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{
  "resourceType": "StructureDefinition",
  "id": "HdBe-Vaccination",
  "language": "en-US",
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
      "valuePeriod": {
        "start": "2020-08-31T22:00:00+00:00"
      }
    },
    {
      "url": "https://fhir.healthdata.be/StructureDefinition/ext-CBB-MM",
      "valueInteger": 1
    }
  ],
  "url": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Vaccination",
  "name": "HdBeVaccination",
  "_name": {
    "extension": [
      {
        "extension": [
          {
            "url": "lang",
            "valueCode": "nl-BE"
          },
          {
            "url": "content",
            "valueMarkdown": "HdBeVaccinatie"
          }
        ],
        "url": "http://hl7.org/fhir/StructureDefinition/translation"
      },
      {
        "extension": [
          {
            "url": "lang",
            "valueCode": "fr-BE"
          },
          {
            "url": "content",
            "valueMarkdown": "HdBeVaccination"
          }
        ],
        "url": "http://hl7.org/fhir/StructureDefinition/translation"
      }
    ]
  },
  "title": "HdBe-Vaccination",
  "_title": {
    "extension": [
      {
        "extension": [
          {
            "url": "lang",
            "valueCode": "nl-BE"
          },
          {
            "url": "content",
            "valueMarkdown": "HdBe Vaccinatie"
          }
        ],
        "url": "http://hl7.org/fhir/StructureDefinition/translation"
      },
      {
        "extension": [
          {
            "url": "lang",
            "valueCode": "fr-BE"
          },
          {
            "url": "content",
            "valueMarkdown": "HdBe Vaccination"
          }
        ],
        "url": "http://hl7.org/fhir/StructureDefinition/translation"
      }
    ]
  },
  "status": "active",
  "date": "2022-07-07T09:26:15.144771+00:00",
  "publisher": "Healthdata.be (Sciensano)",
  "contact": [
    {
      "name": "Service portal – healthdata.be",
      "telecom": [
        {
          "system": "url",
          "value": "https://sciensano.service-now.com/sp",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Immunization can be defined as “Generating natural immunity against pathogens by means of vaccination (active immunization) or by administering immunoglobulins (passive immunization)”. \r\n\r\nOnly the administered vaccinations are included in this information model. Administering immunoglobulins is part of the medication overview. Vaccinations have lifelong relevance. \r\n\r\nVaccinations are also relevant for adult patients such as transplant patients, dialysis patients and patients with a post-splenectomy status. In addition, there are specific indications for the vaccination of risk groups, such as travelers, professionals who come into contact with blood or patients with wounds, weakened immune systems or heightened risk.\r\n#### Purpose\r\nDocumenting vaccinations that have already taken place in a patient is important for things such as the diagnostics of infectious diseases and the indication and planning of (re)vaccinations.\r\n#### Evidence Base\r\nVaccination documentation contains far fewer data elements than medication documentation. Medication concerns a running order process with many participants (patient, prescriber, pharmacy, administrator) and complex, very diverse details. \r\n\r\nVaccinations are only about what was administered and when.",
  "_description": {
    "extension": [
      {
        "extension": [
          {
            "url": "lang",
            "valueCode": "nl-BE"
          },
          {
            "url": "content",
            "valueMarkdown": "Immunisatie kan worden gedefinieerd als “Het opwekken van natuurlijke immuniteit tegen ziekteverwekkers door middel van vaccinatie (actieve immunisatie) of door toediening van immunoglobulinen (passieve immunisatie)”.&#13;\n&#13;\nIn deze bouwsteen worden alleen de toegediende vaccinaties opgenomen. De toediening van immunoglobulines maakt deel uit van het medicatieoverzicht. Vaccinaties hebben levenslang relevantie.&#13;\n&#13;\nDe meeste vaccinaties worden in Nederland uitgevoerd in het kader van het Rijksvaccinatieprogramma (RVP). RVP informatie is vooral van belang bij kinderen. &#13;\n&#13;\nVaccinaties zijn ook relevant bij volwassen patiënten zoals transplantatiepatiënten, dialysepatiënten en patiënten met een status na miltextirpatie. Daarnaast zijn er specifieke indicaties voor de vaccinatie van risicogroepen, zoals reizigers, professionals die met bloed in aanraking komen of patiënten met verwondingen, een verminderde afweer of verhoogd risico.