Generated Narrative: MessageHeader 2-4-ImmunizationRecommendationRequestMessageHeader Last updated: 2021-06-01 00:00:00+0200 Profile: CH VACD Immunization Recommendation Request MessageHeader event: CDS Event immunrecorequest: Immunization Recommendation Request Destinations - Name Endpoint Receiver * Example Vaccination Clinical Decision Support System https://example.com/cds/immunization/ws Organization Immunization CDS Service sender: PractitionerRole Sources - Name Software Version Endpoint * Example Portal EPR EPR-Portal-VacModule V1.1 urn:oid:2.999.1.2.3.4.5 responsible: PractitionerRole reason: Recommendation regarding vaccination (procedure) focus: Immunization: extension = ->PractitionerRole,Confirmed (SNOMED CT#59156000); identifier = urn:oid:2.999.1.2.3.4#12345; status = completed; vaccineCode = Boostrix; occurrence[x] = 2013-09-15 00:00:00+0200; recorded = 2013-09-15 00:00:00+0200; lotNumber = 12345; reasonCode = Immunization Immunization: extension = ->PractitionerRole,Confirmed (SNOMED CT#59156000); identifier = urn:oid:2.999.1.2.3.4#23456; status = completed; vaccineCode = Boostrix; occurrence[x] = 2014-08-12 00:00:00+0200; recorded = 2014-08-12 00:00:00+0200; lotNumber = 12345; reasonCode = Immunization Immunization: extension = ->PractitionerRole,Confirmed (SNOMED CT#59156000); identifier = urn:oid:2.999.1.2.3.4#34567; status = completed; vaccineCode = Boostrix; occurrence[x] = 2015-11-01 00:00:00+0100; recorded = 2015-11-01 00:00:00+0100; lotNumber = 12345; reasonCode = Immunization Immunization: extension = ->PractitionerRole,Confirmed (SNOMED CT#59156000); identifier = urn:oid:2.999.1.2.3.4#45678; status = completed; vaccineCode = MMR-II; occurrence[x] = 2016-03-05 00:00:00+0100; recorded = 2016-03-05 00:00:00+0100; lotNumber = 12345; reasonCode = Immunization Immunization: extension = ->PractitionerRole,Confirmed (SNOMED CT#59156000); identifier = urn:oid:2.999.1.2.3.4#12312; status = completed; vaccineCode = HBVAXPRO 40; occurrence[x] = 2012-02-26 00:00:00+0100; recorded = 2012-02-26 00:00:00+0100; lotNumber = 12345; reasonCode = Immunization Condition Disorder of liver (disorder) Condition Animal health occupation (occupation) Condition Measles (disorder) AllergyIntolerance Allergy to egg protein (finding) AllergyIntolerance Atopic dermatitis (disorder) Observation Hepatitis B virus surface Ab [Units/volume] in Serum
Example Vaccination Clinical Decision Support System
Recommendation regarding vaccination (procedure)
Generated Narrative: Patient 3-2-Patient Profile: CH Core Patient EPR Monika Wegmueller Female, DoB: 1967-03-10 ( Medical record number) Contact Detail 9876
Generated Narrative: Organization CDSS-Organization Profile: CH Core Organization identifier: GLN/7601000000781 name: Immunization CDS Service address: Mustergasse 99 Beispielen SG 9876 CH
Generated Narrative: Practitioner 4-4-Practitioner Profile: CH Core Practitioner identifier: GLN/7601013000013 active: true name: Max Muster
Generated Narrative: Organization 5-4-Organization Profile: CH Core Organization identifier: GLN/7601023000119 name: CDSS Requesting Org
Generated Narrative: PractitionerRole 6-4-PractitionerRole Profile: CH Core PractitionerRole active: true practitioner: Practitioner Max Muster organization: Organization CDSS Requesting Org
Generated Narrative: PractitionerRole 6-5-PractitionerRole Profile: CH Core PractitionerRole active: true practitioner: Practitioner Detlef Demo organization: Organization Praxis Demo
Generated Narrative: Practitioner 4-5-Practitioner Profile: CH Core Practitioner identifier: GLN/7601000000309 active: true name: Detlef Demo address: 3456 CH
