HdBe-Vaccinatie
CBB | Concept | Status |
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HdBe-Vaccination | 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)”. In deze bouwsteen worden alleen de toegediende vaccinaties opgenomen. De toediening van immunoglobulines maakt deel uit van het medicatieoverzicht. Vaccinaties hebben levenslang relevantie. De meeste vaccinaties worden in Nederland uitgevoerd in het kader van het Rijksvaccinatieprogramma (RVP). RVP informatie is vooral van belang bij kinderen. Vaccinaties 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. PurposeHet 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. Evidence BaseDe 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. Bij vaccinatie gaat het alleen om wat is toegediend en wanneer. References
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Vaccination | Vaccination | ||
id | 0..1 | string | |
extension | I | 0..* | Extension |
ProductCode | 0..1 | CodeableConceptBinding | |
Dose | I | 0..1 | Quantity |
VaccinationDate | 0..1 | dateTime | |
Location | I | 0..1 | Reference(HdBe-HealthcareOrganization) |
Administrator | I | 0..1 | Reference(HdBe-HealthProfessional) |
Comment | 0..1 | string |
Vaccination | 0..* | |
Vaccination.ProductCode | CodeableConcept | 0..1 |
Vaccination.Dose | Quantity | 0..1 |
Vaccination.VaccinationDate | dateTime | 0..1 |
Vaccination.Location | Reference(HdBe-HealthcareOrganization) | 0..1 |
Vaccination.Administrator | Reference(HdBe-HealthProfessional) | 0..1 |
Vaccination.Comment | string | 0..1 |
Vaccination | |
Definition | Root concept of the Vaccination information model. This root concept contains all data elements of the Vaccination information model. |
Cardinality | 0...* |
Invariants |
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Mappings |
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Vaccination.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Mappings |
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Vaccination.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
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Mappings |
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Vaccination.ProductCode | |
Definition | The product code of the vaccine administered. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | Vaccine Product codes |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants |
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Mappings |
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Vaccination.Dose | |
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. |
Cardinality | 0...1 |
Type | Quantity |
Comments | The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. |
Invariants |
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Mappings |
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Vaccination.VaccinationDate | |
Definition | Date (and if possible time) that the vaccine was administered. |
Cardinality | 0...1 |
Type | dateTime |
Invariants |
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Mappings |
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Vaccination.Location | |
Definition | The healthcare center where the vaccination is or will be carried out. |
Cardinality | 0...1 |
Type | Reference(HdBe-HealthcareOrganization) |
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. |
Invariants |
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Mappings |
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Vaccination.Administrator | |
Definition | The health professional by whom the vaccination was done or will be done. |
Cardinality | 0...1 |
Type | Reference(HdBe-HealthProfessional) |
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. |
Invariants |
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Mappings |
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Vaccination.Comment | |
Definition | Free text explanation. Examples of commonly used explanations are: - "Vaccination according to the National Immunisation Program". - "Not according to the National Immunisation Program", followed by further explanation. - "Unknown" |
Cardinality | 0...1 |
Type | string |
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size |
Invariants |
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Mappings |
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Example instances
vaccination | |
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ProductCode | 836393002 - Rabies lyssavirus antigen-containing vaccine product (code by SNOMED CT) |
Dose | |
VaccinationDate | 2018-02-06 |
Administrator | -- |
Administrator | Reference to HealthProfessional (E. Penninx) |
Location | Reference to HealthcareOrganization (Enterprise Hospital Ziekenhuis) |
Comment | Visit to Peru. |
zib Vaccination-v4.0 difference
Concept | Category | Description |
---|---|---|
Description | textual | Removed all text about planned vaccinations from the Concept, Purpose and Evidence Base sections. |
Description.concept | textual | Removed Dutch context. |
ProductCode |
terminology | Replaced all ValueSets by the ValueSet VaccineProduct with the descendants of SNOMED CT concept 787859002 (Vaccine Product) and loosened the binding from required to extensible. |
ProductCode |
textual | Removed contextual information about the multiple valueSets. |
VaccinationDate |
textual | Removed text about planned vaccinations, as this CBB is only used for administered vaccinations . |
Location |
element | Added element to accommodate healthcareProviders as the location (naming conform pre-adopt of higher zib version).(zib-1447). |
Administrator |
textual | Fixed incorrect mentioning of healthcareProvider with health professional as the administrator (zib-1447). |
Location |
textual | Replaced 'is or or' with 'is or'. |
Terminology Bindings
Path | Name | Strength | URL |
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ProductCode | VaccineProduct | extensible | https://fhir.healthdata.be/ValueSet/VaccineProduct |