Release 4B Snapshot #1

This page is part of the FHIR Specification (v4.3.0-snapshot1: Release 4B Snapshot #1). 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

Standards 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

Resource "protocol"

identifier: id: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234

status: completed

vaccineCode: Twinrix (HepA/HepB) (Vaccine Administered Code Set (CVX)#104)

patient: Patient/example "Peter CHALMERS"

encounter: Encounter/example

occurrence: 2018-06-18

primarySource: true

location: Location/1 "South Wing, second floor"

manufacturer: Organization/hl7 "Health Level Seven International"

lotNumber: PT123F

expirationDate: 2018-12-15

site: left arm (ActSite#LA)

route: Injection, intramuscular (RouteOfAdministration#IM)

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

performer
function: Ordering Provider (providerRole#OP)
actor: Practitioner/example "Adam CAREFUL"

performer
function: Administering Provider (providerRole#AP)
actor: Practitioner/example "Adam CAREFUL"

isSubpotent: false

programEligibility: Not Eligible (Immunization Event Program Eligibility#ineligible)

fundingSource: Private (Immunization Event Funding Source#private)

protocolApplied
series: 2-dose
targetDisease: Viral hepatitis, type A (SNOMED CT#40468003)
doseNumber: 1

protocolApplied
series: 3-dose
targetDisease: Type B viral hepatitis (SNOMED CT#66071002)
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.