Resumen Clínico del Paciente de Chile
0.4.0 - STU2 Chile flag

Resumen Clínico del Paciente de Chile, published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Chile/IPS-CL/ and changes regularly. See the Directory of published versions

Resource Profile: Inmunización

Official URL: https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Inmunizacion-cl-ips Version: 0.4.0
Standards status: Draft Maturity Level: 1 Computable Name: InmunizacionClIps

Este perfil representa las restricciones aplicadas al recurso Inmunización por la Guía de Implementación FHIR del Resumen Internacional del Paciente (IPS). Un registro de una vacunación se representa en el resumen del paciente como una instancia de un recurso Inmunización restringido por este perfil.

Describe el evento de un paciente al que se le ha administrado una vacuna o un registro de una vacuna notificado por un paciente, un clínico u otra parte.

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..* ImmunizationCL Immunization event information
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension Content/Rules for all slices
.... ClaseVacuna S 0..1 Coding Clase de Vacuna
URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/ClaseVacuna
Binding: Códigos de clases de Vacuna (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... Campana S 0..1 string Nombre Campaña de Vacunación
URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/Campana
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... Dosis S 0..1 string Dosis Administrada
URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/Dosis
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... ProxFecha S 0..1 date Proxima fecha de vacunación
URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/ProxFecha
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!SΣ 1..1 code completed | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required)
ele-1: All FHIR elements must have a @value or children
... statusReason S 0..1 CodeableConcept Razón de no realizarse la inmunización
Binding: Razones no Inmunización (example)
ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string Descripción de la razón por la cual no se produjo la inmunización
ele-1: All FHIR elements must have a @value or children
... vaccineCode SΣ 1..1 CodeableConceptIPS Código de la Vacuna que fue administrada o será administrada
Binding: Vaccines - IPS (preferred): El tipo de vacuna para la enfermedad o enfermedades concretas contra las que se ha inmunizado al paciente, o un código para inmunización ausente/desconocida.

Additional BindingsPurposeDocumentation
Vaccines WHO ATC - IPS candidate
Para cuando se prefiera el sistema de códigos ATC de la OMS
Tipos de Vacunas RNI candidate
Conjunto de códigos para vacunas según la descripción nacional

ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string Nombre normalizado a nivel nacional de la vacuna
ele-1: All FHIR elements must have a @value or children
... patient SΣ 1..1 Reference(Paciente) Paciente inmunizado
ele-1: All FHIR elements must have a @value or children
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... Slices for occurrence[x] SΣ 1..1 Momento de administración de la vacuna
Slice: Unordered, Closed by type:$this
ele-1: All FHIR elements must have a @value or children
.... occurrence[x]:All Slices Content/Rules for all slices
..... occurrence[x]All Types Content/Rules for all Types
...... Slices for extension Content/Rules for all slices
....... data-absent-reason S 0..1 code occurrence[x] razón de la ausencia
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... occurrenceDateTime dateTime
.... occurrenceString string
.... occurrence[x]:occurrenceDateTime Σ 0..1 dateTime Fecha y hora de la administración
ele-1: All FHIR elements must have a @value or children
.... occurrence[x]:occurrenceString Σ 0..1 string Momento de la administración
ele-1: All FHIR elements must have a @value or children
... recorded S 0..1 dateTime Cuando realizó el registro de la inmunización
ele-1: All FHIR elements must have a @value or children
... reportOrigin S 0..1 CodeableConcept Fuente de registro
Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.


ele-1: All FHIR elements must have a @value or children
... location S 0..1 Reference(CL Localización) Dónde se produjo la inmunización
ele-1: All FHIR elements must have a @value or children
... lotNumber S 0..1 string Número de lote de la vacuna
ele-1: All FHIR elements must have a @value or children
... expirationDate S 0..1 date Fecha de caducidad de la vacuna
ele-1: All FHIR elements must have a @value or children
... site 0..1 CodeableConceptIPS Body site vaccine was administered
Binding: SNOMEDCTBodyStructures (preferred)
ele-1: All FHIR elements must have a @value or children
... route 0..1 CodeableConceptIPS How vaccine entered body
Binding: Medicine Route of Administration - IPS (preferred)
ele-1: All FHIR elements must have a @value or children
... performer SΣ 0..* BackboneElement Quién realizó la inmunización
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... actor SΣ 1..1 Reference(CL Prestador | CL Organización) Prestador personal u organizacional que realizó la acción
ele-1: All FHIR elements must have a @value or children
... isSubpotent ?!Σ 0..1 boolean Dose potency
ele-1: All FHIR elements must have a @value or children
... programEligibility S 0..* CodeableConcept Corresponde al Id del criterio de elegibilidad de la vacuna administrada
Binding: ImmunizationProgramEligibility (example)
ele-1: All FHIR elements must have a @value or children
.... coding Σ 0..* Coding Code defined by a terminology system
ele-1: All FHIR elements must have a @value or children
..... code SΣ 0..1 code Código identificador del criterio
ele-1: All FHIR elements must have a @value or children
..... display SΣ 0..1 string Descripción del programa asociado al identificador del criterio
ele-1: All FHIR elements must have a @value or children
... reaction S 0..* BackboneElement Detalles de una reacción que proviene de la inmunización
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... protocolApplied S 0..* BackboneElement Protocolo seguido por el proveedor
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... targetDisease 0..* CodeableConcept Vaccine preventatable disease being targetted
Binding: Vaccine Target Diseases - IPS (preferred): La enfermedad o enfermedades concretas contra las que se ha inmunizado al paciente.


ele-1: All FHIR elements must have a @value or children
.... doseNumber[x] 1..1 Dose number within series
ele-1: All FHIR elements must have a @value or children
..... doseNumberPositiveInt positiveInt
..... doseNumberString string

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Immunization.statusrequiredImmunizationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-status
from the FHIR Standard
Immunization.statusReasonexampleVSRazonNOTinmCL
https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSRazonNOTinm
Immunization.vaccineCodepreferredVaccinesUvIps
http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips
Immunization.reportOriginexampleImmunizationOriginCodes
http://hl7.org/fhir/ValueSet/immunization-origin
from the FHIR Standard
Immunization.sitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Immunization.routepreferredMedicineRouteOfAdministrationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration
Immunization.programEligibilityexampleImmunizationProgramEligibility
http://hl7.org/fhir/ValueSet/immunization-program-eligibility
from the FHIR Standard
Immunization.protocolApplied.targetDiseasepreferredVaccineTargetDiseasesUvIps
http://hl7.org/fhir/uv/ips/ValueSet/target-diseases-uv-ips

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImmunizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationIf 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-4errorImmunizationIf 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-5errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImmunizationA 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()

 

Other representations of profile: CSV, Excel, Schematron