Generated Narrative: Composition comp-vachist-euvac

Language: en-GB

Profile: Vaccination History (EUVAC)

identifier: urn:oid:2.16.724.4.8.10.200.10/VACHIST-EUVAC-2024-001

status: Final

type: History of Immunization note

date: 2024-10-10 10:00:00+0200

author: Practitioner Alice Johnson

title: Vaccination History

Attesters

-ModeTimeParty
*Legal2024-10-10 10:00:00+0200Practitioner Alice Johnson

custodian: Organization City Health Centre Brussels

 <attester> <mode value="legal"/> <time value="2024-10-10T10:00:00+02:00"/> <party> <reference value="Practitioner/prac-vachist-euvac"/> </party> </attester> <custodian> <reference value="Organization/org-vachist-euvac"/> </custodian> <section> <title value="Immunisations"/> <code> <coding> <system value="http://loinc.org"/> <code value="11369-6"/> <display value="History of Immunization note"/> </coding> </code> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p>Vaccination history for John Smith (DOB: 1985-03-15).</p><ul><li>Measles vaccine – 2021-04-15 (dose 1, minimal record)</li><li>COVID-19 vaccine (Comirnaty) – 2024-10-10 (dose 1, full record)</li></ul></div> </text> <entry> <reference value="Immunization/vacc-minimal-euvac"/> </entry> <entry> <reference value="Immunization/vacc-full-euvac"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="http://example.org/fhir/Immunization/vacc-minimal-euvac"/> <resource> <Immunization> <id value="vacc-minimal-euvac"/> <meta> <profile value="http://fhir.ehdsi.eu/euvac/StructureDefinition/vaccination-myhealtheu-euvac"/> </meta> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Immunization_vacc-minimal-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Immunization vacc-minimal-euvac</b></p><a name="vacc-minimal-euvac"> </a><a name="hcvacc-minimal-euvac"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-vaccination-myhealtheu-euvac.html">Vaccination (EUVAC)</a></p></div><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title="Codes:{http://snomed.info/sct 28531000087107}">COVID-19 vaccine (Comirnaty)</span></p><p><b>patient</b>: <a href="Patient-patient-vachist-euvac.html">John Smith Male, DoB: 1985-03-15 ( urn:oid:2.16.840.1.113883.2.9.4.3.2#BE-SMTJHN-19850315)</a></p><p><b>occurrence</b>: 2021-04-15</p><p><b>location</b>: <a href="Location-loc-vachist-euvac.html">Location</a></p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0443 AP}">Administering Provider</span></td><td><a href="Organization-org-vachist-euvac.html">Organization City Health Centre Brussels</a></td></tr></table><h3>ProtocolApplieds</h3><table class="grid"><tr><td style="display: none">-</td><td><b>TargetDisease</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://hl7.org/fhir/sid/icd-10 U07.1}">COVID-19</span></td><td>1</td></tr></table></div> </text> <status value="completed"/> <vaccineCode> <coding> <system value="http://snomed.info/sct"/> <code value="28531000087107"/> <display value="COVID-19 vaccine"/> </coding> <text value="COVID-19 vaccine (Comirnaty)"/> </vaccineCode> <patient> <reference value="Patient/patient-vachist-euvac"/> </patient> <occurrenceDateTime value="2021-04-15"/> <location> <reference value="Location/loc-vachist-euvac"/> </location> <performer> <function> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0443"/> <code value="AP"/> <display value="Administering Provider"/> </coding> </function> <actor> <reference value="Organization/org-vachist-euvac"/> </actor> </performer> <protocolApplied> <targetDisease> <coding> <system value="http://hl7.org/fhir/sid/icd-10"/> <code value="U07.1"/> <display value="COVID-19, virus identified"/> </coding> <text value="COVID-19"/> </targetDisease> <doseNumberPositiveInt value="1"/> </protocolApplied> </Immunization> </resource> </entry> <entry> <fullUrl value="http://example.org/fhir/Immunization/vacc-full-euvac"/> <resource> <Immunization> <id value="vacc-full-euvac"/> <meta> <profile value="http://fhir.ehdsi.eu/euvac/StructureDefinition/vaccination-myhealtheu-euvac"/> </meta> <text> <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Immunization_vacc-full-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Immunization vacc-full-euvac</b></p><a name="vacc-full-euvac"> </a><a name="hcvacc-full-euvac"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-vaccination-myhealtheu-euvac.html">Vaccination (EUVAC)</a></p></div><blockquote><p><b>R5: Product that was administered (new)</b></p><ul><li>reference: <a href="Medication-med-vachist-euvac.html">Medication COVID-19 vaccine</a></li><li>http://hl7.org/fhir/StructureDefinition/_datatype: CodeableReference</li></ul></blockquote><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title="Codes:{http://snomed.info/sct 28531000087107}">COVID-19 vaccine (Comirnaty)</span></p><p><b>patient</b>: <a href="Patient-patient-vachist-euvac.html">John Smith Male, DoB: 1985-03-15 ( urn:oid:2.16.840.1.113883.2.9.4.3.2#BE-SMTJHN-19850315)</a></p><p><b>occurrence</b>: 2024-10-10</p><p><b>location</b>: <a href="Location-loc-vachist-euvac.html">Location</a></p><p><b>manufacturer</b>: <a href="Organization-mfr-vachist-euvac.html">Organization BioNTech Manufacturing GmbH</a></p><p><b>lotNumber</b>: V24-1098-B</p><blockquote><p><b>performer</b></p><p><b>function</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0443 AP}">Administering Provider</span></p><p><b>actor</b>: <a href="Organization-org-vachist-euvac.html">Organization City Health Centre Brussels</a></p></blockquote><blockquote><p><b>performer</b></p><p><b>function</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0443 AP}">Administering Provider</span></p><p><b>actor</b>: <a href="Practitioner-prac-vachist-euvac.html">Practitioner Alice Johnson </a></p></blockquote><p><b>note</b>: </p><blockquote><div><p>Patient reported mild soreness at injection site lasting approximately 1 day. No systemic reactions observed. No anaphylaxis.