ESAVI FHIR Implementation Guide (IG)
0.1.45 - ci-build International flag

ESAVI FHIR Implementation Guide (IG), published by ESAVI -. This guide is not an authorized publication; it is the continuous build for version 0.1.45 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/PanAmericanHealthOrganization/ESAVI-IG-FHIR-EN/ and changes regularly. See the Directory of published versions

Questionnaire: ESAVI Questionnaire

Official URL: https://paho.org/fhir/esavi/Questionnaire/CuestionarioESAVI Version: 0.1.45
Draft as of 2022-03-17 Computable Name: OPSCuestionarioESAVI

Generated Narrative: Questionnaire CuestionarioESAVI

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. OPSCuestionarioESAVIQuestionnairehttps://paho.org/fhir/esavi/Questionnaire/CuestionarioESAVI#0.1.45
... datosNotificacionGeneralNotification Administrative Data1..1group
.... datosNotificacionData about who and where the notification is made1..1group
..... paisOrigen-RegCountry where the Record originated1..1choiceValue Set: https://paho.org/fhir/esavi/ValueSet/codPaises
..... nombreOrganizacionNotificadorName of the local level institution that performs the primary notification.1..1string
..... codigoDireccionOrganizacionSubnational Geographic Level Code of the Location of the Notifying Institution0..1choiceValue Set: PAHO Codes for Addresses
..... nombreDireccionOrganizacionName of the Subnational Geographic Level of the Location of the Notifying Institution1..1string
..... codigoProfesionNotificadorProfession code of the notifier0..1choiceValue Set: Type of Notifying Professional
.... FechasAdministrative Dates (at least one date is necessary)1..1group
..... fechaConsultaDate of the first consultation with the health service due to ESAVI1..1date
..... fechaNotificacionDate on which the surveillance system officially becomes aware of the occurrence of the event.0..1date
..... fechaLlenadoFichaDate on which the notifier finishes filling out the notification form (if the form is electronic, it is the same as notificationdate)0..1date
..... fechaRepoNacionalRecorded date of arrival of the notification to the national level database (if the record is electronic, it is the same as dateNotification)0..1date
... datosIdVacunadoVaccinated Demographic Data generated by ESAVI1..1group
.... dataPacienteVaccinated Person Data1..1group
..... numeroCasoUUID that identifies the case or notification. A person can have more than one notification.1..1string
..... idPacienteUUID identification of the person vaccinated/affected by ESAVI1..1string
..... codigoResidenciaHabitualSubnational Geographic Level Code of the Habitual Residence of the Person affected by ESAVI0..1choiceValue Set: PAHO Codes for Addresses
..... nombreResidenciaHabitualName Subnational Geographic Level of the Habitual Residence of the Person affected by ESAVI0..1string
..... sexoPacienteSex of the vaccinated.1..1choiceValue Set: AdministrativeGender
..... fechaNacimientoDate of birth of the vaccinated person1..1date
..... etniaName of the ethnic group with which the vaccinated person identifies0..1string
... antecedentesMedicosMedical history identified by the patient0..1group
.... ensayoClinicoclinicaltrial0..1group
..... ensayoClinicoCovid19See if you participated in any clinical trials for COVID-190..1boolean
.... antecedentesEnfermedadesPreviasHistory of previous illnesses0..*group
..... descripcionEnfPreviaDescription of previous health problems in the person affected by ESAVI with emphasis on comorbidities or diseases concomitant to the adverse event, similar previous events and medical events relevant to the current health event (if the disease is coded, it is the description corresponding to the code).1..1string