&#13;\n#### Purpose&#13;\nHet vastleggen van reeds bij een patiënt uitgevoerde vaccinaties is o.a. van belang voor de diagnostiek van infectieziekten en de indicatiestelling en planning van (re)vaccinatie.&#13;\n#### Evidence Base&#13;\nDe documentatie van vaccinaties bevat veel minder gegevenselementen dan die van medicatie. Bij medicatie gaat het om een lopend order proces met veel deelnemers (patiënt, voorschrijver, apotheek, toediener) en complexe, zeer gevarieerde details. &#13;\n&#13;\nBij vaccinatie gaat het alleen om wat is toegediend en wanneer.&#13;\n&#13;\n&#13;\n**References**&#13;\n1. G-standaard [Online] Beschikbaar op: http://www.z-index.nl/ [Geraadpleegd: 23 februari 2015].&#13;\n&#13;\n2. Rijksvaccinatieprogramma [Online] Beschikbaar op: http://www.rivm.nl/Onderwerpen/Onderwerpen/R/Rijksvaccinatieprogramma [Geraadpleegd: 23 februari 2015]."
          }
        ],
        "url": "http://hl7.org/fhir/StructureDefinition/translation"
      },
      {
        "extension": [
          {
            "url": "lang",
            "valueCode": "fr-BE"
          },
          {
            "url": "content",
            "valueMarkdown": "L'immunisation peut être définie comme la « génération d'une immunité naturelle à l'encontre d'agents pathogènes par la vaccination (immunisation active) ou par l'administration d'immunoglobulines (immunisation passive) ». \n\nSeuls les vaccins administrés sont inclus dans ce modèle d'information. L'administration d'immunoglobulines fait partie de la vue d'ensemble de la médication. Les vaccinations ont une pertinence à vie. \n\nLes vaccinations sont également pertinentes pour les patients adultes tels que les transplantés, les patients dialysés et les patients ayant un statut post-splénectomie. En outre, il existe des indications spécifiques pour la vaccination de groupes à risque, comme les voyageurs, les professionnels qui entrent en contact avec le sang ou les patients présentant des blessures, un système immunitaire affaibli ou un risque accru.\n##### Purpose\nDocumenter les vaccinations déjà effectuées chez un patient est important pour le diagnostic de maladies infectieuses et pour l'indication et la planification de (re)vaccinations.\n##### Evidence Base\nLa documentation sur la vaccination contient nettement moins d'éléments de données que la documentation sur la médication. La médication concerne un processus en cours d'exécution, avec de nombreux intervenants (patient, prescripteur, pharmacie, administrateur) et des détails complexes et très variés. \n\nLa vaccination ne concerne que ce qui a été administré, et quand."
          }
        ],
        "url": "http://hl7.org/fhir/StructureDefinition/translation"
      }
    ]
  },
  "copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
  "fhirVersion": "4.0.1",
  "kind": "logical",
  "abstract": true,
  "type": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/Vaccination",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "derivation": "specialization",
  "differential": {
    "element": [
      {
        "id": "Vaccination",
        "path": "Vaccination",
        "short": "Vaccination",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Vaccinatie"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Vaccination"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "Root concept of the Vaccination information model. This root concept contains all data elements of the Vaccination information model.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Rootconcept van de bouwsteen Vaccinatie. Dit rootconcept bevat alle gegevenselementen van de bouwsteen Vaccinatie."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Concept root du modèle d'information Vaccination. Ce concept root contient tous les éléments de données du modèle d'information Vaccination."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "Vaccination.ProductCode",
        "path": "Vaccination.ProductCode",
        "short": "ProductCode",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "ProductCode"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "CodeProduit"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "The product code of the vaccine administered.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "De productcode van het toegediende vaccin."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Le code produit du vaccin administré."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "Vaccine Product codes",
          "_description": {
            "extension": [
              {
                "extension": [
                  {
                    "url": "lang",
                    "valueCode": "fr-BE"
                  },
                  {
                    "url": "content",
