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Document Details
Profile: LACBundleIPSICVP
Final Document at 2025-11-20 09:30:00+0000 by Practitioner Roberto Gómez for Ana Martínez Pérez (official) Female, DoB: 1990-04-15 ( National unique individual identifier (use: official, ))
Document Subject
Profile: LACPatient
Ana Martínez Pérez (official) Female, DoB: 1990-04-15 ( Passport number (use: official, ))
| Other Id: | National unique individual identifier/1020345678 (use: official, ) | ||
| Contact Detail | Bogotá, Colombia | ||
Document Content
Yellow fever vaccine administered on 2025-11-20 in Bogotá, Colombia.
No active health problems are recorded at this time.
No information is available about known allergies or intolerances.
No current medications were recorded for this encounter.
Entry 2 - fullUrl = urn:uuid:a2b3c4d5-e6f7-4890-a2b3-c4d5e6f78902
Rec}:
Profile: LACPatient
Ana Martínez Pérez (official) Female, DoB: 1990-04-15 ( Passport number (use: official, ))
Other Id: National unique individual identifier/1020345678 (use: official, ) Contact Detail Bogotá, Colombia
Entry 3 - fullUrl = urn:uuid:b3c4d5e6-f7a8-4901-b3c4-d5e6f7a89013
Rec}:
Profile: LACOrganization
name: Centro de Vacunación Internacional - Bogotá
Contacts
Address Cra 7 No. 32-16, Bogotá
Entry 4 - fullUrl = urn:uuid:c4d5e6f7-a8b9-4012-c4d5-e6f7a8b90124
Rec}:
name: Roberto Gómez
Qualifications
Code Doctor of Medicine
Entry 5 - fullUrl = urn:uuid:d5e6f7a8-b9c0-4123-d5e6-f7a8b9c01235
Rec}:
ProductID: WHO PreQualificaiton Vaccine Product Ids: YellowFeverProductd8a09f80301dc05e124f99ffe7711fc0 (01/01/1987Yellow FeverSTAMARILVial + Ampoule10Sanofi PasteurAgence nationale de sécurité du médicament et des produits de santé)
status: Completed
vaccineCode: Yellow fever vaccine
lotNumber: YF2025-0042
occurrence: 2025-11-20 09:30:00+0000
primarySource: true
route: Subcutaneous route
doseQuantity: 1 mL (Details: UCUM codemL = 'mL')
Performers
Actor Practitioner Roberto Gómez note:
Single yellow fever vaccine dose. Validity: 10 years. Valid international certificate.
protocolApplied
