Implementation Guide
23.1.0 - R4 APIs

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: General Immunization Example for Reason Not Given - XML Representation

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<Immunization xmlns="http://hl7.org/fhir">
  <id value="Example2"/>
  <meta>
    <versionId value="1928988102500700"/>
    <lastUpdated value="2021-02-15T06:02:03.413+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="Pen"/>
      <display value="Pen"/>
    </tag>
    <tag>
      <system
              value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
      <code value="NewPen"/>
      <display value="New Pen"/>
    </tag>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <extension
             url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-allergy-extension-VFCEligibility">
    <valueString value="NA"/>
  </extension>
  <extension
             url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-immunization-extension-NotGiven">
    <valueBoolean value="true"/>
  </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="1928988102500700"/>
  </identifier>
  <status value="not-done">
    <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="NN"/>
        <display value="Not Done"/>
      </valueCoding>
    </extension>
  </status>
  <statusReason>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="40468003"/>
      <display value="Viral hepatitis, type A"/>
    </coding>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="IMMUNE"/>
      <display value="Immunity"/>
    </coding>
  </statusReason>
  <vaccineCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/cvx"/>
      <code value="83"/>
    </coding>
  </vaccineCode>
  <patient>🔗 
    <reference value="Patient/Example1"/>
  </patient>
  <encounter>🔗 
    <reference value="Encounter/Example1"/>
  </encounter>
  <occurrenceDateTime value="2021-02-15T00:00:00.000+05:30"/>
  <primarySource value="true"/>
  <location>🔗 
    <reference value="Location/Example1"/>
  </location>
  <performer>
    <actor>🔗 
      <reference value="Practitioner/Example1"/>
    </actor>
  </performer>
  <protocolApplied>
    <series value="Hepatitis A"/>
    <doseNumberPositiveInt value="2"/>
  </protocolApplied>
</Immunization>