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Immunization "example" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
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Generated Narrative

identifier: id: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234

status: completed

vaccineCode: Fluvax (Influenza)

manufacturer: Generated Summary: name: Health Level Seven International; alias: HL7 International; Phone: (+1) 734-677-7777, Fax: (+1) 734-677-6622, hq@HL7.org

lotNumber: AAJN11K

expirationDate: 2015-02-15

patient: Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25;

encounter: Generated Summary: status: in-progress; inpatient encounter

occurrence: 2013-01-10

primarySource: true

location: Generated Summary: id: B1-S.F2; status: active; name: South Wing, second floor; alias: BU MC, SW, F2, alias: Burgers University Medical Center, South Wing, second floor; description: Second floor of the Old South Wing, formerly in use by Psychiatry; mode: instance; Phone: 2328, Fax: 2329, second wing admissions, http://sampleorg.com/southwing; Wing

site: left arm

route: Injection, intramuscular

doseQuantity: 5 mg

performer

function: Ordering Provider

actor: Generated Summary: id: 23; active; Adam Careful

performer

function: Administering Provider

actor: Generated Summary: id: 23; active; Adam Careful

note: Notes on adminstration of vaccine

Reasons

-
*

isSubpotent: true

Educations

-DocumentTypePublicationDatePresentationDate
*2530886983000103111207022012-07-022013-01-10

programEligibility: Not Eligible

fundingSource: Private


{
  "resourceType" : "Immunization",
  "id" : "example",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:17.567Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 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>Fluvax (Influenza)</span></p><p><b>manufacturer</b>: <a>Generated Summary: name: Health Level Seven International; alias: HL7 International; Phone: (+1) 734-677-7777, Fax: (+1) 734-677-6622, hq@HL7.org</a></p><p><b>lotNumber</b>: AAJN11K</p><p><b>expirationDate</b>: 2015-02-15</p><p><b>patient</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>encounter</b>: <a>Generated Summary: status: in-progress; <span>inpatient encounter</span></a></p><p><b>occurrence</b>: 2013-01-10</p><p><b>primarySource</b>: true</p><p><b>location</b>: <a>Generated Summary: id: B1-S.F2; status: active; name: South Wing, second floor; alias: BU MC, SW, F2, alias: Burgers University Medical Center, South Wing, second floor; description: Second floor of the Old South Wing, formerly in use by Psychiatry; mode: instance; Phone: 2328, Fax: 2329, second wing admissions, http://sampleorg.com/southwing; <span>Wing</span></a></p><p><b>site</b>: <span>left arm</span></p><p><b>route</b>: <span>Injection, intramuscular</span></p><p><b>doseQuantity</b>: 5 mg</p><blockquote><p><b>performer</b></p><p><b>function</b>: <span>Ordering Provider</span></p><p><b>actor</b>: <a>Generated Summary: id: 23; active; Adam Careful </a></p></blockquote><blockquote><p><b>performer</b></p><p><b>function</b>: <span>Administering Provider</span></p><p><b>actor</b>: <a>Generated Summary: id: 23; active; Adam Careful </a></p></blockquote><p><b>note</b>: Notes on adminstration of vaccine</p><h3>Reasons</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>isSubpotent</b>: true</p><h3>Educations</h3><table><tr><td>-</td><td><b>DocumentType</b></td><td><b>PublicationDate</b></td><td><b>PresentationDate</b></td></tr><tr><td>*</td><td>253088698300010311120702</td><td>2012-07-02</td><td>2013-01-10</td></tr></table><p><b>programEligibility</b>: <span>Not Eligible</span></p><p><b>fundingSource</b>: <span>Private</span></p></div>"
  },
  "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 (Influenza)"
  },
  "manufacturer" : {
    "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,
  "education" : [
    {
      "documentType" : "253088698300010311120702",
      "publicationDate" : "2012-07-02",
      "presentationDate" : "2013-01-10"
    }
  ],
  "programEligibility" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/immunization-program-eligibility",
          "code" : "ineligible"
        }
      ]
    }
  ],
  "fundingSource" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/immunization-funding-source",
        "code" : "private"
      }
    ]
  }
}

