PH eReferral Implementation Guide
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PH eReferral Implementation Guide, published by SILab CoP IG Accelerator (eReferral). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/jldalisay95/ph-ereferral-jld/ and changes regularly. See the Directory of published versions

: ERefImmunization Example - Routine Immunization (MMR)

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{
  "resourceType" : "Immunization",
  "id" : "ExampleERefImmunizationRoutine",
  "meta" : {
    "profile" : [
      🔗 "urn://example.com/ph-ereferral/fhir/StructureDefinition/ereferral-immunization"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Routine MMR (Measles-Mumps-Rubella) vaccination administered to Juan Dela Cruz on 15 March 2025 at Quezon City Health Center No. 1. Vaccine lot: LOT-2025-MMR-0045 (expires 2026-12-31), manufactured by Serum Institute of India. Dose 1 of 2 administered subcutaneously (0.5 mL) in the left thigh by Nurse Maria Santos, RN. Funded under the national Expanded Program on Immunization (EPI).</div>"
  },
  "identifier" : [
    {
      "system" : "http://example.ph/immunization-records",
      "value" : "IMM-2025-00123"
    }
  ],
  "status" : "completed",
  "vaccineCode" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "871831003",
        "display" : "MMR (measles and mumps and rubella) vaccine"
      }
    ]
  },
  "patient" : {
    🔗 "reference" : "Patient/ERefPatientExample"
  },
  "occurrenceDateTime" : "2025-03-15",
  "recorded" : "2025-03-15T09:30:00+08:00",
  "primarySource" : true,
  "location" : {
    "display" : "Quezon City Health Center No. 1"
  },
  "manufacturer" : {
    "display" : "Serum Institute of India"
  },
  "lotNumber" : "LOT-2025-MMR-0045",
  "expirationDate" : "2026-12-31",
  "site" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "61396006",
        "display" : "Structure of left thigh"
      }
    ]
  },
  "route" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "34206005",
        "display" : "Subcutaneous route"
      }
    ]
  },
  "doseQuantity" : {
    "value" : 0.5,
    "unit" : "mL",
    "system" : "http://unitsofmeasure.org",
    "code" : "mL"
  },
  "performer" : [
    {
      "function" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0443",
            "code" : "AP",
            "display" : "Administering Provider"
          }
        ]
      },
      "actor" : {
        "display" : "Nurse Maria Santos, RN"
      }
    }
  ],
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "33879002",
          "display" : "Administration of vaccine to produce active immunity (procedure)"
        }
      ]
    }
  ],
  "isSubpotent" : false,
  "programEligibility" : [
    {
      "text" : "Eligible - DOH Expanded Program on Immunization (EPI)"
    }
  ],
  "fundingSource" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/immunization-funding-source",
        "code" : "public",
        "display" : "Public"
      }
    ]
  },
  "protocolApplied" : [
    {
      "series" : "MMR 2-Dose Series",
      "targetDisease" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "14189004",
              "display" : "Measles (disorder)"
            }
          ]
        },
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "36989005",
              "display" : "Mumps (disorder)"
            }
          ]
        },
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "36653000",
              "display" : "Rubella (disorder)"
            }
          ]
        }
      ],
      "doseNumberPositiveInt" : 1,
      "seriesDosesPositiveInt" : 2
    }
  ]
}