Zambia Immunizations FHIR Implementation Guide
1.0.1 - ci-build Zambia flag

Zambia Immunizations FHIR Implementation Guide, published by Jembi Health Systems. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/jembi/Zambia-Immunizations/ and changes regularly. See the Directory of published versions

Resource Profile: List - Medical History

Official URL: http://moh.gov.zm/fhir/immunizations/StructureDefinition/medical-history Version: 1.0.1
Active as of 2024-09-30 Computable Name: MedicalHistory

Documents the medical history for the patient

Usage:

Formal Views of Profile Content

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

This structure is derived from List

NameFlagsCard.TypeDescription & Constraintsdoco
.. List List
... status 1..1 code current | retired | entered-in-error
Required Pattern: current
... title 1..1 string Descriptive name for the list
Required Pattern: Medical History
... code 1..1 CodeableConcept What the purpose of this list is
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LP73189-0
... encounter 1..1 Reference(Encounter - Target Facility Encounter (COVAX)) Context in which list created
... date 1..1 dateTime When the list was prepared
... source 1..1 Reference(Organization - Healthcare Service Provider Profile) Who and/or what defined the list contents (aka Author)
... entry 1..* BackboneElement Entries in the list
.... flag 1..1 CodeableConcept Status/Workflow information about this item
..... coding 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LP74664-1
.... item 1..1 Reference(Condition - Underlying Condition) Actual entry

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. List C 0..* List A list is a curated collection of resources
lst-1: A list can only have an emptyReason if it is empty
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... mode ?!Σ 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.

... title Σ 1..1 string Descriptive name for the list
Required Pattern: Medical History
... code Σ 1..1 CodeableConcept What the purpose of this list is
Binding: ExampleUseCodesForList (example): What the purpose of a list is.


Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LP73189-0
... subject Σ 1..1 Reference(Patient - COVAX Immunization Patient) If all resources have the same subject(s)
... encounter 1..1 Reference(Encounter - Target Facility Encounter (COVAX)) Context in which list created
... date Σ 1..1 dateTime When the list was prepared
... source Σ 1..1 Reference(Organization - Healthcare Service Provider Profile) Who and/or what defined the list contents (aka Author)
... entry C 1..* BackboneElement Entries in the list
This repeating element order: Order has no meaning unless specifically asserted by List.orderedBy, in which case the List SHALL be interpreted as being ordered as specified by List.orderedBy.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... flag 1..1 CodeableConcept Status/Workflow information about this item
Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.

..... coding Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LP74664-1
.... deleted ?! 0..1 boolean If this item is actually marked as deleted
.... item 1..1 Reference(Condition - Underlying Condition) Actual entry

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
List.statusrequiredPattern: current
http://hl7.org/fhir/ValueSet/list-status|5.0.0
from the FHIR Standard
List.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|5.0.0
from the FHIR Standard
List.codeexamplePattern: LOINC Code LP73189-0
http://hl7.org/fhir/ValueSet/list-example-codes
from the FHIR Standard
List.entry.flagexamplePatientMedicineChangeTypes
http://hl7.org/fhir/ValueSet/list-item-flag
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorListIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorListIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorListIf 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-5errorListIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceListA 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()
lst-1errorListA list can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
NameFlagsCard.TypeDescription & Constraintsdoco
.. List C 0..* List A list is a curated collection of resources
lst-1: A list can only have an emptyReason if it is empty
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business identifier
... status ?!Σ 1..1 code current | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.


Required Pattern: current
... mode ?!Σ 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.

... title Σ 1..1 string Descriptive name for the list
Required Pattern: Medical History
... code Σ 1..1 CodeableConcept What the purpose of this list is
Binding: ExampleUseCodesForList (example): What the purpose of a list is.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LP73189-0
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient - COVAX Immunization Patient) If all resources have the same subject(s)
... encounter 1..1 Reference(Encounter - Target Facility Encounter (COVAX)) Context in which list created
... date Σ 1..1 dateTime When the list was prepared
... source Σ 1..1 Reference(Organization - Healthcare Service Provider Profile) Who and/or what defined the list contents (aka Author)
... orderedBy 0..1 CodeableConcept What order the list has
Binding: ListOrderCodes (preferred): What order applies to the items in a list.

... note 0..* Annotation Comments about the list
... entry C 1..* BackboneElement Entries in the list
This repeating element order: Order has no meaning unless specifically asserted by List.orderedBy, in which case the List SHALL be interpreted as being ordered as specified by List.orderedBy.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... flag 1..1 CodeableConcept Status/Workflow information about this item
Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.