</p> </div></blockquote><h3>Reactions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Detail</b></td><td><b>Reported</b></td></tr><tr><td style="display: none">*</td><td><a href="Observation-obs-adverse-euvac.html">Observation Adverse reaction (disorder)</a></td><td>true</td></tr></table><h3>ProtocolApplieds</h3><table class="grid"><tr><td style="display: none">-</td><td><b>TargetDisease</b></td><td><b>DoseNumber[x]</b></td><td><b>SeriesDoses[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://hl7.org/fhir/sid/icd-10 U07.1}">COVID-19</span></td><td>1</td><td>1</td></tr></table></div> </text> <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.administeredProduct"> <extension url="reference"> <valueReference> <reference value="Medication/med-vachist-euvac"/> </valueReference> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/_datatype"> <valueString value="CodeableReference"/> </extension> </extension> <status value="completed"/> <vaccineCode> <coding> <system value="http://snomed.info/sct"/> <code value="28531000087107"/> <display value="COVID-19 vaccine"/> </coding> <text value="COVID-19 vaccine (Comirnaty)"/> </vaccineCode> <patient> <reference value="Patient/patient-vachist-euvac"/> </patient> <occurrenceDateTime value="2024-10-10"/> <location> <reference value="Location/loc-vachist-euvac"/> </location> <manufacturer> <reference value="Organization/mfr-vachist-euvac"/> </manufacturer> <lotNumber value="V24-1098-B"/> <performer> <function> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0443"/> <code value="AP"/> <display value="Administering Provider"/> </coding> </function> <actor> <reference value="Organization/org-vachist-euvac"/> </actor> </performer> <performer> <function> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0443"/> <code value="AP"/> <display value="Administering Provider"/> </coding> </function> <actor> <reference value="Practitioner/prac-vachist-euvac"/> </actor> </performer> <note> <text value="Patient reported mild soreness at injection site lasting approximately 1 day. No systemic reactions observed. No anaphylaxis."/> </note> <reaction> <detail> <reference value="Observation/obs-adverse-euvac"/> </detail> <reported value="true"/> </reaction> <protocolApplied> <targetDisease> <coding> <system value="http://hl7.org/fhir/sid/icd-10"/> <code value="U07.1"/> <display value="COVID-19, virus identified"/> </coding> <text value="COVID-19"/> </targetDisease> <doseNumberPositiveInt value="1"/> <seriesDosesPositiveInt value="1"/> </protocolApplied> </Immunization> </resource> </entry> <entry> <fullUrl value="http://example.org/fhir/Patient/patient-vachist-euvac"/> <resource> <Patient> <id value="patient-vachist-euvac"/> <meta> <profile value="http://fhir.ehdsi.eu/core/StructureDefinition/patient-myhealtheu-core"/> </meta> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_patient-vachist-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient-vachist-euvac</b></p><a name="patient-vachist-euvac"> </a><a name="hcpatient-vachist-euvac"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ehdsi.eu/core/1.0.0/StructureDefinition-patient-myhealtheu-core.html">Patient (Core)</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">John Smith Male, DoB: 1985-03-15 ( urn:oid:2.16.840.1.113883.2.9.4.3.2#BE-SMTJHN-19850315)</p><hr/></div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.9.4.3.2"/> <value value="BE-SMTJHN-19850315"/> </identifier> <name> <family value="Smith"/> <given value="John"/> </name> <gender value="male"/> <birthDate value="1985-03-15"/> </Patient> </resource> </entry> <entry> <fullUrl value="http://example.org/fhir/Practitioner/prac-vachist-euvac"/> <resource> <Practitioner> <id value="prac-vachist-euvac"/> <meta> <profile value="http://fhir.ehdsi.eu/core/StructureDefinition/practitioner-myhealtheu-core"/> </meta> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_prac-vachist-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner prac-vachist-euvac</b></p><a name="prac-vachist-euvac"> </a><a name="hcprac-vachist-euvac"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ehdsi.eu/core/1.0.0/StructureDefinition-practitioner-myhealtheu-core.html">Practitioner (Core)</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.2.9.4.3.8</code>/NURSE-001-BE</p><p><b>name</b>: Alice Johnson </p></div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.9.4.3.8"/> <value value="NURSE-001-BE"/> </identifier> <name> <family value="Johnson"/> <given