..... codigoMedDRAEnfPreviaMedDRA code of the medical history0..1choiceValue Set: https://paho.org/fhir/esavi/ValueSet/CodigoMedDRAEnfPreviaVS
..... otrosCodigosEnfPreviaICD-10/ICD-11/SNOMED code of the medical history0..1choiceValue Set: https://paho.org/fhir/esavi/ValueSet/EnfermedadesPreviasCodificacionVS
.... antecedentesEventosAdversosDeclaration of existence of previous adverse events0..1group
..... antecedentesAdvSimilarHistory of adverse events similar to the current one0..1choiceValue Set: https://paho.org/fhir/esavi/ValueSet/RespuestaSiNoNosabeVS
..... alergiaMedicamentosHistory of allergic reactions to medications0..1choiceValue Set: https://paho.org/fhir/esavi/ValueSet/RespuestaSiNoNosabeVS
..... alergiaVacunasHistory of allergic reactions to other vaccines0..1choiceValue Set: https://paho.org/fhir/esavi/ValueSet/RespuestaSiNoNosabeVS
.... antecedentesSarsCov2History of diagnosis of SARS-CoV-2 infection0..*group
..... diagnosticoprevioSarsCov2History of diagnosis of SARS-CoV-2 infection (Yes/No/Don't Know)1..1choiceValue Set: https://paho.org/fhir/esavi/ValueSet/RespuestaSiNoNosabeVS
..... asintomaticoSarsDiagnosis of Covid-19 without symptoms (Yes/No/Don't Know)0..1choiceValue Set: https://paho.org/fhir/esavi/ValueSet/RespuestaSiNoNosabeVS
..... fechaSintomasCovid19Date the first sign and/or symptom of COVID-19 began.0..1dateTime
..... tipoConfirmacionCovid19Type of COVID-19 diagnosis confirmation0..1choiceValue Set: COVID-19 Infection Confirmation Modes
..... fechaTomaMuestraCovid19Date on which the sample was taken for COVID-19 examination0..1date
.... pacienteEmbarazadaPregnancy status0..1groupEnable When: sexoPaciente =
..... embarazadaMomentoVacunaWere you pregnant at the time of the vaccine?0..1boolean
..... embarazadaMomentoESAVIWas she pregnant at the time of the ESAVI?0..1boolean
..... fechaUltimaMenstruacionDate of the Patient's last menstruation0..1dateEnable When:
..... fechaProbablePartoDate of delivery, or probable date of delivery (calculated or indicated by the person affected by ESAVI)0..1dateEnable When:
..... edadGestacionalCurrent gestational age if pregnant or at the time of delivery of the most recent pregnancy0..1integerEnable When:
..... monitoreoPosteriorVacunaResponse corresponding to the query about whether the patient was monitored once vaccinated1..1choiceEnable When: embarazadaMomentoVacuna =
Value Set: https://paho.org/fhir/esavi/ValueSet/RespuestaSiNoNosabeVS
.... medicamentoHistory of medications that the patient took at the time of the ESAVI0..*group
..... nombreMedicamentoName of the medication taken concomitantly with the vaccine or relevant to ESAVI, in free text (if coded, it is the code description)1..1string
..... sistemaDeCodificacionParaNombreNormalizadoMedicamentoEncoding system0..1choiceValue Set: Coding Systems
..... nombreNormalizadoMedicamentoName of the drug as reported by the notifier. May include standardized name if the country does not include a field in which the name of the drug is recorded in free text. medicine.0..1string
..... codigoMedicamentoWHODrug/SCT/ICD-11/ATC code of the medication consumed by the patient0..1choiceValue Set: Medication Code
..... nombreFormaFarmaceuticaName of the pharmaceutical form of the medication0..1string
..... codigoFormaFarmaceuticaCode of the pharmaceutical form of the medication0..1choiceValue Set: Identification of Pharmaceutical Forms
..... nombreViaAdministracionName of administration route of the medication0..1string
..... codigoViaAdministracionCode Via medication administration0..1choiceValue Set: Medication Administration Routes
.... datosVacunasData on vaccines administered1..*group
