This page is part of the Quality Improvement Core Framework (v2.0.0: STU 2) 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 
{
"resourceType" : "Immunization",
"id" : "qicore-immunization-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<strong>id</strong>: example
</p>
<p>
<strong>identifier</strong>: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234
</p>
<p>
<strong>status</strong>: completed
</p>
<p>
<strong>notGiven</strong>: false
</p>
<p>
<strong>vaccineCode</strong>: { urn:oid:1.2.36.1.2001.1005.17 code 'FLUVAX' = 'Fluvax' }
</p>
<p>
<strong>patient</strong>:
<a href="Patient-qicore-patient-example.html">Patient/example</a>
</p>
<p>
<strong>encounter</strong>:
<a href="Encounter-qicore-encounter-example.html">Encounter/example</a>
</p>
<p>
<strong>date</strong>: 10/01/2013
</p>
<p>
<strong>primarySource</strong>: true
</p>
<p>
<strong>location</strong>:
<a href="Location-qicore-location-example.html">Location/example</a>
</p>
<p>
<strong>manufacturer</strong>:
<a href="Organization-qicore-organization-example.html">Organization/example</a>
</p>
<p>
<strong>lotNumber</strong>: AAJN11K
</p>
<p>
<strong>expirationDate</strong>: 15/02/2015
</p>
<p>
<strong>site</strong>: { http://hl7.org/fhir/v3/ActSite code 'LA' = 'left arm' }
</p>
<p>
<strong>route</strong>: { http://hl7.org/fhir/v3/RouteOfAdministration code 'IM' = 'Injection, intramuscular' }
</p>
<p>
<strong>doseQuantity</strong>: 5 mg
<span>(Details: UCUM code mg = 'mg')</span>
</p>
<blockquote>
<p>
<strong>practitioner</strong>
</p>
<p>
<strong>role</strong>: Ordering Provider: { http://hl7.org/fhir/v2/0443 code 'OP' = 'Ordering Provider' }
</p>
<p>
<strong>actor</strong>:
<a href="Practitioner-qicore-practitioner-example.html">Practitioner/example</a>
</p>
</blockquote>
<blockquote>
<p>
<strong>practitioner</strong>
</p>
<p>
<strong>role</strong>: { http://hl7.org/fhir/v2/0443 code 'AP' = 'Administering Provider' }
</p>
<p>
<strong>actor</strong>:
<a href="Practitioner-qicore-practitioner-example.html">Practitioner/example</a>
</p>
</blockquote>
<p>
<strong>note</strong>: Notes on adminstration of vaccine
</p>
<h3>Explanations</h3>
<table>
<tr>
<td>-</td>
<td>
<strong>Reason</strong>
</td>
</tr>
<tr>
<td>*</td>
<td>Procedure to meet occupational requirement: { SNOMED CT code '429060002' = 'Procedure to meet occupational requirement' }</td>
</tr>
</table>
<h3>Reactions</h3>
<table>
<tr>
<td>-</td>
<td>
<strong>Date</strong>
</td>
<td>
<strong>Detail</strong>
</td>
<td>
<strong>Reported</strong>
</td>
</tr>
<tr>
<td>*</td>
<td>10/01/2013</td>
<td>
<a href="Observation-qicore-observation-example.html">Observation/example</a>
</td>
<td>true</td>
</tr>
</table>
<h3>VaccinationProtocols</h3>
<table>
<tr>
<td>-</td>
<td>
<strong>DoseSequence</strong>
</td>
<td>
<strong>Description</strong>
</td>
<td>
<strong>Authority</strong>
</td>
<td>
<strong>Series</strong>
</td>
<td>
<strong>SeriesDoses</strong>
</td>
<td>
<strong>TargetDisease</strong>
</td>
<td>
<strong>DoseStatus</strong>
</td>
<td>
<strong>DoseStatusReason</strong>
</td>
</tr>
<tr>
<td>*</td>
<td>1</td>
<td>Vaccination Protocol Sequence 1</td>
<td>
<a href="Organization-qicore-organization-example.html">Organization/example</a>
</td>
<td>Vaccination Series 1</td>
<td>2</td>
<td>Gestational rubella syndrome { SNOMED CT code '1857005' = 'Gestational rubella syndrome }</td>
<td>Counts { http://hl7.org/fhir/STU3/vaccination-protocol-dose-status code 'count' = 'Counts' }</td>
<td>Cold chain break { http://hl7.org/fhir/STU3/vaccination-protocol-dose-status-reason code 'coldchbrk' = 'Cold chain break' } </td>
</tr>
</table>
</div>"
},
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"
}
],
"status" : "completed",
"notGiven" : false,
"vaccineCode" : {
"coding" : [
{
"system" : "urn:oid:1.2.36.1.2001.1005.17",
"code" : "FLUVAX"
}
],
"text" : "Fluvax (Influenza)"
},
"patient" : {
"reference" : "Patient/qicore-patient-example"
},
"encounter" : {
"reference" : "Encounter/qicore-encounter-example"
},
"date" : "2013-01-10",
"primarySource" : true,
"location" : {
"reference" : "Location/qicore-location-example"
},
"manufacturer" : {
"reference" : "Organization/qicore-organization-example"
},
"lotNumber" : "AAJN11K",
"expirationDate" : "2015-02-15",
"site" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/v3/ActSite",
"code" : "LA",
"display" : "left arm"
}
]
},
"route" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/v3/RouteOfAdministration",
"code" : "IM",
"display" : "Injection, intramuscular"
}
]
},
"doseQuantity" : {
"value" : 5,
"system" : "http://unitsofmeasure.org",
"code" : "mg"
},
"practitioner" : [
{
"role" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/v2/0443",
"code" : "OP"
}
]
},
"actor" : {
"reference" : "Practitioner/qicore-practitioner-example"
}
},
{
"role" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/v2/0443",
"code" : "AP"
}
]
},
"actor" : {
"reference" : "Practitioner/qicore-practitioner-example"
}
}
],
"note" : [
{
"text" : "Notes on adminstration of vaccine"
}
],
"explanation" : {
"reason" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "429060002"
}
]
}
]
},
"reaction" : [
{
"date" : "2013-01-10",
"detail" : {
"reference" : "Observation/qicore-observation-example"
},
"reported" : true
}
],
"vaccinationProtocol" : [
{
"doseSequence" : 1,
"description" : "Vaccination Protocol Sequence 1",
"authority" : {
"reference" : "Organization/qicore-organization-example"
},
"series" : "Vaccination Series 1",
"seriesDoses" : 2,
"targetDisease" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1857005"
}
]
}
],
"doseStatus" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/vaccination-protocol-dose-status",
"code" : "count",
"display" : "Counts"
}
]
},
"doseStatusReason" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/vaccination-protocol-dose-status-reason",
"code" : "coldchbrk",
"display" : "Cold chain break"
}
]
}
}
]
}
© HL7.org 2011+. QICore STU 2 (v2.0.0) (based on FHIR v3.0.1) generated on Tue, Nov 21, 2017 21:03+1100. QA Page
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