Implementation Guide CH VACD, published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 6.0.0-ballot-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

Vaccination Record Document

The Vaccination Record document describes the content and format of a vaccination record document. It is a compilation of all available immunization-related content and thus shows the patient’s immunization status at a specific point in time. The vaccination dossier contains the entries from the vaccination documentation, i.e. information on applied immunizations and further relevant chapters as medical and exposition risks or serology results.

This document is allowed to be used in context of the Swiss EPR but can also be used in context of data exchange next to the Swiss EPR.

Aggregation

A vaccination record document can be an aggregation of multiple immunization administration documents. The process of the aggregation and its criterias and problems is described here

FHIR document (Bundle)

This exchange format is defined as a document type that corresponds to a Bundle as a FHIR resource. A Bundle has a list of entries. The first entry is the Composition, in which all contained entries are then referenced.

Fig.: Vaccination Record document

Identifiers

Identifier Format

In CH VACD it is specified to use an UUID as identifier, for both the document and resource identifiers. For representing UUIDs the system needs to be urn:ietf:rfc:3986 as described here. The value has to start with urn:uuid:.

Document Identifier

Document identifier in 1.3 Vaccination Record:
Bundle.identifier/Composition.identifier. In first version of the document the both are equal. On updates of the document they differ.

  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:5bca53b2-0973-4b91-961e-b1e93474c9c2"
  }

Narrative Text Generation

The narrative text in the composition of the bundle of type document can be generated using the FHIR XML representation and the defined xslt transformer defined in this implementation guide. for further details see Narrative Text Generation

Examples

• 1.3 Example Vaccination Record document: XML, JSON
• 2.3 Example Vaccination Record composition: XML, JSON
• 3.1 Example Patient: XML, JSON

Resource profiles

• CH VACD Vaccination Record Document: Definition of the bundle for the vaccination record document.
• CH VACD VaccinationRecord Composition: Definition of the composition for the vaccination record document.
• CH VACD Immunization: Definition of the immunization part for all documents, except recommendation request and response documents.
• CH VACD Medical Problems: Definition of the medical problems part for all documents, except recommendation request and response documents.
• CH VACD Past Illness: Definition of the past illness part for all documents, except recommendation request and response documents.
• CH VACD AllergyIntolerance: Definition of the AllergyIntolerance part for vaccination record documents.
• CH VACD Laboratory And Serology: Definition of the labor and serology part for all documents, except recommendation request and response documents.