Implementation Guide
23.1.0 - R4 APIs

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: General Immunization Example for Reason Not Given - JSON Representation

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{
  "resourceType" : "Immunization",
  "id" : "Example2",
  "meta" : {
    "versionId" : "1928988102500700",
    "lastUpdated" : "2021-02-15T06:02:03.413+05:30",
    "profile" : [
      🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"🔗 ,
      "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-immunization-profile"
    ],
    "security" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code" : "N",
        "display" : "Normal"
      }
    ],
    "tag" : [
      {
        "system" : "https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags",
        "code" : "New",
        "display" : "New"
      },
      {
        "system" : "https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags",
        "code" : "Pen",
        "display" : "Pen"
      },
      {
        "system" : "https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags",
        "code" : "NewPen",
        "display" : "New Pen"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Immunization Example2</b></p><a name=\"Example2\"> </a><a name=\"hcExample2\"> </a><a name=\"Example2-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[1928988102500700]; Last updated: 2021-02-15 06:02:03+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 '), Pen (Details: EditTags code Pen  = ' Pen ', stated as ' Pen '), New Pen (Details: EditTags code NewPen  = ' NewPen ', stated as ' New Pen ')</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/1928988102500700</p><p><b>status</b>: Not Done</p><p><b>statusReason</b>: <span title=\"Codes:{http://snomed.info/sct 40468003}, {http://terminology.hl7.org/CodeSystem/v3-ActReason IMMUNE}\">Viral hepatitis, type A</span></p><p><b>vaccineCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/cvx 83}\">hepatitis A vaccine, pediatric/adolescent dosage, 2 dose schedule</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>: 2021-02-15 00:00:00+0530</p><p><b>primarySource</b>: true</p><p><b>location</b>: <a href=\"Location-Example1.html\">Location WC</a></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><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 A</td><td>2</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-allergy-extension-VFCEligibility",
      "valueString" : "NA"
    },
    {
      "url" : "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-immunization-extension-NotGiven",
      "valueBoolean" : true
    }
  ],
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "U",
            "display" : "Unspecified Identifier"
          }
        ],
        "text" : "Unspecified Identifier"
      },
      "system" : "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/ImmunizationId/Training",
      "value" : "1928988102500700"
    }
  ],
  "status" : "not-done",
  "_status" : {
    "extension" : [
      {
        "url" : "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-originalCode",
        "valueCoding" : {
          "system" : "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/immunizationgivenstatus",
          "code" : "NN",
          "display" : "Not Done"
        }
      }
    ]
  },
  "statusReason" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "40468003",
        "display" : "Viral hepatitis, type A"
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "IMMUNE",
        "display" : "Immunity"
      }
    ]
  },
  "vaccineCode" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/sid/cvx",
        "code" : "83"
      }
    ]
  },
  "patient" : {
    🔗 "reference" : "Patient/Example1"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/Example1"
  },
  "occurrenceDateTime" : "2021-02-15T00:00:00.000+05:30",
  "primarySource" : true,
  "location" : {
    🔗 "reference" : "Location/Example1"
  },
  "performer" : [
    {
      "actor" : {
        🔗 "reference" : "Practitioner/Example1"
      }
    }
  ],
  "protocolApplied" : [
    {
      "series" : "Hepatitis A",
      "doseNumberPositiveInt" : 2
    }
  ]
}