CH VACD (R4)
1.0.0 - STU 2 Ballot

This page is part of the CH VACD (R4) (v1.0.0: STU 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

: 1.1 Immunization Administration - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "1-1-ImmunizationAdministration",
  "meta" : {
    "lastUpdated" : "2021-06-01T00:00:00.374+02:00",
    "profile" : [
      "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-document-immunization-administration"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:5b8a26b2-dd6d-4c04-acaf-e4a44b7bcf47"
  },
  "type" : "document",
  "timestamp" : "2021-06-01T00:00:00.390+02:00",
  "entry" : [
    {
      "fullUrl" : "http://test.fhir.ch/r4/Composition/2-1-ImmunizationAdministrationComposition",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "2-1-ImmunizationAdministrationComposition",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-composition-immunization-administration"
          ]
        },
        "language" : "en-US",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\">This is the composition for all immunizations.</div>"
        },
        "extension" : [
          {
            "id" : "versionNumber",
            "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-versionnumber",
            "valueUnsignedInt" : 1
          }
        ],
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:5bca53b2-0973-4b91-961e-b1e93474c9c2"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "41000179103",
              "display" : "Immunization record"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/3-1-Patient"
        },
        "date" : "2021-06-01T00:00:00+02:00",
        "author" : [
          {
            "reference" : "PractitionerRole/6-1-PractitionerRole"
          }
        ],
        "title" : "Immunization Administration",
        "confidentiality" : "N",
        "_confidentiality" : {
          "extension" : [
            {
              "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "17621005",
                    "display" : "Normal (qualifier value)"
                  }
                ]
              }
            }
          ]
        },
        "custodian" : {
          "reference" : "Organization/5-1-Organization"
        },
        "section" : [
          {
            "id" : "administration",
            "title" : "Immunization Administration",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "11369-6",
                  "display" : "Hx of Immunization"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\">This is the section containing all immunization entries.</div>"
            },
            "entry" : [
              {
                "reference" : "Immunization/7-1-Immunization"
              }
            ]
          },
          {
            "id" : "annotation",
            "title" : "Comments",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48767-8",
                  "display" : "Annotation comment [Interpretation] Narrative"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\">This is the section containing all immunization entries.</div>"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Patient/3-1-Patient",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "3-1-Patient",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-epr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                  <div class=\"hapiHeaderText\">Monika \n                     <b>WEGMUELLER </b>\n                  </div>\n                  <table class=\"hapiPropertyTable\">\n                     <tbody>\n                        <tr>\n                           <td>Identifier</td>\n                           <td>123.71.332.115</td>\n                        </tr>\n                        <tr>\n                           <td>Address</td>\n                           <td>\n                              <span>Leidensweg 10 </span>\n                              <br/>\n                              <span>Specimendorf </span>\n                              <span>CH </span>\n                           </td>\n                        </tr>\n                        <tr>\n                           <td>Date of birth</td>\n                           <td>\n                              <span>10 February 1967</span>\n                           </td>\n                        </tr>\n                     </tbody>\n                  </table>\n               </div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.16.756.5.31",
            "value" : "123.71.332.115"
          },
          {
            "system" : "urn:oid:2.16.756.5.30.1.123.100.1.1.1",
            "value" : "8077560000000000000000"
          }
        ],
        "name" : [
          {
            "family" : "Wegmueller",
            "given" : [
              "Monika"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "tel:+41.32.685.12.34",
            "use" : "home"
          }
        ],
        "gender" : "female",
        "birthDate" : "1967-02-10",
        "address" : [
          {
            "type" : "both",
            "line" : [
              "Leidensweg 10"
            ],
            "city" : "Specimendorf",
            "postalCode" : "9876",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Practitioner/4-1-Practitioner",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "4-1-Practitioner",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner-epr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 7608888888888</p><p><b>active</b>: true</p><p><b>name</b>: Allzeit Bereit </p><p><b>telecom</b>: ph: tel:+41.32.234.55.66(WORK), fax: fax:+41.32.234.55.67(WORK), <a href=\"mailto:mailto:bereit@gruppenpraxis.ch\">mailto:bereit@gruppenpraxis.ch</a>, <a href=\"http://www.gruppenpraxis.ch\">http://www.gruppenpraxis.ch</a></p><p><b>address</b>: Doktorgasse 2 Musterhausen 8888 CH </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7608888888888"
          }
        ],
        "active" : true,
        "name" : [
          {
            "family" : "Bereit",
            "given" : [
              "Allzeit"
            ],
            "prefix" : [
              "Dr. med."
