Release 4B Ballot #1

This page is part of the FHIR Specification (v4.1.0: Release 4B Ballot #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Immunization-example-historical.json

Public Health and Emergency Response Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Patient, Practitioner

Raw JSON (canonical form + also see JSON Format Specification)

Example of a Historical Example

{
  "resourceType": "Immunization",
  "id": "historical",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234</p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: <span>Influenza</span></p><p><b>patient</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>occurrence</b>: January 2012</p><p><b>primarySource</b>: false</p><p><b>reportOrigin</b>: <span>Written Record</span></p><p><b>location</b>: <a>Generated Summary: id: B1-S.F2; status: active; name: South Wing, second floor; alias: BU MC, SW, F2, alias: Burgers University Medical Center, South Wing, second floor; description: Second floor of the Old South Wing, formerly in use by Psychiatry; mode: instance; Phone: 2328, Fax: 2329, second wing admissions, http://sampleorg.com/southwing; <span>Wing</span></a></p><p><b>note</b>: Notes on adminstration of a historical vaccine</p></div>"
  },
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"
    }
  ],
  "status": "completed",
  "vaccineCode": {
    "coding": [
      {
        "system": "urn:oid:1.2.36.1.2001.1005.17",
        "code": "GNFLU"
      }
    ],
    "text": "Influenza"
  },
  "patient": {
    "reference": "Patient/example"
  },
  "occurrenceString": "January 2012",
  "primarySource": false,
  "reportOrigin": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/immunization-origin",
        "code": "record"
      }
    ],
    "text": "Written Record"
  },
  "location": {
    "reference": "Location/1"
  },
  "note": [
    {
      "text": "Notes on adminstration of a historical vaccine"
    }
  ]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.