Immunization Administration Id: D-D2-HCP2-C2-Composition Identifier: urn:ietf:rfc:3986#urn:uuid:cb155588-9718-42b0-9e2e-f50f8bab5bcf Status: Final Code: Immunization record (http://snomed.info/sct#41000179103) Patient: Patient/TC-patient Wegmueller Monika Date: October 6, 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/TCD01-IMMUN3 Immunization/TCD01-IMMUN4 Immunization/TCD01-IMMUN5
Code: Annotation comment [Interpretation] Narrative (http://loinc.org#48767-8)
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: 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: Practitioner TC-HCP2-C2 Profile: CH Core Practitioner EPR identifier: GLN/7601999999998 active: true name: Gabriela Meier telecom: ph: tel:+41.32.234.77.88(Work), mailto:leitung@praxis-gesund.ch, http://www.praxis-gesund.ch address: Werthgasse 34 Bern ZH 3000 CH
Generated Narrative: Organization TC-ORG2 Profile: CH Core Organization EPR identifier: GLN/7601999999912 name: Praxis Dr. G. Meier telecom: ph: tel:+41.32.234.77.88(Work), mailto:leitung@praxis-gesund.ch, http://www.praxis-gesund.ch address: Werthgasse 34 Bern ZH 3000 CH
Generated Narrative: PractitionerRole TC-HCP2-ORG2-ROLE-performer Profile: CH Core PractitionerRole EPR active: true practitioner: Practitioner Gabriela Meier organization: Organization Praxis Dr. G. Meier
Generated Narrative: PractitionerRole TC-HCP2-ORG2-ROLE-author Profile: CH Core PractitionerRole EPR active: true practitioner: Practitioner Gabriela Meier organization: Organization Praxis Dr. G. Meier
Generated Narrative: Immunization TCD01-IMMUN3 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:58457607-9160-4d0a-9a79-55495755a677 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: Immunization TCD01-IMMUN4 Profile: CH VACD Immunization Author of the content: PractitionerRole CH VACD Extension Immunization Medication Reference: Medication PRIORIX Trockensub c Solv CH VACD Extension verificationStatus: SNOMED CT: 59156000 (Confirmed) identifier: urn:oid:2.999.1.2.3.4/urn:uuid:58457607-9160-4d0a-9a79-55495755a677 status: Completed vaccineCode: Priorix patient: Monika Wegmueller Female, DoB: 1967-02-10 ( Medical record number) occurrence: 2020-12-09 recorded: 2020-12-09 11:00:00+0200 lotNumber: A69FE297A route: Intramuscular use Performers - Actor * PractitionerRole ProtocolApplieds - TargetDisease DoseNumber[x] * Mumps (disorder) 1
Generated Narrative: Medication TC-IMMUN-MEDIC-PRIORIX Profile: CH VACD Medication For Immunization identifier: urn:oid:2.999.1.2.3.4/47fd8496-cadb-4546-9533-5fad5127a1d5 code: PRIORIX Trockensub c Solv 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 * A69FE297A
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: Immunization TCD01-IMMUN5 Profile: CH VACD Immunization Author of the content: PractitionerRole CH VACD Extension Immunization Medication Reference: Medication GARDASIL 9 Inj Susp Fertspr CH VACD Extension verificationStatus: SNOMED CT: 59156000 (Confirmed) identifier: urn:oid:2.999.1.2.3.4/urn:uuid:cc632c23-ffb4-4cd9-a090-61afd0746aff status: Completed vaccineCode: Gardasil 9 patient: Monika Wegmueller Female, DoB: 1967-02-10 ( Medical record number) occurrence: 2021-03-29 recorded: 2021-03-29 11:00:00+0200 lotNumber: 12435 route: Intramuscular use Performers - Actor * PractitionerRole ProtocolApplieds - TargetDisease DoseNumber[x] * Human papillomavirus infection (disorder) 1
Human papillomavirus infection (disorder)
Generated Narrative: Medication TC-IMMUN-MEDIC-GARDASIL9 Profile: CH VACD Medication For Immunization identifier: urn:oid:2.999.1.2.3.4/cdd3c568-516b-4dea-94b4-1a05683595fc code: GARDASIL 9 Inj Susp Fertspr status: Active manufacturer: Organization MSD Merck Sharp & Dohme 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 * A69FE297A
Generated Narrative: Organization TC-ORG-MSD Profile: CH Core Organization identifier: GLN/7601001000674 name: MSD Merck Sharp & Dohme AG telecom: ph: tel:+41 58 618 30 30(Work), mailto:msd.kundendienst@msd.com, https://www.msd.ch address: Werftestrasse 4 Lucerne LU 6005 CH