<status value="draft" /> <date value="2019-10-25T08:07:31.5580118+00:00" /> <publisher value="Man Ki Jeon" /> <description value="예방접종 기록을 관리하는 리소스. 현재 질병관리본부에서 사용하고 있는 예방접종기록에 자신이 보유한 항체 데이터를 기록하는 기록지" /> <purpose value="질병관리본부에서 제공하는 예방접종기록(성인권고 예방접종)에 자신이 가진 항체 데이터를 기록, 관리하는 위한 리소스" /> <fhirVersion value="4.0.0" /> <kind value="resource" /> <abstract value="false" /> <type value="Immunization" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Immunization" /> <derivation value="constraint" /> <differential> <element id="Immunization"> <path value="Immunization" /> <short value="예방접종 기록" /> <definition value="예방접종 기록. 예방접종을 하지 않았다면, 그 이유가 무엇인지를 기록한다. 예를들어 이미 몸 속에 항체가 있다는 것을 기록할 수 있다." /> <mustSupport value="true" /> </element> <element id="Immunization.status"> <path value="Immunization.status" /> <short value="completed | not-done" /> <definition value="현재 예방접종 상태를 나타낸다. http://hl7.org/fhir/ValueSet/immunization-status 코드를 사용한다. compeleted는 예방 접종일 실시 됨, not-done은 예방 접종 미실시를 의미한다." /> </element> <element id="Immunization.statusReason"> <path value="Immunization.statusReason" /> <code> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason" /> <version value="4.0.0" /> <code value="IMMUNE" /> <display value="immunity" /> <userSelected value="true" /> </code> <code> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason" /> <version value="4.0.0" /> <code value="MEDPREC" /> <display value="medical precaution" /> <userSelected value="true" /> </code> <code> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason" /> <version value="4.0.0" /> <code value="OSTOCK" /> <display value="product out of stock" /> <userSelected value="true" /> </code> <code> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason" /> <version value="4.0.0" /> <code value="PATOBJ" /> <display value="patient objection" /> <userSelected value="true" /> </code> <short value="예방접종 하지 않은 이유" /> <definition value="예방 접종을 하지 않은 이유 http://terminology.hl7.org/CodeSystem/v3-ActReason에 정의된 코드를 사용. 일치하는 코드가 없다면 추가 가능. IMMUNE | MEDPREC | OSTOCK | PATOBJ" /> <binding> <strength value="required" /> </binding> </element> <element id="Immunization.statusReason.coding.system"> <path value="Immunization.statusReason.coding.system" /> <fixedUri value="http://terminology.hl7.org/CodeSystem/v3-ActReason" /> </element> <element id="Immunization.vaccineCode"> <path value="Immunization.vaccineCode" /> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="16" /> <display value="Influenza, whole" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="138" /> <display value="Td(adult)" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="33" /> <display value="pneumococcal polysaccharide PPV23" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="133" /> <display value="Pneumococcal conjugate PCV 13" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="52" /> <display value="Hep A, adult" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="43" /> <display value="Hep B, adult" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="21" /> <display value="varicella" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="03" /> <display value="MMR" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="118" /> <display value="HPV, bivalent" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="62" /> <display value="HPV, quadrivalent" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="137" /> <display value="HPV, unspecified formulation" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="165" /> <display value="HPV9" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="60" /> <display value="herpes simplex 2" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="147" /> <display value="meningococcal MCV4, unspecified formulation" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="136" /> <display value="Meningococcal MCV4O" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="114" /> <display value="meningococcal MCV4P" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="47" /> <display value="Hib (HbOC)" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="46" /> <display value="Hib (PRP-D)" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="49" /> <display value="Hib (PRP-OMP)" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="48" /> <display value="Hib (PRP-T)" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="17" /> <display value="Hib, unspecified formulation" /> </code> <code> <system value="http://hl7.org/fhir/sid/cvx" /> <version value="4.0.0" /> <code value="51" /> <display value="Hib-Hep B" /> </code> <definition value="http://hl7.org/fhir에 정의된 vaccine-code ValueSet을 사용하여 현재 한국 성인에게 권장되는 백신 코드를 정의한다. Flu | Tdap/Td | PPSV23 | PCV13 | HepA | HepB | Var | MMR | HPV | HZV | MCV4 | Hib" /> <binding> <strength value="required" /> </binding> </element> <element