This page is part of the Quality Improvement Core Framework (v3.1.0: STU 3) based on FHIR (HL7® FHIR® Standard) R3. The current version which supersedes this version is 7.0.1. 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></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 7:30:10 PM --> 05/04/2013 7:30:10 PM; issued: 03/04/2013 3:30:10 PM; 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"
}
]
}
}
]
}
© HL7.org 2011+. QICore STU3 (v3.1.0) (for FHIR v3.0.1-11917) generated on Wed, Aug 22, 2018 23:31+1000. QA Page
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