Implementation Guide
23.1.0 - R4 APIs

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: General Immunization Example - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Immunization ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "Example1"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "1917088425159200" ] ;
fhir:lastUpdated [ fhir:v "2020-09-30T12:33:45.510+05:30"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization>     ] [
fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-immunization-profile"^^xsd:anyURI ;
fhir:link <https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-immunization-profile>     ] ) ;
    ( fhir:security [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ] ;
fhir:code [ fhir:v "N" ] ;
fhir:display [ fhir:v "Normal" ]     ] ) ;
    ( fhir:tag [
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"^^xsd:anyURI ] ;
fhir:code [ fhir:v "New" ] ;
fhir:display [ fhir:v "New" ]     ] [
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"^^xsd:anyURI ] ;
fhir:code [ fhir:v "Pencil" ] ;
fhir:display [ fhir:v "Pencil" ]     ] [
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"^^xsd:anyURI ] ;
fhir:code [ fhir:v "NewPencil" ] ;
fhir:display [ fhir:v "New Pencil" ]     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Immunization Example1</b></p><a name=\"Example1\"> </a><a name=\"hcExample1\"> </a><a name=\"Example1-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: versionId: id (PrimitiveType/Immunization.meta.versionId): element = id -&gt; versionId=id[1917088425159200]; Last updated: 2020-09-30 12:33:45+0530</p><p style=\"margin-bottom: 0px\">Profiles: <a href=\"http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-immunization.html\">US Core Immunization Profile</a>, <a href=\"StructureDefinition-athena-immunization-profile.html\">Immunization event information</a></p><p style=\"margin-bottom: 0px\">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 ')</p><p style=\"margin-bottom: 0px\">Security Label: Normal (Details: Confidentiality code N  = ' normal ', stated as ' Normal ')</p></div><p><b>identifier</b>: Unspecified Identifier/1917088425159200</p><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/cvx 110}, {http://hl7.org/fhir/sid/mvx SKB}\">DTaP-hepatitis B and poliovirus vaccine</span></p><p><b>patient</b>: <a href=\"Patient-Example1.html\">Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)</a></p><p><b>encounter</b>: <a href=\"Encounter-Example1.html\">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 --&gt; 2020-08-17 21:07:17-0600</a></p><p><b>occurrence</b>: 2017-12-09 00:00:00+0530</p><p><b>primarySource</b>: false</p><p><b>reportOrigin</b>: <span title=\"Codes:{https://www.hl7.org/fhir/codesystem-immunization-origin recall}\">Parent/Guardian/Patient Recall</span></p><p><b>location</b>: <a href=\"Location-Example1.html\">Location WC</a></p><p><b>lotNumber</b>: 12345</p><p><b>expirationDate</b>: 2017-12-31</p><p><b>site</b>: <span title=\"Codes:{http://snomed.info/sct 89644007}\">Left ear structure</span></p><p><b>route</b>: <span title=\"Codes:{http://ncimeta.nci.nih.gov C38238}\">ID</span></p><p><b>doseQuantity</b>: 1.5 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></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-Example1.html\">Practitioner Harry S. Winston </a></td></tr></table><p><b>reasonCode</b>: <span title=\"Codes:\">Administered third dose, Series 3</span></p><h3>Reactions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Date</b></td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td>2018-03-07 00:00:00+0530</td><td>anaphylaxis</td></tr></table><h3>ProtocolApplieds</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Series</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Hepatitis B</td><td>3</td></tr></table></div>"
  ] ; # 
  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:reference [ fhir:v "Patient/Example1" ]
  ] ; # 
  fhir:encounter [
fhir:reference [ fhir:v "Encounter/Example1" ]
  ] ; # 
  fhir:occurrence [ fhir:v "2017-12-09T00:00:00.000+05:30"^^xsd:dateTime] ; # 
  fhir:primarySource [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:reportOrigin [
    ( fhir:coding [
fhir:system [ fhir:v "https://www.hl7.org/fhir/codesystem-immunization-origin"^^xsd:anyURI ] ;
fhir:code [ fhir:v "recall" ] ;
fhir:display [ fhir:v "Parent/Guardian/Patient Recall" ]     ] ) ;
fhir:text [ fhir:v "Parent/Guardian/Patient Recall" ]
  ] ; # 
  fhir:location [
fhir:reference [ fhir:v "Location/Example1" ]
  ] ; # 
  fhir:lotNumber [ fhir:v "12345"] ; # 
  fhir:expirationDate [ fhir:v "2017-12-31"^^xsd:date] ; # 
  fhir:site [
    ( fhir:coding [
a sct:89644007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "89644007" ] ;
fhir:display [ fhir:v "Left ear structure" ]     ] ) ;
fhir:text [ fhir:v "Left ear structure" ]
  ] ; # 
  fhir:route [
    ( fhir:coding [
fhir:system [ fhir:v "http://ncimeta.nci.nih.gov"^^xsd:anyURI ] ;
fhir:code [ fhir:v "C38238" ] ;
fhir:display [ fhir:v "ID" ]     ] ) ;
fhir:text [ fhir:v "ID" ]
  ] ; # 
  fhir:doseQuantity [
fhir:value [ fhir:v "1.5"^^xsd:decimal ] ;
fhir:unit [ fhir:v "%" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "%" ]
  ] ; # 
  fhir:performer ( [
fhir:actor [
fhir:reference [ fhir:v "Practitioner/Example1" ]     ]
  ] ) ; # 
  fhir:reasonCode ( [
fhir:text [ fhir:v "Administered third dose, Series 3" ]
  ] ) ; # 
  fhir:reaction ( [
fhir:date [ fhir:v "2018-03-07T00:00:00+05:30"^^xsd:dateTime ] ;
fhir:detail [
fhir:display [ fhir:v "anaphylaxis" ]     ]
  ] ) ; # 
  fhir:protocolApplied ( [
fhir:series [ fhir:v "Hepatitis B" ] ;
fhir:doseNumber [ fhir:v "3"^^xsd:positiveInteger ]
  ] ) . #