ImmunizationRecord-example-07
type: Bundle
node role: treeRoot
resource.id:
  value: ImmunizationRecord-example-07
resource.meta:
  meta.version id:
    value: 1
  meta.last updated:
    value: 2020-07-09T15:32:26.605+05:30
  meta.profile:
    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentBundle
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentBundle
  meta.security:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/v3-Confidentiality
    coding.code:
      value: V
    coding.display:
      value: very restricted
bundle.identifier:
  identifier.system:
    value: http://hip.in
bundle.type:
  value: document
bundle.timestamp:
  value: 2020-07-09T15:32:26.605+05:30
bundle.entry:
  index: 0
  bundle.entry.full url:
    value: Composition/1
  bundle.entry.resource: 1
bundle.entry:
  index: 1
  bundle.entry.full url:
    value: Practitioner/1
  bundle.entry.resource: 1
bundle.entry:
  index: 2
  bundle.entry.full url:
    value: Organization/1
  bundle.entry.resource: 1
bundle.entry:
  index: 3
  bundle.entry.full url:
    value: Patient/1
  bundle.entry.resource: 1
bundle.entry:
  index: 4
  bundle.entry.full url:
    value: Immunization/1
  bundle.entry.resource: 1
bundle.entry:
  index: 5
  bundle.entry.full url:
    value: ImmunizationRecommendation/1
  bundle.entry.resource: 1
bundle.entry:
  index: 6
  bundle.entry.full url:
    value: DocumentReference/1
  bundle.entry.resource: 1

1
type: Composition
resource.id:
  value: 1
resource.meta:
  meta.version id:
    value: 1
  meta.last updated:
    value: 2020-07-09T15:32:26.605+05:30
  meta.profile:
    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/ImmunizationRecord
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/ImmunizationRecord
resource.language:
  value: en-IN
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Narrative with Details This is a Immunization record for Patient ABC. Generated Narrative with Details Patient Summary: Id: 1; Patient Identifier = 22-7225-4829-5255 (System : {https://healthid.ndhm.gov.in}); active; ABC ; ph: +919818512600(HOME); gender: male; birthDate: 12-01-1981 Immunization summary: Id: ImmunizationRecord-example-07 Identifier: 645bb0c3-ff7e-4123-bef5-3852a4784813 Immunization 1: VaccineCode: COVID-19 antigen vaccine (Details : (http://snomed.info/sct code '1119305005' = 'COVID-19 antigen vaccine') Occurrence: 21-02-2021 Primary Source: true Lot Number: BSCD12344SS Immunization Recommendation: This is Immunization Recommendation for COVID-19 antigen vaccine to be taken on 22-03-2021. Description: Second sequence in protocol Series:Vaccination series 2 Dose number positive int: 1 Date Criterion:Date vaccine due (Details : (http://loinc.org code '30980-7' = 'Date vaccine due') Value: 22-03-2021 Recommended Vaccine: COVID-19 antigen vaccine (Details : (http://snomed.info/sct code '1119305005' = 'COVID-19 antigen vaccine') Forcast Status: Due (Details : (http://terminology.hl7.org/CodeSystem/immunization-recommendation-status code 'due' = 'Due') Supporting Immunization: Immunization/1
composition.identifier:
  identifier.system:
    value: https://ndhm.in/phr
composition.status:
  value: final
composition.type:
  codeable concept.coding: http://snomed.info/id/41000179103
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 41000179103
    coding.display:
      value: Immunization record
  codeable concept.text:
    value: Immunization record
composition.subject:
  link: http://nrces.in/ndhm/fhir/r4/Patient/1
  reference.reference:
    value: Patient/1
  reference.display:
    value: ABC
composition.date:
  value: 2020-07-09T15:32:26.605+05:30
composition.author:
  index: 0
  link: http://nrces.in/ndhm/fhir/r4/Practitioner/1
  reference.reference:
    value: Practitioner/1
  reference.display:
    value: Dr. DEF
composition.title:
  value: Immunization record
composition.custodian:
  link: http://nrces.in/ndhm/fhir/r4/Organization/1
  reference.reference:
    value: Organization/1
  reference.display:
    value: UVW Hospital
composition.section:
  index: 0
  composition.section.title:
    value: Immunization record
  composition.section.code:
    codeable concept.coding: http://snomed.info/id/41000179103
      index: 0
      coding.system:
        value: http://snomed.info/sct
      coding.code:
        value: 41000179103
      coding.display:
        value: Immunization record
  composition.section.entry:
    index: 0
    link: http://nrces.in/ndhm/fhir/r4/Immunization/1
    reference.reference:
      value: Immunization/1
    reference.type:
      value: Immunization
  composition.section.entry:
    index: 1
    link: http://nrces.in/ndhm/fhir/r4/ImmunizationRecommendation/1
    reference.reference:
      value: ImmunizationRecommendation/1
    reference.type:
      value: ImmunizationRecommendation
  composition.section.entry:
    index: 2
    link: http://nrces.in/ndhm/fhir/r4/DocumentReference/1
    reference.reference:
      value: DocumentReference/1
    reference.type:
      value: DocumentReference

