This page is part of the US Core (v3.0.1: STU3 Ballot 3) based on FHIR R4. The current version which supercedes this version is 5.0.1. For a full list of available versions, see the Directory of published versions

• Narrative Content
• XML
• JSON

XML Format: Immunization-imm-1

Download Raw xml

<Immunization xmlns="http://hl7.org/fhir">
  <id value="imm-1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"/>
  </meta>
  <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>meta</b>: </p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: influenza, injectable, quadrivalent, contains preservative <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/sid/cvx code '158' = 'influenza, injectable, quadrivalent', given as 'influenza, injectable, quadrivalent, contains preservative'}; {http://hl7.org/fhir/sid/ndc code '49281-0621-15' = '49281-0621-15', given as 'FLUZONE QUADRIVALENT'})</span></p><p><b>patient</b>: <a href="Patient-example.html">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: Feb 20, 2007</a></p><p><b>occurrence</b>: Jan 8, 2016 12:00:00 AM</p><p><b>primarySource</b>: false</p></div>
  </text>
  <status value="completed"/>
  <vaccineCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/cvx"/>
      <code value="158"/>
      <display
               value="influenza, injectable, quadrivalent, contains preservative"/>
    </coding>
    <coding>
      <system value="http://hl7.org/fhir/sid/ndc"/>
      <code value="49281-0621-15"/>
      <display value="FLUZONE QUADRIVALENT"/>
    </coding>
  </vaccineCode>
  <patient>
    <reference value="Patient/example"/>
    <display value="Amy Shaw"/>
  </patient>
  <occurrenceDateTime value="2016-01-08"/>
  <primarySource value="false"/>
</Immunization>