CH VACD (R4)
0.1.0 - STU 1 Informative Ballot
This page is part of the CH VACD (R4) (v0.1.0: STU 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="2-ImmunizationCertificate"/>
<meta>
<lastUpdated value="2021-02-11T23:47:50.626+01:00"/>
<profile
value="http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-document-immunization-certificate"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:ee4a07fc-dfe1-4c84-adcd-e66ea1c3ecf4"/>
</identifier>
<type value="document"/>
<timestamp value="2021-02-11T23:47:50.608+01:00"/>
<entry>
<fullUrl
value="http://test.fhir.ch/r4/Composition/4d8ff91f-327c-4673-87ea-f0512d02015e"/>
<resource>
<Composition>
<id value="4d8ff91f-327c-4673-87ea-f0512d02015e"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-composition-immunization-certificate"/>
</meta>
<language value="en-US"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US">This is the composition for all immunizations.</div>
</text>
<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-setid">
<valueIdentifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:ee4a07fc-dfe1-4c84-adcd-e66ea1c3ecf4"/>
</valueIdentifier>
</extension>
<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-versionnumber" id="versionNumber">
<valueUnsignedInt value="1"/>
</extension>
<identifier>
<system value="urn:oid:2.16.756.5.30.1.1.1.1"/>
<value value="1b5777e4-11a0-46de-87f1-0bd860a0ff75"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="41000179103"/>
<display value="Immunization record"/>
</coding>
</type>
<subject>
<reference value="Patient/patient1"/>
</subject>
<date value="2021-02-11T23:47:50+01:00"/>
<author>
<reference value="Practitioner/practitioner1"/>
</author>
<title value="Verabreichte Impfungen"/>
<confidentiality value="N">
<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="17621005"/>
<display value="Normal (qualifier value)"/>
</coding>
</valueCodeableConcept>
</extension>
</confidentiality>
<custodian>
<reference value="Organization/organization2"/>
</custodian>
<section id="administration">
<title value="Liste der verabreichten Impfungen"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11369-6"/>
<display value="Hx of Immunization"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US">This is the section containing all immunization entries.</div>
</text>
<entry>
<reference value="Immunization/immunization1"/>
</entry>
<entry>
<reference value="Immunization/immunization2"/>
</entry>
<entry>
<reference value="Immunization/immunization3"/>
</entry>
<entry>
<reference value="Immunization/immunization4"/>
</entry>
</section>
<section id="annotation">
<title value="Kommentar"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US">This is the section containing all immunization entries.</div>
</text>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Patient/patient1"/>
<resource>
<Patient>
<id value="patient1"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<div class="hapiHeaderText">Monika
<b>WEGMUELLER </b>
</div>
<table class="hapiPropertyTable">
<tbody>
<tr>
<td>Identifier</td>
<td>123.71.332.115</td>
</tr>
<tr>
<td>Address</td>
<td>
<span>Leidensweg 10 </span>
<br/>
<span>Specimendorf </span>
<span>CH </span>
</td>
</tr>
<tr>
<td>Date of birth</td>
<td>
<span>10 March 1967</span>
</td>
</tr>
</tbody>
</table>
</div>
</text>
<identifier>
<system value="urn:oid:2.16.756.5.31"/>
<value value="123.71.332.115"/>
</identifier>
<identifier>
<system value="urn:oid:2.16.756.5.30.1.123.100.1.1.1"/>
<value value="8077560000000000000000"/>
</identifier>
<name>
<family value="Wegmueller"/>
<given value="Monika"/>
</name>
<telecom>
<system value="phone"/>
<value value="tel:+41.32.685.12.34"/>
<use value="home"/>
</telecom>
<gender value="female"/>
<birthDate value="1967-03-10"/>
<address>
<type value="both"/>
<line value="Leidensweg 10"/>
<city value="Specimendorf"/>
<postalCode value="9876"/>
<country value="CH"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Practitioner/practitioner1"/>
<resource>
<Practitioner>
<id value="practitioner1"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner-epr"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 2000000000030</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>
