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Example Immunization/example (JSON)

Public Health Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Patient, Practitioner

Raw JSON (canonical form + also see JSON Format Specification)

Example of Immunization

{
  "resourceType" : "Immunization",
  "id" : "example",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"
  }],
  "status" : "completed",
  "vaccineCode" : {
    "coding" : [{
      "system" : "urn:oid:1.2.36.1.2001.1005.17",
      "code" : "FLUVAX"
    }],
    "text" : "Fluvax"
  },
  "administeredProduct" : {
    "concept" : {
      "coding" : [{
        "system" : "urn:oid:2.16.840.1.113883.6.69",
        "code" : "70461-0321-03"
      }],
      "text" : "Flucelvax (Influenza, injectable, MDCK, preservative free, quadrivalent)"
    }
  },
  "manufacturer" : {
    "reference" : {
      "reference" : "Organization/hl7"
    }
  },
  "lotNumber" : "AAJN11K",
  "expirationDate" : "2015-02-15",
  "patient" : {
    "reference" : "Patient/example"
  },
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "occurrenceDateTime" : "2013-01-10",
  "primarySource" : true,
  "location" : {
    "reference" : "Location/1"
  },
  "site" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActSite",
      "code" : "LA",
      "display" : "left arm"
    }]
  },
  "route" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
      "code" : "IM",
      "display" : "Injection, intramuscular"
    }]
  },
  "doseQuantity" : {
    "value" : 5,
    "system" : "http://unitsofmeasure.org",
    "code" : "mg"
  },
  "performer" : [{
    "function" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0443",
        "code" : "OP"
      }]
    },
    "actor" : {
      "reference" : "Practitioner/example"
    }
  },
  {
    "function" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0443",
        "code" : "AP"
      }]
    },
    "actor" : {
      "reference" : "Practitioner/example"
    }
  }],
  "note" : [{
    "text" : "Notes on adminstration of vaccine"
  }],
  "reason" : [{
    "concept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "429060002"
      }]
    }
  }],
  "isSubpotent" : true,
  "programEligibility" : [{
    "program" : {
      "text" : "VFC"
    },
    "programStatus" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/immunization-program-eligibility",
        "code" : "uninsured"
      }]
    }
  }],
  "fundingSource" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/immunization-funding-source",
      "code" : "private"
    }]
  }
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.