Generated Narrative: Organization 5-5-Organization Profile: CH Core Organization identifier: GLN/7601000000415 name: Praxis Demo address: 3456 CH
Generated Narrative: PractitionerRole 6-6-PractitionerRole Profile: CH Core PractitionerRole active: true practitioner: Practitioner Max Muster organization: Organization Praxis Muster
Generated Narrative: Practitioner 4-6-Practitioner Profile: CH Core Practitioner identifier: GLN/7601000000514 active: true name: Max Muster address: 9876 CH
Generated Narrative: Organization 5-6-Organization Profile: CH Core Organization identifier: GLN/7601000000514 name: Praxis Muster address: 9876 CH
Generated Narrative: Immunization 7-7-Immunization Profile: CH VACD Immunization Author of the content: PractitionerRole CH VACD Extension verificationStatus: SNOMED CT 59156000: Confirmed identifier: urn:oid:2.999.1.2.3.4/12345 status: Completed vaccineCode: Boostrix patient: Monika Wegmueller Female, DoB: 1967-03-10 ( Medical record number) occurrence: 2013-09-15 00:00:00+0200 recorded: 2013-09-15 00:00:00+0200 lotNumber: 12345 Performers - Actor * PractitionerRole reasonCode: Immunization protocolApplied targetDisease: Diphtheria caused by Corynebacterium diphtheriae (disorder), Tetanus (disorder), Pertussis (disorder) doseNumber: 1
Diphtheria caused by Corynebacterium diphtheriae (disorder)
Generated Narrative: Immunization 7-8-Immunization Profile: CH VACD Immunization Author of the content: PractitionerRole CH VACD Extension verificationStatus: SNOMED CT 59156000: Confirmed identifier: urn:oid:2.999.1.2.3.4/23456 status: Completed vaccineCode: Boostrix patient: Monika Wegmueller Female, DoB: 1967-03-10 ( Medical record number) occurrence: 2014-08-12 00:00:00+0200 recorded: 2014-08-12 00:00:00+0200 lotNumber: 12345 Performers - Actor * PractitionerRole reasonCode: Immunization protocolApplied targetDisease: Diphtheria caused by Corynebacterium diphtheriae (disorder), Tetanus (disorder), Pertussis (disorder) doseNumber: 1
Generated Narrative: Immunization 7-9-Immunization Profile: CH VACD Immunization Author of the content: PractitionerRole CH VACD Extension verificationStatus: SNOMED CT 59156000: Confirmed identifier: urn:oid:2.999.1.2.3.4/34567 status: Completed vaccineCode: Boostrix patient: Monika Wegmueller Female, DoB: 1967-03-10 ( Medical record number) occurrence: 2015-11-01 00:00:00+0100 recorded: 2015-11-01 00:00:00+0100 lotNumber: 12345 Performers - Actor * PractitionerRole reasonCode: Immunization protocolApplied targetDisease: Diphtheria caused by Corynebacterium diphtheriae (disorder), Tetanus (disorder), Pertussis (disorder) doseNumber: 1
Generated Narrative: Immunization 7-10-Immunization Profile: CH VACD Immunization Author of the content: PractitionerRole CH VACD Extension verificationStatus: SNOMED CT 59156000: Confirmed identifier: urn:oid:2.999.1.2.3.4/45678 status: Completed vaccineCode: MMR-II patient: Monika Wegmueller Female, DoB: 1967-03-10 ( Medical record number) occurrence: 2016-03-05 00:00:00+0100 recorded: 2016-03-05 00:00:00+0100 lotNumber: 12345 Performers - Actor * PractitionerRole reasonCode: Immunization protocolApplied targetDisease: Measles (disorder), Mumps (disorder), Rubella (disorder) doseNumber: 1
