version: versionId: id (PrimitiveType/Immunization.meta.versionId): element = id -> versionId=id[1917088425159200]; Last updated: 2020-09-30 12:33:45+0530
Profiles: US Core Immunization Profile, Immunization event information
Tags: New (Details: EditTags code New = ' New ', stated as ' New '), Pencil (Details: EditTags code Pencil = ' Pencil ', stated as ' Pencil '), New Pencil (Details: EditTags code NewPencil = ' NewPencil ', stated as ' New Pencil ')
Security Label: Normal (Details: Confidentiality code N = ' normal ', stated as ' Normal ')
identifier: Unspecified Identifier/1917088425159200
status: Completed
vaccineCode: DTaP-hepatitis B and poliovirus vaccine
patient: Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)
encounter: Encounter: extension = No display for Extension ,No display for Extension ,No display for Extension ; status = finished; class = ambulatory (ActCode#AMB); type = Office Visit; priority = routine; period = 2020-08-17 21:04:20-0600 --> 2020-08-17 21:07:17-0600
occurrence: 2017-12-09 00:00:00+0530
primarySource: false
reportOrigin: Parent/Guardian/Patient Recall
location: Location WC
lotNumber: 12345
expirationDate: 2017-12-31
site: Left ear structure
route: ID
doseQuantity: 1.5 % (Details: UCUM code% = '%')
Performers
reasonCode: Administered third dose, Series 3
Reactions
- | Date | Detail |
* | 2018-03-07 00:00:00+0530 | anaphylaxis |
ProtocolApplieds
- | Series | DoseNumber[x] |
* | Hepatitis B | 3 |
"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-allergy-extension-VFCEligibility"^^xsd:anyURI ] ;
fhir:value [ fhir:v "V24" ]
] [
fhir:url [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-immunization-extension-NotGiven"^^xsd:anyURI ] ;
fhir:value [ fhir:v "false"^^xsd:boolean ]
] ) ; #
fhir:identifier ( [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "U" ] ;
fhir:display [ fhir:v "Unspecified Identifier" ]
] ) ;
fhir:text [ fhir:v "Unspecified Identifier" ]
] ;
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/ImmunizationId/Training"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1917088425159200" ]
] ) ; #
fhir:status [
fhir:v "completed" ;
fhir:extension ( [
fhir:url [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-originalCode"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/immunizationgivenstatus"^^xsd:anyURI ] ;
fhir:code [ fhir:v "YN" ] ;
fhir:display [ fhir:v "Completed" ]
]
] )
] ; #
fhir:vaccineCode [
fhir:coding ( [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/cvx"^^xsd:anyURI ] ;
fhir:code [ fhir:v "110" ] ;
fhir:display [ fhir:v "DTaP-hepatitis B and poliovirus vaccine" ]
] [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/mvx"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SKB" ] ;
fhir:display [ fhir:v "GlaxoSmithKline" ]
] )
] ; #
fhir:patient [
fhir:link