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

: 5 Immunization Recommendation Response - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "5-ImmunizationRecommendationResponse",
  "meta" : {
    "lastUpdated" : "2021-02-11T23:48:09.593+01:00",
    "profile" : [
      "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-document-immunization-recommendation-response"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:1824c4c9-f9fc-4175-8d87-2ba797a91533"
  },
  "type" : "document",
  "timestamp" : "2021-02-11T23:48:09.576+01:00",
  "entry" : [
    {
      "fullUrl" : "http://test.fhir.ch/r4/Composition/ch-vacd-document-vaccination-record",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "ch-vacd-document-vaccination-record",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-composition-immunization-recommendation-response"
          ]
        },
        "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 vaccination record.</div>"
        },
        "identifier" : {
          "system" : "urn:oid:2.16.756.5.30.1.1.1.1",
          "value" : "36f100de-9662-432a-b380-604bf7e69134"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "41000179103",
              "display" : "Immunization record"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient1"
        },
        "date" : "2021-02-11T23:48:09+01:00",
        "author" : [
          {
            "reference" : "Practitioner/practitioner1"
          }
        ],
        "title" : "Vaccination Record",
        "custodian" : {
          "reference" : "Organization/organization1"
        },
        "section" : [
          {
            "id" : "administration",
            "title" : "Liste der verabreichten Impfungen",
            "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/immunization1"
              },
              {
                "reference" : "Immunization/immunization2"
              },
              {
                "reference" : "Immunization/immunization3"
              },
              {
                "reference" : "Immunization/immunization4"
              }
            ]
          },
          {
            "id" : "medicalproblems",
            "title" : "MedicalProblems",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "11450-4",
                  "display" : "Problem list Reported"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\">This is the section containing the medical problem entries.</div>"
            },
            "entry" : [
              {
                "reference" : "Observation/medicalRiskObservation1"
              },
              {
                "reference" : "Observation/medicalRiskObservation2"
              }
            ]
          },
          {
            "id" : "sectionIlnessesUndergondeForImmunization1",
            "title" : "Undergone illnesses for immunization",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "11348-0",
                  "display" : "Hx of Past illness"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\">This is the section containing the undergone illnesses for immunization entries.</div>"
            },
            "entry" : [
              {
                "reference" : "Observation/pastIllnessObservation1"
              }
            ]
          },
          {
            "id" : "allergies",
            "title" : "Allergies",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48765-2",
                  "display" : "Allergies and adverse reactions Document"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\">This is the section containing the allergy entries.</div>"
            },
            "entry" : [
              {
                "reference" : "Observation/allergyObservation1"
              },
              {
                "reference" : "Observation/allergyObservation2"
              }
            ]
          },
          {
            "id" : "sectionLab1",
            "title" : "Lab",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "18727-8",
                  "display" : "Serology studies (set)"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\">This is the section containing the lab entries.</div>"
            },
            "entry" : [
              {
                "reference" : "Observation/labObservation1"
              }
            ]
          },
          {
            "id" : "pregnancy",
            "title" : "Pregnancy",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "10162-6",
                  "display" : "Pregnancies Hx"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\">This is the section containing the pregnancy status entry.</div>"
            },
            "entry" : [
              {
                "reference" : "Observation/pregnancyObservation1"
              }
            ]
          },
          {
            "id" : "sectionImmunizationRecomendations1",
            "title" : "Impf Empfehlungen",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "18776-5",
                  "display" : "Plan of care note"
                }
              ]
            },
            "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 recommendations entries.</div>"
            },
            "entry" : [
              {
                "reference" : "ImmunizationRecommendation/immunizationRecommendation1"
              },
              {
