Patient Name MonikaWegmueller Gender female Birthday 10.02.1967 Adress Leidensweg 10 CH - 9876 Specimendorf Contact home - tel:+41.32.685.12.34 Identifier urn:oid:1.2.3.4: 12345678; Author Practitioner AllzeitBereit (urn:oid:2.51.1.3: 7601888888884; ) Doktorgasse 2 CH - 8888 Musterhausen Organization Gruppenpraxis CH (urn:oid:2.51.1.3: 7601888888884; ) Doktorgasse 2 CH - 8888 Musterhausen ZH Date 01.06.2021 Immunization Administration ID Vaccination Date Vaccine Lot Route Target Doc Date Performer Identifier 7-2-Immunization 15.09.2013 Boostrix (637) 12-34244 20035000: Intramuscular use Diphtheria caused by Corynebacterium diphtheriae (disorder) Tetanus (disorder) Pertussis (disorder) 15.09.2013 Practitioner DetlefDemo (urn:oid:2.51.1.3: 7601000000309; ) Hilfgasse 7 CH - 3456 Hilferswil BE Organization Praxis Demo (urn:oid:2.51.1.3: 7601000007292; ) Hilfgasse 7 CH - 3456 Hilferswil BE urn:oid:2.16.756.5.30.1.147.1.3.1: 12345; 7-3-Immunization 12.08.2014 Boostrix (637) 12-34244 20035000: Intramuscular use Diphtheria caused by Corynebacterium diphtheriae (disorder) Tetanus (disorder) Pertussis (disorder) 12.08.2014 Practitioner DetlefDemo (urn:oid:2.51.1.3: 7601000000309; ) Hilfgasse 7 CH - 3456 Hilferswil BE Organization Praxis Demo (urn:oid:2.51.1.3: 7601000007292; ) Hilfgasse 7 CH - 3456 Hilferswil BE urn:oid:2.16.756.5.30.1.147.1.3.1: 23456; 7-4-Immunization 01.11.2015 Boostrix (637) 12-34244 20035000: Intramuscular use Diphtheria caused by Corynebacterium diphtheriae (disorder) Tetanus (disorder) Pertussis (disorder) 01.11.2015 Practitioner DetlefDemo (urn:oid:2.51.1.3: 7601000000309; ) Hilfgasse 7 CH - 3456 Hilferswil BE Organization Praxis Demo (urn:oid:2.51.1.3: 7601000007292; ) Hilfgasse 7 CH - 3456 Hilferswil BE urn:oid:2.16.756.5.30.1.147.1.3.1: 34567; 7-5-Immunization 05.03.2016 MMR-II (268) 12-34244 20035000: Intramuscular use Measles (disorder) Mumps (disorder) Rubella (disorder) 05.03.2016 Practitioner MaxMuster (urn:oid:2.51.1.3: 7601000000316; ) Mustergasse 99 CH - 9876 Beispielen SG Organization Praxis Muster (urn:oid:2.51.1.3: 7601000000514; ) Mustergasse 99 CH - 9876 Beispielen SG urn:oid:2.16.756.5.30.1.147.1.3.1: 45678; 7-6-Immunization 26.02.2012 HBVAXPRO 40 (545) 12-34244 20035000: Intramuscular use Viral hepatitis type B (disorder) 26.02.2012 Practitioner MaxMuster (urn:oid:2.51.1.3: 7601000000316; ) Mustergasse 99 CH - 9876 Beispielen SG Organization Praxis Muster (urn:oid:2.51.1.3: 7601000000514; ) Mustergasse 99 CH - 9876 Beispielen SG urn:oid:2.16.756.5.30.1.147.1.3.1: 12312; Other Relevant Observations 8-2-Condition Code ANDERE_LEBERERKRANKUNG (114036) Documentation Date 01.04.2019 Documenter Practitioner AllzeitBereit (urn:oid:2.51.1.3: 7601888888884; ) Doktorgasse 2 CH - 8888 Musterhausen Organization Gruppenpraxis CH (urn:oid:2.51.1.3: 7601888888884; ) Doktorgasse 2 CH - 8888 Musterhausen ZH Identifier - 8-3-Condition Code FLEDERMAUSFORSCHER_UND_SCHUETZER (213006) Documentation Date 01.04.2009 Documenter Practitioner AllzeitBereit (urn:oid:2.51.1.3: 7601888888884; ) Doktorgasse 2 CH - 8888 Musterhausen Organization Gruppenpraxis CH (urn:oid:2.51.1.3: 7601888888884; ) Doktorgasse 2 CH - 8888 Musterhausen ZH Identifier - Undergone illnesses for immunization 8-4-Condition Code Measles (disorder) (14189004) Date 