Implementation Guide
23.1.0 - R4 APIs
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<Immunization xmlns="http://hl7.org/fhir">
<id value="Example1"/>
<meta>
<versionId value="1917088425159200"/>
<lastUpdated value="2020-09-30T12:33:45.510+05:30"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"/>
<profile
value="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-immunization-profile"/>
<security>
<system
value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
<code value="N"/>
<display value="Normal"/>
</security>
<tag>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
<code value="New"/>
<display value="New"/>
</tag>
<tag>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
<code value="Pencil"/>
<display value="Pencil"/>
</tag>
<tag>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
<code value="NewPencil"/>
<display value="New Pencil"/>
</tag>
</meta>
<text>
<status value="generated"/>
<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 -> 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 --> 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>
</text>
<extension
url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-allergy-extension-VFCEligibility">
<valueString value="V24"/>
</extension>
<extension
url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-immunization-extension-NotGiven">
<valueBoolean value="false"/>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="U"/>
<display value="Unspecified Identifier"/>
</coding>
<text value="Unspecified Identifier"/>
</type>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/ImmunizationId/Training"/>
<value value="1917088425159200"/>
</identifier>
<status value="completed">
<extension
url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-originalCode">
<valueCoding>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/immunizationgivenstatus"/>
<code value="YN"/>
<display value="Completed"/>
</valueCoding>
</extension>
</status>
<vaccineCode>
<coding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="110"/>
<display value="DTaP-hepatitis B and poliovirus vaccine"/>
</coding>
<coding>
<system value="http://hl7.org/fhir/sid/mvx"/>
<code value="SKB"/>
<display value="GlaxoSmithKline"/>
</coding>
</vaccineCode>
<patient>🔗
<reference value="Patient/Example1"/>
</patient>
<encounter>🔗
<reference value="Encounter/Example1"/>
</encounter>
<occurrenceDateTime value="2017-12-09T00:00:00.000+05:30"/>
<primarySource value="false"/>
<reportOrigin>
<coding>
<system
value="https://www.hl7.org/fhir/codesystem-immunization-origin"/>
<code value="recall"/>
<display value="Parent/Guardian/Patient Recall"/>
</coding>
<text value="Parent/Guardian/Patient Recall"/>
</reportOrigin>
<location>🔗
<reference value="Location/Example1"/>
</location>
<lotNumber value="12345"/>
<expirationDate value="2017-12-31"/>
<site>
<coding>
<system value="http://snomed.info/sct"/>
<code value="89644007"/>
<display value="Left ear structure"/>
</coding>
<text value="Left ear structure"/>
</site>
<route>
<coding>
<system value="http://ncimeta.nci.nih.gov"/>
<code value="C38238"/>
<display value="ID"/>
</coding>
<text value="ID"/>
</route>
<doseQuantity>
<value value="1.5"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</doseQuantity>
<performer>
<actor>🔗
<reference value="Practitioner/Example1"/>
</actor>
</performer>
<reasonCode>
<text value="Administered third dose, Series 3"/>
</reasonCode>
<reaction>
<date value="2018-03-07T00:00:00+05:30"/>
<detail>
<display value="anaphylaxis"/>
</detail>
</reaction>
<protocolApplied>
<series value="Hepatitis B"/>
<doseNumberPositiveInt value="3"/>
</protocolApplied>
</Immunization>