C-CDA on FHIR Implementation Guide STU 1 (v1.0.0)

This page is part of the C-CDA on FHIR Implementation Guide (v1.0.0: STU 1) based on FHIR R3. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions 



<Immunization xmlns="http://hl7.org/fhir">
  <id value="immunization"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: imm-1</p>
      <p>
        <b>status</b>: completed</p>
      <p>
        <b>notGiven</b>: false</p>
      <p>
        <b>vaccineCode</b>: influenza, injectable, quadrivalent <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/sid/cvx code
          '158' = 'influenza, injectable, quadrivalent', given as 'influenza, injectable,
          quadrivalent'}; {http://hl7.org/fhir/sid/ndc code '49281-0623-78' = '49281-0623-78', given
          as 'FLUZONE QUADRIVALENT'})</span></p>
      <p>
        <b>patient</b>: Amy Shaw. Generated Summary: id: example;
          Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME),
          amy.shaw@example.com; gender: female; birthDate: 20/02/2007</p>
      <p>
        <b>date</b>: 08/01/2016</p>
      <p>
        <b>primarySource</b>: false</p>
    </div>
  </text>
  <status value="completed"/>
  <notGiven value="false"/>
  <vaccineCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/cvx"/>
      <code value="158"/>
      <display value="influenza, injectable, quadrivalent"/>
    </coding>
    <coding>
      <system value="http://hl7.org/fhir/sid/ndc"/>
      <code value="49281-0623-78"/>
      <display value="FLUZONE QUADRIVALENT"/>
    </coding>
  </vaccineCode>
  <patient>
    <reference value="Patient/patient-1"/>
    <display value="Amy Shaw"/>
  </patient>
  <date value="2016-01-08"/>
  <primarySource value="false"/>
</Immunization>