Implementation Guide CH VACD
5.0.0-ballot - ballot Switzerland flag

This page is part of the CH VACD (R4) (v5.0.0-ballot: STU 5 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example Composition: 2.3 Composition Vaccination Record

Patient
Name
MonikaWegmueller
Gender
female
Birthday
10.02.1967
Adress
Leidensweg 10
CH - 9876 Specimendorf  
Contact
home - tel:+41.32.685.12.34
Identifier
urn:oid:1.2.3.4: 12345678; 
Author
Practitioner
AllzeitBereit (urn:oid:2.51.1.3: 7601888888884;  )
 
Doktorgasse 2
CH - 8888 Musterhausen  
Organization
Gruppenpraxis CH (urn:oid:2.51.1.3: 7601888888884;  )
 
Doktorgasse 2
CH - 8888 Musterhausen ZH 
Date
01.06.2021
Immunization Administration
ID
Vaccination Date
Vaccine
Lot
Route
Target
Doc Date
Performer
Identifier
7-2-Immunization
15.09.2013
Boostrix (637)
12-34244
20035000: Intramuscular use
Diphtheria caused by Corynebacterium diphtheriae (disorder)
Tetanus (disorder)
Pertussis (disorder)
15.09.2013
Practitioner
DetlefDemo (urn:oid:2.51.1.3: 7601000000309;  )
 
Hilfgasse 7
CH - 3456 Hilferswil BE 
Organization
Praxis Demo (urn:oid:2.51.1.3: 7601000007292;  )
 
Hilfgasse 7
CH - 3456 Hilferswil BE 
urn:oid:2.16.756.5.30.1.147.1.3.1: 12345; 
7-3-Immunization
12.08.2014
Boostrix (637)
12-34244
20035000: Intramuscular use
Diphtheria caused by Corynebacterium diphtheriae (disorder)
Tetanus (disorder)
Pertussis (disorder)
12.08.2014
Practitioner
DetlefDemo (urn:oid:2.51.1.3: 7601000000309;  )
 
Hilfgasse 7
CH - 3456 Hilferswil BE 
Organization
Praxis Demo (urn:oid:2.51.1.3: 7601000007292;  )
 
Hilfgasse 7
CH - 3456 Hilferswil BE 
urn:oid:2.16.756.5.30.1.147.1.3.1: 23456; 
7-4-Immunization
01.11.2015
Boostrix (637)
12-34244
20035000: Intramuscular use
Diphtheria caused by Corynebacterium diphtheriae (disorder)
Tetanus (disorder)
Pertussis (disorder)
01.11.2015
Practitioner
DetlefDemo (urn:oid:2.51.1.3: 7601000000309;  )
 
Hilfgasse 7
CH - 3456 Hilferswil BE 
Organization
Praxis Demo (urn:oid:2.51.1.3: 7601000007292;  )
 
Hilfgasse 7
CH - 3456 Hilferswil BE 
urn:oid:2.16.756.5.30.1.147.1.3.1: 34567; 
7-5-Immunization
05.03.2016
MMR-II (268)
12-34244
20035000: Intramuscular use
Measles (disorder)
Mumps (disorder)
Rubella (disorder)
05.03.2016
Practitioner
MaxMuster (urn:oid:2.51.1.3: 7601000000316;  )
 
Mustergasse 99
CH - 9876 Beispielen SG 
Organization
Praxis Muster (urn:oid:2.51.1.3: 7601000000514;  )
 
Mustergasse 99
CH - 9876 Beispielen SG 
urn:oid:2.16.756.5.30.1.147.1.3.1: 45678; 
7-6-Immunization
26.02.2012
HBVAXPRO 40 (545)
12-34244
20035000: Intramuscular use
Viral hepatitis type B (disorder)
26.02.2012
Practitioner
MaxMuster (urn:oid:2.51.1.3: 7601000000316;  )
 
Mustergasse 99
CH - 9876 Beispielen SG 
Organization
Praxis Muster (urn:oid:2.51.1.3: 7601000000514;  )
 
Mustergasse 99
CH - 9876 Beispielen SG 
urn:oid:2.16.756.5.30.1.147.1.3.1: 12312; 
Other Relevant Observations

8-2-Condition

Code
ANDERE_LEBERERKRANKUNG (235856003)
Documentation Date
01.04.2019
Documenter
Practitioner
AllzeitBereit (urn:oid:2.51.1.3: 7601888888884;  )
 
Doktorgasse 2
CH - 8888 Musterhausen  
Organization
Gruppenpraxis CH (urn:oid:2.51.1.3: 7601888888884;  )
 
Doktorgasse 2
CH - 8888 Musterhausen ZH 
Identifier
-

8-3-Condition

Code
FLEDERMAUSFORSCHER_UND_SCHUETZER (213006)
Documentation Date
01.04.2009
Documenter
Practitioner
AllzeitBereit (urn:oid:2.51.1.3: 7601888888884;  )
 
Doktorgasse 2
CH - 8888 Musterhausen  
Organization
Gruppenpraxis CH (urn:oid:2.51.1.3: 7601888888884;  )
 
Doktorgasse 2
CH - 8888 Musterhausen ZH 
Identifier
-
Undergone illnesses for immunization

8-4-Condition

Code
Measles (disorder) (14189004)
Date
30.11.1966
Documentation Date
01.04.1999
Documenter
Practitioner
AllzeitBereit (urn:oid:2.51.1.3: 7601888888884;  )
 
Doktorgasse 2
CH - 8888 Musterhausen  
Organization
Gruppenpraxis CH (urn:oid:2.51.1.3: 7601888888884;  )
 
Doktorgasse 2
CH - 8888 Musterhausen ZH 
Identifier
-
Allergies

11-1-AllergyIntolerance

Code
Allergy to egg protein (finding) (213020009)
Documentation Date
11.07.2004
Documenter
Practitioner
AllzeitBereit (urn:oid:2.51.1.3: 7601888888884;  )
 
Doktorgasse 2
CH - 8888 Musterhausen  
Organization
Gruppenpraxis CH (urn:oid:2.51.1.3: 7601888888884;  )
 
Doktorgasse 2
CH - 8888 Musterhausen ZH 
Identifier
-

11-2-AllergyIntolerance

Code
Atopic dermatitis (disorder) (24079001)
Documentation Date
11.07.1996
Documenter
Practitioner
AllzeitBereit (urn:oid:2.51.1.3: 7601888888884;  )
 
Doktorgasse 2
CH - 8888 Musterhausen  
Organization
Gruppenpraxis CH (urn:oid:2.51.1.3: 7601888888884;  )
 
Doktorgasse 2
CH - 8888 Musterhausen ZH 
Identifier
-
Lab

9-1-Observation

Code
Hepatitis B virus surface Ab [Units/volume] in Serum
Result
99 [iU]/L
Interpretation
Positive
Date
..1971
Performer
Practitioner
AllzeitBereit (urn:oid:2.51.1.3: 7601888888884;  )
 
Doktorgasse 2
CH - 8888 Musterhausen  
Organization
Gruppenpraxis CH (urn:oid:2.51.1.3: 7601888888884;  )
 
Doktorgasse 2
CH - 8888 Musterhausen ZH 
Identifier
-
Comments