30.11.1966 Documentation Date 01.04.1999 Documenter Practitioner AllzeitBereit (urn:oid:2.51.1.3: 7601888888884; ) Doktorgasse 2 CH - 8888 Musterhausen Organization Gruppenpraxis CH (urn:oid:2.51.1.3: 7601888888884; ) Doktorgasse 2 CH - 8888 Musterhausen ZH Identifier - Allergies 11-1-AllergyIntolerance Code Allergy to egg protein (finding) (213020009) Documentation Date 11.07.2004 Documenter Practitioner AllzeitBereit (urn:oid:2.51.1.3: 7601888888884; ) Doktorgasse 2 CH - 8888 Musterhausen Organization Gruppenpraxis CH (urn:oid:2.51.1.3: 7601888888884; ) Doktorgasse 2 CH - 8888 Musterhausen ZH Identifier - 11-2-AllergyIntolerance Code Atopic dermatitis (disorder) (24079001) Documentation Date 11.07.1996 Documenter Practitioner AllzeitBereit (urn:oid:2.51.1.3: 7601888888884; ) Doktorgasse 2 CH - 8888 Musterhausen Organization Gruppenpraxis CH (urn:oid:2.51.1.3: 7601888888884; ) Doktorgasse 2 CH - 8888 Musterhausen ZH Identifier - Lab 9-1-Observation Code Hepatitis B virus surface Ab [Units/volume] in Serum Result 99 [iU]/L Interpretation Positive Date ..1971 Performer Practitioner AllzeitBereit (urn:oid:2.51.1.3: 7601888888884; ) Doktorgasse 2 CH - 8888 Musterhausen Organization Gruppenpraxis CH (urn:oid:2.51.1.3: 7601888888884; ) Doktorgasse 2 CH - 8888 Musterhausen ZH Identifier - Comments
This is the section containing all immunization entries.
This is the section containing the medical problem entries.
This is the section containing the undergone illnesses for immunization entries.
Allergies and adverse reactions Document
This is the section containing the allergy entries.
This is the section containing the lab entries.
Generated Narrative: Patient Resource Patient "3-1-Patient" Profile: CH Core Patient EPR identifier: Medical record number: 12345678 name: Monika Wegmueller telecom: ph: tel:+41.32.685.12.34(HOME) gender: female birthDate: 1967-02-10 address: Leidensweg 10 Specimendorf 9876 CH
Generated Narrative: Practitioner Resource Practitioner "4-1-Practitioner" Profile: CH Core Practitioner EPR identifier: id: 7601888888884 active: true name: Allzeit Bereit 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: Doktorgasse 2 Musterhausen 8888 CH
Generated Narrative: Organization Resource Organization "5-1-Organization" Profile: CH Core Organization EPR identifier: id: 7601888888884 name: Gruppenpraxis CH 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: Doktorgasse 2 Musterhausen ZH 8888 CH
Generated Narrative: PractitionerRole Resource PractitionerRole "6-1-PractitionerRole" Profile: CH Core PractitionerRole EPR active: true practitioner: See above (Practitioner/4-1-Practitioner) organization: See above (Organization/5-1-Organization)
Generated Narrative: PractitionerRole Resource PractitionerRole "6-2-PractitionerRole" Profile: CH Core PractitionerRole active: true practitioner: See above (Practitioner/4-2-Practitioner) organization: See above (Organization/5-2-Organization)
Generated Narrative: Practitioner Resource Practitioner "4-2-Practitioner" Profile: CH Core Practitioner identifier: id: 7601000000309 active: true name: Detlef Demo address: Hilfgasse 7 Hilferswil BE 3456 CH
Generated Narrative: Organization Resource Organization "5-2-Organization" Profile: CH Core Organization identifier: id: 7601000007292 name: Praxis Demo address: Hilfgasse 7 Hilferswil BE 3456 CH