                    "valueMarkdown": "Codes Produit Vaccin"
                  }
                ],
                "url": "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "valueSet": "https://fhir.healthdata.be/ValueSet/VaccineProduct"
        }
      },
      {
        "id": "Vaccination.Dose",
        "path": "Vaccination.Dose",
        "short": "Dose",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Dosis"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Dose"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "The amount of product administered shown in milliliters. In most cases, the entire product is administered; in some cases, a described part of the product is administered.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "De hoeveelheid gegeven product weergegeven in milliliters. In de meeste gevallen wordt het gehele product toegediend, in sommige gevallen wordt een omschreven deel van het product toegediend."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "La quantité de produit administrée indiquée en millilitres. Dans la plupart des cas, le produit entier est administré ; dans certains cas, une partie décrite du produit est administrée."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ]
      },
      {
        "id": "Vaccination.VaccinationDate",
        "path": "Vaccination.VaccinationDate",
        "short": "VaccinationDate",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "VaccinatieDatum"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "DateVaccination"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "Date (and if possible time) that the vaccine was administered.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Datum (en eventueel tijd) dat het vaccin is toegediend."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Date (et, si possible, heure) à laquelle le vaccin a été administré."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Vaccination.Location",
        "path": "Vaccination.Location",
        "short": "Location",
        "definition": "The healthcare center where the vaccination is or will be carried out.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-HealthcareOrganization"
            ]
          }
        ]
      },
      {
        "id": "Vaccination.Administrator",
        "path": "Vaccination.Administrator",
        "short": "Administrator",
        "definition": "The health professional by whom the vaccination was done or will be done.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-HealthProfessional"
            ]
          }
        ]
      },
      {
        "id": "Vaccination.Comment",
        "path": "Vaccination.Comment",
        "short": "Comment",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Toelichting"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Commentaire"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "Free text explanation. \r\n\r\nExamples of commonly used explanations are: \r\n- \"Vaccination according to the National Immunisation Program\". \r\n- \"Not according to the National Immunisation Program\", followed by further explanation. \r\n- \"Unknown\"",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Vrije tekst als toelichting. &#13;\n&#13;\nVoorbeelden van veel gebruikte toelichtingen zijn: &#13;\n- \"Vaccinatie volgens Rijksvaccinatieprogramma\". &#13;\n- \"Niet volgens Rijksvaccinatieprogramma\", gevolgd door een verdere toelichting.&#13;\n- \"Onbekend\""
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Explication en texte libre. \n\nVoici des exemples d'explications couramment utilisées : \n- « Vaccination selon le Programme national de vaccination ». \n- « Non conforme au Programme national de vaccination », suivi d'une explication plus détaillée. \n- « Inconnue »"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      }
    ]
  }
}

name : HdBeVaccination

extension

extension

url : lang

value : nl-BE

extension

url : content

value : HdBeVaccinatie

url : http://hl7.org/fhir/StructureDefinition/translation

extension

extension

url : lang

value : fr-BE

extension

url : content

value : HdBeVaccination

url : http://hl7.org/fhir/StructureDefinition/translation

{

"extension": [

{

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"url": "lang",

"valueCode": "nl-BE"

},

{

"url": "content",

"valueMarkdown": "HdBeVaccinatie"

}

],

"url": "http://hl7.org/fhir/StructureDefinition/translation"

},

{

"extension": [

{

"url": "lang",

"valueCode": "fr-BE"

},

{

"url": "content",

"valueMarkdown": "HdBeVaccination"

}

],

"url": "http://hl7.org/fhir/StructureDefinition/translation"

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]

}

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</name>