..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LP74664-1
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... deleted ?! 0..1 boolean If this item is actually marked as deleted
.... date 0..1 dateTime When item added to list
.... item 1..1 Reference(Condition - Underlying Condition) Actual entry
... emptyReason C 0..1 CodeableConcept Why list is empty
Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
List.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
List.statusrequiredPattern: current
http://hl7.org/fhir/ValueSet/list-status|5.0.0
from the FHIR Standard
List.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|5.0.0
from the FHIR Standard
List.codeexamplePattern: LOINC Code LP73189-0
http://hl7.org/fhir/ValueSet/list-example-codes
from the FHIR Standard
List.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
List.entry.flagexamplePatientMedicineChangeTypes
http://hl7.org/fhir/ValueSet/list-item-flag
from the FHIR Standard
List.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorListIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorListIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorListIf 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-5errorListIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceListA 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()
lst-1errorListA list can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()

Differential View

This structure is derived from List

NameFlagsCard.TypeDescription & Constraintsdoco
.. List List
... status 1..1 code current | retired | entered-in-error
Required Pattern: current
... title 1..1 string Descriptive name for the list
Required Pattern: Medical History
... code 1..1 CodeableConcept What the purpose of this list is
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LP73189-0
... encounter 1..1 Reference(Encounter - Target Facility Encounter (COVAX)) Context in which list created
... date 1..1 dateTime When the list was prepared
... source 1..1 Reference(Organization - Healthcare Service Provider Profile) Who and/or what defined the list contents (aka Author)
... entry 1..* BackboneElement Entries in the list
.... flag 1..1 CodeableConcept Status/Workflow information about this item
..... coding 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LP74664-1
.... item 1..1 Reference(Condition - Underlying Condition) Actual entry

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. List C 0..* List A list is a curated collection of resources
lst-1: A list can only have an emptyReason if it is empty
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... mode ?!Σ 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.

... title Σ 1..1 string Descriptive name for the list
Required Pattern: Medical History
... code Σ 1..1 CodeableConcept What the purpose of this list is
Binding: ExampleUseCodesForList (example): What the purpose of a list is.


Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LP73189-0
... subject Σ 1..1 Reference(Patient - COVAX Immunization Patient) If all resources have the same subject(s)
... encounter 1..1 Reference(Encounter - Target Facility Encounter (COVAX)) Context in which list created
... date Σ 1..1 dateTime When the list was prepared
... source Σ 1..1 Reference(Organization - Healthcare Service Provider Profile) Who and/or what defined the list contents (aka Author)
... entry C 1..* BackboneElement Entries in the list
This repeating element order: Order has no meaning unless specifically asserted by List.orderedBy, in which case the List SHALL be interpreted as being ordered as specified by List.orderedBy.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... flag 1..1 CodeableConcept Status/Workflow information about this item
Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.

..... coding Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LP74664-1
.... deleted ?! 0..1 boolean If this item is actually marked as deleted
.... item 1..1 Reference(Condition - Underlying Condition) Actual entry

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
List.statusrequiredPattern: current
http://hl7.org/fhir/ValueSet/list-status|5.0.0
from the FHIR Standard
List.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|5.0.0
from the FHIR Standard
List.codeexamplePattern: LOINC Code LP73189-0
http://hl7.org/fhir/ValueSet/list-example-codes
from the FHIR Standard
List.entry.flagexamplePatientMedicineChangeTypes
http://hl7.org/fhir/ValueSet/list-item-flag
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorListIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorListIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorListIf 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-5errorListIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceListA 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()
lst-1errorListA list can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. List C 0..* List A list is a curated collection of resources
lst-1: A list can only have an emptyReason if it is empty
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business identifier
... status ?!Σ 1..1 code current | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.


Required Pattern: current
... mode ?!Σ 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.

... title Σ 1..1 string Descriptive name for the list
Required Pattern: Medical History
... code Σ 1..1 CodeableConcept What the purpose of this list is
Binding: ExampleUseCodesForList (example): What the purpose of a list is.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LP73189-0
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient - COVAX Immunization Patient) If all resources have the same subject(s)
... encounter 1..1 Reference(Encounter - Target Facility Encounter (COVAX)) Context in which list created
... date Σ 1..1 dateTime When the list was prepared
... source Σ 1..1 Reference(Organization - Healthcare Service Provider Profile) Who and/or what defined the list contents (aka Author)
... orderedBy 0..1 CodeableConcept What order the list has
Binding: ListOrderCodes (preferred): What order applies to the items in a list.

... note 0..* Annotation Comments about the list
... entry C 1..* BackboneElement Entries in the list
This repeating element order: Order has no meaning unless specifically asserted by List.orderedBy, in which case the List SHALL be interpreted as being ordered as specified by List.orderedBy.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... flag 1..1 CodeableConcept Status/Workflow information about this item
Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.

..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LP74664-1
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... deleted ?! 0..1 boolean If this item is actually marked as deleted
.... date 0..1 dateTime When item added to list
.... item 1..1 Reference(Condition - Underlying Condition) Actual entry
... emptyReason C 0..1 CodeableConcept Why list is empty
Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
List.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
List.statusrequiredPattern: current
http://hl7.org/fhir/ValueSet/list-status|5.0.0
from the FHIR Standard
List.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|5.0.0
from the FHIR Standard
List.codeexamplePattern: LOINC Code LP73189-0
http://hl7.org/fhir/ValueSet/list-example-codes
from the FHIR Standard
List.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
List.entry.flagexamplePatientMedicineChangeTypes
http://hl7.org/fhir/ValueSet/list-item-flag
from the FHIR Standard
List.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorListIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorListIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorListIf 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-5errorListIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceListA 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()
lst-1errorListA list can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()

 

Other representations of profile: CSV, Excel, Schematron