This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
Example of Immunization (id = "example")
<Immunization xmlns="http://hl7.org/fhir"> <id value="example"/> <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>identifier</b>: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234</p><p><b>status</b>: completed</p><p><b>date</b>: 10/01/2013</p><p><b>vaccineCode</b>: Fluvax (Influenza) <span>(Details : {urn:oid:1.2.36.1.2001.1005.17 code 'FLUVAX' = '??)</span></p><p><b>patient</b>: <a>Patient/example</a></p><p><b>wasNotGiven</b>: false</p><p><b>reported</b>: false</p><p><b>performer</b>: <a>Practitioner/example</a></p><p><b>requester</b>: <a>Practitioner/example</a></p><p><b>encounter</b>: <a>Encounter/example</a></p><p><b>manufacturer</b>: <a>Organization/hl7</a></p><p><b>location</b>: <a>Location/1</a></p><p><b>lotNumber</b>: AAJN11K</p><p><b>expirationDate</b>: 15/02/2015</p><p><b>site</b>: left arm <span>(Details : {http://hl7.org/fhir/v3/ActSite code 'LA' = 'left arm', given as 'left arm'})</span></p><p><b>route</b>: Injection, intramuscular <span>(Details : {http://hl7.org/fhir/v3/RouteOfAdministration code 'IM' = 'Injection, intramuscular', given as 'Injection, intramuscular'})</span></p><p><b>doseQuantity</b>: 5 mg<span> (Details: http://unitsofmeasure.org code mg = 'mg')</span></p><p><b>note</b>: Notes on adminstration of vaccine</p><h3>Explanations</h3><table><tr><td>-</td><td><b>Reason</b></td></tr><tr><td>*</td><td>Procedure to meet occupational requirement (procedure) <span>(Details : {SNOMED CT code '429060002' = 'Procedure to meet occupational requirement (procedure))</span></td></tr></table><h3>Reactions</h3><table><tr><td>-</td><td><b>Date</b></td><td><b>Detail</b></td><td><b>Reported</b></td></tr><tr><td>*</td><td>10/01/2013</td><td><a>Observation/example</a></td><td>true</td></tr></table><h3>VaccinationProtocols</h3><table><tr><td>-</td><td><b>DoseSequence</b></td><td><b>Description</b></td><td><b>Authority</b></td><td><b>Series</b></td><td><b>SeriesDoses</b></td><td><b>TargetDisease</b></td><td><b>DoseStatus</b></td><td><b>DoseStatusReason</b></td></tr><tr><td>*</td><td>1</td><td>Vaccination Protocol Sequence 1</td><td><a>Organization/hl7</a></td><td>Vaccination Series 1</td><td>2</td><td>Congenital rubella syndrome (disorder) <span>(Details : {SNOMED CT code '1857005' = 'Congenital rubella syndrome (disorder))</span></td><td>Counts <span>(Details : {http://hl7.org/fhir/vaccination-protocol-dose-status code 'count' = 'Counts', given as 'Counts'})</span></td><td>Cold chain break <span>(Details : {http://hl7.org/fhir/vaccination-protocol-dose-status-reason code 'coldchbrk' = 'Cold chain break', given as 'Cold chain break'})</span></td></tr></table></div></text><identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"/> </identifier> <status value="completed"/> <date value="2013-01-10"/> <vaccineCode> <coding> <system value="urn:oid:1.2.36.1.2001.1005.17"/> <code value="FLUVAX"/> </coding> <text value="Fluvax (Influenza)"/> </vaccineCode> <patient> <reference value="Patient/example"/> </patient> <wasNotGiven value="false"/> <reported value="false"/> <performer> <reference value="Practitioner/example"/> </performer> <requester> <reference value="Practitioner/example"/> </requester> <encounter> <reference value="Encounter/example"/> </encounter> <manufacturer> <reference value="Organization/hl7"/> </manufacturer> <location> <reference value="Location/1"/> </location> <lotNumber value="AAJN11K"/> <expirationDate value="2015-02-15"/> <site> <coding> <system value="http://hl7.org/fhir/v3/ActSite"/> <code value="LA"/> <display value="left arm"/> </coding> </site> <route> <coding> <system value="http://hl7.org/fhir/v3/RouteOfAdministration"/> <code value="IM"/> <display value="Injection, intramuscular"/> </coding> </route> <doseQuantity> <value value="5"/> <system value="http://unitsofmeasure.org"/> <code value="mg"/> </doseQuantity> <note> <text value="Notes on adminstration of vaccine"/> </note> <explanation> <reason> <coding> <system value="http://snomed.info/sct"/> <code value="429060002"/> </coding> </reason> </explanation> <reaction> <date value="2013-01-10"/> <detail> <reference value="Observation/example"/> </detail> <reported value="true"/> </reaction> <vaccinationProtocol> <doseSequence value="1"/> <description value="Vaccination Protocol Sequence 1"/> <authority> <reference value="Organization/hl7"/> </authority> <series value="Vaccination Series 1"/> <seriesDoses value="2"/> <targetDisease> <coding> <system value="http://snomed.info/sct"/> <code value="1857005"/> </coding> </targetDisease> <doseStatus> <coding> <system value="http://hl7.org/fhir/vaccination-protocol-dose-status"/> <code value="count"/> <display value="Counts"/> </coding> </doseStatus> <doseStatusReason> <coding> <system value="http://hl7.org/fhir/vaccination-protocol-dose-status-reason"/> <code value="coldchbrk"/> <display value="Cold chain break"/> </coding> </doseStatusReason> </vaccinationProtocol> </Immunization>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.