..... nombreVacunaName of vaccine administered1..1string
..... sistemaDeCodificacionParaNombreNormalizadoVacunaEncoding system0..1choiceValue Set: Coding Systems
..... nombreNormalizadoVacunaName of the vaccine as reported by the notifier. May include standardized name if the country does not include a field in which the name is recorded in free text of the vaccine0..1string
..... identificadorVacunaCorrelative identifier of the vaccine useful to refer to the vaccine registered in other sections of the guide.1..1integer
..... codigoVacunaWHODrugVaccine WHODrug code0..1choiceValue Set: https://paho.org/fhir/esavi/ValueSet/CodigoWhoVacunaVS
..... codigoVacunaOtroVaccine non-WHODrug code0..1choiceValue Set: https://paho.org/fhir/esavi/ValueSet/CodigoNoWhoVacunaVS
..... nombreFabricanteName of the manufacturer or holder of the health registration as registered by the notifier0..1string
..... codigoFabricanteWHODrugName of the manufacturer or holder of the health record registered in any pharmaceutical standard in the country. If there is more than one, WHO Drug is preferred.0..1choiceValue Set: https://paho.org/fhir/esavi/ValueSet/CodigoWhoFabricanteVS
..... numeroDosisVacunaOrdinal number of the administered dose1..1integer
..... numeroLotLot Number of the Vaccine administered0..1string
..... fechaVencimientoVacunaVaccine Expiration Date0..1date
..... nombreDiluyenteVacunaName of Vaccine Diluent0..1string
..... numeroLoteDiluyenteVaccine diluent batch number0..1string
..... fechaVencimientoDiluyenteVaccine diluent expiration date0..1date
..... nombreVacunatorioVaccination center name0..1string
..... fechaVacunacionVaccination date0..1date
..... horaVacunacionVaccination time0..1time
..... codigoDireccionVacunatorioCode for the subnational geographic level of the location of the health institution where the vaccine was administered0..1choiceValue Set: PAHO Codes for Addresses
..... nombreDireccionVacunatorioFull address of the institution where the vaccine was administered0..1string
..... codigoMecanismoVerificacionVaccine verification mechanism code0..1choiceValue Set: Previous Vaccine Verification Modes
..... nombreOtroMecanismoVerificacionDescription of another mechanism not considered in the codes0..1string
..... fechaReconstitucionVacunaDate on which the registered vaccine was reconstituted0..1date
..... horaReconstitucionVacunaTime at which the registered vaccine was reconstituted0..1time
... registroESAVIESAVI registry developed by the vaccinated person1..1group
.... datosESAVIESAVI information and its classification according to severity1..*group
..... nombreESAVIESAVI name1..1string
..... IdentificadorESAVIESAVI correlative identifier useful to refer to the event recorded in other sections of the guide1..1integer
..... codigoESAVIMedDRAMedDRA Code of the reported Adverse Event0..1choiceValue Set: MedDRA Code of the Reported Adverse Event
..... codigoESAVIOtroNon-MedDRA code of the adverse event that occurred after vaccination0..1choiceValue Set: Other Adverse Event Codes
..... fechaESAVIESAVI start date referred by the patient or identified by the doctor1..1date
..... horaESAVIStart time of ESAVI referred by the patient or identified by the doctor0..1time
..... descripcionESAVIESAVI narrative description1..1string
.... ESAVIDuranteEmbarazoData related to medical conditions that occurred during pregnancy in which the vaccine was received and/or ESAVI occurred.0..*groupEnable When: embarazadaMomentoESAVI =
..... codigoTipoComplicacionESAVIType code for pregnancy complications after vaccine administration1..1choiceValue Set: Pregnancy Complications
