Immunization-example-protocol.json

Example where the provider indicates the protocol being followed

{
  "resourceType": "Immunization",
  "id": "protocol",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234</p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: <span>Twinrix (HepA/HepB)</span></p><p><b>manufacturer</b>: <a>Generated Summary: name: Health Level Seven International; alias: HL7 International; Phone: (+1) 734-677-7777, Fax: (+1) 734-677-6622, hq@HL7.org</a></p><p><b>lotNumber</b>: PT123F</p><p><b>expirationDate</b>: 2018-12-15</p><p><b>patient</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>encounter</b>: <a>Generated Summary: status: in-progress; <span>inpatient encounter</span></a></p><p><b>occurrence</b>: 2018-06-18</p><p><b>primarySource</b>: true</p><p><b>location</b>: <a>Generated Summary: id: B1-S.F2; status: active; name: South Wing, second floor; alias: BU MC, SW, F2, alias: Burgers University Medical Center, South Wing, second floor; description: Second floor of the Old South Wing, formerly in use by Psychiatry; mode: instance; Phone: 2328, Fax: 2329, second wing admissions, http://sampleorg.com/southwing; <span>Wing</span></a></p><p><b>site</b>: <span>left arm</span></p><p><b>route</b>: <span>Injection, intramuscular</span></p><p><b>doseQuantity</b>: 5 mg</p><blockquote><p><b>performer</b></p><p><b>function</b>: <span>Ordering Provider</span></p><p><b>actor</b>: <a>Generated Summary: id: 23; active; Adam Careful </a></p></blockquote><blockquote><p><b>performer</b></p><p><b>function</b>: <span>Administering Provider</span></p><p><b>actor</b>: <a>Generated Summary: id: 23; active; Adam Careful </a></p></blockquote><p><b>isSubpotent</b>: false</p><p><b>programEligibility</b>: <span>Not Eligible</span></p><p><b>fundingSource</b>: <span>Private</span></p><blockquote><p><b>protocolApplied</b></p><p><b>series</b>: 2-dose</p><p><b>targetDisease</b>: <span>Viral hepatitis, type A</span></p><p><b>doseNumber</b>: 1</p></blockquote><blockquote><p><b>protocolApplied</b></p><p><b>series</b>: 3-dose</p><p><b>targetDisease</b>: <span>Type B viral hepatitis</span></p><p><b>doseNumber</b>: 2</p><p><b>seriesDoses</b>: 3</p></blockquote></div>"
  },
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"
    }
  ],
  "status": "completed",
  "vaccineCode": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/sid/cvx",
        "code": "104"
      }
    ],
    "text": "Twinrix (HepA/HepB)"
  },
  "manufacturer": {
    "reference": "Organization/hl7"
  },
  "lotNumber": "PT123F",
  "expirationDate": "2018-12-15",
  "patient": {
    "reference": "Patient/example"
  },
  "encounter": {
    "reference": "Encounter/example"
  },
  "occurrenceDateTime": "2018-06-18",
  "primarySource": true,
  "location": {
    "reference": "Location/1"
  },
  "site": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActSite",
        "code": "LA",
        "display": "left arm"
      }
    ]
  },
  "route": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
        "code": "IM",
        "display": "Injection, intramuscular"
      }
    ]
  },
  "doseQuantity": {
    "value": 5,
    "system": "http://unitsofmeasure.org",
    "code": "mg"
  },
  "performer": [
    {
      "function": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0443",
            "code": "OP"
          }
        ]
      },
      "actor": {
        "reference": "Practitioner/example"
      }
    },
    {
      "function": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0443",
            "code": "AP"
          }
        ]
      },
      "actor": {
        "reference": "Practitioner/example"
      }
    }
  ],
  "isSubpotent": false,
  "programEligibility": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/immunization-program-eligibility",
          "code": "ineligible"
        }
      ]
    }
  ],
  "fundingSource": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/immunization-funding-source",
        "code": "private"
      }
    ]
  },
  "protocolApplied": [
    {
      "series": "2-dose",
      "targetDisease": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "40468003"
            }
          ]
        }
      ],
      "doseNumber": "1"
    },
    {
      "series": "3-dose",
      "targetDisease": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "66071002"
            }
          ]
        }
      ],
      "doseNumber": "2",
      "seriesDoses": "3"
    }
  ]
}