IPA Immunization Example - International Patient Access v1.1.0

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Example Immunization: IPA Immunization Example

Page standards status: Informative

Generated Narrative: Immunization ImmExample1

Profile: IPA-Immunization

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

status: Completed

vaccineCode: Fluvax (Influenza)

patient: Meiko Lufhir Jr., PhD Female, DoB: 1978-03-22 ( urn:oid:1.2.840.114350.1.13.861.1.7.5.737384.4399#21890 (use: usual, ))

occurrence: 2013-01-10

primarySource: true

lotNumber: AAJN11K

expirationDate: 2015-02-15

site: left arm

route: Injection, intramuscular

doseQuantity: 5 mg (Details: UCUM codemg = 'mg')

Function

Actor

Ordering Provider

note: Notes on adminstration of vaccine

reasonCode: Procedure to meet occupational requirement