C-CDA on FHIR
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This page is part of the C-CDA on FHIR Implementation Guide (v1.2.0-ballot: STU 1 Ballot 4) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

: FC-immunization-example - XML Representation

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<Immunization xmlns="http://hl7.org/fhir">
  <id value="FC-immunization"/>
  <meta>
    <security>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
      <code value="N"/>
    </security>
    <tag>
      <system value="urn:oid:2.16.840.1.113883.3.13.10.1.1"/>
      <code value="FHIRr4-CR"/>
    </tag>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Immunization</b><a name="FC-immunization"> </a></p><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">Resource Immunization &quot;FC-immunization&quot; </p><p style="margin-bottom: 0px">Tag: <span title="{urn:oid:2.16.840.1.113883.3.13.10.1.1 urn:oid:2.16.840.1.113883.3.13.10.1.1}">urn:oid:2.16.840.1.113883.3.13.10.1.1</span></p><p style="margin-bottom: 0px">Security Label: <span title="{http://terminology.hl7.org/CodeSystem/v3-Confidentiality http://terminology.hl7.org/CodeSystem/v3-Confidentiality}">http://terminology.hl7.org/CodeSystem/v3-Confidentiality</span></p></div><p><b>identifier</b>: id: urn:uuid:e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92</p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: Influenza Virus Vaccine <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-CVX.html">PH_VaccinesAdministeredCVX_CDC_NIP</a>#88 &quot;influenza virus vaccine, unspecified formulation&quot;)</span></p><p><b>patient</b>: <a href="Patient-CF-patient.html">Patient/CF-patient</a> &quot; JONES&quot;</p><p><b>occurrence</b>: 2010-08-15</p><p><b>recorded</b>: 2010-08-15</p><p><b>lotNumber</b>: 1</p><h3>Performers</h3><table class="grid"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a name="1"> </a><blockquote><p/><p><a name="1"> </a></p><p><b>identifier</b>: id: 2981824</p><p><b>name</b>: Amanda Assigned </p></blockquote></td></tr></table><hr/><blockquote><p><b>Generated Narrative: Practitioner #1</b><a name="1"> </a></p><p><b>identifier</b>: id: 2981824</p><p><b>name</b>: Amanda Assigned </p></blockquote></div>
  </text>
  <contained>
    <Practitioner>
      <id value="1"/>
      <identifier>
        <system value="urn:oid:2.16.840.1.113883.19.5.9999.456"/>
        <value value="2981824"/>
      </identifier>
      <name>
        <family value="Assigned"/>
        <given value="Amanda"/>
      </name>
    </Practitioner>
  </contained>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92"/>
  </identifier>
  <status value="completed"/>
  <vaccineCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/cvx"/>
      <code value="88"/>
      <display value="influenza virus vaccine, unspecified formulation"/>
    </coding>
    <text value="Influenza Virus Vaccine"/>
  </vaccineCode>
  <patient>
    <reference value="Patient/CF-patient"/>
  </patient>
  <occurrenceDateTime value="2010-08-15"/>
  <recorded value="2010-08-15"/>
  <lotNumber value="1"/>
  <performer>
    <actor>
      <reference value="#1"/>
    </actor>
  </performer>
</Immunization>