Immunization "subpotent" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative

identifier: id: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234

status: completed

vaccineCode: Hepatitis B

manufacturer: Generated Summary: name: Health Level Seven International; alias: HL7 International; Phone: (+1) 734-677-7777, Fax: (+1) 734-677-6622, hq@HL7.org

lotNumber: AAJN11K

expirationDate: 2015-02-28

patient: Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25;

encounter: Generated Summary: status: in-progress; inpatient encounter

occurrence: 2015-01-15

primarySource: true

location: Generated Summary: id: B1-S.F2; status: active; name: South Wing, second floor; alias: BU MC, SW, F2, alias: Burgers University Medical Center, South Wing, second floor; description: Second floor of the Old South Wing, formerly in use by Psychiatry; mode: instance; Phone: 2328, Fax: 2329, second wing admissions, http://sampleorg.com/southwing; Wing

site: left thigh

route: Injection, intramuscular

doseQuantity: 0.5 ml

performer

function: Ordering Provider

actor: Generated Summary: id: 23; active; Adam Careful

performer

function: Administering Provider

actor: Generated Summary: id: 23; active; Adam Careful

note: Notes on adminstration of vaccine

isSubpotent: false

subpotentReason: Partial Dose

Educations

-DocumentTypePublicationDatePresentationDate
*2530886983000103111207022012-07-022013-01-10

programEligibility: Not Eligible

fundingSource: Private


{
  "resourceType" : "Immunization",
  "id" : "subpotent",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:17.500Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 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>Hepatitis B</span></p><p><b>manufacturer</b>: <a>Generated Summary: name: Health Level Seven International; alias: HL7 International; Phone: (+1) 734-677-7777, Fax: (+1) 734-677-6622, hq@HL7.org</a></p><p><b>lotNumber</b>: AAJN11K</p><p><b>expirationDate</b>: 2015-02-28</p><p><b>patient</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>encounter</b>: <a>Generated Summary: status: in-progress; <span>inpatient encounter</span></a></p><p><b>occurrence</b>: 2015-01-15</p><p><b>primarySource</b>: true</p><p><b>location</b>: <a>Generated Summary: id: B1-S.F2; status: active; name: South Wing, second floor; alias: BU MC, SW, F2, alias: Burgers University Medical Center, South Wing, second floor; description: Second floor of the Old South Wing, formerly in use by Psychiatry; mode: instance; Phone: 2328, Fax: 2329, second wing admissions, http://sampleorg.com/southwing; <span>Wing</span></a></p><p><b>site</b>: <span>left thigh</span></p><p><b>route</b>: <span>Injection, intramuscular</span></p><p><b>doseQuantity</b>: 0.5 ml</p><blockquote><p><b>performer</b></p><p><b>function</b>: <span>Ordering Provider</span></p><p><b>actor</b>: <a>Generated Summary: id: 23; active; Adam Careful </a></p></blockquote><blockquote><p><b>performer</b></p><p><b>function</b>: <span>Administering Provider</span></p><p><b>actor</b>: <a>Generated Summary: id: 23; active; Adam Careful </a></p></blockquote><p><b>note</b>: Notes on adminstration of vaccine</p><p><b>isSubpotent</b>: false</p><p><b>subpotentReason</b>: <span>Partial Dose</span></p><h3>Educations</h3><table><tr><td>-</td><td><b>DocumentType</b></td><td><b>PublicationDate</b></td><td><b>PresentationDate</b></td></tr><tr><td>*</td><td>253088698300010311120702</td><td>2012-07-02</td><td>2013-01-10</td></tr></table><p><b>programEligibility</b>: <span>Not Eligible</span></p><p><b>fundingSource</b>: <span>Private</span></p></div>"
  },
  "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" : "GNHEP"
      }
    ],
    "text" : "Hepatitis B"
  },
  "manufacturer" : {
    "reference" : "Organization/hl7"
  },
  "lotNumber" : "AAJN11K",
  "expirationDate" : "2015-02-28",
  "patient" : {
    "reference" : "Patient/example"
  },
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "occurrenceDateTime" : "2015-01-15",
  "primarySource" : true,
  "location" : {
    "reference" : "Location/1"
  },
  "site" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActSite",
        "code" : "LT",
        "display" : "left thigh"
      }
    ]
  },
  "route" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
        "code" : "IM",
        "display" : "Injection, intramuscular"
      }
    ]
  },
  "doseQuantity" : {
    "value" : 0.5,
    "system" : "http://unitsofmeasure.org",
    "code" : "ml"
  },
  "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"
    }
  ],
  "isSubpotent" : false,
  "subpotentReason" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/immunization-subpotent-reason",
          "code" : "partialdose"
        }
      ]
    }
  ],
  "education" : [
    {
      "documentType" : "253088698300010311120702",
      "publicationDate" : "2012-07-02",
      "presentationDate" : "2013-01-10"
    }
  ],
  "programEligibility" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/immunization-program-eligibility",
          "code" : "ineligible"
        }
      ]
    }
  ],
  "fundingSource" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/immunization-funding-source",
        "code" : "private"
      }
    ]
  }
}