Generated Narrative: PractitionerRole Resource PractitionerRole "6-3-PractitionerRole" Profile: CH Core PractitionerRole active: true practitioner: See above (Practitioner/4-3-Practitioner) organization: See above (Organization/5-3-Organization)
Generated Narrative: Practitioner Resource Practitioner "4-3-Practitioner" Profile: CH Core Practitioner identifier: id: 7601000000316 active: true name: Max Muster address: Mustergasse 99 Beispielen SG 9876 CH
Generated Narrative: Organization Resource Organization "5-3-Organization" Profile: CH Core Organization identifier: id: 7601000000514 name: Praxis Muster address: Mustergasse 99 Beispielen SG 9876 CH
Generated Narrative: Immunization Resource Immunization "7-2-Immunization" Profile: CH VACD Immunization identifier: id: 12345 status: completed vaccineCode: Boostrix (Swiss Medic Authorized Vaccines Codesystem#637) patient: See above (Patient/3-1-Patient) occurrence: 2013-09-15 00:00:00+0200 recorded: 2013-09-15 00:00:00+0200 lotNumber: 12-34244 route: Intramuscular use (standardterms.edqm.eu#20035000) Performers - Actor * See above (PractitionerRole/6-2-PractitionerRole) ProtocolApplieds - TargetDisease DoseNumber[x] * Diphtheria caused by Corynebacterium diphtheriae (disorder) (SNOMED CT#397430003), Tetanus (disorder) (SNOMED CT#76902006), Pertussis (disorder) (SNOMED CT#27836007) 1
Diphtheria caused by Corynebacterium diphtheriae (disorder)
Generated Narrative: Immunization Resource Immunization "7-3-Immunization" Profile: CH VACD Immunization identifier: id: 23456 status: completed vaccineCode: Boostrix (Swiss Medic Authorized Vaccines Codesystem#637) patient: See above (Patient/3-1-Patient) occurrence: 2014-08-12 00:00:00+0200 recorded: 2014-08-12 00:00:00+0200 lotNumber: 12-34244 route: Intramuscular use (standardterms.edqm.eu#20035000) Performers - Actor * See above (PractitionerRole/6-2-PractitionerRole) ProtocolApplieds - TargetDisease DoseNumber[x] * Diphtheria caused by Corynebacterium diphtheriae (disorder) (SNOMED CT#397430003), Tetanus (disorder) (SNOMED CT#76902006), Pertussis (disorder) (SNOMED CT#27836007) 1
Generated Narrative: Immunization Resource Immunization "7-4-Immunization" Profile: CH VACD Immunization identifier: id: 34567 status: completed vaccineCode: Boostrix (Swiss Medic Authorized Vaccines Codesystem#637) patient: See above (Patient/3-1-Patient) occurrence: 2015-11-01 00:00:00+0100 recorded: 2015-11-01 00:00:00+0100 lotNumber: 12-34244 route: Intramuscular use (standardterms.edqm.eu#20035000) Performers - Actor * See above (PractitionerRole/6-2-PractitionerRole) ProtocolApplieds - TargetDisease DoseNumber[x] * Diphtheria caused by Corynebacterium diphtheriae (disorder) (SNOMED CT#397430003), Tetanus (disorder) (SNOMED CT#76902006), Pertussis (disorder) (SNOMED CT#27836007) 1
Generated Narrative: Immunization Resource Immunization "7-5-Immunization" Profile: CH VACD Immunization identifier: id: 45678 status: completed vaccineCode: MMR-II (Swiss Medic Authorized Vaccines Codesystem#268) patient: See above (Patient/3-1-Patient) occurrence: 2016-03-05 00:00:00+0100 recorded: 2016-03-05 00:00:00+0100 lotNumber: 12-34244 route: Intramuscular use (standardterms.edqm.eu#20035000) Performers - Actor * See above (PractitionerRole/6-3-PractitionerRole) ProtocolApplieds - TargetDisease DoseNumber[x] * Measles (disorder) (SNOMED CT#14189004), Mumps (disorder) (SNOMED CT#36989005), Rubella (disorder) (SNOMED CT#36653000) 1