value="Alice"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="http://example.org/fhir/Organization/org-vachist-euvac"/> <resource> <Organization> <id value="org-vachist-euvac"/> <meta> <profile value="http://fhir.ehdsi.eu/core/StructureDefinition/organization-myhealtheu-core"/> </meta> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_org-vachist-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Organization org-vachist-euvac</b></p><a name="org-vachist-euvac"> </a><a name="hcorg-vachist-euvac"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ehdsi.eu/core/1.0.0/StructureDefinition-organization-myhealtheu-core.html">Organization (Core)</a></p></div><p><b>name</b>: City Health Centre Brussels</p><p><b>address</b>: BE </p></div> </text> <name value="City Health Centre Brussels"/> <address> <country value="BE"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="http://example.org/fhir/Organization/mfr-vachist-euvac"/> <resource> <Organization> <id value="mfr-vachist-euvac"/> <meta> <profile value="http://fhir.ehdsi.eu/core/StructureDefinition/organization-myhealtheu-core"/> </meta> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_mfr-vachist-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Organization mfr-vachist-euvac</b></p><a name="mfr-vachist-euvac"> </a><a name="hcmfr-vachist-euvac"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ehdsi.eu/core/1.0.0/StructureDefinition-organization-myhealtheu-core.html">Organization (Core)</a></p></div><p><b>name</b>: BioNTech Manufacturing GmbH</p></div> </text> <name value="BioNTech Manufacturing GmbH"/> </Organization> </resource> </entry> <entry> <fullUrl value="http://example.org/fhir/Location/loc-vachist-euvac"/> <resource> <Location> <id value="loc-vachist-euvac"/> <meta> <profile value="http://fhir.ehdsi.eu/core/StructureDefinition/location-myhealtheu-core"/> </meta> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_loc-vachist-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Location loc-vachist-euvac</b></p><a name="loc-vachist-euvac"> </a><a name="hcloc-vachist-euvac"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ehdsi.eu/core/1.0.0/StructureDefinition-location-myhealtheu-core.html">Location (Core)</a></p></div><p><b>address</b>: BE </p></div> </text> <address> <country value="BE"/> </address> </Location> </resource> </entry> <entry> <fullUrl value="http://example.org/fhir/Medication/med-vachist-euvac"/> <resource> <Medication> <id value="med-vachist-euvac"/> <meta> <profile value="http://fhir.ehdsi.eu/core/StructureDefinition/medication-myhealtheu-core"/> </meta> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_med-vachist-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Medication med-vachist-euvac</b></p><a name="med-vachist-euvac"> </a><a name="hcmed-vachist-euvac"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ehdsi.eu/core/1.0.0/StructureDefinition-medication-myhealtheu-core.html">Medication (Core)</a></p></div><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 28531000087107}">Comirnaty 0.3 mL pre-filled syringe</span></p><p><b>manufacturer</b>: <a href="Organization-mfr-vachist-euvac.html">Organization BioNTech Manufacturing GmbH</a></p></div> </text> <code> <coding> <system value="http://snomed.info/sct"/> <code value="28531000087107"/> <display value="COVID-19 vaccine"/> </coding> <text value="Comirnaty 0.3 mL pre-filled syringe"/> </code> <manufacturer> <reference value="Organization/mfr-vachist-euvac"/> </manufacturer> </Medication> </resource> </entry> <entry> <fullUrl value="http://example.org/fhir/Observation/obs-adverse-euvac"/> <resource> <Observation> <id value="obs-adverse-euvac"/> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_obs-adverse-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Observation obs-adverse-euvac</b></p><a name="obs-adverse-euvac"> </a><a name="hcobs-adverse-euvac"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 281647001}">Mild local reaction at injection site</span></p><p><b>subject</b>: <a href="Patient-patient-vachist-euvac.html">John Smith Male, DoB: 1985-03-15 ( urn:oid:2.16.840.1.113883.2.9.4.3.2#BE-SMTJHN-19850315)</a></p><p><b>effective</b>: 2024-10-11</p><p><b>performer</b>: <a href="Practitioner-prac-vachist-euvac.html">Practitioner Alice Johnson </a></p><p><b>value</b>: Mild redness and swelling at injection site, resolved within 48 hours without intervention.</p><p><b>note</b>: </p><blockquote><div><p>ICD-10: T88.1 – Other adverse effects of vaccination</p> </div></blockquote></div> </text> <status value="final"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="281647001"/> <display value="Adverse reaction (disorder)"/> </coding> <text value="Mild local reaction at injection site"/> </code> <subject> <reference value="Patient/patient-vachist-euvac"/> </subject> <effectiveDateTime value="2024-10-11"/> <performer> <reference value="Practitioner/prac-vachist-euvac"/> </performer> <valueString value="Mild redness and swelling at injection site, resolved within 48 hours without intervention."/> <note> <text value="ICD-10: T88.1 – Other adverse effects of vaccination"/> </note> </Observation> </resource> </entry> </Bundle>