QI-Core Implementation Guide
7.0.2 - STU 7

QI-Core Implementation Guide - Downloaded Version 7.0.2 See the Directory of published versions

## Example ImmunizationEvaluation: ImmunizationEvaluaion example

Page standards status: Informative

Profile: QICore ImmunizationEvaluation

identifier: Uniform Resource Identifier (URI)/urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234

status: Completed

patient: Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

date: 2013-01-10

authority: Organization Health Level Seven International

targetDisease: Gestational rubella syndrome

immunizationEvent: Immunization: identifier = OID:1.3.6.1.4.1.21367.2005.3.7.1234; status = completed; vaccineCode = FLUVAX; occurrence[x] = 2013-01-01; recorded = 2013-01-10; primarySource = true; lotNumber = AAJN11K; expirationDate = 2015-02-15; site = left arm; route = Injection, intramuscular; doseQuantity = 5 mg; note = Notes on adminstration of vaccine; reasonCode = Procedure to meet occupational requirement (regime/therapy)

doseStatus: Valid

series: Vaccination Series 1

doseNumber: 1

seriesDoses: 3