Additional Resources Included in Document

Entry 1 - fullUrl = http://test.fhir.ch/r4/Composition/RDB01-Composition

Resource Composition:

Vaccination Record

Id: RDB01-Composition

Identifier: urn:ietf:rfc:3986#urn:uuid:df06d24d-2f22-4315-a610-b780539fb627

Status: Final

Code: Immunization record (http://snomed.info/sct#41000179103)

Patient: Patient/TC-patient Wegmueller Monika

Date: December 10, 2021

Authors:

Patient/TC-patient Wegmueller Monika

Confidentiality: null Normal (qualifier value) (http://snomed.info/sct#17621005)

Sections:

Immunization Administration

Allergies

Entry 2 - fullUrl = http://test.fhir.ch/r4/Patient/TC-patient

Resource Patient:

Generated Narrative: Patient TC-patient

Monika Wegmueller Female, DoB: 1967-02-10 ( Medical record number)

---

Contact Detail

ph: tel:+41.32.685.12.34(Home) Leidensweg 10 Specimendorf 9876 CH

Entry 3 - fullUrl = http://test.fhir.ch/r4/Practitioner/TC-HCP1-C1

Resource Practitioner:

Generated Narrative: Practitioner TC-HCP1-C1

identifier: GLN/7601888888884

active: true

name: Peter Müller

telecom: ph: tel:+41.32.234.55.66(Work), fax: fax:+41.32.234.55.67(Work), mailto:allzeit.bereit@gruppenpraxis.ch, http://www.gruppenpraxis.ch

address: Grabenstrasse 2 Zürich 8005 CH

Entry 4 - fullUrl = http://test.fhir.ch/r4/Organization/TC-ORG1

Resource Organization:

Generated Narrative: Organization TC-ORG1

identifier: GLN/7601777777718

name: Gruppenpraxis Müller

contact

telecom: ph: tel:+41.32.234.55.66(Work), fax: fax:+41.32.234.55.67(Work), mailto:bereit@gruppenpraxis.ch, http://www.gruppenpraxis.ch

address: Grabenstrasse 2 Zürich ZH 8005 CH

Entry 5 - fullUrl = http://test.fhir.ch/r4/PractitionerRole/TC-HCP1-ORG1-ROLE-performer

Resource PractitionerRole:

Generated Narrative: PractitionerRole TC-HCP1-ORG1-ROLE-performer

active: true

practitioner: Practitioner Peter Müller

organization: Organization Gruppenpraxis Müller

Entry 6 - fullUrl = http://test.fhir.ch/r4/PractitionerRole/TC-HCP1-ORG1-ROLE-author

Resource PractitionerRole:

Generated Narrative: PractitionerRole TC-HCP1-ORG1-ROLE-author

active: true

practitioner: Practitioner Peter Müller

organization: Organization Gruppenpraxis Müller

Entry 7 - fullUrl = http://test.fhir.ch/r4/Immunization/TCB01-IMMUN1

Resource Immunization:

Generated Narrative: Immunization TCB01-IMMUN1

Author of the content: PractitionerRole

CH VACD Extension Immunization Medication Reference: Medication FSME-IMMUN CC Inj Susp sep Nadel

identifier: urn:oid:2.16.756.5.30.1.402.1.3.1.1.1/urn:uuid:4386ca26-6866-4322-a203-b488b84ab499

status: Completed

vaccineCode: FSME-Immun CC

lotNumber: 12-34244

patient: Monika Wegmueller Female, DoB: 1967-02-10 ( Medical record number)

occurrence: 2021-06-22

route: Intramuscular use

Performers

-	Actor
*	PractitionerRole

ProtocolApplieds

-	TargetDisease
*	Tickborne encephalitis

Entry 8 - fullUrl = http://test.fhir.ch/r4/Medication/TC-IMMUN-MEDIC-FSMEIMMCC

Resource Medication:

Generated Narrative: Medication TC-IMMUN-MEDIC-FSMEIMMCC

identifier: urn:oid:2.16.756.5.30.1.402.1.3.1.1.1/01194ac7-70ad-4259-b5f4-c5ff0c1b40c5

code: FSME-IMMUN CC Inj Susp sep Nadel

status: Active

ingredient

Batches

-	LotNumber
*	VNR1T10C

Entry 9 - fullUrl = http://test.fhir.ch/r4/Organization/TC-ORG-PFIZER

Resource Organization:

Generated Narrative: Organization TC-ORG-PFIZER

identifier: GLN/7601001010604

name: Pfizer AG

contact

telecom: ph: tel:+41 800 562 825(Work), fax: fax:+41 44 583 07 00(Work), mailto:customer.ch@pfizer.com, https://www.pfizer.ch

address: Schärenmoosstrasse 99 Postfach Zürich ZH 8052 CH

Entry 10 - fullUrl = http://test.fhir.ch/r4/Immunization/TCB01-IMMUN2

Resource Immunization:

Generated Narrative: Immunization TCB01-IMMUN2

Author of the content: PractitionerRole

CH VACD Extension Immunization Medication Reference: Medication BOOSTRIX Inj Susp

identifier: urn:oid:2.16.756.5.30.1.402.1.3.1.1.1/urn:uuid:ebcf6de2-ed9c-463c-8b08-cb487af8ce4e

status: Completed

vaccineCode: Boostrix

lotNumber: AHAVB946A

patient: Monika Wegmueller Female, DoB: 1967-02-10 ( Medical record number)

occurrence: 2020-12-09

route: Intramuscular use

Performers

-	Actor
*	PractitionerRole

protocolApplied

targetDisease: Tetanus (disorder), Pertussis (disorder), Diphtheria caused by Corynebacterium diphtheriae (disorder)

Entry 11 - fullUrl = http://test.fhir.ch/r4/Medication/TC-IMMUN-MEDIC-BOOSTRIX

Resource Medication:

Generated Narrative: Medication TC-IMMUN-MEDIC-BOOSTRIX

identifier: urn:oid:2.16.756.5.30.1.402.1.3.1.1.1/ead68e47-34a6-4534-a658-b718e565fb91

code: BOOSTRIX Inj Susp

status: Active

ingredient

Batches

-	LotNumber
*	AHAVB946A

Entry 12 - fullUrl = http://test.fhir.ch/r4/Organization/TC-ORG-GSK

Resource Organization:

Generated Narrative: Organization TC-ORG-GSK

identifier: GLN/7601001000674

name: GlaxoSmithKline AG

contact

telecom: ph: tel:+41 31 862 21 11(Work), fax: fax:+41 31 862 22 00(Work), mailto:swiss.info@gsk.com, https://www.gsk.com

address: Talstrasse 3-5 Münchenbuchsee BE 3053 CH

Entry 13 - fullUrl = http://test.fhir.ch/r4/AllergyIntolerance/TCB01-ALLINTO1

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance TCB01-ALLINTO1

identifier: urn:oid:2.16.756.5.30.1.402.1.3.1.1.2/00476f5f-f3b7-4e49-9b52-5ec88d65c18e

clinicalStatus: Active

verificationStatus: Confirmed

code: Adverse reaction to component of vaccine product containing Salmonella enterica subspecies enterica serovar Typhi antigen (disorder)

patient: Monika Wegmueller Female, DoB: 1967-02-10 ( Medical record number)

onset: 2021-10-06

recordedDate: 2021-10-06

lastOccurrence: 2021-10-06