1
type: Practitioner
resource.id:
  value: 1
resource.meta:
  meta.version id:
    value: 1
  meta.last updated:
    value: 2020-07-09T15:32:26.605+05:30
  meta.profile:
    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Dr. DEF, MD (Medicine)
practitioner.identifier:
  index: 0
  identifier.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v2-0203
      coding.code:
        value: MD
      coding.display:
        value: Medical License number
  identifier.system:
    value: https://doctor.ndhm.gov.in
  identifier.value:
    value: 21-1521-3828-3227
practitioner.name:
  index: 0
  human name.text:
    value: Dr. DEF

1
type: Organization
resource.id:
  value: 1
resource.meta:
  meta.profile:
    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: UVW Hospital. ph: +91 273 2139 3632, email:contact@facility.uvw.org
organization.identifier:
  index: 0
  identifier.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v2-0203
      coding.code:
        value: PRN
      coding.display:
        value: Provider number
  identifier.system:
    value: https://facility.ndhm.gov.in
  identifier.value:
    value: 4567823
organization.name:
  value: UVW Hospital
organization.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +91 273 2139 3632
  contact point.use:
    value: work
organization.telecom:
  index: 1
  contact point.system:
    value: email
  contact point.use:
    value: work

1
type: Patient
resource.id:
  value: 1
resource.meta:
  meta.version id:
    value: 1
  meta.last updated:
    value: 2020-07-09T14:58:58.181+05:30
  meta.profile:
    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: ABC, 41 year, Male
patient.identifier:
  index: 0
  identifier.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v2-0203
      coding.code:
        value: MR
      coding.display:
        value: Medical record number
  identifier.system:
    value: https://healthid.ndhm.gov.in
  identifier.value:
    value: 22-7225-4829-5255
patient.name:
  index: 0
  human name.text:
    value: ABC
patient.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +919818512600
  contact point.use:
    value: home
patient.gender:
  value: male
patient.birth date:
  value: 1981-01-12

1
type: Immunization
resource.id:
  value: 1
resource.meta:
  meta.version id:
    value: 1
  meta.last updated:
    value: 2020-10-10T14:58:58.181+05:30
  meta.profile:
    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Immunization
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Immunization
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Narrative with Details id: 1 status: completed vaccineCode: COVID-19 antigen vaccine (Details : {http://snomed.info/sct code '1119305005' = 'COVID-19 antigen vaccine'}) patient: Patient/1 occurrence: 21/02/2021 primarySource: true
immunization.status:
  value: completed
immunization.vaccine code:
  codeable concept.coding: http://snomed.info/id/1119305005
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 1119305005
    coding.display:
      value: COVID-19 antigen vaccine
immunization.patient:
  link: http://nrces.in/ndhm/fhir/r4/Patient/1
  reference.reference:
    value: Patient/1
immunization.occurrence date time:
  value: 2021-02-21
immunization.primary source:
  value: true
immunization.lot number:
  value: BSCD12344SS

1
type: ImmunizationRecommendation
resource.id:
  value: 1
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: This is Immunization Recommendation for COVID-19 mRNA vaccine to be taken on 2021-05-10.
immunization recommendation.patient:
  link: http://nrces.in/ndhm/fhir/r4/Patient/1
  reference.reference:
    value: Patient/1
immunization recommendation.date:
  value: 2021-02-21T11:04:15.817-05:00
immunization recommendation.authority:
  link: http://nrces.in/ndhm/fhir/r4/Organization/1
  reference.reference:
    value: Organization/1
immunization recommendation.recommendation:
  index: 0
  immunization recommendation.recommendation.vaccine code:
    index: 0
    codeable concept.coding: http://snomed.info/id/1119305005
      index: 0
      coding.system:
        value: http://snomed.info/sct
      coding.code:
        value: 1119305005
      coding.display:
        value: COVID-19 antigen vaccine
  immunization recommendation.recommendation.forecast status:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/immunization-recommendation-status
      coding.code:
        value: due
      coding.display:
        value: Due
  immunization recommendation.recommendation.date criterion:
    index: 0
    immunization recommendation.recommendation.date criterion.code:
      codeable concept.coding: http://loinc.org/rdf#30980-7
        index: 0
    immunization recommendation.recommendation.date criterion.value:
      value: 2021-03-22T00:00:00-05:00
  immunization recommendation.recommendation.description:
    value: Second sequence in protocol
  immunization recommendation.recommendation.series:
    value: Vaccination Series 2
  immunization recommendation.recommendation.dose number positive int:
    value: 1
  immunization recommendation.recommendation.series doses positive int:
    value: 2
  immunization recommendation.recommendation.supporting immunization:
    index: 0
    link: http://nrces.in/ndhm/fhir/r4/Immunization/1
    reference.reference:
      value: Immunization/1

1
type: DocumentReference
resource.id:
  value: 1
resource.meta:
  meta.profile:
    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative id: 1 meta: status: current docStatus: final type: Laboratory report subject: See above (Patient/1) Contents - Attachment *
document reference.status:
  value: current
document reference.doc status:
  value: final
document reference.type:
  codeable concept.coding: http://snomed.info/id/4241000179101
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 4241000179101
    coding.display:
      value: Laboratory report
  codeable concept.text:
    value: Laboratory report
document reference.subject:
  link: http://nrces.in/ndhm/fhir/r4/Patient/1
  reference.reference:
    value: Patient/1
document reference.content:
  index: 0
  document reference.content.attachment:
    attachment.content type:
      value: application/pdf
    attachment.language:
      value: en-IN
    attachment.title:
      value: Laboratory report
    attachment.creation:
      value: 2019-05-29T14:58:58.181+05:30

value: 30980-7

value: Date vaccine due