identifier: URI/urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234

status: Completed

vaccineCode: Seasonal influenza vaccine

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

encounter: Encounter: identifier = http://example.org/encounters#ENC-20130404-appendicitis; status = finished; class = inpatient encounter (ActCode#IMP); type = Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.; period = 2013-04-04 18:00:00-0400 --> 2013-04-06 11:00:00-0400

occurrence: 2013-01-01

recorded: 2013-01-10

primarySource: true

location: Location South Wing, second floor

manufacturer: Organization Health Level Seven International

lotNumber: AAJN11K

expirationDate: 2015-02-15

site: left arm

route: Injection, intramuscular

doseQuantity: 0.5 mL (Details: UCUM codemL = 'mL')

performer

function: Ordering Provider

actor: Practitioner Adam Careful

performer

function: Administering Provider

actor: Practitioner Adam Careful

note:

Seasonal influenza vaccine administered intramuscularly in the left arm

reasonCode: Annual influenza vaccination

ProtocolApplieds