                "reference" : "ImmunizationRecommendation/immunizationRecommendation2"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Patient/patient1",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "patient1",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-recommendation-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                  <table class=\"hapiPropertyTable\">\n                     <tbody>\n                        <tr>\n                           <td>Identifier</td>\n                           <td>b3c7fc35-dd9c-4198-b63c-91af7218a65d</td>\n                        </tr>\n                        <tr>\n                           <td>Address</td>\n                           <td/>\n                        </tr>\n                        <tr>\n                           <td>Date of birth</td>\n                           <td>\n                              <span>10 March 1967</span>\n                           </td>\n                        </tr>\n                     </tbody>\n                  </table>\n               </div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.16.756.5.30.1.147.1.1",
            "value" : "b3c7fc35-dd9c-4198-b63c-91af7218a65d"
          }
        ],
        "gender" : "female",
        "birthDate" : "1967-03-10",
        "address" : [
          {
            "postalCode" : "9876"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Practitioner/practitioner1",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "practitioner1",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-recommendation-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 0000000000000</p><p><b>active</b>: true</p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "0000000000000"
          }
        ],
        "active" : true
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Organization/organization1",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "organization1",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 0000000000000</p><p><b>name</b>: CDSS Requesting Org</p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "0000000000000"
          }
        ],
        "name" : "CDSS Requesting Org"
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/PractitionerRole/practitionerRole1",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "practitionerRole1",
        "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_practitioner1\">See above (Practitioner/practitioner1)</a></p><p><b>organization</b>: <a href=\"#Organization_organization1\">See above (Organization/organization1)</a></p></div>"
        },
        "active" : true,
        "practitioner" : {
          "reference" : "Practitioner/practitioner1"
        },
        "organization" : {
          "reference" : "Organization/organization1"
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Practitioner/practitioner2",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "practitioner2",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-recommendation-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "2000000000031"
          }
        ],
        "active" : true,
        "name" : [
          {
            "family" : "Muster",
            "given" : [
              "Max"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Immunization/immunization1",
      "resource" : {
        "resourceType" : "Immunization",
        "id" : "immunization1",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-recommendation-section-immunization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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, 11:48:09 PM</p><p><b>recorded</b>: Sep 15, 2013, 11:48:09 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>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.16.756.5.30.1.147.1.3.1",
            "value" : "12345"
          }
        ],
        "status" : "completed",
        "vaccineCode" : {
          "coding" : [
            {
              "system" : "http://swissmedic.ch/ns/authorizationnumber/vs",
              "code" : "637",
              "display" : "Boostrix"
            }
          ]
        },
        "patient" : {
          "reference" : "Patient/patient1"
        },
        "occurrenceDateTime" : "2013-09-15T23:48:09+02:00",
        "recorded" : "2013-09-15T23:48:09+02:00",
        "lotNumber" : "12345",
        "performer" : [
          {
            "actor" : {
              "reference" : "Practitioner/practitioner2"
            }
          }
        ],
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "code" : "IMMUNIZ",
                "display" : "Immunization"
              }
            ]
          }
        ],
        "protocolApplied" : [
          {
            "targetDisease" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "76668005",
                    "display" : "Diphtheria immunization"
                  }
                ]
              },
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "127786006",
                    "display" : "Tetanus vaccination"
                  }
                ]
              },
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "39343008",
                    "display" : "Pertussis vaccination"
                  }
                ]
              }
            ],
            "doseNumberPositiveInt" : 1
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Immunization/immunization2",
      "resource" : {
        "resourceType" : "Immunization",
        "id" : "immunization2",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-recommendation-section-immunization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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, 11:48:09 PM</p><p><b>recorded</b>: Aug 12, 2014, 11:48:09 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>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.16.756.5.30.1.147.1.3.1",
            "value" : "23456"
          }
        ],
        "status" : "completed",
        "vaccineCode" : {
          "coding" : [
            {
              "system" : "http://swissmedic.ch/ns/authorizationnumber/vs",
              "code" : "637",
