2026 US Quality Core Implementation Guide
0.5.0 - release

2026 US Quality Core Implementation Guide - Downloaded Version 0.5.0 See the Directory of published versions

## : ImmunizationRecommendation example

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:ImmunizationRecommendation ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "example"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-immunizationrecommendation"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-immunizationrecommendation>     ] )
      ] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ImmunizationRecommendation example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-us-quality-core-immunizationrecommendation.html\">US Quality Core ImmunizationRecommendation</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/7.1.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt #xD;#xA;#xD;#xA;This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: #xD;#xA;#xD;#xA;Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.#xD;#xA;#xD;#xA;This OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:oid:1.3.6.1.4.1.21367.2005.3.7.1235</p><p><b>patient</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Social Security number (use: usual, period: 2001-05-06 --&gt; (ongoing)))</a></p><p><b>date</b>: 2015-02-09 11:04:15-0500</p><blockquote><p><b>recommendation</b></p><p><b>vaccineCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/cvx 140}\">Influenza, seasonal, injectable, preservative free</span></p><p><b>forecastStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/immunization-recommendation-status due}\">Dose due</span></p><blockquote><p><b>dateCriterion</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 30981-5}\">Earliest date to give</span></p><p><b>value</b>: 2015-12-01 00:00:00-0500</p></blockquote><blockquote><p><b>dateCriterion</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 30980-7}\">Date vaccine due</span></p><p><b>value</b>: 2015-12-01 00:00:00-0500</p></blockquote><blockquote><p><b>dateCriterion</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 59778-1}\">Date when overdue for immunization</span></p><p><b>value</b>: 2016-12-28 00:00:00-0500</p></blockquote><p><b>description</b>: Second dose in seasonal influenza vaccination series</p><p><b>series</b>: Vaccination Series 1</p><p><b>doseNumber</b>: 2</p><p><b>supportingImmunization</b>: <a href=\"Immunization-example.html\">Immunization: identifier = OID:1.3.6.1.4.1.21367.2005.3.7.1234; status = completed; vaccineCode = Influenza, seasonal, injectable, preservative free; occurrence[x] = 2013-01-01; recorded = 2013-01-10; primarySource = true; lotNumber = AAJN11K; expirationDate = 2015-02-15; site = left arm; route = Injection, intramuscular; doseQuantity = 0.5 mL; note = Seasonal influenza vaccine administered intramuscularly in the left arm; reasonCode = </a></p><p><b>supportingPatientInformation</b>: <a href=\"Observation-example.html\">Observation Hemoglobin [Mass/volume] in Venous blood</a></p></blockquote></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:identifier ( [
    fhir:system [
    fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
    fhir:l <urn:ietf:rfc:3986>     ] ;
    fhir:value [ fhir:v "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1235" ]
      ] ) ; #
      fhir:patient [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ]
      ] ; #
      fhir:date [ fhir:v "2015-02-09T11:04:15.817-05:00"^^xsd:dateTime] ; #
      fhir:recommendation ( [
        ( fhir:vaccineCode [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/cvx"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/cvx>         ] ;
    fhir:code [ fhir:v "140" ] ;
    fhir:display [ fhir:v "Influenza, seasonal, injectable, preservative free" ]       ] )     ] ) ;
    fhir:forecastStatus [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/immunization-recommendation-status"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/immunization-recommendation-status>         ] ;
    fhir:code [ fhir:v "due" ] ;
    fhir:display [ fhir:v "Due" ]       ] ) ;
    fhir:text [ fhir:v "Dose due" ]     ] ;
        ( fhir:dateCriterion [
    fhir:code [
            ( fhir:coding [
    a loinc:30981-5 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>           ] ;
    fhir:code [ fhir:v "30981-5" ] ;
    fhir:display [ fhir:v "Earliest date to give" ]         ] )       ] ;
    fhir:value [ fhir:v "2015-12-01T00:00:00-05:00"^^xsd:dateTime ]     ] [
    fhir:code [
            ( fhir:coding [
    a loinc:30980-7 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>           ] ;
    fhir:code [ fhir:v "30980-7" ] ;
    fhir:display [ fhir:v "Date vaccine due" ]         ] )       ] ;
    fhir:value [ fhir:v "2015-12-01T00:00:00-05:00"^^xsd:dateTime ]     ] [
    fhir:code [
            ( fhir:coding [
    a loinc:59778-1 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>           ] ;
    fhir:code [ fhir:v "59778-1" ] ;
    fhir:display [ fhir:v "Date when overdue for immunization" ]         ] )       ] ;
    fhir:value [ fhir:v "2016-12-28T00:00:00-05:00"^^xsd:dateTime ]     ] ) ;
    fhir:description [ fhir:v "Second dose in seasonal influenza vaccination series" ] ;
    fhir:series [ fhir:v "Vaccination Series 1" ] ;
    fhir:doseNumber [
    a fhir:PositiveInt ;
    fhir:v "2"^^xsd:positiveInteger     ] ;
        ( fhir:supportingImmunization [
    fhir:l fhir:Immunization/example ;
    fhir:reference [ fhir:v "Immunization/example" ]     ] ) ;
        ( fhir:supportingPatientInformation [
    fhir:l fhir:Observation/example ;
    fhir:reference [ fhir:v "Observation/example" ]     ] )
      ] ) . #