This page is part of the Quality Improvement Core Framework (v5.0.0: STU5 (v5.0.0)) 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 
: Immunization example - JSON Representation
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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: Immunization</b><a name=\"example\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Immunization "example" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-qicore-immunization.html\">QICore Immunization</a></p></div><p><b>identifier</b>: id:\u00a0urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234</p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: Fluvax (Influenza) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#FLUVAX)</span></p><p><b>patient</b>: <a href=\"Patient-example.html\">Patient/example</a> " CHALMERS"</p><p><b>encounter</b>: <a href=\"Encounter-example.html\">Encounter/example</a></p><p><b>occurrence</b>: 2013-01-01</p><p><b>recorded</b>: 2013-01-10</p><p><b>primarySource</b>: true</p><p><b>location</b>: <a href=\"Location-example.html\">Location/example</a> "South Wing, second floor"</p><p><b>manufacturer</b>: <a href=\"Organization-example.html\">Organization/example</a> "Health Level Seven International"</p><p><b>lotNumber</b>: AAJN11K</p><p><b>expirationDate</b>: 2015-02-15</p><p><b>site</b>: left arm <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActSite.html\">ActSite</a>#LA)</span></p><p><b>route</b>: Injection, intramuscular <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-RouteOfAdministration.html\">RouteOfAdministration</a>#IM)</span></p><p><b>doseQuantity</b>: 5 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span></p><blockquote><p><b>performer</b></p><p><b>function</b>: Ordering Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v2-0443.html\">providerRole</a>#OP)</span></p><p><b>actor</b>: <a href=\"Practitioner-example.html\">Practitioner/example</a> " CAREFUL"</p></blockquote><blockquote><p><b>performer</b></p><p><b>function</b>: Administering Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v2-0443.html\">providerRole</a>#AP)</span></p><p><b>actor</b>: <a href=\"Practitioner-example.html\">Practitioner/example</a> " CAREFUL"</p></blockquote><p><b>note</b>: Notes on adminstration of vaccine</p><p><b>reasonCode</b>: Procedure to meet occupational requirement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#429060002)</span></p><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>2013-01-10</td><td><a href=\"Observation-example.html\">Observation/example</a></td><td>true</td></tr></table><h3>ProtocolApplieds</h3><table class=\"grid\"><tr><td>-</td><td><b>Series</b></td><td><b>Authority</b></td><td><b>TargetDisease</b></td><td><b>DoseNumber[x]</b></td><td><b>SeriesDoses[x]</b></td></tr><tr><td>*</td><td>Vaccination Series 1</td><td><a href=\"Organization-example.html\">Organization/example</a> "Health Level Seven International"</td><td>Gestational rubella syndrome <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1857005)</span></td><td>1</td><td>2</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",
"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"
},
"occurrenceDateTime" : "2013-01-01",
"recorded" : "2013-01-10",
"primarySource" : true,
"location" : {
"reference" : "Location/example"
},
"manufacturer" : {
"reference" : "Organization/example"
},
"lotNumber" : "AAJN11K",
"expirationDate" : "2015-02-15",
"site" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActSite",
"code" : "LA",
"display" : "left arm"
}
]
},
"route" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
"code" : "IM",
"display" : "Injection, intramuscular"
}
]
},
"doseQuantity" : {
"value" : 5,
"system" : "http://unitsofmeasure.org",
"code" : "mg"
},
"performer" : [
{
"function" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0443",
"code" : "OP"
}
]
},
"actor" : {
"reference" : "Practitioner/example"
}
},
{
"function" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0443",
"code" : "AP"
}
]
},
"actor" : {
"reference" : "Practitioner/example"
}
}
],
"note" : [
{
"text" : "Notes on adminstration of vaccine"
}
],
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "429060002"
}
]
}
],
"reaction" : [
{
"date" : "2013-01-10",
"detail" : {
"reference" : "Observation/example"
},
"reported" : true
}
],
"protocolApplied" : [
// Don't know where this goes in R4... isSubpotent and isSubpotentReason?
<doseStatus>
<coding>
<system value="http://hl7.org/fhir/vaccination-protocol-dose-status"/>
<code value="count"/>
<display value="Counts"/>
</coding>
</doseStatus>
<doseStatusReason>
<coding>
<system value="http://hl7.org/fhir/vaccination-protocol-dose-status-reason"/>
<code value="coldchbrk"/>
<display value="Cold chain break"/>
</coding>
</doseStatusReason>
{
"series" : "Vaccination Series 1",
"authority" : {
"reference" : "Organization/example"
},
"targetDisease" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1857005"
}
]
}
],
"doseNumberPositiveInt" : 1,
"seriesDosesPositiveInt" : 2
}
]
}
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