..... nombreComplicacionEmbarazoESAVIComplication Description1..1string
..... codigoMedDRAComplicacionEmbarazoESAVIMedDRA pregnancy complication code0..1choiceValue Set: MEDDRA Codes Complications in Pregnancy ESAVI
..... otrosCodigosComplicacionEmbarazoESAVISNOMED-CT/ICD-10/ICD-11 code of pregnancy complication0..1choiceValue Set: https://paho.org/fhir/esavi/ValueSet/ComplicacionEmbarazoOtroVS
.... gravedadESAVIDetermination of ESAVI severity status1..1group
..... tipoGravedadSerious ESAVI?1..1boolean
..... gravMuerteDeath0..1booleanEnable When: tipoGravedad =
..... gravRiesgoVidaLife threatening at the time of ESAVI detection0..1booleanEnable When: tipoGravedad =
..... gravDiscapacityGenerates severe or permanent disability at the time of detection0..1booleanEnable When: tipoGravedad =
..... gravHospitalizacionHospitalization or extension thereof0..1booleanEnable When: tipoGravedad =
..... gravAnomaliaCongenitaCongenital anomaly0..1booleanEnable When: tipoGravedad =
..... gravAbortoAbortion0..1booleanEnable When:
..... gravMuerteFetalFetal death0..1booleanEnable When:
..... otrosEventosImportantesOtros Eventos considerados Médicamente Importantes0..1booleanEnable When: tipoGravedad =
..... otrosEventosImportantesTxDescripción de Otros Eventos medicamente importantes0..*stringEnable When: otrosEventosImportantes =
.... desenlaceESAVIDesenlace ESAVI1..1group
..... codDesenlaceESAVICódigo Desenlace ESAVI1..1choiceValue Set: Outcomes After ESAVI
..... fechaMuerteFecha de muerte producida por posible ESAVI0..1dateEnable When: gravMuerte =
..... autopsiaDeterminación si hubo o no Autopsia0..1choiceEnable When: gravMuerte =
Value Set: https://paho.org/fhir/esavi/ValueSet/RespuestaSiNoNosabeVS
..... fechaNotificaMuerteFecha en la cual se notifico la muerte del paciente al registro nacional0..1dateEnable When: gravMuerte =
..... fechaNotificaMuerteFetalFecha en la cual se notifico la muerte del feto de paciente al registro nacional0..1dateEnable When: gravMuerteFetal =
..... autopsiaFetalDeterminación si hubo o no Autopsia Fetal0..1choiceEnable When: gravMuerteFetal =
Value Set: https://paho.org/fhir/esavi/ValueSet/RespuestaSiNoNosabeVS
..... comentariosComentarios adicionales en cuanto al cuadro ESAVI0..1string
..... fechaInicioInvestigacionFecha en la cual se inicia investigación0..1date
.... causalidadESAVIInformación sobre la clasificación de causalidad0..*group
..... fechaCausalidadESAVIFinal case clasification date0..1date
..... sistemaClasfCausalidadCausality classification method1..1choiceValue Set: Type of Causality Classification Method
..... otroSistemaClasfCausalidadAnother causality classification system0..1stringEnable When: sistemaClasfCausalidad =
..... clasificacioncausaESAVIDescription of the ESAVI causality classification0..1string
..... clasificacionDeCausalidadWHOAEFICausality classification according to the WHO AEFI methodology1..1choiceEnable When: sistemaClasfCausalidad =
Value Set: WHO-AEFI causality classification
..... clasificacionDeCausalidadWHOUMCCausality classification according to the WHO UMC methodology1..1choiceEnable When: sistemaClasfCausalidad =
Value Set: https://paho.org/fhir/esavi/ValueSet/ClasificacionDesenlaceWHOUMCVS
..... clasificacionDeCausalidadNaranjoCausality classification according to the Naranjo methodology1..1choiceEnable When: sistemaClasfCausalidad =
Value Set: Naranjo Causality Classification
..... referenciaIdentificadorVacunaCorrelative identifier of the vaccine1..1integer
..... referenciaIdentificadorESAVIESAVI correlative identifier1..1integer
..... embarazoDuranteESAVIIndicator if maternal or fetal complications are those reported as ESAVI.0..1boolean

doco Documentation for this format