</text>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="2000000000030"/>
</identifier>
<active value="true"/>
<name>
<family value="Bereit"/>
<given value="Allzeit"/>
<prefix value="Dr. med."/>
</name>
<telecom>
<system value="phone"/>
<value value="tel:+41.32.234.55.66"/>
<use value="work"/>
</telecom>
<telecom>
<system value="fax"/>
<value value="fax:+41.32.234.55.67"/>
<use value="work"/>
</telecom>
<telecom>
<system value="email"/>
<value value="mailto:bereit@gruppenpraxis.ch"/>
<use value="work"/>
</telecom>
<telecom>
<system value="url"/>
<value value="http://www.gruppenpraxis.ch"/>
<use value="work"/>
</telecom>
<address>
<type value="physical"/>
<line value="Doktorgasse 2"/>
<city value="Musterhausen"/>
<postalCode value="8888"/>
<country value="CH"/>
</address>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Organization/organization2"/>
<resource>
<Organization>
<id value="organization2"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 2010000000031</p><p><b>name</b>: Stiftung meineimpfungen.ch</p><p><b>address</b>: Mattenstrasse 9 Gümligen BE 3073 CH </p></div>
</text>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="2010000000031"/>
</identifier>
<name value="Stiftung meineimpfungen.ch"/>
<address>
<line value="Mattenstrasse 9"/>
<city value="Gümligen"/>
<state value="BE"/>
<postalCode value="3073"/>
<country value="CH"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/PractitionerRole/practitionerRole1"/>
<resource>
<PractitionerRole>
<id value="practitionerRole1"/>
<text>
<status value="generated"/>
<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_practitioner1">See above (Practitioner/practitioner1)</a></p><p><b>organization</b>: <a href="#Organization_organization2">See above (Organization/organization2)</a></p></div>
</text>
<active value="true"/>
<practitioner>
<reference value="Practitioner/practitioner1"/>
</practitioner>
<organization>
<reference value="Organization/organization2"/>
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Practitioner/practitioner2"/>
<resource>
<Practitioner>
<id value="practitioner2"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner-epr"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 2000000000031</p><p><b>active</b>: true</p><p><b>name</b>: Max Muster </p></div>
</text>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="2000000000031"/>
</identifier>
<active value="true"/>
<name>
<family value="Muster"/>
<given value="Max"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Immunization/immunization1"/>
<resource>
<Immunization>
<id value="immunization1"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-section-immunization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 12345</p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: <span title="Codes: {http://swissmedic.ch/ns/authorizationnumber/vs 637}">Boostrix</span></p><p><b>patient</b>: <a href="#Patient_patient1">See above (Patient/patient1)</a></p><p><b>occurrence</b>: Sep 15, 2013, 11:47:50 PM</p><p><b>recorded</b>: Sep 15, 2013, 11:47:50 PM</p><p><b>lotNumber</b>: 12345</p><h3>Performers</h3><table class="grid"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href="#Practitioner_practitioner2">See above (Practitioner/practitioner2)</a></td></tr></table><p><b>reasonCode</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-ActCode IMMUNIZ}">Immunization</span></p><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 76668005}">Diphtheria immunization</span>, <span title="Codes: {http://snomed.info/sct 127786006}">Tetanus vaccination</span>, <span title="Codes: {http://snomed.info/sct 39343008}">Pertussis vaccination</span></td><td>1</td></tr></table></div>
</text>
<identifier>
<system value="urn:oid:2.16.756.5.30.1.147.1.3.1"/>
<value value="12345"/>
</identifier>
<status value="completed"/>
<vaccineCode>
<coding>
<system value="http://swissmedic.ch/ns/authorizationnumber/vs"/>
<code value="637"/>
<display value="Boostrix"/>
</coding>
</vaccineCode>
<patient>
<reference value="Patient/patient1"/>
</patient>
<occurrenceDateTime value="2013-09-15T23:47:50+02:00"/>
