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 
{
"resourceType" : "Immunization",
"id" : "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>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>"
},
"status" : "completed",
"notGiven" : false,
"vaccineCode" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/cvx",
"code" : "158",
"display" : "influenza, injectable, quadrivalent"
},
{
"system" : "http://hl7.org/fhir/sid/ndc",
"code" : "49281-0623-78",
"display" : "FLUZONE QUADRIVALENT"
}
]
},
"patient" : {
"reference" : "Patient/patient-1",
"display" : "Amy Shaw"
},
"date" : "2016-01-08",
"primarySource" : false
}