Immunization Profile

Canonical	../StructureDefinition/nexus-emr-core-immunization
Status	draft · 1.26.0
Base	Immunization (constraint)
Source	FSH · JSON

Nexus EMR profile for Immunization resources, aligned with CA-Core+ and CII requirements. Records details about vaccines administered to a patient.

Examples

Avery COVID-19 Vaccination (Prevention) · Avery TDAP

Avery TDAP

Example immunization record for TDAP vaccine given to Avery Linwood

Immunization/avery-tdap-20250408 — claims conformance to Immunization Profile

{
  "resourceType": "Immunization",
  "id": "avery-tdap-20250408",
  "meta": {
    "profile": [
      "../StructureDefinition/nexus-emr-core-immunization"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Tdap vaccination administered to Avery Linwood by Dr. Emil Navarro on April 8, 2025 at Cedarbrook Family Health Site A.</div>"
  },
  "identifier": [
    {
      "use": "secondary",
      "system": "../NamingSystem/cedarbrook-clinic-immunization-raw-code",
      "value": "EMR-IMM-TDAP-AVERY-20250408"
    }
  ],
  "status": "completed",
  "vaccineCode": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "7851000087109",
        "display": "[Tdap] Tetanus, diphtheria, and acellular pertussis adult vaccine"
      }
    ],
    "text": "Tdap (tetanus, diphtheria, pertussis) vaccine"
  },
  "patient": {
    "reference": "Patient/avery-linwood",
    "display": "Avery Linwood"
  },
  "encounter": {
    "reference": "Encounter/enc-avery-20250408-01rc",
    "display": "Annual Physical - Cedarbrook Site A"
  },
  "occurrenceDateTime": "2025-04-08",
  "primarySource": true,
  "reportOrigin": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/immunization-origin",
        "code": "provider",
        "display": "Other Provider"
      }
    ],
    "text": "Administered during physical exam"
  },
  "location": {
    "reference": "Location/cedarbrook-site-a",
    "display": "Cedarbrook Family Health - Site A"
  },
  "lotNumber": "TDAP-2025-APRIL-BATCH-01",
  "route": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
        "code": "IM",
        "display": "Injection, intramuscular"
      }
    ]
  },
  "site": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "368209003",
        "display": "Right arm"
      }
    ]
  },
  "doseQuantity": {
    "value": 0.5,
    "unit": "mL",
    "system": "http://unitsofmeasure.org",
    "code": "mL"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/dr-emil-navarro",
        "display": "Dr. Emil Navarro"
      }
    }
  ],
  "note": [
    {
      "authorString": "Dr. Emil Navarro",
      "time": "2025-04-08T10:45:00-06:00",
      "text": "Tdap vaccine administered as part of routine preventative care. No immediate adverse reaction observed."
    }
  ]
}