US Quality Core Implementation Guide
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US Quality Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-quality-core/ and changes regularly. See the Directory of published versions

Example Immunization: Immunization general example

Page standards status: Informative

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

status: Completed

vaccineCode: Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013

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

encounter: Encounter: identifier = http://hospital.example.org/encounter-ids#ENC-2026-987654 (use: official, ); status = finished; class = inpatient encounter (ActCode#IMP); type = Hospital admission; priority = urgent; period = 2026-08-01 10:30:00-0400 --> 2026-08-05 14:00:00-0400

occurrence: 2013-01-01

recorded: 2013-01-10

primarySource: true

location: Location South Wing, second floor

manufacturer: Organization Example Organization

lotNumber: AAJN11K

expirationDate: 2015-02-15

site: left arm

route: Injection, intramuscular

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

performer

function: Ordering Provider

actor: Practitioner Example Practitioner

performer

function: Administering Provider

actor: Practitioner Example Practitioner

note:

Notes on adminstration of vaccine

reasonCode: Procedure to meet occupational requirement

Reactions

-DateDetailReported
*2013-01-10Observation Hemoglobin [Mass/volume] in Venous bloodtrue

ProtocolApplieds

-SeriesAuthorityTargetDiseaseDoseNumber[x]SeriesDoses[x]
*Vaccination Series 1Organization Example OrganizationCongenital rubella syndrome12