.... author 0..*Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson)The author of the section (person or device) if different from the author/timestamp of the document
..... ch-ext-epr-time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
..... reference 1..1stringLiteral reference, Relative, internal or absolute URL
.... text 0..1NarrativeHuman readable text of this section
.... entry 0..*Reference(CH VACD Medical Problems)MedicalProblems
..... reference 1..1stringLiteral reference, Relative, internal or absolute URL
.... section 0..0
... section:pastillnesses S0..1BackboneElementPast Illnesses
.... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... title 1..1string'Bisherige Krankheiten' in german or 'Maladies antérieures' in french or 'Malattie precedenti' in italian or 'Previous illnesses' in english or titles in other languages are also allowed
.... code 1..1CodeableConceptHx of Past illness
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11348-0
.... author 0..*Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson)The author of the section (person or device) if different from the author/timestamp of the document
..... ch-ext-epr-time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
..... reference 1..1stringLiteral reference, Relative, internal or absolute URL
.... text 0..1NarrativeHuman readable text of this section
.... entry 0..*Reference(CH VACD Past Illness)PastIllnesses
..... reference 1..1stringLiteral reference, Relative, internal or absolute URL
.... section 0..0
... section:allergyintolerances S0..1BackboneElementAllergies and Intolerences
.... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... title 1..1string'Allergien' in german or 'Les allergies' in french or 'Allergie' in italian or 'Allergies' in english or titles in other languages are also allowed
.... code 1..1CodeableConceptAllergies and adverse reactions Document
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48765-2
.... author 0..*Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson)The author of the section (person or device) if different from the author/timestamp of the document
..... ch-ext-epr-time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
..... reference 1..1stringLiteral reference, Relative, internal or absolute URL
.... text 0..1NarrativeHuman readable text of this section
.... entry 0..*Reference(CH VACD AllergyIntolerance)Allergies
..... reference 1..1stringLiteral reference, Relative, internal or absolute URL
.... section 0..0
... section:laboratory-serology S0..1BackboneElementLaboratory-Serology
.... title 1..1string'Laborbefund - Serologie' in german or 'Résultats de laboratoire - Sérologie' in french or 'Risultati di laboratorio - Sierologia' in italian or 'Laboratory findings - Serology' in english or titles in other languages are also allowed
.... code 1..1CodeableConceptSerology studies (set)
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 18727-8
.... author 0..*Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson)The author of the section (person or device) if different from the author/timestamp of the document
..... ch-ext-epr-time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
..... reference 1..1stringLiteral reference, Relative, internal or absolute URL
.... text 0..1NarrativeHuman readable text of this section
.... entry 0..*Reference(CH VACD Laboratory And Serology)LaboratorySerology
..... reference 1..1stringLiteral reference, Relative, internal or absolute URL
.... section 0..0
... section:annotation 0..1BackboneElementAnnotation
.... title 1..1string'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
.... code 1..1CodeableConceptAnnotation comment Imp
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48767-8
.... text 0..1NarrativeHuman readable text of this section
.... entry 0..*Reference(Resource)General comments
..... reference 1..1stringLiteral reference, Relative, internal or absolute URL
.... section 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet / CodeURI
Composition.categoryrequiredPattern: urn:che:epr:ch-vacd:immunization-administration:2022
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CHCoreCompositionEPRCH VACD Immunization Administration Composition
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 1..1codeLanguage of the document
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... informationRecipient 0..*Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization)A recipient of this document (person or organization)
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1IdentifierIdentification number of the document
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ1..1uriThe namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ1..1stringThe value that is unique
Example General: 123456
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


Fixed Value: final
... type Σ1..1CodeableConceptDocument type Immunization record
Binding: DocumentEntry.typeCode (extensible)
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 41000179103
... category Σ1..1CodeableConceptCategory or format Immunization Administration
Binding: DocumentEntry.formatCode (required)

Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.10
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: urn:che:epr:ch-vacd:immunization-administration:2022
... subject Σ1..1Reference(CH Core Patient EPR)A patient for whom this document instance was created
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... date Σ1..1dateTimeThe document's creation date and time
... author Σ1..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR)The author of the document (person or device)
.... ch-ext-epr-time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
Slice: Unordered, Open by value:url
.... time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... title Σ1..1string'Verabreichte Impfung' in german or 'Vaccin administré' in french or 'Vaccinazione somministrata' in italian or 'Immunization Administration' in english or titles in other languages are also allowed
... confidentiality Σ1..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... confidentialityCode 1..1CodeableConceptSwiss realm of confidentiality code according to the Swiss EPR regulation
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
Binding: DocumentEntry.confidentialityCode (extensible)
... Slices for attester 0..*BackboneElementAttests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... attester:legalAuthenticator 0..1BackboneElementlegal authenticator
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Fixed Value: legal
..... party 1..1Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)Who attested the composition
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... custodian Σ0..1Reference(CH Core Organization EPR)The organization in whose name the document has been created
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... relatesTo 0..*BackboneElementRelationships to other compositions in order to replace other documents or fix/correct elements of an other document.
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(CH Core Composition EPR)
... Slices for section C1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... section:originalRepresentation C0..1BackboneElementContains the original representation as a PDF of the current document.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringOriginal representation
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55108-5
..... text C1..1NarrativeRepresentation of the original view
..... entry C1..1Reference(Binary)According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
...... narrativeLink 0..1urlnarrativeLink to img src attribute
URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
.... section:administration SC0..1BackboneElementImmunization Administration
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string'Liste der verabreichten Impfungen' in german or 'Liste Vaccin administré' in french or 'Lista Vaccinazione somministrata' in italian or 'List Immunization Administration' in english or titles in other languages are also allowed
..... code 1..1CodeableConceptHx of Immunization
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11369-6
..... author 0..*Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson)The author of the section (person or device) if different from the author/timestamp of the document
...... ch-ext-epr-time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
..... text C0..1NarrativeHuman readable text of this section
..... entry C0..*Reference(CH VACD Immunization | CH VACD Basic Immunization)Immunization
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... section:medicalproblems SC0..1BackboneElementMedical Problems
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string'Liste der Medizinischen Problemen' in german or 'Liste Vaccin administré' in french or 'Lista Vaccinazione somministrata' in italian or 'List Immunization Administration' in english or titles in other languages are also allowed
..... code 1..1CodeableConceptProblem list Reported
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11450-4
..... author 0..*Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson)The author of the section (person or device) if different from the author/timestamp of the document
...... ch-ext-epr-time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
..... text C0..1NarrativeHuman readable text of this section
..... entry C0..*Reference(CH VACD Medical Problems)MedicalProblems
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... section:pastillnesses SC0..1BackboneElementPast Illnesses
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string'Bisherige Krankheiten' in german or 'Maladies antérieures' in french or 'Malattie precedenti' in italian or 'Previous illnesses' in english or titles in other languages are also allowed
..... code 1..1CodeableConceptHx of Past illness
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11348-0
..... author 0..*Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson)The author of the section (person or device) if different from the author/timestamp of the document
...... ch-ext-epr-time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
..... text C0..1NarrativeHuman readable text of this section
..... entry C0..*Reference(CH VACD Past Illness)PastIllnesses
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... section:allergyintolerances SC0..1BackboneElementAllergies and Intolerences
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string'Allergien' in german or 'Les allergies' in french or 'Allergie' in italian or 'Allergies' in english or titles in other languages are also allowed
..... code 1..1CodeableConceptAllergies and adverse reactions Document
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48765-2
..... author 0..*Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson)The author of the section (person or device) if different from the author/timestamp of the document
...... ch-ext-epr-time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
..... text C0..1NarrativeHuman readable text of this section
..... entry C0..*Reference(CH VACD AllergyIntolerance)Allergies
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... section:laboratory-serology SC0..1BackboneElementLaboratory-Serology
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string'Laborbefund - Serologie' in german or 'Résultats de laboratoire - Sérologie' in french or 'Risultati di laboratorio - Sierologia' in italian or 'Laboratory findings - Serology' in english or titles in other languages are also allowed
..... code 1..1CodeableConceptSerology studies (set)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 18727-8
..... author 0..*Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson)The author of the section (person or device) if different from the author/timestamp of the document
...... ch-ext-epr-time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
..... text C0..1NarrativeHuman readable text of this section
..... entry C0..*Reference(CH VACD Laboratory And Serology)LaboratorySerology
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... section:annotation C0..1BackboneElementAnnotation
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
..... code 1..1CodeableConceptAnnotation comment Imp
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48767-8
..... text C0..1NarrativeHuman readable text of this section
..... entry C0..*Reference(Resource)General comments
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings

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

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:originalRepresentation, Composition.section:administration, Composition.section:medicalproblems, Composition.section:pastillnesses, Composition.section:allergyintolerances, Composition.section:laboratory-serology, Composition.section:annotationA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:originalRepresentation, Composition.section:administration, Composition.section:medicalproblems, Composition.section:pastillnesses, Composition.section:allergyintolerances, Composition.section:laboratory-serology, Composition.section:annotationA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CHCoreCompositionEPRCH VACD Immunization Administration Composition
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... informationRecipient 0..*Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization)A recipient of this document (person or organization)
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
... dataEnterer 0..1(Complex)Person who entered information into this document if it is a person other than the author
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1IdentifierIdentification number of the document
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ1..1uriThe namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


Fixed Value: final
... type Σ1..1CodeableConceptDocument type Immunization record
Binding: DocumentEntry.typeCode (extensible)
Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 41000179103
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ1..1CodeableConceptCategory or format Immunization Administration
Binding: DocumentEntry.formatCode (required)

Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.10
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: urn:che:epr:ch-vacd:immunization-administration:2022
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject Σ1..1Reference(CH Core Patient EPR)A patient for whom this document instance was created
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... encounter Σ0..1Reference(CH Core Encounter)Context of the Composition
... date Σ1..1dateTimeThe document's creation date and time
... author Σ1..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR)The author of the document (person or device)
.... id 0..1stringUnique id for inter-element referencing
.... ch-ext-epr-time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
Slice: Unordered, Open by value:url
.... time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... title Σ1..1string'Verabreichte Impfung' in german or 'Vaccin administré' in french or 'Vaccinazione somministrata' in italian or 'Immunization Administration' in english or titles in other languages are also allowed
... confidentiality Σ1..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

.... id 0..1stringxml:id (or equivalent in JSON)
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... confidentialityCode 1..1CodeableConceptSwiss realm of confidentiality code according to the Swiss EPR regulation
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
Binding: DocumentEntry.confidentialityCode (extensible)
.... value 0..1stringPrimitive value for code
... Slices for attester 0..*BackboneElementAttests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

..... time 0..1dateTimeWhen the composition was attested
..... party 0..1Reference(CH Core Patient | RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization)Who attested the composition
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ0..1stringText alternative for the resource
.... attester:legalAuthenticator 0..1BackboneElementlegal authenticator
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Fixed Value: legal
..... time 0..1dateTimeWhen the composition was attested
..... party 1..1Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)Who attested the composition
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ0..1stringText alternative for the resource
... custodian Σ0..1Reference(CH Core Organization EPR)The organization in whose name the document has been created
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... relatesTo 0..*BackboneElementRelationships to other compositions in order to replace other documents or fix/correct elements of an other document.
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(CH Core Composition EPR)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... Slices for section C1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

..... author 0..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... entry C0..*Reference(Resource)A reference to data that supports this section
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section
.... section:originalRepresentation C0..1BackboneElementContains the original representation as a PDF of the current document.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringOriginal representation
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55108-5
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C1..1NarrativeRepresentation of the original view
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... entry C1..1Reference(Binary)According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... narrativeLink 0..1urlnarrativeLink to img src attribute
URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
...... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ0..1stringText alternative for the resource
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:administration SC0..1BackboneElementImmunization Administration
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string'Liste der verabreichten Impfungen' in german or 'Liste Vaccin administré' in french or 'Lista Vaccinazione somministrata' in italian or 'List Immunization Administration' in english or titles in other languages are also allowed
..... code 1..1CodeableConceptHx of Immunization
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11369-6
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson)The author of the section (person or device) if different from the author/timestamp of the document
...... id 0..1stringUnique id for inter-element referencing
...... ch-ext-epr-time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ0..1stringText alternative for the resource
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C0..1NarrativeHuman readable text of this section
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... entry C0..*Reference(CH VACD Immunization | CH VACD Basic Immunization)Immunization
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ0..1stringText alternative for the resource
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:medicalproblems SC0..1BackboneElementMedical Problems
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string'Liste der Medizinischen Problemen' in german or 'Liste Vaccin administré' in french or 'Lista Vaccinazione somministrata' in italian or 'List Immunization Administration' in english or titles in other languages are also allowed
..... code 1..1CodeableConceptProblem list Reported
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11450-4
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson)The author of the section (person or device) if different from the author/timestamp of the document
...... id 0..1stringUnique id for inter-element referencing
...... ch-ext-epr-time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ0..1stringText alternative for the resource
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C0..1NarrativeHuman readable text of this section
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... entry C0..*Reference(CH VACD Medical Problems)MedicalProblems
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ0..1stringText alternative for the resource
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:pastillnesses SC0..1BackboneElementPast Illnesses
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*Extension