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Ontario Immunization Repository Implementation Guide -v1.0.0-draft3
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    1. Index
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    3. Examples
    4. Bulk Load Example

For a full list of available versions, see the Directory of published versions

4.7.1. Bulk Load Example

This page provides a sample NDJSON extract illustrating the file format described in the Bulk Load interaction page. It contains 6 lines, each a complete, standalone FHIR Bundle of type = document, structured identically to the Bundle used in the Submit Immunization interaction (Composition as entry[0], with Composition.section.entry referencing an Immunization resource, plus the associated Patient, Practitioner(Role), and Organization resources).

Each line:

  • Is valid, self-contained JSON (no trailing comma, no enclosing array).
  • Carries its own stable, client-assigned identifiers on Bundle.identifier, Composition.identifier, and Immunization.identifier, which a bulk load pipeline would use as the conditional-update search key (PUT [base-bulk]/Bundle?identifier=[system]|[value]).
  • Uses urn:uuid references that are scoped to that line only - internal references are not reused or shared across lines.

Records in this sample span multiple vaccine products (Hepatitis B, influenza, MMR, COVID-19 mRNA, zoster, DTaP-IPV), two different administering Public Health Units (Toronto and Ottawa/London), and a range of patient ages, to illustrate the variability expected in a real bulk extract.

Note: This is illustrative sample data only - all patient, practitioner, and organization details are fictional.

