Immunization Administration Id: C-D1-P-C1-Composition Identifier: urn:ietf:rfc:3986#urn:uuid:fc215e64-c4f4-4e39-b751-f967b84cf106 Status: Final Code: Immunization record (http://snomed.info/sct#41000179103) Patient: Patient/TC-patient Wegmueller Monika Date: June 15, 2021 Authors: Patient/TC-patient Wegmueller Monika Confidentiality: null Normal (qualifier value) (http://snomed.info/sct#17621005) Sections: Immunization Administration Comments
Code: Hx of Immunization (http://loinc.org#11369-6) Entries: Immunization/TCC01-IMMUN1-patient
Code: Annotation comment [Interpretation] Narrative (http://loinc.org#48767-8)
Generated Narrative: Patient Resource Patient "TC-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 "TC-HCP1-C1" Profile: CH Core Practitioner EPR identifier: id: 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
Generated Narrative: Organization Resource Organization "TC-ORG1" Profile: CH Core Organization EPR identifier: id: 7601777777718 name: Gruppenpraxis Müller 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
Generated Narrative: PractitionerRole Resource PractitionerRole "TC-HCP1-ORG1-ROLE-performer" Profile: CH Core PractitionerRole EPR active: true practitioner: See above (Practitioner/TC-HCP1-C1) organization: See above (Organization/TC-ORG1)
Generated Narrative: Immunization Resource Immunization "TCC01-IMMUN1-patient" Profile: CH VACD Immunization Author of the content: See above (Patient/TC-patient) CH VACD Extension Immunization Medication Reference: See above (Medication/TC-IMMUN-MEDIC-HAVRIX1440) CH VACD Extension Entry Cross Reference value: Immunization/TCA01-IMMUN1-patient value: Composition/A-D1-P-C1-Composition value: replaces identifier: id: 375532dc-7e74-40dd-8564-3261e8d26603 status: completed vaccineCode: Havrix 1440 (Swiss Medic Authorized Vaccines Codesystem#558) patient: See above (Patient/TC-patient) occurrence: 2021-06-02 recorded: 2021-06-15 00:00:00+0200 lotNumber: AHAVB946A route: Intramuscular use (standardterms.edqm.eu#20035000) Performers - Actor * See above (PractitionerRole/TC-HCP1-ORG1-ROLE-performer) ProtocolApplieds - TargetDisease DoseNumber[x] * Viral hepatitis, type A (disorder) (SNOMED CT#40468003) 1
Generated Narrative: Medication Resource Medication "TC-IMMUN-MEDIC-HAVRIX1440" Profile: CH VACD Medication For Immunization code: HAVRIX 1440 Inj Susp (unknown#7680005580054) status: active manufacturer: See above (Organization/TC-ORG-GSK) form: Suspension for injection (EDQM - Standard Terms#11202000) amount: 1 milliliter (Details: UCUM code mL = 'mL')/1 Syringe (unit of presentation) (Details: SNOMED CT code 733020007 = 'Syringe') Ingredients - Item[x] * Immunologic substance (substance) (SNOMED CT#106181007) Batches - LotNumber * AHAVB946A
Generated Narrative: Organization Resource Organization "TC-ORG-GSK" Profile: CH Core Organization identifier: id: 7601001000674 name: GlaxoSmithKline AG 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