Immunization "notGiven" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by


{
  "resourceType" : "Immunization",
  "id" : "notGiven",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:17.456Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: not-done</p><p><b>statusReason</b>: <span>medical precaution</span></p><p><b>vaccineCode</b>: <span>DTP</span></p><p><b>patient</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>occurrence</b>: 2013-01-10</p><p><b>primarySource</b>: true</p></div>"
  },
  "status" : "not-done",
  "statusReason" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "MEDPREC",
        "display" : "medical precaution"
      }
    ]
  },
  "vaccineCode" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/sid/cvx",
        "code" : "01",
        "display" : "DTP"
      }
    ]
  },
  "patient" : {
    "reference" : "Patient/example"
  },
  "occurrenceDateTime" : "2013-01-10",
  "primarySource" : true
}

Immunization "protocol" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative

identifier: id: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234

status: completed

vaccineCode: Twinrix (HepA/HepB)

manufacturer: Generated Summary: name: Health Level Seven International; alias: HL7 International; Phone: (+1) 734-677-7777, Fax: (+1) 734-677-6622, hq@HL7.org

lotNumber: PT123F

expirationDate: 2018-12-15

patient: Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25;

encounter: Generated Summary: status: in-progress; inpatient encounter

occurrence: 2018-06-18

primarySource: true

location: Generated Summary: id: B1-S.F2; status: active; name: South Wing, second floor; alias: BU MC, SW, F2, alias: Burgers University Medical Center, South Wing, second floor; description: Second floor of the Old South Wing, formerly in use by Psychiatry; mode: instance; Phone: 2328, Fax: 2329, second wing admissions, http://sampleorg.com/southwing; Wing

