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Immunization-example-subpotent.json

Public Health and Emergency Response Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Patient, Practitioner

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

Example of a Subpotent Dose

{
  "resourceType": "Immunization",
  "id": "subpotent",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: subpotent</p><p><b>identifier</b>: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234</p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: Hepatitis B <span>(Details : {urn:oid:1.2.36.1.2001.1005.17 code 'GNHEP' = 'Hepatitis B)</span></p><p><b>patient</b>: <a>Patient/example</a></p><p><b>encounter</b>: <a>Encounter/example</a></p><p><b>occurrence</b>: Jan 15, 2015</p><p><b>primarySource</b>: true</p><p><b>location</b>: <a>Location/1</a></p><p><b>manufacturer</b>: <a>Organization/hl7</a></p><p><b>lotNumber</b>: AAJN11K</p><p><b>expirationDate</b>: Feb 28, 2015</p><p><b>site</b>: left thigh <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ActSite code 'LT' = 'left thigh', given as 'left thigh'})</span></p><p><b>route</b>: Injection, intramuscular <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration code 'IM' = 'Injection, intramuscular', given as 'Injection, intramuscular'})</span></p><p><b>doseQuantity</b>: 0.5 ml<span> (Details: UCUM code ml = 'ml')</span></p><blockquote><p><b>performer</b></p><p><b>function</b>: Ordering Provider <span>(Details : {http://terminology.hl7.org/CodeSystem/v2-0443 code 'OP' = 'Ordering Provider)</span></p><p><b>actor</b>: <a>Practitioner/example</a></p></blockquote><blockquote><p><b>performer</b></p><p><b>function</b>: Administering Provider <span>(Details : {http://terminology.hl7.org/CodeSystem/v2-0443 code 'AP' = 'Administering Provider)</span></p><p><b>actor</b>: <a>Practitioner/example</a></p></blockquote><p><b>note</b>: Notes on adminstration of vaccine</p><p><b>isSubpotent</b>: false</p><p><b>subpotentReason</b>: Partial Dose <span>(Details : {http://terminology.hl7.org/CodeSystem/immunization-subpotent-reason code 'partial' = '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>Jul 2, 2012</td><td>Jan 10, 2013</td></tr></table><p><b>programEligibility</b>: Not Eligible <span>(Details : {http://terminology.hl7.org/CodeSystem/immunization-program-eligibility code 'ineligible' = 'Not Eligible)</span></p><p><b>fundingSource</b>: Private <span>(Details : {http://terminology.hl7.org/CodeSystem/immunization-funding-source code 'private' = '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"
  },
  "patient": {
    "reference": "Patient/example"
  },
  "encounter": {
    "reference": "Encounter/example"
  },
  "occurrenceDateTime": "2015-01-15",
  "primarySource": true,
  "location": {
    "reference": "Location/1"
  },
  "manufacturer": {
    "reference": "Organization/hl7"
  },
  "lotNumber": "AAJN11K",
  "expirationDate": "2015-02-28",
  "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": "partial"
        }
      ]
    }
  ],
  "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"
      }
    ]
  }
}

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.