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "tel:+41.32.234.55.66",
            "use" : "work"
          },
          {
            "system" : "fax",
            "value" : "fax:+41.32.234.55.67",
            "use" : "work"
          },
          {
            "system" : "email",
            "value" : "mailto:bereit@gruppenpraxis.ch",
            "use" : "work"
          },
          {
            "system" : "url",
            "value" : "http://www.gruppenpraxis.ch",
            "use" : "work"
          }
        ],
        "address" : [
          {
            "type" : "physical",
            "line" : [
              "Doktorgasse 2"
            ],
            "city" : "Musterhausen",
            "postalCode" : "8888",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Organization/5-1-Organization",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "5-1-Organization",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization-epr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 7608888888888</p><p><b>name</b>: Gruppenpraxis CH</p><p><b>telecom</b>: ph: tel:+41.32.234.55.66(WORK), fax: fax:+41.32.234.55.67(WORK), <a href=\"mailto:mailto:bereit@gruppenpraxis.ch\">mailto:bereit@gruppenpraxis.ch</a>, <a href=\"http://www.gruppenpraxis.ch\">http://www.gruppenpraxis.ch</a></p><p><b>address</b>: Doktorgasse 2 Musterhausen ZH 8888 CH </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7608888888888"
          }
        ],
        "name" : "Gruppenpraxis CH",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "tel:+41.32.234.55.66",
            "use" : "work"
          },
          {
            "system" : "fax",
            "value" : "fax:+41.32.234.55.67",
            "use" : "work"
          },
          {
            "system" : "email",
            "value" : "mailto:bereit@gruppenpraxis.ch",
            "use" : "work"
          },
          {
            "system" : "url",
            "value" : "http://www.gruppenpraxis.ch",
            "use" : "work"
          }
        ],
        "address" : [
          {
            "line" : [
              "Doktorgasse 2"
            ],
            "city" : "Musterhausen",
            "state" : "ZH",
            "postalCode" : "8888",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/PractitionerRole/6-1-PractitionerRole",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "6-1-PractitionerRole",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole-epr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>active</b>: true</p><p><b>practitioner</b>: <a href=\"#Practitioner_4-1-Practitioner\">See above (Practitioner/4-1-Practitioner)</a></p><p><b>organization</b>: <a href=\"#Organization_5-1-Organization\">See above (Organization/5-1-Organization)</a></p></div>"
        },
        "active" : true,
        "practitioner" : {
          "reference" : "Practitioner/4-1-Practitioner"
        },
        "organization" : {
          "reference" : "Organization/5-1-Organization"
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Immunization/7-1-Immunization",
      "resource" : {
        "resourceType" : "Immunization",
        "id" : "7-1-Immunization",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-immunization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 1829774</p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: <span title=\"Codes: {http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-swissmedic-cs 637}\">Boostrix</span></p><p><b>patient</b>: <a href=\"#Patient_3-1-Patient\">See above (Patient/3-1-Patient)</a></p><p><b>occurrence</b>: Sep 15, 2017, 9:12:56 AM</p><p><b>recorded</b>: Sep 15, 2017, 9:12:56 AM</p><p><b>lotNumber</b>: 12-34244</p><p><b>route</b>: <span title=\"Codes: {http://standardterms.edqm.eu 20035000}\">Intramuscular use</span></p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"#PractitionerRole_6-1-PractitionerRole\">See above (PractitionerRole/6-1-PractitionerRole)</a></td></tr></table><h3>ProtocolApplieds</h3><table class=\"grid\"><tr><td>-</td><td><b>TargetDisease</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://snomed.info/sct 397430003}\">Diphtheria caused by Corynebacterium diphtheriae (disorder)</span>, <span title=\"Codes: {http://snomed.info/sct 76902006}\">Tetanus (disorder)</span>, <span title=\"Codes: {http://snomed.info/sct 27836007}\">Pertussis (disorder)</span></td><td>1</td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.16.756.5.30.1.147.1.3.1",
            "value" : "1829774"
          }
        ],
        "status" : "completed",
        "vaccineCode" : {
          "coding" : [
            {
              "system" : "http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-swissmedic-cs",
              "code" : "637",
              "display" : "Boostrix"
            }
          ]
        },
        "patient" : {
          "reference" : "Patient/3-1-Patient"
        },
        "occurrenceDateTime" : "2017-09-15T09:12:56+02:00",
        "recorded" : "2017-09-15T09:12:56+02:00",
        "lotNumber" : "12-34244",
        "route" : {
          "coding" : [
            {
              "system" : "http://standardterms.edqm.eu",
              "code" : "20035000",
              "display" : "Intramuscular use"
            }
          ]
        },
        "performer" : [
          {
            "actor" : {
              "reference" : "PractitionerRole/6-1-PractitionerRole"
            }
          }
        ],
        "protocolApplied" : [
          {
            "targetDisease" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "397430003",
                    "display" : "Diphtheria caused by Corynebacterium diphtheriae (disorder)"
                  }
                ]
              },
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "76902006",
                    "display" : "Tetanus (disorder)"
                  }
                ]
              },
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "27836007",
                    "display" : "Pertussis (disorder)"
                  }
                ]
              }
            ],
            "doseNumberPositiveInt" : 1
          }
        ]
      }
    }
  ]
}