Generated Narrative: Immunization Resource Immunization "7-6-Immunization" Profile: CH VACD Immunization identifier: id: 12312 status: completed statusReason: Patient objection (ActReason#PATOBJ) vaccineCode: HBVAXPRO 40 (Swiss Medic Authorized Vaccines Codesystem#545) patient: See above (Patient/3-1-Patient) occurrence: 2012-02-26 00:00:00+0100 recorded: 2012-02-26 00:00:00+0100 lotNumber: 12-34244 route: Intramuscular use (standardterms.edqm.eu#20035000) Performers - Actor * See above (PractitionerRole/6-3-PractitionerRole) ProtocolApplieds - TargetDisease DoseNumber[x] * Viral hepatitis type B (disorder) (SNOMED CT#66071002) 1
Generated Narrative: Condition Resource Condition "8-2-Condition" Profile: CH VACD Medical Problems category: Problem List Item (Condition Category Codes#problem-list-item) code: ANDERE_LEBERERKRANKUNG (Swiss Complication Risks Codesystem#114036) subject: See above (Patient/3-1-Patient) recordedDate: 2019-04-01 00:00:00+0200 recorder: See above (PractitionerRole/6-1-PractitionerRole)
Generated Narrative: Condition Resource Condition "8-3-Condition" Profile: CH VACD Medical Problems category: Problem List Item (Condition Category Codes#problem-list-item) code: FLEDERMAUSFORSCHER_UND_SCHUETZER (Swiss Exposure Risks Codesystem#213006) subject: See above (Patient/3-1-Patient) recordedDate: 2009-04-01 00:00:00+0200 recorder: See above (PractitionerRole/6-1-PractitionerRole)
Generated Narrative: Condition Resource Condition "8-4-Condition" Profile: CH VACD Past Illness clinicalStatus: Resolved (Condition Clinical Status Codes#resolved) code: Measles (disorder) (SNOMED CT#14189004) subject: See above (Patient/3-1-Patient) onset: 1966-11-30 00:00:00+0100 recordedDate: 1999-04-01 00:00:00+0200 recorder: See above (PractitionerRole/6-1-PractitionerRole)
Generated Narrative: AllergyIntolerance Resource AllergyIntolerance "11-1-AllergyIntolerance" Profile: CH VACD AllergyIntolerance clinicalStatus: Active (AllergyIntolerance Clinical Status Codes#active) code: Allergy to egg protein (finding) (SNOMED CT#213020009) patient: See above (Patient/3-1-Patient) recordedDate: 2004-07-11 00:00:00+0200 recorder: See above (PractitionerRole/6-1-PractitionerRole)
Generated Narrative: AllergyIntolerance Resource AllergyIntolerance "11-2-AllergyIntolerance" Profile: CH VACD AllergyIntolerance clinicalStatus: Active (AllergyIntolerance Clinical Status Codes#active) code: Atopic dermatitis (disorder) (SNOMED CT#24079001) patient: See above (Patient/3-1-Patient) recordedDate: 1996-07-11 00:00:00+0200 recorder: See above (PractitionerRole/6-1-PractitionerRole)
Generated Narrative: Observation Resource Observation "9-1-Observation" Profile: CH VACD Laboratory And Serology status: final code: Hepatitis B virus surface Ab [Units/volume] in Serum (LOINC#16935-9) subject: See above (Patient/3-1-Patient) effective: 1971-10 performer: See above (PractitionerRole/6-1-PractitionerRole) value: 99 [iU]/L (Details: UCUM code [iU]/L = '[iU]/L') interpretation: Positive (ObservationInterpretation#POS)
Hepatitis B virus surface Ab [Units/volume] in Serum