US Quality Core Implementation Guide
1.0.0-ballot - STU 1 - ballot United States of America flag

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

: Immunization positive example

Page standards status: Informative

Raw xml | Download


<Immunization xmlns="http://hl7.org/fhir">
  <id value="done-example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-immunizationdone"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Immunization done-example</b></p><a name="done-example"> </a><a name="hcdone-example"> </a><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-quality-core-immunizationdone.html">US Quality Core Immunization Done</a></p></div><p><b>identifier</b>: <a href="http://terminology.hl7.org/7.2.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234</p><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title="Codes:{http://hl7.org/fhir/sid/cvx 160}, {http://hl7.org/fhir/sid/ndc 49281012165}">Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013</span></p><p><b>patient</b>: <a href="Patient-example.html">Example Patient  Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --&gt; (ongoing)))</a></p><p><b>encounter</b>: <a href="Encounter-example.html">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 --&gt; 2026-08-05 14:00:00-0400</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 South Wing, second floor</a></p><p><b>manufacturer</b>: <a href="Organization-example.html">Organization Example Organization</a></p><p><b>lotNumber</b>: AAJN11K</p><p><b>expirationDate</b>: 2015-02-15</p><p><b>site</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActSite LA}">left arm</span></p><p><b>route</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration IM}">Injection, intramuscular</span></p><p><b>doseQuantity</b>: 5 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</span></p><blockquote><p><b>performer</b></p><p><b>function</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0443 OP}">Ordering Provider</span></p><p><b>actor</b>: <a href="Practitioner-example.html">Practitioner Example Practitioner </a></p></blockquote><blockquote><p><b>performer</b></p><p><b>function</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0443 AP}">Administering Provider</span></p><p><b>actor</b>: <a href="Practitioner-example.html">Practitioner Example Practitioner </a></p></blockquote><p><b>note</b>: </p><blockquote><div><p>Notes on adminstration of vaccine</p>
</div></blockquote><p><b>reasonCode</b>: <span title="Codes:{http://snomed.info/sct 429060002}">Procedure to meet occupational requirement</span></p><h3>Reactions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Date</b></td><td><b>Detail</b></td><td><b>Reported</b></td></tr><tr><td style="display: none">*</td><td>2013-01-10</td><td><a href="Observation-example.html">Observation Hemoglobin [Mass/volume] in Venous blood</a></td><td>true</td></tr></table><h3>ProtocolApplieds</h3><table class="grid"><tr><td style="display: none">-</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 style="display: none">*</td><td>Vaccination Series 1</td><td><a href="Organization-example.html">Organization Example Organization</a></td><td><span title="Codes:{http://snomed.info/sct 1857005}">Congenital rubella syndrome</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="http://hl7.org/fhir/sid/cvx"/>
      <code value="160"/>
      <display
               value="Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013"/>
    </coding>
    <coding>
      <system value="http://hl7.org/fhir/sid/ndc"/>
      <code value="49281012165"/>
    </coding>
  </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>
  <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>