QI-Core Implementation Guide
7.0.0 - STU 7 United States of America flag

This page is part of the Quality Improvement Core Framework (v7.0.0: STU7 (v7.0.0)) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example ImmunizationEvaluation: ImmunizationEvaluaion 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

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

date: 2013-01-10

authority: Organization Health Level Seven International

targetDisease: Gestational rubella syndrome

immunizationEvent: Immunization: identifier = OID:1.3.6.1.4.1.21367.2005.3.7.1234; status = completed; vaccineCode = Fluvax; occurrence[x] = 2013-01-01; recorded = 2013-01-10; primarySource = true; lotNumber = AAJN11K; expirationDate = 2015-02-15; site = left arm; route = Injection, intramuscular; doseQuantity = 5 mg; note = Notes on adminstration of vaccine; reasonCode = Procedure to meet occupational requirement

doseStatus: Valid

series: Vaccination Series 1

doseNumber: 1

seriesDoses: 3