QI-Core Implementation Guide
5.0.0-ballot - STU Ballot US

This page is part of the Quality Improvement Core Framework (v5.0.0-ballot: STU 5 Ballot 1) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

Example Immunization: Immunization example

Generated Narrative: Immunization

Resource Immunization "example"

Profile: QICore Immunization

identifier: id: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234

status: completed

vaccineCode: Fluvax (Influenza) (unknown#FLUVAX)

patient: Patient/example " CHALMERS"

encounter: Encounter/example

occurrence: 2013-01-01

recorded: 2013-01-10

primarySource: true

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

manufacturer: Organization/example "Health Level Seven International"

lotNumber: AAJN11K

expirationDate: 2015-02-15

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 " CAREFUL"

performer

function: Administering Provider (providerRole#AP)

actor: Practitioner/example " CAREFUL"

note: Notes on adminstration of vaccine

reasonCode: Procedure to meet occupational requirement (SNOMED CT#429060002)

Reactions

-DateDetailReported
*2013-01-10Observation/exampletrue

ProtocolApplieds

-SeriesAuthorityTargetDiseaseDoseNumber[x]SeriesDoses[x]
*Vaccination Series 1Organization/example "Health Level Seven International"Gestational rubella syndrome (SNOMED CT#1857005)12