              "display" : "Boostrix"
            }
          ]
        },
        "patient" : {
          "reference" : "Patient/patient1"
        },
        "occurrenceDateTime" : "2014-08-12T23:48:09+02:00",
        "recorded" : "2014-08-12T23:48:09+02:00",
        "lotNumber" : "12345",
        "performer" : [
          {
            "actor" : {
              "reference" : "Practitioner/practitioner2"
            }
          }
        ],
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "code" : "IMMUNIZ",
                "display" : "Immunization"
              }
            ]
          }
        ],
        "protocolApplied" : [
          {
            "targetDisease" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "76668005",
                    "display" : "Diphtheria immunization"
                  }
                ]
              },
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "127786006",
                    "display" : "Tetanus vaccination"
                  }
                ]
              },
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "39343008",
                    "display" : "Pertussis vaccination"
                  }
                ]
              }
            ],
            "doseNumberPositiveInt" : 1
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Immunization/immunization3",
      "resource" : {
        "resourceType" : "Immunization",
        "id" : "immunization3",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-recommendation-section-immunization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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, 11:48:09 PM</p><p><b>recorded</b>: Nov 1, 2015, 11:48:09 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>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.16.756.5.30.1.147.1.3.1",
            "value" : "34567"
          }
        ],
        "status" : "completed",
        "vaccineCode" : {
          "coding" : [
            {
              "system" : "http://swissmedic.ch/ns/authorizationnumber/vs",
              "code" : "637",
              "display" : "Boostrix"
            }
          ]
        },
        "patient" : {
          "reference" : "Patient/patient1"
        },
        "occurrenceDateTime" : "2015-11-01T23:48:09+01:00",
        "recorded" : "2015-11-01T23:48:09+01:00",
        "lotNumber" : "12345",
        "performer" : [
          {
            "actor" : {
              "reference" : "Practitioner/practitioner2"
            }
          }
        ],
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "code" : "IMMUNIZ",
                "display" : "Immunization"
              }
            ]
          }
        ],
        "protocolApplied" : [
          {
            "targetDisease" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "76668005",
                    "display" : "Diphtheria immunization"
                  }
                ]
              },
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "127786006",
                    "display" : "Tetanus vaccination"
                  }
                ]
              },
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "39343008",
                    "display" : "Pertussis vaccination"
                  }
                ]
              }
            ],
            "doseNumberPositiveInt" : 1
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Immunization/immunization4",
      "resource" : {
        "resourceType" : "Immunization",
        "id" : "immunization4",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-recommendation-section-immunization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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, 11:48:09 PM</p><p><b>recorded</b>: Mar 5, 2016, 11:48:09 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>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.16.756.5.30.1.147.1.3.1",
            "value" : "45678"
          }
        ],
        "status" : "completed",
        "vaccineCode" : {
          "coding" : [
            {
              "system" : "http://swissmedic.ch/ns/authorizationnumber/vs",
              "code" : "268",
              "display" : "MMR-II"
            }
          ]
        },
        "patient" : {
          "reference" : "Patient/patient1"
        },
        "occurrenceDateTime" : "2016-03-05T23:48:09+01:00",
        "recorded" : "2016-03-05T23:48:09+01:00",
        "lotNumber" : "12345",
        "performer" : [
          {
            "actor" : {
              "reference" : "Practitioner/practitioner1"
            }
          }
        ],
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "code" : "IMMUNIZ",
                "display" : "Immunization"
              }
            ]
          }
        ],
        "protocolApplied" : [
          {
            "targetDisease" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "47435007",
                    "display" : "Measles vaccination"
                  }
                ]
              },
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "50583002",
                    "display" : "Mumps vaccination"
                  }
                ]
              },
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "82314000",
                    "display" : "Rubella vaccination"
                  }
                ]
              }
            ],
            "doseNumberPositiveInt" : 1
