FHIR IG analytics| Package | ca.on.ir.r4 |
| Resource Type | Bundle |
| Id | Sample-Scenario-5_Historical - Immunization-ICON.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
{
"resourceType": "Bundle",
"id": "historical-icon",
"identifier": {
"system": "http://ontariohealth.ca/fhir/NamingSystem/ca-on-phu-1234567-bundle-id",
"value": "bundle-hist-003"
},
"type": "document",
"timestamp": "2024-05-25T12:00:00Z",
"entry": [
{
"fullUrl": "urn:uuid:3c4d5e6f-7a8b-9c0d-1e2f-3a4b5c6d7e8f",
"resource": {
"resourceType": "Composition",
"identifier": {
"system": "http://ontariohealth.ca/fhir/NamingSystem/ca-on-phu-1234567-composition-id",
"value": "comp-hist-003"
},
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "80565-5",
"display": "Medication administration record"
}
]
},
"subject": {
"reference": "urn:uuid:4d5e6f7a-8b9c-0d1e-2f3a-4b5c6d7e8f9a"
},
"date": "2024-05-25T12:00:00Z",
"author": [
{
"reference": "urn:uuid:6f7a8b9c-0d1e-2f3a-4b5c-6d7e8f9a0b1c"
}
],
"title": "Medication administration record",
"custodian": {
"reference": "urn:uuid:1e2d3c4b-5a6f-4789-8a9b-0c1d2e3f4a5b"
},
"section": [
{
"title": "Medication administration record",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "80565-5",
"display": "Medication administration record"
}
]
},
"entry": [
{
"reference": "urn:uuid:5e6f7a8b-9c0d-1e2f-3a4b-5c6d7e8f9a0b"
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:4d5e6f7a-8b9c-0d1e-2f3a-4b5c6d7e8f9a",
"resource": {
"resourceType": "Patient",
"id": "patient-ethan",
"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": "9900112233"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
}
]
},
"system": "http://ehealthontario.ca/fhir/NamingSystem/id-panorama-mrn",
"value": "XYZ6000003"
}
],
"name": [
{
"family": "Wallace",
"given": [
"Ethan"
]
}
],
"gender": "male",
"birthDate": "2024-01-25",
"telecom": [
{
"system": "phone",
"value": "905-555-6003"
}
],
"address": [
{
"line": [
"45 Lakeshore Rd"
],
"city": "Hamilton",
"state": "ON",
"postalCode": "L8E3L5",
"country": "CAN"
}
]
}
},
{
"fullUrl": "urn:uuid:6f7a8b9c-0d1e-2f3a-4b5c-6d7e8f9a0b1c",
"resource": {
"resourceType": "PractitionerRole",
"practitioner": {
"reference": "urn:uuid:7a8b9c0d-1e2f-3a4b-5c6d-7e8f9a0b1c2d"
},
"organization": {
"reference": "urn:uuid:1e2d3c4b-5a6f-4789-8a9b-0c1d2e3f4a5b"
},
"telecom": [
{
"system": "phone",
"value": "416-555-0198",
"use": "work"
}
]
}
},
{
"fullUrl": "urn:uuid:7a8b9c0d-1e2f-3a4b-5c6d-7e8f9a0b1c2d",
"resource": {
"resourceType": "Practitioner",
"id": "practitioner-julia",
"identifier": [
{
"system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician",
"value": "2220000"
}
],
"name": [
{
"family": "Evans",
"given": [
"Julia"
],
"prefix": [
"MD"
]
}
]
}
},
{
"fullUrl": "urn:uuid:1e2d3c4b-5a6f-4789-8a9b-0c1d2e3f4a5b",
"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:1a2b3c4d-5e6f-7a8b-9c0d-e1f2a3b4c5d6",
"resource": {
"resourceType": "Location",
"id": "loc-icon",
"name": "Immunization Connect Ontario (ICON)"
}
},
{
"fullUrl": "urn:uuid:5e6f7a8b-9c0d-1e2f-3a4b-5c6d7e8f9a0b",
"resource": {
"resourceType": "Immunization",
"id": "immz-003",
"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": "ICON-HIST-003"
}
],
"status": "completed",
"vaccineCode": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "7811000087105",
"display": "Vaccine product containing only Rotavirus 1 serotype antigen (medicinal product)"
}
]
},
"patient": {
"reference": "urn:uuid:4d5e6f7a-8b9c-0d1e-2f3a-4b5c6d7e8f9a"
},
"occurrenceDateTime": "2024-05-25T12:00:00Z",
"primarySource": false,
"location": {
"reference": "urn:uuid:1a2b3c4d-5e6f-7a8b-9c0d-e1f2a3b4c5d6"
},
"site": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "123851003",
"display": "Mouth region structure (body structure)"
}
]
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "Oral route (qualifier value)"
}
]
},
"doseQuantity": {
"value": 1.5,
"unit": "mL",
"system": "http://unitsofmeasure.org",
"code": "mL"
},
"performer": [
{
"actor": {
"reference": "urn:uuid:6f7a8b9c-0d1e-2f3a-4b5c-6d7e8f9a0b1c"
}
}
],
"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"
}
]
}
}
}
]
}