id="Immunization.vaccineCode.coding.system"> <path value="Immunization.vaccineCode.coding.system" /> <fixedUri value="http://hl7.org/fhir/sid/cvx" /> </element> <element id="Immunization.patient"> <path value="Immunization.patient" /> <short value="환자 정보" /> <definition value="예방접종 관련 서비스를 받은 환자의 정보" /> </element> <element id="Immunization.encounter"> <path value="Immunization.encounter" /> <max value="0" /> </element> <element id="Immunization.occurrence[x]"> <path value="Immunization.occurrence[x]" /> <short value="백신 접종 일자/예정일" /> <definition value="백신 접종 일자 / 예정일" /> </element> <element id="Immunization.recorded"> <path value="Immunization.recorded" /> <max value="0" /> </element> <element id="Immunization.primarySource"> <path value="Immunization.primarySource" /> <max value="0" /> </element> <element id="Immunization.reportOrigin"> <path value="Immunization.reportOrigin" /> <max value="0" /> </element> <element id="Immunization.location"> <path value="Immunization.location" /> <max value="0" /> </element> <element id="Immunization.manufacturer"> <path value="Immunization.manufacturer" /> <max value="0" /> </element> <element id="Immunization.lotNumber"> <path value="Immunization.lotNumber" /> <max value="0" /> </element> <element id="Immunization.expirationDate"> <path value="Immunization.expirationDate" /> <max value="0" /> </element> <element id="Immunization.site"> <path value="Immunization.site" /> <max value="0" /> </element> <element id="Immunization.route"> <path value="Immunization.route" /> <max value="0" /> </element> <element id="Immunization.doseQuantity"> <path value="Immunization.doseQuantity" /> <max value="0" /> </element> <element id="Immunization.performer"> <path value="Immunization.performer" /> <short value="의료 서비스를 제공한 사람" /> <definition value="예방 접종이나 항체 검사를 제공한 사람을 나타낸다." /> <min value="1" /> <max value="1" /> </element> <element id="Immunization.performer.function"> <path value="Immunization.performer.function" /> <short value="의료 서비스를 제공한 사람의 타입" /> <definition value="http://hl7.org/fhir/에 정의된 immunization-function ValueSet에 있는 코드를 사용하여 표현한다. Ordering Provider | Administering Provider" /> </element> <element id="Immunization.performer.function.coding.system"> <path value="Immunization.performer.function.coding.system" /> <fixedUri value="http://hl7.org/fhir/ValueSet/immunization-function" /> </element> <element id="Immunization.performer.actor"> <path value="Immunization.performer.actor" /> <short value="의사나 기관을 나타낸다." /> </element> <element id="Immunization.note"> <path value="Immunization.note" /> <max value="0" /> </element> <element id="Immunization.reasonCode"> <path value="Immunization.reasonCode" /> <max value="0" /> </element> <element id="Immunization.reasonReference"> <path value="Immunization.reasonReference" /> <max value="0" /> </element> <element id="Immunization.subpotentReason"> <path value="Immunization.subpotentReason" /> <max value="0" /> </element> <element id="Immunization.education"> <path value="Immunization.education" /> <max value="0" /> </element> <element id="Immunization.programEligibility"> <path value="Immunization.programEligibility" /> <max value="0" /> </element> <element id="Immunization.fundingSource"> <path value="Immunization.fundingSource" /> <max value="0" /> </element> <element id="Immunization.reaction"> <path value="Immunization.reaction" /> <max value="0" /> </element> <element id="Immunization.protocolApplied"> <path value="Immunization.protocolApplied" /> <max value="1" /> </element> <element id="Immunization.protocolApplied.doseNumber[x]"> <path value="Immunization.protocolApplied.doseNumber[x]" /> <short value="차수" /> <definition value="차수를 표현한다." /> </element> </differential> </StructureDefinition>

해당 Immunization 리소스는 질병관리본부에서 권장하는 성인 예방접종을 대상으로 Immunization 리소스를 profile을 하였다. 현재 질병관리본부에서 제공하는 예방접종증명서는 단순히 예방 접종하였는지에 대한 정보만 표현하고 있어서 환자가 접종을 하기 전 검사를 통해 항체가 있는지 유무는 전혀 표현하고 있지 않다. 이러한 정보를 리소스에 표현한다. status는 예방 접종을 실시 되었는지 정보를 의미한다. ( completed : 예방 접종이 실시 됨, not-done : 예방 접종 미실시) statusReason은 예방 접종 미실시된 이유를 의미한다. ( IMMUNE : 환자가 이미 항체를 가지고 있다. | MEDPREC : 백신이 억제되거나 예방조치가 보장되는 의학적 상태를 가지고 있다. | OSTOCK : 접종을 수행하기 위한 제품이 없다. | PATOBJ : 환자나 보호자가 접종을 거부한다. ) vaccineCode는 질병관리본부에서 지정한 11가지 질병에 관한 12가지 백신을 http://hl7.org/fhir/ValueSet/vaccine-code에 지정된 코드와 매핑하였다.( Flu : 16 / Tdap : 115 / Td (adult) : 138 / PPSV23 : 33 / PCV13 : 133 / Hep A : 52 / Hep B : 43 / Var : 21 / MMR : 03 / HPV, bivalent : 118 ,quadrivalent : 62, unspecified formulation : 137, HPV9 : 165 / herpes simplex 2 : 60 / MCV 4, unspecified formulation : 147, MCV4O : 136, MCV4P : 114 / Hib, HbOC : 47, PRP-D : 46, PRP-OMP : 49, PRP-T : 48, unspecified formulation : 17, Hib-Hep B : 51 ) patient는 해당 환자에 대한 정보를 의미한다. occurence는 해당 검사가 실시된 날짜를 의미한다. performer는 해당 검사를 수행한 의사나 기관을 의미한다.