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Observation/medicalRiskObservation1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "medicalRiskObservation1",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-recommendation-section-medical-problems"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 55607006}\">Problem</span></p><p><b>subject</b>: <a href=\"#Patient_patient1\">See above (Patient/patient1)</a></p><p><b>performer</b>: <a href=\"#Practitioner_practitioner1\">See above (Practitioner/practitioner1)</a></p><p><b>value</b>: <span title=\"Codes: {urn:oid:2.16.756.5.30.1.127.3.3.1 114036}\">ANDERE_LEBERERKRANKUNG</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "55607006",
              "display" : "Problem"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient1"
        },
        "performer" : [
          {
            "reference" : "Practitioner/practitioner1"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "urn:oid:2.16.756.5.30.1.127.3.3.1",
              "code" : "114036",
              "display" : "ANDERE_LEBERERKRANKUNG"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Observation/medicalRiskObservation2",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "medicalRiskObservation2",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-recommendation-section-medical-problems"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 55607006}\">Problem</span></p><p><b>subject</b>: <a href=\"#Patient_patient1\">See above (Patient/patient1)</a></p><p><b>performer</b>: <a href=\"#Practitioner_practitioner1\">See above (Practitioner/practitioner1)</a></p><p><b>value</b>: <span title=\"Codes: {urn:oid:2.16.756.5.30.1.127.3.3.2 213006}\">FLEDERMAUSFORSCHER_UND_SCHUETZER</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "55607006",
              "display" : "Problem"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient1"
        },
        "performer" : [
          {
            "reference" : "Practitioner/practitioner1"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "urn:oid:2.16.756.5.30.1.127.3.3.2",
              "code" : "213006",
              "display" : "FLEDERMAUSFORSCHER_UND_SCHUETZER"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Observation/pastIllnessObservation1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "pastIllnessObservation1",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-recommendation-section-pastillnesses"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 14189004}\">Measles (disorder)</span></p><p><b>subject</b>: <a href=\"#Patient_patient1\">See above (Patient/patient1)</a></p><p><b>performer</b>: <a href=\"#Practitioner_practitioner1\">See above (Practitioner/practitioner1)</a></p><p><b>value</b>: 1965-12</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "14189004",
              "display" : "Measles (disorder)"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient1"
        },
        "performer" : [
          {
            "reference" : "Practitioner/practitioner1"
          }
        ],
        "valueDateTime" : "1965-12"
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Observation/allergyObservation1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "allergyObservation1",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-recommendation-section-allergies"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 303300008}\">Egg protein (substance)</span></p><p><b>subject</b>: <a href=\"#Patient_patient1\">See above (Patient/patient1)</a></p><p><b>performer</b>: <a href=\"#Practitioner_practitioner1\">See above (Practitioner/practitioner1)</a></p><p><b>value</b>: true</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "303300008",
              "display" : "Egg protein (substance)"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient1"
        },
        "performer" : [
          {
            "reference" : "Practitioner/practitioner1"
          }
        ],
        "valueBoolean" : true
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Observation/allergyObservation2",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "allergyObservation2",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-recommendation-section-allergies"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 24079001}\">Atopic dermatitis (disorder)</span></p><p><b>subject</b>: <a href=\"#Patient_patient1\">See above (Patient/patient1)</a></p><p><b>performer</b>: <a href=\"#Practitioner_practitioner1\">See above (Practitioner/practitioner1)</a></p><p><b>value</b>: true</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "24079001",
              "display" : "Atopic dermatitis (disorder)"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient1"
        },
        "performer" : [
          {
            "reference" : "Practitioner/practitioner1"
          }
        ],
        "valueBoolean" : true
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Observation/labObservation1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "labObservation1",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-recommendation-section-laboratory-serology"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\">Es besteht ein Immunschutz gegen Hepatitis B.</div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "16935-9",
              "display" : "Hepatitis B virus surface Ab [Units/volume] in Serum"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient1"
        },
        "effectiveDateTime" : "1971-10",
        "performer" : [
          {
            "reference" : "Practitioner/practitioner1"
          }
        ],
        "valueQuantity" : {
          "value" : 99.0,
          "unit" : "[iU]/L",
          "system" : "http://unitsofmeasure.org",
          "code" : "[iU]/L"
        },
        "interpretation" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code" : "POS",
