NHS Digital FHIR Implementation Guide (Retired - 2.1.50)

This guidance is under active development by NHS Digital and content may be added or updated on a regular basis.

vaccination-covid19-1st-dose

{
    "resourceType": "Immunization",
    "id": "696f13f9-a246-4c28-98be-cd979b86bfe2",
    "extension":  [
        {
            "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-VaccinationProcedure",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "1324681000000101",
                        "display": "Administration of first dose of severe acute respiratory syndrome coronavirus 2 vaccine (procedure)"
                    }
                ]
            }
        }
    ],
    "identifier":  [
        {
            "system": "https://tools.ietf.org/html/rfc4122",
            "value": "a9e514e2-64fc-495e-9a92-28c786807879"
        }
    ],
    "status": "completed",
    "vaccineCode": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "39114911000001105",
                "display": "COVID-19 Vaccine Vaxzevria (ChAdOx1 S [recombinant]) not less than 2.5x100,000,000 infectious units/0.5ml dose suspension for injection multidose vials (AstraZeneca UK Ltd)"
            }
        ]
    },
    "patient": {
        "reference": "Patient/1953684",
        "type": "Patient",
        "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9912003888"
        }
    },
    "occurrenceDateTime": "2020-12-23T13:00:08.476+00:00",
    "recorded": "2020-12-23",
    "primarySource": true,
    "manufacturer": {
        "display": "DREAMLAND Pharmaceuticals Ltd"
    },
    "lotNumber": "R04X",
    "expirationDate": "2021-04-29",
    "site": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "368208006",
                "display": "Left upper arm structure (body structure)"
            }
        ]
    },
    "route": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "78421000",
                "display": "Intramuscular route (qualifier value)"
            }
        ]
    },
    "doseQuantity": {
        "value": 1,
        "unit": "pre-filled disposable injection",
        "system": "http://snomed.info/sct",
        "code": "3318611000001103"
    },
    "performer":  [
        {
            "actor": {
                "type": "Practitioner",
                "identifier": {
                    "system": "https://fhir.hl7.org.uk/Id/nmc-number",
                    "value": "55A6789A"
                },
                "display": "HOLDING, Rafferty"
            }
        },
        {
            "function": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0443",
                        "code": "AP",
                        "display": "Administering Provider"
                    }
                ]
            },
            "actor": {
                "type": "Organization",
                "identifier": {
                    "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value": "RX809"
                }
            }
        }
    ],
    "reasonCode":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "443684005",
                    "display": "Disease outbreak (event)"
                }
            ]
        }
    ],
    "protocolApplied":  [
        {
            "doseNumberPositiveInt": 1
        }
    ]
}
<Immunization xmlns="http://hl7.org/fhir">
    <id value="696f13f9-a246-4c28-98be-cd979b86bfe2" />
    <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-VaccinationProcedure">
        <valueCodeableConcept>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="1324681000000101" />
                <display value="Administration of first dose of severe acute respiratory syndrome coronavirus 2 vaccine (procedure)" />
            </coding>
        </valueCodeableConcept>
    </extension>
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="a9e514e2-64fc-495e-9a92-28c786807879" />
    </identifier>
    <status value="completed" />
    <vaccineCode>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="39114911000001105" />
            <display value="COVID-19 Vaccine Vaxzevria (ChAdOx1 S [recombinant]) not less than 2.5x100,000,000 infectious units/0.5ml dose suspension for injection multidose vials (AstraZeneca UK Ltd)" />
        </coding>
    </vaccineCode>
    <patient>
        <reference value="Patient/1953684" />
        <type value="Patient" />
        <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number" />
            <value value="9912003888" />
        </identifier>
    </patient>
    <occurrenceDateTime value="2020-12-23T13:00:08.476+00:00" />
    <recorded value="2020-12-23" />
    <primarySource value="true" />
    <manufacturer>
        <display value="DREAMLAND Pharmaceuticals Ltd" />
    </manufacturer>
    <lotNumber value="R04X" />
    <expirationDate value="2021-04-29" />
    <site>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="368208006" />
            <display value="Left upper arm structure (body structure)" />
        </coding>
    </site>
    <route>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="78421000" />
            <display value="Intramuscular route (qualifier value)" />
        </coding>
    </route>
    <doseQuantity>
        <value value="1" />
        <unit value="pre-filled disposable injection" />
        <system value="http://snomed.info/sct" />
        <code value="3318611000001103" />
    </doseQuantity>
    <performer>
        <actor>
            <type value="Practitioner" />
            <identifier>
                <system value="https://fhir.hl7.org.uk/Id/nmc-number" />
                <value value="55A6789A" />
            </identifier>
            <display value="HOLDING, Rafferty" />
        </actor>
    </performer>
    <performer>
        <function>
            <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v2-0443" />
                <code value="AP" />
                <display value="Administering Provider" />
            </coding>
        </function>
        <actor>
            <type value="Organization" />
            <identifier>
                <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                <value value="RX809" />
            </identifier>
        </actor>
    </performer>
    <reasonCode>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="443684005" />
            <display value="Disease outbreak (event)" />
        </coding>
    </reasonCode>
    <protocolApplied>
        <doseNumberPositiveInt value="1" />
    </protocolApplied>
</Immunization>
Immunization
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