ImmunizationRecord-example-07
type: Bundle
node role: treeRoot
id:
  v: ImmunizationRecord-example-07
meta:
  version id:
    v: 1
  last updated:
    v: 2020-07-09T15:32:26.605+05:30
  profile:
    v: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentBundle
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentBundle
  security:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-Confidentiality
    code:
      v: V
    display:
      v: very restricted
identifier:
  system:
    v: http://hip.in
type:
  v: document
timestamp:
  v: 2020-07-09T15:32:26.605+05:30
entry:
  full url:
    v: Composition/1
  resource: 1
entry:
  full url:
    v: Practitioner/1
  resource: 1
entry:
  full url:
    v: Organization/1
  resource: 1
entry:
  full url:
    v: Patient/1
  resource: 1
entry:
  full url:
    v: Immunization/1
  resource: 1
entry:
  full url:
    v: ImmunizationRecommendation/1
  resource: 1
entry:
  full url:
    v: DocumentReference/1
  resource: 1
signature:
  type:
    system:
      v: urn:iso-astm:E1762-95:2013
    code:
      v: 1.2.840.10065.1.12.1.1
    display:
      v: Author's Signature
  when:
    v: 2020-07-09T07:42:33+10:00
  who:
    link: https://nrces.in/ndhm/fhir/r4/Practitioner/1
    reference:
      v: Practitioner/1
  sig format:
    v: image/jpeg

1
type: Composition
id:
  v: 1
meta:
  version id:
    v: 1
  last updated:
    v: 2020-07-09T15:32:26.605+05:30
  profile:
    v: https://nrces.in/ndhm/fhir/r4/StructureDefinition/ImmunizationRecord
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/ImmunizationRecord
language:
  v: en-IN
text:
  status:
    v: generated
  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
identifier:
  system:
    v: https://ndhm.in/phr
status:
  v: final
type:
  coding: http://snomed.info/id/41000179103
    system:
      v: http://snomed.info/sct
    code:
      v: 41000179103
    display:
      v: Immunization record
  text:
    v: Immunization record
subject:
  link: https://nrces.in/ndhm/fhir/r4/Patient/1
  reference:
    v: Patient/1
  display:
    v: ABC
date:
  v: 2020-07-09T15:32:26.605+05:30
author:
  link: https://nrces.in/ndhm/fhir/r4/Practitioner/1
  reference:
    v: Practitioner/1
  display:
    v: Dr. DEF
title:
  v: Immunization record
custodian:
  link: https://nrces.in/ndhm/fhir/r4/Organization/1
  reference:
    v: Organization/1
  display:
    v: UVW Hospital
section:
  title:
    v: Immunization record
  code:
    coding: http://snomed.info/id/41000179103
      system:
        v: http://snomed.info/sct
      code:
        v: 41000179103
      display:
        v: Immunization record
  entry:
    link: https://nrces.in/ndhm/fhir/r4/Immunization/1
    reference:
      v: Immunization/1
    type:
      v: Immunization
  entry:
    link: https://nrces.in/ndhm/fhir/r4/ImmunizationRecommendation/1
    reference:
      v: ImmunizationRecommendation/1
    type:
      v: ImmunizationRecommendation
  entry:
    link: https://nrces.in/ndhm/fhir/r4/DocumentReference/1
    reference:
      v: DocumentReference/1
    type:
      v: DocumentReference

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

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

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

1
type: Immunization
id:
  v: 1
meta:
  version id:
    v: 1
  last updated:
    v: 2020-10-10T14:58:58.181+05:30
  profile:
    v: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Immunization
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Immunization
text:
  status:
    v: generated
  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
status:
  v: completed
vaccine code:
  coding: http://snomed.info/id/1119305005
    system:
      v: http://snomed.info/sct
    code:
      v: 1119305005
    display:
      v: COVID-19 antigen vaccine
patient:
  link: https://nrces.in/ndhm/fhir/r4/Patient/1
  reference:
    v: Patient/1
occurrence:
  v: 2021-02-21
primary source:
  v: true
lot number:
  v: BSCD12344SS

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

1
type: DocumentReference
id:
  v: 1
meta:
  profile:
    v: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference
text:
  status:
    v: generated
  div: Generated Narrative: DocumentReference Resource DocumentReference "1" Profile: DocumentReference status: current docStatus: final type: Laboratory report (SNOMED CT#4241000179101) subject: See above (Patient/1) content Attachments - ContentType Language Data Title Creation * application/pdf en-IN (base64 data - 302995 bytes) Laboratory report 2019-05-29 14:58:58+0530
status:
  v: current
doc status:
  v: final
type:
  coding: http://snomed.info/id/4241000179101
    system:
      v: http://snomed.info/sct
    code:
      v: 4241000179101
    display:
      v: Laboratory report
  text:
    v: Laboratory report
subject:
  link: https://nrces.in/ndhm/fhir/r4/Patient/1
  reference:
    v: Patient/1
content:
  attachment:
    content type:
      v: application/pdf
    language:
      v: en-IN
    title:
      v: Laboratory report
    creation:
      v: 2019-05-29T14:58:58.181+05:30

v: 30980-7

v: Date vaccine due