Vaccination Record Id: RDC03-Composition Identifier: urn:ietf:rfc:3986#urn:uuid:f9a26a92-662e-4601-b1ae-183c8f19d3e2 Status: Final Code: Immunization record (http://snomed.info/sct#41000179103) Patient: Patient/TC-patient Wegmueller Monika Date: October 28, 2021 Authors: Patient/TC-patient Wegmueller Monika Confidentiality: null Normal (qualifier value) (http://snomed.info/sct#17621005) Sections: Immunization Administration Medical Problems
Code: Hx of Immunization (http://loinc.org#11369-6) Entries: Immunization/TCB01-IMMUN1 Immunization/TCB01-IMMUN2
Code: Problem list Reported (http://loinc.org#11450-4) Entries: Condition/TCC03-EXPRISK1
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: PractitionerRole TC-HCP1-ORG1-ROLE-author Profile: CH Core PractitionerRole EPR active: true practitioner: Practitioner Peter Müller organization: Organization Gruppenpraxis Müller
Generated Narrative: Immunization TCB01-IMMUN1 Profile: CH VACD Immunization Author of the content: PractitionerRole CH VACD Extension Immunization Medication Reference: Medication FSME-IMMUN CC Inj Susp sep Nadel CH VACD Extension verificationStatus: SNOMED CT 59156000: Confirmed identifier: urn:oid:2.999.1.2.3.4/urn:uuid:4386ca26-6866-4322-a203-b488b84ab499 status: Completed vaccineCode: FSME-Immun CC patient: Monika Wegmueller Female, DoB: 1967-02-10 ( Medical record number) occurrence: 2021-06-22 recorded: 2021-06-22 11:00:00+0200 lotNumber: 12-34244 route: Intramuscular use Performers - Actor * PractitionerRole ProtocolApplieds - TargetDisease DoseNumber[x] * Tickborne encephalitis 1
Generated Narrative: Medication TC-IMMUN-MEDIC-FSMEIMMCC Profile: CH VACD Medication For Immunization identifier: urn:oid:2.999.1.2.3.4/01194ac7-70ad-4259-b5f4-c5ff0c1b40c5 code: FSME-IMMUN CC Inj Susp sep Nadel status: Active manufacturer: Organization Pfizer AG form: Suspension for injection amount: 0.5 milliliter (Details: UCUM codemL = 'mL')/1 Syringe (unit of presentation) (Details: SNOMED CT code733020007 = 'Syringe') Ingredients - Item[x] * Immunologic substance (substance) Batches - LotNumber * VNR1T10C
Generated Narrative: Organization TC-ORG-PFIZER Profile: CH Core Organization identifier: GLN/7601001010604 name: Pfizer AG 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
Generated Narrative: Immunization TCB01-IMMUN2 Profile: CH VACD Immunization Author of the content: PractitionerRole CH VACD Extension Immunization Medication Reference: Medication BOOSTRIX Inj Susp CH VACD Extension verificationStatus: SNOMED CT 59156000: Confirmed identifier: urn:oid:2.999.1.2.3.4/urn:uuid:ebcf6de2-ed9c-463c-8b08-cb487af8ce4e status: Completed vaccineCode: Boostrix patient: Monika Wegmueller Female, DoB: 1967-02-10 ( Medical record number) occurrence: 2020-12-09 recorded: 2020-12-09 11:00:00+0200 lotNumber: AHAVB946A route: Intramuscular use Performers - Actor * PractitionerRole protocolApplied targetDisease: Tetanus (disorder), Pertussis (disorder), Diphtheria caused by Corynebacterium diphtheriae (disorder) doseNumber: 1
Diphtheria caused by Corynebacterium diphtheriae (disorder)
Generated Narrative: Medication TC-IMMUN-MEDIC-BOOSTRIX Profile: CH VACD Medication For Immunization identifier: urn:oid:2.999.1.2.3.4/ead68e47-34a6-4534-a658-b718e565fb91 code: BOOSTRIX Inj Susp status: Active manufacturer: Organization GlaxoSmithKline AG form: Suspension for injection amount: 0.5 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
Generated Narrative: Condition TCC03-EXPRISK1 Language: en-US Profile: CH VACD Medical Problems Entry Resource Cross References entry: Identifier: urn:oid:2.999.1.2.3.4/30327ea1-6893-4c65-896e-c32c394f1ec6 container: 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:ddd50da7-3358-4d36-85cf-569ba7473dc5 relationcode: replaces identifier: urn:oid:2.999.1.2.3.4/30327ea1-6893-4c65-896e-c32c394f1ec6 clinicalStatus: Inactive verificationStatus: Refuted category: Problem List Item code: Healthcare professional (occupation) subject: Monika Wegmueller Female, DoB: 1967-02-10 ( Medical record number) onset: 2021-10-01 abatement: 2021-12-20 recordedDate: 2021-12-20 recorder: PractitionerRole