This page is part of the Quality Improvement Core Framework (v2.1.0: STU 3 Ballot 1) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions
id: example
identifier: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234
status: completed
notGiven: false
vaccineCode: { urn:oid:1.2.36.1.2001.1005.17 code 'FLUVAX' = 'Fluvax' }
patient: Patient/example
encounter: Encounter/example
date: 10/01/2013
primarySource: true
location: Location/example
manufacturer: Organization/example
lotNumber: AAJN11K
expirationDate: 15/02/2015
site: { http://hl7.org/fhir/v3/ActSite code 'LA' = 'left arm' }
route: { http://hl7.org/fhir/v3/RouteOfAdministration code 'IM' = 'Injection, intramuscular' }
doseQuantity: 5 mg (Details: UCUM code mg = 'mg')
practitioner
role: Ordering Provider: { http://hl7.org/fhir/v2/0443 code 'OP' = 'Ordering Provider' }
actor: Practitioner/example
practitioner
role: { http://hl7.org/fhir/v2/0443 code 'AP' = 'Administering Provider' }
actor: Practitioner/example
note: Notes on adminstration of vaccine
- | Reason |
* | Procedure to meet occupational requirement: { SNOMED CT code '429060002' = 'Procedure to meet occupational requirement' } |
- | Date | Detail | Reported |
* | 10/01/2013 | Observation/example | true |
- | DoseSequence | Description | Authority | Series | SeriesDoses | TargetDisease | DoseStatus | DoseStatusReason |
* | 1 | Vaccination Protocol Sequence 1 | Organization/example | Vaccination Series 1 | 2 | Gestational rubella syndrome { SNOMED CT code '1857005' = 'Gestational rubella syndrome } | Counts { http://hl7.org/fhir/STU3/vaccination-protocol-dose-status code 'count' = 'Counts' } | Cold chain break { http://hl7.org/fhir/STU3/vaccination-protocol-dose-status-reason code 'coldchbrk' = 'Cold chain break' } |