UK Core Implementation Guide 1.0.0

`protocolApplied`

The protocol (set of recommendations) being followed by the provider who administered the dose.

doseNumberPositiveInt Nominal position in a series of vaccines, N.B. This field will not always be reliable, therefore for Covid vaccinations, the vaccination procedure code or situation code should be used as that includes the dose number.

It is recommended for international/EU interoperability targetDisease is populated. The SNOMED CT concept should be from EU COVID-19 Diseases or Vaccine Target Diseases (GPS) - IPS

Disease	UK SNOMED self
COVID-19	840539006
Others	See Vaccine Target Diseases (GPS) - IPS

Table View

Immunization.id[0]	UKCore-Immunization-Sn-ProtocolApplied-Example
Immunization.meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Immunization
Immunization.status[0]	completed
Immunization.vaccineCode[0].coding[0].system[0]	https://dmd.nhs.uk
Immunization.vaccineCode[0].coding[0].code[0]	39114911000001105
Immunization.vaccineCode[0].coding[0].display[0]	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)
Immunization.patient[0].reference[0]	Patient/UKCore-Patient-RichardSmith-Example
Immunization.occurrenceDateTime[0]	2021-07-20
Immunization.protocolApplied[0].targetDisease[0].coding[0].system[0]	http://snomed.info/sct
Immunization.protocolApplied[0].targetDisease[0].coding[0].code[0]	840539006
Immunization.protocolApplied[0].targetDisease[0].coding[0].display[0]	COVID-19
Immunization.protocolApplied[0].doseNumberPositiveInt[0]	1

Tree View

Immunization

id : UKCore-Immunization-Sn-ProtocolApplied-Example

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Immunization

status : completed

vaccineCode

coding

system : https://dmd.nhs.uk

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/UKCore-Patient-RichardSmith-Example

occurrence : 2021-07-20

protocolApplied

targetDisease

coding

system : http://snomed.info/sct

code : 840539006

display : COVID-19

doseNumber : 1

XML View

<Immunization xmlns="http://hl7.org/fhir">
    <id value="UKCore-Immunization-Sn-ProtocolApplied-Example" />
    <meta>
        <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Immunization" />
    </meta>
    <status value="completed" />
    <vaccineCode>
        <coding>
            <system value="https://dmd.nhs.uk" />
            <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/UKCore-Patient-RichardSmith-Example" />
    </patient>
    <occurrenceDateTime value="2021-07-20" />
    <!--  **************snippet start**************  -->
    <protocolApplied>
        <targetDisease>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="840539006" />
                <display value="COVID-19" />
            </coding>
        </targetDisease>
        <doseNumberPositiveInt value="1" />
    </protocolApplied>
    <!--  **************snippet end**************  -->
</Immunization>

JSON View

{
    "resourceType": "Immunization",
    "id": "UKCore-Immunization-Sn-ProtocolApplied-Example",
    "meta": {
        "profile":  [
            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Immunization"
        ]
    },
    "status": "completed",
    "vaccineCode": {
        "coding":  [
            {
                "system": "https://dmd.nhs.uk",
                "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/UKCore-Patient-RichardSmith-Example"
    },
    "occurrenceDateTime": "2021-07-20",
    "protocolApplied":  [
        {
            "targetDisease":  [
                {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "840539006",
                            "display": "COVID-19"
                        }
                    ]
                }
            ],
            "doseNumberPositiveInt": 1
        }
    ]
}