R4 Ballot #2 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.5.0: R4 Ballot #2). 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

Immunization-example-protocol

Public Health and Emergency Response Work Group

Maturity Level: N/A

Ballot Status: Informative

Compartments: Patient, Practitioner

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile Immunization.

Generated Narrative with Details

id: protocol

identifier: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234

status: completed

vaccineCode: Twinrix (HepA/HepB) (Details : {http://hl7.org/fhir/sid/cvx code '104' = '104)

patient: Patient/example

encounter: Encounter/example

occurrence: 18/06/2018

primarySource: true

location: Location/1

manufacturer: Organization/hl7

lotNumber: PT123F

expirationDate: 15/12/2018

site: left arm (Details : {http://terminology.hl7.org/CodeSystem/v3-ActSite code 'LA' = 'left arm', given as 'left arm'})

route: Injection, intramuscular (Details : {http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration code 'IM' = 'Injection, intramuscular', given as 'Injection, intramuscular'})

doseQuantity: 5 mg (Details: UCUM code mg = 'mg')

performer
function: Ordering Provider (Details : {http://terminology.hl7.org/CodeSystem/v2-0443 code 'OP' = 'Ordering Provider)
actor: Practitioner/example

performer
function: Administering Provider (Details : {http://terminology.hl7.org/CodeSystem/v2-0443 code 'AP' = 'Administering Provider)
actor: Practitioner/example

isSubpotent: false

programEligibility: Not Eligible (Details : {http://terminology.hl7.org/CodeSystem/immunization-program-eligibility code 'ineligible' = 'Not Eligible)

fundingSource: Private (Details : {http://terminology.hl7.org/CodeSystem/immunization-funding-source code 'private' = 'Private)

protocolApplied
series: 2-dose
targetDisease: Viral hepatitis, type A (Details : {SNOMED CT code '40468003' = 'Viral hepatitis, type A)
doseNumber: 1

protocolApplied
series: 3-dose
targetDisease: Type B viral hepatitis (Details : {SNOMED CT code '66071002' = 'Type B viral hepatitis)
doseNumber: 2

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.