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

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: Immunization Example 1 - XML Representation

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<Immunization xmlns="http://hl7.org/fhir">
  <id value="imm-1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization|8.0.0-ballot"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <status value="completed"/>
  <vaccineCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/cvx"/>
      <code value="197"/>
      <display value="influenza, high-dose, quadrivalent"/>
    </coding>
    <coding>
      <system value="http://hl7.org/fhir/sid/ndc"/>
      <code value="49281012165"/>
      <display
               value="FLUZONE High-Dose Quadrivalent Northern Hemisphere, 10 SYRINGE, GLASS in 1 PACKAGE (49281-121-65) &gt; .7 mL in 1 SYRINGE, GLASS (49281-121-88) (package)"/>
    </coding>
    <text value="influenza, high-dose, quadrivalent"/>
  </vaccineCode>
  <patient>🔗 
    <reference value="Patient/example"/>
    <display value="Amy Shaw"/>
  </patient>
  <encounter>🔗 
    <reference value="Encounter/example-1"/>
    <display value="Office Visit"/>
  </encounter>
  <occurrenceDateTime value="2020-11-19T12:46:57-08:00"/>
  <primarySource value="false"/>
  <location>🔗 
    <reference value="Location/hospital"/>
    <display value="Holy Family Hospital"/>
  </location>
  <lotNumber value="AAJN11K"/>
  <performer>
    <actor>🔗 
      <reference value="Practitioner/practitioner-1"/>
      <display value="Dr Ronald Bone"/>
    </actor>
  </performer>
</Immunization>