Vaccination Record Id: RDC01-Composition Identifier: urn:ietf:rfc:3986#urn:uuid:20609dba-9f6a-4b94-bafa-0bad6839bf67 Status: Final Code: Immunization record (http://snomed.info/sct#41000179103) Patient: Patient/TC-patient Wegmueller Monika Date: December 8, 2021 Authors: Patient/TC-patient Wegmueller Monika Confidentiality: null Normal (qualifier value) (http://snomed.info/sct#17621005) Sections: Immunization Administration
Code: Hx of Immunization (http://loinc.org#11369-6) Entries: Immunization/TCC01-IMMUN2-patient
Generated Narrative: Patient TC-patient Profile: CH Core Patient EPR 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
Generated Narrative: Practitioner TC-HCP1-C1 Profile: CH Core Practitioner EPR identifier: GLN/7601888888884 active: true name: Peter Müller telecom: ph: tel:+41.32.234.55.66(Work), mailto:allzeit.bereit@gruppenpraxis.ch, http://www.gruppenpraxis.ch address: Grabenstrasse 2 Zürich 8005 CH
Generated Narrative: Organization TC-ORG1 Profile: CH Core Organization EPR identifier: GLN/7601777777718 name: Gruppenpraxis Müller telecom: ph: tel:+41.32.234.55.66(Work), mailto:bereit@gruppenpraxis.ch, http://www.gruppenpraxis.ch address: Grabenstrasse 2 Zürich ZH 8005 CH
Generated Narrative: PractitionerRole TC-HCP1-ORG1-ROLE-performer Profile: CH Core PractitionerRole EPR active: true practitioner: Practitioner Peter Müller organization: Organization Gruppenpraxis Müller
Generated Narrative: Device TC-Device-Aggregator identifier: GLN/7601999999981 status: Active manufacturer: The Aggregator Company manufactureDate: 2023-01-01 DeviceNames - Name Type * Vaccination Aggregator Manufacturer name Versions - Value * v1.0.0 contact: ph: tel:+41.56.299.55.22(Work), mailto:resultate@aggregator.ch, http://www.aggregator.ch location: Location: status = active; telecom = ph: tel:+41.56.299.55.22(Work),mailto:resultate@labor-messenalles.ch(Work),http://www.labor-messenalles.ch(Work)
Generated Narrative: Location TC-Device-Aggregator-Location status: Active telecom: ph: tel:+41.56.299.55.22(Work), mailto:resultate@labor-messenalles.ch, http://www.labor-messenalles.ch address: Messweg 1 Wissen ZG 6310 CH
Generated Narrative: Immunization TCC01-IMMUN2-patient Profile: CH VACD Immunization Author of the content: Monika Wegmueller Female, DoB: 1967-02-10 ( Medical record number) CH VACD Extension Immunization Medication Reference: Medication HAVRIX 1440 Inj Susp CH VACD Extension verificationStatus: SNOMED CT 76104008: Not confirmed identifier: urn:oid:2.999.1.2.3.4/375532dc-7e74-40dd-8564-3261e8d26603 status: Completed vaccineCode: Havrix 1440 patient: Monika Wegmueller Female, DoB: 1967-02-10 ( Medical record number) occurrence: 2021-06-02 recorded: 2021-06-15 00:00:00+0200 lotNumber: AHAVB946A route: Intramuscular use Performers - Actor * PractitionerRole ProtocolApplieds - TargetDisease DoseNumber[x] * Viral hepatitis, type A (disorder) 1
Generated Narrative: Medication TC-IMMUN-MEDIC-HAVRIX1440 Profile: CH VACD Medication For Immunization identifier: urn:oid:2.999.1.2.3.4/359000dc-2cee-4a6e-ab05-577f558840e2 code: HAVRIX 1440 Inj Susp status: Active manufacturer: Organization GlaxoSmithKline AG form: Suspension for injection amount: 1 milliliter (Details: UCUM codemL = 'mL')/1 Syringe (unit of presentation) (Details: SNOMED CT code733020007 = 'Syringe') Ingredients - Item[x] * Immunologic substance (substance) Batches - LotNumber * AHAVB946A
Generated Narrative: Organization TC-ORG-GSK Profile: CH Core Organization identifier: GLN/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