2026 US Quality Core Implementation Guide
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Example ImmunizationEvaluation: ImmunizationEvaluaion example

identifier: Uniform Resource Identifier (URI)/urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234

status: Completed

patient: Jim Chalmers Male, DoB: 1974-12-25 ( Social Security number (use: usual, period: 2001-05-06 --> (ongoing)))

date: 2013-01-10

authority: Organization Health Level Seven International

targetDisease: Influenza (disorder)

immunizationEvent: 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 =

doseStatus: Valid

series: Vaccination Series 1

doseNumber: 1

seriesDoses: 2