HL7 FHIR® US Core Implementation Guide STU3 Release 3.1.0

This page is part of the US Core (v3.1.0: STU3) 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

JSON Format: Immunization-imm-1

Download Raw json

{
  "resourceType" : "Immunization",
  "id" : "imm-1",
  "meta" : {
    "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 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: 2007-02-20</a></p><p><b>occurrence</b>: 08/01/2016 12:00:00 AM</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" : "49281-0621-15",
        "display" : "FLUZONE QUADRIVALENT"
      }
    ]
  },
  "patient" : {
    "reference" : "Patient/example",
    "display" : "Amy Shaw"
  },
  "occurrenceDateTime" : "2016-01-08",
  "primarySource" : false
}