site: left arm

route: Injection, intramuscular

doseQuantity: 5 mg

performer

function: Ordering Provider

actor: Generated Summary: id: 23; active; Adam Careful

performer

function: Administering Provider

actor: Generated Summary: id: 23; active; Adam Careful

isSubpotent: false

programEligibility: Not Eligible

fundingSource: Private

protocolApplied

series: 2-dose

targetDisease: Viral hepatitis, type A

doseNumber: 1

protocolApplied

series: 3-dose

targetDisease: Type B viral hepatitis

doseNumber: 2

seriesDoses: 3


{
  "resourceType" : "Immunization",
  "id" : "protocol",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:17.391Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 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>Twinrix (HepA/HepB)</span></p><p><b>manufacturer</b>: <a>Generated Summary: name: Health Level Seven International; alias: HL7 International; Phone: (+1) 734-677-7777, Fax: (+1) 734-677-6622, hq@HL7.org</a></p><p><b>lotNumber</b>: PT123F</p><p><b>expirationDate</b>: 2018-12-15</p><p><b>patient</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>encounter</b>: <a>Generated Summary: status: in-progress; <span>inpatient encounter</span></a></p><p><b>occurrence</b>: 2018-06-18</p><p><b>primarySource</b>: true</p><p><b>location</b>: <a>Generated Summary: id: B1-S.F2; status: active; name: South Wing, second floor; alias: BU MC, SW, F2, alias: Burgers University Medical Center, South Wing, second floor; description: Second floor of the Old South Wing, formerly in use by Psychiatry; mode: instance; Phone: 2328, Fax: 2329, second wing admissions, http://sampleorg.com/southwing; <span>Wing</span></a></p><p><b>site</b>: <span>left arm</span></p><p><b>route</b>: <span>Injection, intramuscular</span></p><p><b>doseQuantity</b>: 5 mg</p><blockquote><p><b>performer</b></p><p><b>function</b>: <span>Ordering Provider</span></p><p><b>actor</b>: <a>Generated Summary: id: 23; active; Adam Careful </a></p></blockquote><blockquote><p><b>performer</b></p><p><b>function</b>: <span>Administering Provider</span></p><p><b>actor</b>: <a>Generated Summary: id: 23; active; Adam Careful </a></p></blockquote><p><b>isSubpotent</b>: false</p><p><b>programEligibility</b>: <span>Not Eligible</span></p><p><b>fundingSource</b>: <span>Private</span></p><blockquote><p><b>protocolApplied</b></p><p><b>series</b>: 2-dose</p><p><b>targetDisease</b>: <span>Viral hepatitis, type A</span></p><p><b>doseNumber</b>: 1</p></blockquote><blockquote><p><b>protocolApplied</b></p><p><b>series</b>: 3-dose</p><p><b>targetDisease</b>: <span>Type B viral hepatitis</span></p><p><b>doseNumber</b>: 2</p><p><b>seriesDoses</b>: 3</p></blockquote></div>"
  },
  "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" : "http://hl7.org/fhir/sid/cvx",
        "code" : "104"
      }
    ],
    "text" : "Twinrix (HepA/HepB)"
  },
  "manufacturer" : {
    "reference" : "Organization/hl7"
  },
  "lotNumber" : "PT123F",
  "expirationDate" : "2018-12-15",
  "patient" : {
    "reference" : "Patient/example"
  },
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "occurrenceDateTime" : "2018-06-18",
  "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"
      }
    }
  ],
  "isSubpotent" : false,
  "programEligibility" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/immunization-program-eligibility",
          "code" : "ineligible"
        }
      ]
    }
  ],
  "fundingSource" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/immunization-funding-source",
        "code" : "private"
      }
    ]
  },
  "protocolApplied" : [
    {
      "series" : "2-dose",
      "targetDisease" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "40468003"
            }
          ]
        }
      ],
      "doseNumber" : "1"
    },
    {
      "series" : "3-dose",
      "targetDisease" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "66071002"
            }
          ]
        }
      ],
      "doseNumber" : "2",
      "seriesDoses" : "3"
    }
  ]
}

Immunization "historical" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative

identifier: id: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234

status: completed

vaccineCode: Influenza

patient: Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25;

occurrence: January 2012

primarySource: false

informationSource: Written Record

location: Generated Summary: id: B1-S.F2; status: active; name: South Wing, second floor; alias: BU MC, SW, F2, alias: Burgers University Medical Center, South Wing, second floor; description: Second floor of the Old South Wing, formerly in use by Psychiatry; mode: instance; Phone: 2328, Fax: 2329, second wing admissions, http://sampleorg.com/southwing; Wing

note: Notes on adminstration of a historical vaccine


{
  "resourceType" : "Immunization",
  "id" : "historical",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:17.328Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 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>Influenza</span></p><p><b>patient</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>occurrence</b>: January 2012</p><p><b>primarySource</b>: false</p><p><b>informationSource</b>: <span>Written Record</span></p><p><b>location</b>: <a>Generated Summary: id: B1-S.F2; status: active; name: South Wing, second floor; alias: BU MC, SW, F2, alias: Burgers University Medical Center, South Wing, second floor; description: Second floor of the Old South Wing, formerly in use by Psychiatry; mode: instance; Phone: 2328, Fax: 2329, second wing admissions, http://sampleorg.com/southwing; <span>Wing</span></a></p><p><b>note</b>: Notes on adminstration of a historical vaccine</p></div>"
  },
  "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" : "GNFLU"
      }
    ],
    "text" : "Influenza"
  },
  "patient" : {
    "reference" : "Patient/example"
  },
  "occurrenceString" : "January 2012",
  "primarySource" : false,
  "informationSourceCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/immunization-origin",
        "code" : "record"
      }
    ],
    "text" : "Written Record"
  },
  "location" : {
    "reference" : "Location/1"
  },
  "note" : [
    {
      "text" : "Notes on adminstration of a historical vaccine"
    }
  ]
}