<recorded value="2013-09-15T23:47:50+02:00"/>
<lotNumber value="12345"/>
<performer>
<actor>
<reference value="Practitioner/practitioner2"/>
</actor>
</performer>
<reasonCode>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMMUNIZ"/>
<display value="Immunization"/>
</coding>
</reasonCode>
<protocolApplied>
<targetDisease>
<coding>
<system value="http://snomed.info/sct"/>
<code value="76668005"/>
<display value="Diphtheria immunization"/>
</coding>
</targetDisease>
<targetDisease>
<coding>
<system value="http://snomed.info/sct"/>
<code value="127786006"/>
<display value="Tetanus vaccination"/>
</coding>
</targetDisease>
<targetDisease>
<coding>
<system value="http://snomed.info/sct"/>
<code value="39343008"/>
<display value="Pertussis vaccination"/>
</coding>
</targetDisease>
<doseNumberPositiveInt value="1"/>
</protocolApplied>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Immunization/immunization2"/>
<resource>
<Immunization>
<id value="immunization2"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-section-immunization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 23456</p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: <span title="Codes: {http://swissmedic.ch/ns/authorizationnumber/vs 637}">Boostrix</span></p><p><b>patient</b>: <a href="#Patient_patient1">See above (Patient/patient1)</a></p><p><b>occurrence</b>: Aug 12, 2014, 11:47:50 PM</p><p><b>recorded</b>: Aug 12, 2014, 11:47:50 PM</p><p><b>lotNumber</b>: 12345</p><h3>Performers</h3><table class="grid"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href="#Practitioner_practitioner2">See above (Practitioner/practitioner2)</a></td></tr></table><p><b>reasonCode</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-ActCode IMMUNIZ}">Immunization</span></p><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 76668005}">Diphtheria immunization</span>, <span title="Codes: {http://snomed.info/sct 127786006}">Tetanus vaccination</span>, <span title="Codes: {http://snomed.info/sct 39343008}">Pertussis vaccination</span></td><td>1</td></tr></table></div>
</text>
<identifier>
<system value="urn:oid:2.16.756.5.30.1.147.1.3.1"/>
<value value="23456"/>
</identifier>
<status value="completed"/>
<vaccineCode>
<coding>
<system value="http://swissmedic.ch/ns/authorizationnumber/vs"/>
<code value="637"/>
<display value="Boostrix"/>
</coding>
</vaccineCode>
<patient>
<reference value="Patient/patient1"/>
</patient>
<occurrenceDateTime value="2014-08-12T23:47:50+02:00"/>
<recorded value="2014-08-12T23:47:50+02:00"/>
<lotNumber value="12345"/>
<performer>
<actor>
<reference value="Practitioner/practitioner2"/>
</actor>
</performer>
<reasonCode>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMMUNIZ"/>
<display value="Immunization"/>
</coding>
</reasonCode>
<protocolApplied>
<targetDisease>
<coding>
<system value="http://snomed.info/sct"/>
<code value="76668005"/>
<display value="Diphtheria immunization"/>
</coding>
</targetDisease>
<targetDisease>
<coding>
<system value="http://snomed.info/sct"/>
<code value="127786006"/>
<display value="Tetanus vaccination"/>
</coding>
</targetDisease>
<targetDisease>
<coding>
<system value="http://snomed.info/sct"/>
<code value="39343008"/>
<display value="Pertussis vaccination"/>
</coding>
</targetDisease>
<doseNumberPositiveInt value="1"/>
</protocolApplied>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Immunization/immunization3"/>
<resource>
<Immunization>
<id value="immunization3"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-section-immunization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 34567</p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: <span title="Codes: {http://swissmedic.ch/ns/authorizationnumber/vs 637}">Boostrix</span></p><p><b>patient</b>: <a href="#Patient_patient1">See above (Patient/patient1)</a></p><p><b>occurrence</b>: Nov 1, 2015, 11:47:50 PM</p><p><b>recorded</b>: Nov 1, 2015, 11:47:50 PM</p><p><b>lotNumber</b>: 12345</p><h3>Performers</h3><table class="grid"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href="#Practitioner_practitioner2">See above (Practitioner/practitioner2)</a></td></tr></table><p><b>reasonCode</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-ActCode IMMUNIZ}">Immunization</span></p><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 76668005}">Diphtheria immunization</span>, <span title="Codes: {http://snomed.info/sct 127786006}">Tetanus vaccination</span>, <span title="Codes: {http://snomed.info/sct 39343008}">Pertussis vaccination</span></td><td>1</td></tr></table></div>
