US Core Implementation Guide
8.0.0-ballot - STU8 Ballot United States of America flag

This page is part of the US Core (v8.0.0-ballot: STU8 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 7.0.0. For a full list of available versions, see the Directory of published versions

: Immunization Example 1 - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "Immunization",
  "id" : "imm-1",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization|8.0.0-ballot"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Immunization imm-1</b></p><a name=\"imm-1\"> </a><a name=\"hcimm-1\"> </a><a name=\"imm-1-en-US\"> </a><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/cvx 197}, {http://hl7.org/fhir/sid/ndc 49281012165}\">influenza, high-dose, quadrivalent</span></p><p><b>patient</b>: <a href=\"Patient-example.html\">Amy Shaw</a></p><p><b>encounter</b>: <a href=\"Encounter-example-1.html\">Office Visit</a></p><p><b>occurrence</b>: 2020-11-19 12:46:57-0800</p><p><b>primarySource</b>: false</p><p><b>location</b>: <a href=\"Location-hospital.html\">Holy Family Hospital</a></p><p><b>lotNumber</b>: AAJN11K</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-practitioner-1.html\">Dr Ronald Bone</a></td></tr></table></div>"
  },
  "status" : "completed",
  "vaccineCode" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/sid/cvx",
        "code" : "197",
        "display" : "influenza, high-dose, quadrivalent"
      },
      {
        "system" : "http://hl7.org/fhir/sid/ndc",
        "code" : "49281012165",
        "display" : "FLUZONE High-Dose Quadrivalent Northern Hemisphere, 10 SYRINGE, GLASS in 1 PACKAGE (49281-121-65) > .7 mL in 1 SYRINGE, GLASS (49281-121-88) (package)"
      }
    ],
    "text" : "influenza, high-dose, quadrivalent"
  },
  "patient" : {
    🔗 "reference" : "Patient/example",
    "display" : "Amy Shaw"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/example-1",
    "display" : "Office Visit"
  },
  "occurrenceDateTime" : "2020-11-19T12:46:57-08:00",
  "primarySource" : false,
  "location" : {
    🔗 "reference" : "Location/hospital",
    "display" : "Holy Family Hospital"
  },
  "lotNumber" : "AAJN11K",
  "performer" : [
    {
      "actor" : {
        🔗 "reference" : "Practitioner/practitioner-1",
        "display" : "Dr Ronald Bone"
      }
    }
  ]
}