                "display" : "Positive"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Observation/pregnancyObservation1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "pregnancyObservation1",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-recommendation-section-pregnancy"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 11779-6}\">Delivery date Estimated from last menstrual period</span></p><p><b>subject</b>: <a href=\"#Patient_patient1\">See above (Patient/patient1)</a></p><p><b>performer</b>: <a href=\"#Practitioner_practitioner1\">See above (Practitioner/practitioner1)</a></p><p><b>value</b>: 2020-12</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "11779-6",
              "display" : "Delivery date Estimated from last menstrual period"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient1"
        },
        "performer" : [
          {
            "reference" : "Practitioner/practitioner1"
          }
        ],
        "valueDateTime" : "2020-12"
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/ImmunizationRecommendation/immunizationRecommendation1",
      "resource" : {
        "resourceType" : "ImmunizationRecommendation",
        "id" : "immunizationRecommendation1",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-recommendation-section-immunization-recommendations"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 1</p><p><b>patient</b>: <a href=\"#Patient_patient1\">See above (Patient/patient1)</a></p><p><b>date</b>: Feb 11, 2021, 11:48:09 PM</p><h3>Recommendations</h3><table class=\"grid\"><tr><td>-</td><td><b>VaccineCode</b></td><td><b>TargetDisease</b></td><td><b>ForecastStatus</b></td><td><b>ForecastReason</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://swissmedic.ch/ns/authorizationnumber/vs 681}\">Boostrix Polio</span></td><td><span title=\"Codes: {http://snomed.info/sct 72093006}\">Poliomyelitis vaccination</span></td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/immunization-recommendation-status due}\">Due</span></td><td><span title=\"Codes: {urn:oid:2.16.756.5.30.1.127.3.3.4 41501}\">Empfohlene Basisimpfungen</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.16.756.5.30.1.147.1.3.1",
            "value" : "1"
          }
        ],
        "patient" : {
          "reference" : "Patient/patient1"
        },
        "date" : "2021-02-11T23:48:09+01:00",
        "recommendation" : [
          {
            "vaccineCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://swissmedic.ch/ns/authorizationnumber/vs",
                    "code" : "681",
                    "display" : "Boostrix Polio"
                  }
                ]
              }
            ],
            "targetDisease" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "72093006",
                  "display" : "Poliomyelitis vaccination"
                }
              ]
            },
            "forecastStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/immunization-recommendation-status",
                  "code" : "due",
                  "display" : "Due"
                }
              ]
            },
            "forecastReason" : [
              {
                "coding" : [
                  {
                    "system" : "urn:oid:2.16.756.5.30.1.127.3.3.4",
                    "code" : "41501",
                    "display" : "Empfohlene Basisimpfungen"
                  }
                ]
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/ImmunizationRecommendation/immunizationRecommendation2",
      "resource" : {
        "resourceType" : "ImmunizationRecommendation",
        "id" : "immunizationRecommendation2",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-recommendation-section-immunization-recommendations"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 2</p><p><b>patient</b>: <a href=\"#Patient_patient1\">See above (Patient/patient1)</a></p><p><b>date</b>: Feb 11, 2021, 11:48:09 PM</p><h3>Recommendations</h3><table class=\"grid\"><tr><td>-</td><td><b>VaccineCode</b></td><td><b>TargetDisease</b></td><td><b>ForecastStatus</b></td><td><b>ForecastReason</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://swissmedic.ch/ns/authorizationnumber/vs 58317}\">Fluad</span></td><td><span title=\"Codes: {http://snomed.info/sct 28877009}\">Cholera vaccination</span></td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/immunization-recommendation-status due}\">Due</span></td><td><span title=\"Codes: {urn:oid:2.16.756.5.30.1.127.3.3.4 41503}\">Empfohlene Impfungen für Risikogruppen</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.16.756.5.30.1.147.1.3.1",
            "value" : "2"
          }
        ],
        "patient" : {
          "reference" : "Patient/patient1"
        },
        "date" : "2021-02-11T23:48:09+01:00",
        "recommendation" : [
          {
            "vaccineCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://swissmedic.ch/ns/authorizationnumber/vs",
                    "code" : "58317",
                    "display" : "Fluad"
                  }
                ]
              }
            ],
            "targetDisease" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "28877009",
                  "display" : "Cholera vaccination"
                }
              ]
            },
            "forecastStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/immunization-recommendation-status",
                  "code" : "due",
                  "display" : "Due"
                }
              ]
            },
            "forecastReason" : [
              {
                "coding" : [
                  {
                    "system" : "urn:oid:2.16.756.5.30.1.127.3.3.4",
                    "code" : "41503",
                    "display" : "Empfohlene Impfungen für Risikogruppen"
                  }
                ]
              }
            ]
          }
        ]
      }
    }
  ]
}