1-1-ImmunizationAdministration
type: Bundle
node role: treeRoot
id:
  v: 1-1-ImmunizationAdministration
meta:
  last updated:
    v: 2021-06-01T00:00:00.374+02:00
  profile:
    v: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-document-immunization-administration
    l: ch-vacd-document-immunization-administration
identifier:
  system:
    v: urn:ietf:rfc:3986
    l: 3986
type:
  v: document
timestamp:
  v: 2021-06-01T00:00:00.390+02:00
entry:
  full url:
    v: http://test.fhir.ch/r4/Composition/2-1-ImmunizationAdministrationComposition
    l: 2-1-ImmunizationAdministrationComposition
  resource: 2-1-ImmunizationAdministrationComposition
entry:
  full url:
    v: http://test.fhir.ch/r4/Patient/3-1-Patient
    l: 3-1-Patient
  resource: 3-1-Patient
entry:
  full url:
    v: http://test.fhir.ch/r4/Practitioner/4-1-Practitioner
    l: 4-1-Practitioner
  resource: 4-1-Practitioner
entry:
  full url:
    v: http://test.fhir.ch/r4/Organization/5-1-Organization
    l: 5-1-Organization
  resource: 5-1-Organization
entry:
  full url:
    v: http://test.fhir.ch/r4/PractitionerRole/6-1-PractitionerRole
    l: 6-1-PractitionerRole
  resource: 6-1-PractitionerRole
entry:
  full url:
    v: http://test.fhir.ch/r4/Immunization/7-1-Immunization
    l: 7-1-Immunization
  resource: 7-1-Immunization
entry:
  full url:
    v: http://test.fhir.ch/r4/Binary/1-1-ImmunizationAdministration-Binary
    l: 1-1-ImmunizationAdministration-Binary
  resource: 1-1-ImmunizationAdministration-Binary

2-1-ImmunizationAdministrationComposition
type: Composition
id:
  v: 2-1-ImmunizationAdministrationComposition
meta:
  profile:
    v: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-composition-immunization-administration
    l: ch-vacd-composition-immunization-administration
language:
  v: en-US
text:
  status:
    v: generated
  div:
    v: 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:2.999.1.2.3.4: 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 7-1-Immunization 15.09.2017 Boostrix (637) 12-34244 20035000: Intramuscular use Diphtheria caused by Corynebacterium diphtheriae (disorder) Tetanus (disorder) Pertussis (disorder) 15.09.2017 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 urn:oid:2.999.1.2.3.4: 1829774; Comments
identifier:
  system:
    v: urn:ietf:rfc:3986
    l: 3986
status:
  v: final
type:
  coding: http://snomed.info/id/41000179103
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 41000179103
    display:
      v: Immunization record
category:
  coding:
    system:
      v: urn:oid:2.16.756.5.30.1.127.3.10.10
      l: 2.16.756.5.30.1.127.3.10.10
    code:
      v: urn:che:epr:ch-vacd:immunization-administration:2022
subject:
  l: 3-1-Patient
  reference:
    v: Patient/3-1-Patient
date:
  v: 2021-06-01T00:00:00+02:00
author:
  l: 6-1-PractitionerRole
  reference:
    v: PractitionerRole/6-1-PractitionerRole
title:
  v: Immunization Administration
confidentiality:
  v: N
  extension:
    url:
      v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
      l: ch-ext-epr-confidentialitycode
    value: CodeableConcept
      coding: http://snomed.info/id/17621005
custodian:
  l: 5-1-Organization
  reference:
    v: Organization/5-1-Organization
section:
  id:
    v: administration
  title:
    v: Immunization Administration
  code:
    coding: https://loinc.org/rdf/11369-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 11369-6
      display:
        v: Hx of Immunization
  text:
    status:
      v: generated
    div:
      v: This is the section containing all immunization entries.
  entry:
    l: 7-1-Immunization
    reference:
      v: Immunization/7-1-Immunization
section:
  id:
    v: originalRepresentation
  title:
    v: Original representation
  code:
    coding: https://loinc.org/rdf/55108-5
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 55108-5
      display:
        v: Clinical presentation Document
  text:
    status:
      v: generated
    div:
      v: This is the section containing the original representation.
  entry:
    l: 1-1-ImmunizationAdministration-Binary
    reference:
      v: Binary/1-1-ImmunizationAdministration-Binary
section:
  id:
    v: Annotation
  title:
    v: Comments
  code:
    coding: https://loinc.org/rdf/48767-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 48767-8
      display:
        v: Annotation comment Imp
  text:
    status:
      v: generated
    div:
      v: This is the section containing all immunization entries.

3-1-Patient
type: Patient
id:
  v: 3-1-Patient
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-epr
    l: ch-core-patient-epr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Patient 3-1-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
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: MR
  system:
    v: urn:oid:2.999.1.2.3.4
    l: 2.999.1.2.3.4
  value:
    v: 12345678
name:
  family:
    v: Wegmueller
  given:
    v: Monika
telecom:
  system:
    v: phone
  value:
    v: tel:+41.32.685.12.34
  use:
    v: home
gender:
  v: female
birth date:
  v: 1967-02-10
address:
  type:
    v: both
  line:
    v: Leidensweg 10
  city:
    v: Specimendorf
  postal code:
    v: 9876
  country:
    v: CH