</text>
<identifier>
<system value="urn:oid:2.16.756.5.30.1.147.1.3.1"/>
<value value="34567"/>
</identifier>
<status value="completed"/>
<vaccineCode>
<coding>
<system value="http://swissmedic.ch/ns/authorizationnumber/vs"/>
<code value="637"/>
<display value="Boostrix"/>
</coding>
</vaccineCode>
<patient>
<reference value="Patient/patient1"/>
</patient>
<occurrenceDateTime value="2015-11-01T23:47:50+01:00"/>
<recorded value="2015-11-01T23:47:50+01:00"/>
<lotNumber value="12345"/>
<performer>
<actor>
<reference value="Practitioner/practitioner2"/>
</actor>
</performer>
<reasonCode>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMMUNIZ"/>
<display value="Immunization"/>
</coding>
</reasonCode>
<protocolApplied>
<targetDisease>
<coding>
<system value="http://snomed.info/sct"/>
<code value="76668005"/>
<display value="Diphtheria immunization"/>
</coding>
</targetDisease>
<targetDisease>
<coding>
<system value="http://snomed.info/sct"/>
<code value="127786006"/>
<display value="Tetanus vaccination"/>
</coding>
</targetDisease>
<targetDisease>
<coding>
<system value="http://snomed.info/sct"/>
<code value="39343008"/>
<display value="Pertussis vaccination"/>
</coding>
</targetDisease>
<doseNumberPositiveInt value="1"/>
</protocolApplied>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Immunization/immunization4"/>
<resource>
<Immunization>
<id value="immunization4"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-section-immunization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 45678</p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: <span title="Codes: {http://swissmedic.ch/ns/authorizationnumber/vs 268}">MMR-II</span></p><p><b>patient</b>: <a href="#Patient_patient1">See above (Patient/patient1)</a></p><p><b>occurrence</b>: Mar 5, 2016, 11:47:50 PM</p><p><b>recorded</b>: Mar 5, 2016, 11:47:50 PM</p><p><b>lotNumber</b>: 12345</p><h3>Performers</h3><table class="grid"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href="#Practitioner_practitioner1">See above (Practitioner/practitioner1)</a></td></tr></table><p><b>reasonCode</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-ActCode IMMUNIZ}">Immunization</span></p><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 47435007}">Measles vaccination</span>, <span title="Codes: {http://snomed.info/sct 50583002}">Mumps vaccination</span>, <span title="Codes: {http://snomed.info/sct 82314000}">Rubella vaccination</span></td><td>1</td></tr></table></div>
</text>
<identifier>
<system value="urn:oid:2.16.756.5.30.1.147.1.3.1"/>
<value value="45678"/>
</identifier>
<status value="completed"/>
<vaccineCode>
<coding>
<system value="http://swissmedic.ch/ns/authorizationnumber/vs"/>
<code value="268"/>
<display value="MMR-II"/>
</coding>
</vaccineCode>
<patient>
<reference value="Patient/patient1"/>
</patient>
<occurrenceDateTime value="2016-03-05T23:47:50+01:00"/>
<recorded value="2016-03-05T23:47:50+01:00"/>
<lotNumber value="12345"/>
<performer>
<actor>
<reference value="Practitioner/practitioner1"/>
</actor>
</performer>
<reasonCode>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMMUNIZ"/>
<display value="Immunization"/>
</coding>
</reasonCode>
<protocolApplied>
<targetDisease>
<coding>
<system value="http://snomed.info/sct"/>
<code value="47435007"/>
<display value="Measles vaccination"/>
</coding>
</targetDisease>
<targetDisease>
<coding>
<system value="http://snomed.info/sct"/>
<code value="50583002"/>
<display value="Mumps vaccination"/>
</coding>
</targetDisease>
<targetDisease>
<coding>
<system value="http://snomed.info/sct"/>
<code value="82314000"/>
<display value="Rubella vaccination"/>
</coding>
</targetDisease>
<doseNumberPositiveInt value="1"/>
</protocolApplied>
</Immunization>
</resource>
</entry>
</Bundle>