Generated Narrative: Immunization 7-11-Immunization Profile: CH VACD Immunization Author of the content: PractitionerRole CH VACD Extension verificationStatus: SNOMED CT 59156000: Confirmed identifier: urn:oid:2.999.1.2.3.4/12312 status: Completed vaccineCode: HBVAXPRO 40 patient: Monika Wegmueller Female, DoB: 1967-03-10 ( Medical record number) occurrence: 2012-02-26 00:00:00+0100 recorded: 2012-02-26 00:00:00+0100 lotNumber: 12345 Performers - Actor * PractitionerRole reasonCode: Immunization ProtocolApplieds - TargetDisease DoseNumber[x] * Viral hepatitis type B (disorder) 1
Generated Narrative: Condition 8-6-Condition Profile: CH VACD Medical Problems identifier: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR. This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)/urn:uuid:634c70b8-6a73-4a06-8858-0a6ad0f2f5c9 clinicalStatus: Active verificationStatus: Confirmed category: Problem List Item code: Disorder of liver (disorder) subject: Monika Wegmueller Female, DoB: 1967-03-10 ( Medical record number) recordedDate: 2019-04-01 00:00:00+0200 recorder: PractitionerRole
Generated Narrative: Condition 8-7-Condition Profile: CH VACD Medical Problems identifier: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR. This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)/urn:uuid:36d1ebae-564e-4c2a-8af6-c1224c3d9e77 clinicalStatus: Active verificationStatus: Confirmed category: Problem List Item code: Animal health occupation (occupation) subject: Monika Wegmueller Female, DoB: 1967-03-10 ( Medical record number) recordedDate: 2009-04-01 00:00:00+0200 recorder: PractitionerRole
Generated Narrative: Condition 8-8-Condition Profile: CH VACD Past Illness identifier: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR. This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)/urn:uuid:a8831ab5-37f5-4273-a127-4c5da6daa5ed clinicalStatus: Resolved verificationStatus: Confirmed code: Measles (disorder) subject: Monika Wegmueller Female, DoB: 1967-03-10 ( Medical record number) onset: 1966-11-30 00:00:00+0100 recordedDate: 1999-04-01 00:00:00+0200 recorder: PractitionerRole
Generated Narrative: AllergyIntolerance 11-3-AllergyIntolerance Profile: CH VACD AllergyIntolerance identifier: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR. This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)/urn:uuid:c6ebe781-e4b3-451e-82cf-ee68aa61904d clinicalStatus: Active verificationStatus: Confirmed code: Allergy to egg protein (finding) patient: Monika Wegmueller Female, DoB: 1967-03-10 ( Medical record number) recordedDate: 2004-07-11 00:00:00+0200 recorder: PractitionerRole
Generated Narrative: AllergyIntolerance 11-4-AllergyIntolerance Profile: CH VACD AllergyIntolerance identifier: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR. This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)/urn:uuid:36b26038-a43e-4319-9c2e-0fdad5b8f06e clinicalStatus: Active verificationStatus: Confirmed code: Atopic dermatitis (disorder) patient: Monika Wegmueller Female, DoB: 1967-03-10 ( Medical record number) recordedDate: 1996-07-11 00:00:00+0200 recorder: PractitionerRole
Generated Narrative: Observation 9-2-Observation Profile: CH VACD Laboratory And Serology Author of the content: PractitionerRole CH VACD Extension verificationStatus: SNOMED CT 59156000: Confirmed identifier: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR. This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)/urn:uuid:2c4d07e4-d978-4a1f-88de-440920f4913f status: Final code: Hepatitis B virus surface Ab [Units/volume] in Serum subject: Monika Wegmueller Female, DoB: 1967-03-10 ( Medical record number) effective: 1971-10 performer: PractitionerRole value: 99 [iU]/L (Details: UCUM code[iU]/L = '[iU]/L') interpretation: Positive
Hepatitis B virus surface Ab [Units/volume] in Serum