4-1-Practitioner
type: Practitioner
id:
  v: 4-1-Practitioner
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner-epr
    l: ch-core-practitioner-epr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner 4-1-Practitioner Profile: CH Core Practitioner EPR identifier: GLN/7601888888884 active: true name: Allzeit Bereit telecom: ph: tel:+41.32.234.55.66(Work), fax: fax:+41.32.234.55.67(Work), mailto:bereit@gruppenpraxis.ch, http://www.gruppenpraxis.ch address: Doktorgasse 2 Musterhausen 8888 CH
identifier:
  system:
    v: urn:oid:2.51.1.3
    l: 2.51.1.3
  value:
    v: 7601888888884
active:
  v: true
name:
  family:
    v: Bereit
  given:
    v: Allzeit
  prefix:
    v: Dr. med.
telecom:
  system:
    v: phone
  value:
    v: tel:+41.32.234.55.66
  use:
    v: work
telecom:
  system:
    v: fax
  value:
    v: fax:+41.32.234.55.67
  use:
    v: work
telecom:
  system:
    v: email
  use:
    v: work
telecom:
  system:
    v: url
  value:
    v: http://www.gruppenpraxis.ch
  use:
    v: work
address:
  type:
    v: physical
  line:
    v: Doktorgasse 2
  city:
    v: Musterhausen
  postal code:
    v: 8888
  country:
    v: CH

5-1-Organization
type: Organization
id:
  v: 5-1-Organization
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization-epr
    l: ch-core-organization-epr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization 5-1-Organization Profile: CH Core Organization EPR identifier: GLN/7601888888884 name: Gruppenpraxis CH telecom: ph: tel:+41.32.234.55.66(Work), fax: fax:+41.32.234.55.67(Work), mailto:bereit@gruppenpraxis.ch, http://www.gruppenpraxis.ch address: Doktorgasse 2 Musterhausen ZH 8888 CH
identifier:
  system:
    v: urn:oid:2.51.1.3
    l: 2.51.1.3
  value:
    v: 7601888888884
name:
  v: Gruppenpraxis CH
telecom:
  system:
    v: phone
  value:
    v: tel:+41.32.234.55.66
  use:
    v: work
telecom:
  system:
    v: fax
  value:
    v: fax:+41.32.234.55.67
  use:
    v: work
telecom:
  system:
    v: email
  use:
    v: work
telecom:
  system:
    v: url
  value:
    v: http://www.gruppenpraxis.ch
  use:
    v: work
address:
  line:
    v: Doktorgasse 2
  city:
    v: Musterhausen
  state:
    v: ZH
  postal code:
    v: 8888
  country:
    v: CH

6-1-PractitionerRole
type: PractitionerRole
id:
  v: 6-1-PractitionerRole
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole-epr
    l: ch-core-practitionerrole-epr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: PractitionerRole 6-1-PractitionerRole Profile: CH Core PractitionerRole EPR active: true practitioner: Practitioner Allzeit Bereit organization: Organization Gruppenpraxis CH
active:
  v: true
practitioner:
  l: 4-1-Practitioner
  reference:
    v: Practitioner/4-1-Practitioner
organization:
  l: 5-1-Organization
  reference:
    v: Organization/5-1-Organization

7-1-Immunization
type: Immunization
id:
  v: 7-1-Immunization
meta:
  profile:
    v: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-immunization
    l: ch-vacd-immunization
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Immunization 7-1-Immunization Profile: CH VACD Immunization Author of the content: Monika Wegmueller Female, DoB: 1967-02-10 ( Medical record number) CH VACD Extension verificationStatus: SNOMED CT: 76104008 (Not confirmed) identifier: urn:oid:2.999.1.2.3.4/1829774 status: Completed vaccineCode: Boostrix patient: Monika Wegmueller Female, DoB: 1967-02-10 ( Medical record number) occurrence: 2017-09-15 09:12:56+0200 recorded: 2017-09-15 09:12:56+0200 lotNumber: 12-34244 route: Intramuscular use Performers - Actor * PractitionerRole protocolApplied targetDisease: Diphtheria caused by Corynebacterium diphtheriae (disorder), Tetanus (disorder), Pertussis (disorder) doseNumber: 1
extension:
  url:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
    l: ch-ext-author
  value: Reference
    l: 3-1-Patient
    reference:
      v: Patient/3-1-Patient
extension:
  url:
    v: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-verification-status
    l: ch-vacd-ext-verification-status
  value: Coding
    type: http://snomed.info/id/76104008
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 76104008
    display:
      v: Not confirmed
identifier:
  system:
    v: urn:oid:2.999.1.2.3.4
    l: 2.999.1.2.3.4
  value:
    v: 1829774
status:
  v: completed
vaccine code:
  coding:
    system:
      v: http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-swissmedic-cs
      l: ch-vacd-swissmedic-cs
    code:
      v: 637
    display:
      v: Boostrix
patient:
  l: 3-1-Patient
  reference:
    v: Patient/3-1-Patient
occurrence: DateTime
  v: 2017-09-15T09:12:56+02:00
recorded:
  v: 2017-09-15T09:12:56+02:00
lot number:
  v: 12-34244
route:
  coding:
    system:
      v: http://standardterms.edqm.eu
      l: standardterms.edqm.eu
    code:
      v: 20035000
    display:
      v: Intramuscular use
performer:
  actor:
    l: 6-1-PractitionerRole
    reference:
      v: PractitionerRole/6-1-PractitionerRole
protocol applied:
  target disease:
    coding: http://snomed.info/id/397430003
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 397430003
      display:
        v: Diphtheria caused by Corynebacterium diphtheriae (disorder)
  target disease:
    coding: http://snomed.info/id/76902006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 76902006
      display:
        v: Tetanus (disorder)
  target disease:
    coding: http://snomed.info/id/27836007
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 27836007
      display:
        v: Pertussis (disorder)
  dose number: PositiveInt
    v: 1

1-1-ImmunizationAdministration-Binary
type: Binary
id:
  v: 1-1-ImmunizationAdministration-Binary
content type:
  v: application/pdf

v: 17621005

v: Normal (qualifier value)