US Core Implementation Guide
3.2.0 - ballot

This page is part of the US Core (v3.2.0: STU4 Ballot 1) 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

: Imm 1 Example - JSON Representation

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{
  "resourceType" : "Immunization",
  "id" : "imm-1",
  "meta" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString" : "Imm 1 Example"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
        "valueMarkdown" : "This is a imm 1 example for the *US Core Immunization Profile*."
      }
    ],
    "profile" : [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: <span title=\"Codes: {http://hl7.org/fhir/sid/cvx 158}, {http://hl7.org/fhir/sid/ndc 49281-0633-15}\">influenza, injectable, quadrivalent, contains preservative</span></p><p><b>patient</b>: <a href=\"Patient-example.html\">Amy Shaw. Generated Summary: Medical Record Number: 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; Phone: 555-555-5555, amy.shaw@example.com; gender: female; birthDate: 1987-02-20</a></p><p><b>occurrence</b>: Nov 19, 2020 8:46:57 PM</p><p><b>primarySource</b>: false</p></div>"
  },
  "status" : "completed",
  "vaccineCode" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/sid/cvx",
        "code" : "158",
        "display" : "influenza, injectable, quadrivalent, contains preservative"
      },
      {
        "system" : "http://hl7.org/fhir/sid/ndc",
        "code" : "49281-0633-15",
        "display" : "FLUZONE QUADRIVALENT (Sanofi Pasteur Inc.)"
      }
    ]
  },
  "patient" : {
    "reference" : "Patient/example",
    "display" : "Amy Shaw"
  },
  "occurrenceDateTime" : "2020-11-19T12:46:57-08:00",
  "primarySource" : false
}