AU Base Implementation Guide
4.2.2-ballot - Ballot Australia flag

This page is part of the Australian Base IG (v4.2.2-ballot: AU Base R4.2 Ballot 5) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.1.0. For a full list of available versions, see the Directory of published versions

: Immunization - Administration of Pfizer Comirnaty dose 1 for Sarah Simmons - JSON Representation

Page standards status: Informative

Raw json | Download


{
  "resourceType" : "Immunization",
  "id" : "example3",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org.au/fhir/StructureDefinition/au-immunization"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Immunization example3</b></p><a name=\"example3\"> </a><a name=\"hcexample3\"> </a><a name=\"example3-en-AU\"> </a><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title=\"Codes:{https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats COMIRN}, {http://snomed.info/sct 1525011000168107}\">Pfizer Comirnaty</span></p><p><b>patient</b>: <a href=\"Patient-example5.html\">Sarah Simmons  Female, DoB: 1977-09-07 ( Medicare Number:\u00a022968184811\u00a0(,\u00a0period:\u00a0(?) --&gt; 2022-12))</a></p><p><b>occurrence</b>: 2021-11-17</p><p><b>recorded</b>: 2021-11-17</p><p><b>primarySource</b>: true</p><p><b>location</b>: <a href=\"Location-example3.html\">Location: status = active; type = Family medicine clinic; physicalType = Building</a></p><p><b>manufacturer</b>: Pfizer Australia Ltd</p><p><b>lotNumber</b>: 500000000P</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0443 AP}\">Administering Provider</span></td><td><a href=\"PractitionerRole-example3.html\">PractitionerRole General practitioner</a></td></tr></table><h3>ProtocolApplieds</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>TargetDisease</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 840539006}\">COVID-19</span></td><td>1</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org.au/fhir/StructureDefinition/vaccine-serial-number",
      "valueString" : "vNo1111"
    }
  ],
  "status" : "completed",
  "vaccineCode" : // Vial serial number below does not conform to reporting requirements to avoid conflict with real world values
  {
    "coding" : [
      {
        "system" : "https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats",
        "code" : "COMIRN"
      },
      {
        "system" : "http://snomed.info/sct",
        "code" : "1525011000168107",
        "display" : "Comirnaty"
      }
    ],
    "text" : "Pfizer Comirnaty"
  },
  "patient" : {
    🔗 "reference" : "Patient/example5",
    "identifier" : {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MC",
            "display" : "Patient's Medicare number"
          }
        ],
        "text" : "Medicare Number"
      },
      "system" : "http://ns.electronichealth.net.au/id/medicare-number",
      "value" : "22968184811",
      "period" : {
        "end" : "2022-12"
      }
    }
  },
  "occurrenceDateTime" : "2021-11-17",
  "recorded" : "2021-11-17",
  "primarySource" : true,
  "location" : {
    🔗 "reference" : "Location/example3"
  },
  "manufacturer" : {
    "display" : "Pfizer Australia Ltd"
  },
  "lotNumber" : "500000000P",
  "performer" : [
    // Lot number below does not conform to batch number reporting requirements to avoid conflict with real world values
    {
      "function" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0443",
            "code" : "AP",
            "display" : "Administering Provider"
          }
        ],
        "text" : "Administering Provider"
      },
      "actor" : {
        🔗 "reference" : "PractitionerRole/example3",
        "identifier" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
                "code" : "UPIN"
              }
            ],
            "text" : "Medicare Provider Number"
          },
          "system" : "http://ns.electronichealth.net.au/id/medicare-provider-number",
          "value" : "1234561A"
        }
      }
    }
  ],
  "protocolApplied" : [
    {
      "targetDisease" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "840539006",
              "display" : "COVID-19"
            }
          ],
          "text" : "COVID-19"
        }
      ],
      "doseNumberPositiveInt" : 1
    }
  ]
}