QI-Core Implementation Guide
4.1.0 - release

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## : Immunization example - XML Representation

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    <Immunization xmlns="http://hl7.org/fhir">
      <id value="example"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "example" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-qicore-immunization.html">QICoreImmunization</a></p></div><p><b>identifier</b>: id: urn: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/3.0.0/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/3.0.0/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/3.0.0/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/3.0.0/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>
      </text>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"/>
      </identifier>
      <status value="completed"/>
      <vaccineCode>
        <coding>
          <system value="urn:oid:1.2.36.1.2001.1005.17"/>
          <code value="FLUVAX"/>
        </coding>
        <text value="Fluvax (Influenza)"/>
      </vaccineCode>
      <patient>
        <reference value="Patient/example"/>
      </patient>
      <encounter>
        <reference value="Encounter/example"/>
      </encounter>
      <occurrenceDateTime value="2013-01-01"/>
      <recorded value="2013-01-10"/>
      <primarySource value="true"/>
      <location>
        <reference value="Location/example"/>
      </location>
      <manufacturer>
        <reference value="Organization/example"/>
      </manufacturer>
      <lotNumber value="AAJN11K"/>
      <expirationDate value="2015-02-15"/>
      <site>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActSite"/>
          <code value="LA"/>
          <display value="left arm"/>
        </coding>
      </site>
      <route>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/>
          <code value="IM"/>
          <display value="Injection, intramuscular"/>
        </coding>
      </route>
      <doseQuantity>
        <value value="5"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mg"/>
      </doseQuantity>
      <performer>
        <function>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0443"/>
            <code value="OP"/>
          </coding>
        </function>
        <actor>
          <reference value="Practitioner/example"/>
        </actor>
      </performer>
      <performer>
        <function>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0443"/>
            <code value="AP"/>
          </coding>
        </function>
        <actor>
          <reference value="Practitioner/example"/>
        </actor>
      </performer>
      <note>
        <text value="Notes on adminstration of vaccine"/>
      </note>
      <reasonCode>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="429060002"/>
        </coding>
      </reasonCode>
      <reaction>
        <date value="2013-01-10"/>
        <detail>
          <reference value="Observation/example"/>
        </detail>
        <reported value="true"/>
      </reaction>
    <!--  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>  -->
      <protocolApplied>
        <series value="Vaccination Series 1"/>
        <authority>
          <reference value="Organization/example"/>
        </authority>
        <targetDisease>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1857005"/>
          </coding>
        </targetDisease>
        <doseNumberPositiveInt value="1"/>
        <seriesDosesPositiveInt value="2"/>
      </protocolApplied>
    </Immunization>