4.7.1.1. Sample NDJSON file

{"resourceType":"Bundle","id":"bundle-pos-001","identifier":{"system":"http://ontariohealth.ca/fhir/NamingSystem/ca-on-phu-1234567-bundle-id","value":"bundle-pos-001"},"type":"document","timestamp":"2022-05-12T10:00:00+00:00","entry":[{"fullUrl":"urn:uuid:8e2bbe01-0107-45d6-b2bf-359fe713deba","resource":{"resourceType":"Composition","identifier":{"system":"http://ontariohealth.ca/fhir/NamingSystem/ca-on-phu-1234567-composition-id","value":"comp-pos-001"},"status":"final","type":{"coding":[{"system":"http://loinc.org","code":"80565-5","display":"Medication administration record"}]},"subject":{"reference":"urn:uuid:3510ed2d-7591-4dd0-a5c1-f8f92788d838"},"date":"2022-05-12T10:00:00Z","author":[{"reference":"urn:uuid:08ad5af2-22b5-432d-85ae-0ced77f33f49"}],"title":"Medication administration record","custodian":{"reference":"urn:uuid:9c44d40b-e1b8-42cc-9617-938bc7dc1a83"},"section":[{"title":"Medication administration record","code":{"coding":[{"system":"http://loinc.org","code":"80565-5","display":"Medication administration record"}]},"entry":[{"reference":"urn:uuid:68b6dcac-09d7-4a4e-8d12-34f63f33250c"}]}]}},{"fullUrl":"urn:uuid:3510ed2d-7591-4dd0-a5c1-f8f92788d838","resource":{"resourceType":"Patient","id":"patient-bob","identifier":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"JHN"}]},"system":"https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-patient-hcn","value":"1234567890"},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"MR"}]},"system":"http://ehealthontario.ca/fhir/NamingSystem/id-panorama-mrn","value":"ABC1231234"}],"name":[{"family":"Johnstone","given":["Bob"]}],"telecom":[{"system":"phone","value":"416-456-0000"}],"gender":"male","birthDate":"1965-08-27","address":[{"line":["525 University Ave"],"city":"Toronto","state":"ON","postalCode":"M5G2L3","country":"CAN"}]}},{"fullUrl":"urn:uuid:08ad5af2-22b5-432d-85ae-0ced77f33f49","resource":{"resourceType":"PractitionerRole","practitioner":{"reference":"urn:uuid:de68eee5-94de-44bc-aab2-548d8b8b6285"},"organization":{"reference":"urn:uuid:9c44d40b-e1b8-42cc-9617-938bc7dc1a83"},"code":[{"coding":[{"system":"http://snomed.info/sct","code":"224535009","display":"Registered nurse"}],"text":"Registered Nurse"}],"telecom":[{"system":"phone","value":"416-555-0198","use":"work"}]}},{"fullUrl":"urn:uuid:de68eee5-94de-44bc-aab2-548d8b8b6285","resource":{"resourceType":"Practitioner","id":"practitioner-sarah","identifier":[{"system":"https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-nurse","value":"1110000"}],"name":[{"family":"Lee","given":["Sarah"],"suffix":["RN"]}]}},{"fullUrl":"urn:uuid:9c44d40b-e1b8-42cc-9617-938bc7dc1a83","resource":{"resourceType":"Organization","id":"org-phu","identifier":[{"system":"https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-pharmacist-org","value":"1234567"}],"name":"Public Health Unit"}},{"fullUrl":"urn:uuid:68b6dcac-09d7-4a4e-8d12-34f63f33250c","resource":{"resourceType":"Immunization","id":"immz-001","extension":[{"url":"http://ontariohealth.ca/fhir/ehr/StructureDefinition/ext-immunization-isValid","valueBoolean":true}],"identifier":[{"system":"http://ontariohealth.ca/fhir/NamingSystem/ca-on-phu-1234567-immunization-id","value":"PHU-POS-123"}],"status":"completed","vaccineCode":{"coding":[{"system":"http://snomed.info/sct","code":"8771000087109","display":"Adult vaccine product containing only Hepatitis B virus regular strength antigen (medicinal product)"}]},"patient":{"reference":"urn:uuid:3510ed2d-7591-4dd0-a5c1-f8f92788d838"},"occurrenceDateTime":"2022-05-12T12:00:00Z","primarySource":true,"lotNumber":"x008697","expirationDate":"2026-02-03","site":{"coding":[{"system":"http://snomed.info/sct","code":"16217701000119102","display":"Structure of left deltoid muscle (body structure)"}]},"route":{"coding":[{"system":"http://snomed.info/sct","code":"78421000","display":"Intramuscular route (qualifier value)"}]},"doseQuantity":{"value":0.5,"unit":"mL","system":"http://unitsofmeasure.org","code":"mL"},"performer":[{"actor":{"reference":"urn:uuid:08ad5af2-22b5-432d-85ae-0ced77f33f49"}}],"reasonCode":[{"coding":[{"system":"http://snomed.info/sct","code":"8171000087105","display":"Routine immunization (finding)"}]}],"fundingSource":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","code":"PUBLICPOL","display":"public healthcare"}]}}}]}
{"resourceType":"Bundle","id":"bundle-pos-002","identifier":{"system":"http://ontariohealth.ca/fhir/NamingSystem/ca-on-phu-1234567-bundle-id","value":"bundle-pos-002"},"type":"document","timestamp":"2023-10-04T10:00:00+00:00","entry":[{"fullUrl":"urn:uuid:a5b03dbd-5d58-432d-9bd2-743751dc92e0","resource":{"resourceType":"Composition","identifier":{"system":"http://ontariohealth.ca/fhir/NamingSystem/ca-on-phu-1234567-composition-id","value":"comp-pos-002"},"status":"final","type":{"coding":[{"system":"http://loinc.org","code":"80565-5","display":"Medication administration record"}]},"subject":{"reference":"urn:uuid:d1ccce75-71d9-444b-9dcb-4a1327b08386"},"date":"2023-10-04T10:00:00Z","author":[{"reference":"urn:uuid:476595fa-4e47-41e4-a8c0-f9f1f1a36377"}],"title":"Medication administration record","custodian":{"reference":"urn:uuid:2f92417e-7ade-420e-8771-7880f3bcfc76"},"section":[{"title":"Medication administration record","code":{"coding":[{"system":"http://loinc.org","code":"80565-5","display":"Medication administration record"}]},"entry":[{"reference":"urn:uuid:14fcd694-fbd8-45cb-b7a1-8af5ea50647a"}]}]}},{"fullUrl":"urn:uuid:d1ccce75-71d9-444b-9dcb-4a1327b08386","resource":{"resourceType":"Patient","id":"patient-alice","identifier":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"JHN"}]},"system":"https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-patient-hcn","value":"2234567891"},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"MR"}]},"system":"http://ehealthontario.ca/fhir/NamingSystem/id-panorama-mrn","value":"BCD1231235"}],"name":[{"family":"Nguyen","given":["Alice"]}],"telecom":[{"system":"phone","value":"416-456-0001"}],"gender":"female","birthDate":"1988-02-14","address":[{"line":["10 Bay St"],"city":"Toronto","state":"ON","postalCode":"M5J2R8","country":"CAN"}]}},{"fullUrl":"urn:uuid:476595fa-4e47-41e4-a8c0-f9f1f1a36377","resource":{"resourceType":"PractitionerRole","practitioner":{"reference":"urn:uuid:57994cac-9529-4de1-bdf5-4b19b90c1024"},"organization":{"reference":"urn:uuid:2f92417e-7ade-420e-8771-7880f3bcfc76"},"code":[{"coding":[{"system":"http://snomed.info/sct","code":"224535009","display":"Registered nurse"}],"text":"Registered Nurse"}],"telecom":[{"system":"phone","value":"416-555-0198","use":"work"}]}},{"fullUrl":"urn:uuid:57994cac-9529-4de1-bdf5-4b19b90c1024","resource":{"resourceType":"Practitioner","id":"practitioner-sarah","identifier":[{"system":"https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-nurse","value":"1110000"}],"name":[{"family":"Lee","given":["Sarah"],"suffix":["RN"]}]}},{"fullUrl":"urn:uuid:2f92417e-7ade-420e-8771-7880f3bcfc76","resource":{"resourceType":"Organization","id":"org-phu","identifier":[{"system":"https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-pharmacist-org","value":"1234567"}],"name":"Public Health Unit"}},{"fullUrl":"urn:uuid:14fcd694-fbd8-45cb-b7a1-8af5ea50647a","resource":{"resourceType":"Immunization","id":"immz-002","extension":[{"url":"http://ontariohealth.ca/fhir/ehr/StructureDefinition/ext-immunization-isValid","valueBoolean":true}],"identifier":[{"system":"http://ontariohealth.ca/fhir/NamingSystem/ca-on-phu-1234567-immunization-id","value":"PHU-POS-124"}],"status":"completed","vaccineCode":{"coding":[{"system":"http://snomed.info/sct","code":"28571000087109","display":"Influenza virus vaccine injectable product"}]},"patient":{"reference":"urn:uuid:d1ccce75-71d9-444b-9dcb-4a1327b08386"},"occurrenceDateTime":"2023-10-04T12:00:00Z","primarySource":true,"lotNumber":"x009812","expirationDate":"2025-11-30","site":{"coding":[{"system":"http://snomed.info/sct","code":"368208006","display":"Structure of right deltoid muscle (body structure)"}]},"route":{"coding":[{"system":"http://snomed.info/sct","code":"78421000","display":"Intramuscular route (qualifier value)"}]},"doseQuantity":{"value":0.5,"unit":"mL","system":"http://unitsofmeasure.org","code":"mL"},"performer":[{"actor":{"reference":"urn:uuid:476595fa-4e47-41e4-a8c0-f9f1f1a36377"}}],"reasonCode":[{"coding":[{"system":"http://snomed.info/sct","code":"8171000087105","display":"Routine immunization (finding)"}]}],"fundingSource":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","code":"PUBLICPOL","display":"public healthcare"}]}}}]}
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