STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). 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

Immunization-example.json

Raw JSON (canonical form)

Example of Immunization

{
  "resourceType": "Immunization",
  "id": "example",
  "text": {
    "status": "generated",
    "div": "<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>"
  },
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"
    }
  ],
  "status": "completed",
  "date": "2013-01-10",
  "vaccineCode": {
    "coding": [
      {
        "system": "urn:oid:1.2.36.1.2001.1005.17",
        "code": "FLUVAX"
      }
    ],
    "text": "Fluvax (Influenza)"
  },
  "patient": {
    "reference": "Patient/example"
  },
  "wasNotGiven": false,
  "reported": false,
  "performer": {
    "reference": "Practitioner/example"
  },
  "requester": {
    "reference": "Practitioner/example"
  },
  "encounter": {
    "reference": "Encounter/example"
  },
  "manufacturer": {
    "reference": "Organization/hl7"
  },
  "location": {
    "reference": "Location/1"
  },
  "lotNumber": "AAJN11K",
  "expirationDate": "2015-02-15",
  "site": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/v3/ActSite",
        "code": "LA",
        "display": "left arm"
      }
    ]
  },
  "route": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/v3/RouteOfAdministration",
        "code": "IM",
        "display": "Injection, intramuscular"
      }
    ]
  },
  "doseQuantity": {
    "value": 5,
    "system": "http://unitsofmeasure.org",
    "code": "mg"
  },
  "note": [
    {
      "text": "Notes on adminstration of vaccine"
    }
  ],
  "explanation": {
    "reason": [
      {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "429060002"
          }
        ]
      }
    ]
  },
  "reaction": [
    {
      "date": "2013-01-10",
      "detail": {
        "reference": "Observation/example"
      },
      "reported": true
    }
  ],
  "vaccinationProtocol": [
    {
      "doseSequence": 1,
      "description": "Vaccination Protocol Sequence 1",
      "authority": {
        "reference": "Organization/hl7"
      },
      "series": "Vaccination Series 1",
      "seriesDoses": 2,
      "targetDisease": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "1857005"
            }
          ]
        }
      ],
      "doseStatus": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/vaccination-protocol-dose-status",
            "code": "count",
            "display": "Counts"
          }
        ]
      },
      "doseStatusReason": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/vaccination-protocol-dose-status-reason",
            "code": "coldchbrk",
            "display": "Cold chain break"
          }
        ]
      }
    }
  ]
}

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.