This page is part of the Quality Improvement Core Framework (v3.2.0: STU 3) 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
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{ "resourceType" : "Immunization", "id" : "example", "meta" : { "profile" : [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>identifier</b>: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234</p><p><b>status</b>: completed</p><p><b>notGiven</b>: false</p><p><b>vaccineCode</b>: Fluvax (Influenza) <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:1.2.36.1.2001.1005.17 code 'FLUVAX' = 'Fluvax)</span></p><p><b>patient</b>: <a href=\"Patient-example.html\">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 25/12/1974; </a></p><p><b>encounter</b>: <a href=\"Encounter-example.html\">Generated Summary: id: example; status: in-progress; <span title=\"{http://hl7.org/fhir/v3/ActCode IMP}\">inpatient encounter</span>; <span title=\"Codes: {http://www.ama-assn.org/go/cpt 99223}\">Inpatient Hospital Care</span></a></p><p><b>date</b>: 10/01/2013</p><p><b>primarySource</b>: true</p><p><b>location</b>: <a href=\"Location-example.html\">Generated Summary: id: example; B1-S.F2; status: active; name: South Wing, second floor; description: Second floor of the Old South Wing, formerly in use by Psychiatry; mode: instance; <span title=\"Codes: {http://hl7.org/fhir/v3/RoleCode HOSP}\">Hospital</span>; ph: 2328(WORK), fax: 2329(WORK), second wing admissions, http://sampleorg.com/southwing(WORK); <span title=\"Codes: {http://hl7.org/fhir/location-physical-type wi}\">Wing</span></a></p><p><b>manufacturer</b>: <a href=\"Organization-example.html\">Generated Summary: id: example; ??; active; <span title=\"Codes: {http://hl7.org/fhir/organization-type team}\">Organizational team</span>; name: Health Level Seven International; ph: (+1) 734-677-7777, fax: (+1) 734-677-6622, hq@HL7.org</a></p><p><b>lotNumber</b>: AAJN11K</p><p><b>expirationDate</b>: 15/02/2015</p><p><b>site</b>: left arm <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/v3/ActSite code 'LA' = 'left arm', given as 'left arm'})</span></p><p><b>route</b>: Injection, intramuscular <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/v3/RouteOfAdministration code 'IM' = 'Injection, intramuscular', given as 'Injection, intramuscular'})</span></p><p><b>doseQuantity</b>: 5 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span></p><blockquote><p><b>practitioner</b></p><p><b>role</b>: Ordering Provider <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/v2/0443 code 'OP' = 'Ordering Provider)</span></p><p><b>actor</b>: <a href=\"Practitioner-example.html\">Generated Summary: id: example; 23; active; Adam Careful </a></p></blockquote><blockquote><p><b>practitioner</b></p><p><b>role</b>: Administering Provider <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/v2/0443 code 'AP' = 'Administering Provider)</span></p><p><b>actor</b>: <a href=\"Practitioner-example.html\">Generated Summary: id: example; 23; active; Adam Careful </a></p></blockquote><p><b>note</b>: Notes on adminstration of vaccine</p><h3>Explanations</h3><table class=\"grid\"><tr><td>-</td><td><b>Reason</b></td></tr><tr><td>*</td><td>Procedure to meet occupational requirement <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '429060002' = 'Procedure to meet occupational requirement)</span></td></tr></table><h3>Reactions</h3><table class=\"grid\"><tr><td>-</td><td><b>Date</b></td><td><b>Detail</b></td><td><b>Reported</b></td></tr><tr><td>*</td><td>10/01/2013</td><td><a href=\"Observation-example.html\">Generated Summary: id: example; <span title=\"Codes: {http://hl7.org/fhir/observation-category vital-signs}\">Vital Signs</span>; <span title=\"Codes: {http://loinc.org 30350-3}\">Hemoglobin [Mass/volume] in Venous blood</span>; effective: 02/04/2013 8:30:10 PM --> 05/04/2013 8:30:10 PM; issued: 04/04/2013 1:30:10 AM; 7.2 g/dl; <span title=\"Codes: {http://hl7.org/fhir/v2/0078 L}\">Below low normal</span>; <span title=\"Codes: {http://snomed.info/sct 308046002}\">Superficial forearm vein</span>; <span title=\"Codes: {http://snomed.info/sct 120220003}\">Injection to forearm</span></a></td><td>true</td></tr></table><h3>VaccinationProtocols</h3><table class=\"grid\"><tr><td>-</td><td><b>DoseSequence</b></td><td><b>Description</b></td><td><b>Authority</b></td><td><b>Series</b></td><td><b>SeriesDoses</b></td><td><b>TargetDisease</b></td><td><b>DoseStatus</b></td><td><b>DoseStatusReason</b></td></tr><tr><td>*</td><td>1</td><td>Vaccination Protocol Sequence 1</td><td><a href=\"Organization-example.html\">Generated Summary: id: example; ??; active; <span title=\"Codes: {http://hl7.org/fhir/organization-type team}\">Organizational team</span>; name: Health Level Seven International; ph: (+1) 734-677-7777, fax: (+1) 734-677-6622, hq@HL7.org</a></td><td>Vaccination Series 1</td><td>2</td><td>Congenital rubella syndrome <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '1857005' = 'Congenital rubella syndrome)</span></td><td>Counts <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/vaccination-protocol-dose-status code 'count' = 'Counts', given as 'Counts'})</span></td><td>Cold chain break <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/vaccination-protocol-dose-status-reason code 'coldchbrk' = 'Cold chain break', given as 'Cold chain break'})</span></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/example" }, "encounter" : { "reference" : "Encounter/example" }, "date" : "2013-01-10", "primarySource" : true, "location" : { "reference" : "Location/example" }, "manufacturer" : { "reference" : "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/example" } }, { "role" : { "coding" : [ { "system" : "http://hl7.org/fhir/v2/0443", "code" : "AP" } ] }, "actor" : { "reference" : "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/example" }, "reported" : true } ], "vaccinationProtocol" : [ { "doseSequence" : 1, "description" : "Vaccination Protocol Sequence 1", "authority" : { "reference" : "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" } ] } } ] }