Polaris FHIR Implementation Guide
1.9.4 - ci-build
Polaris FHIR Implementation Guide - Local Development build (v1.9.4) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
<Immunization xmlns="http://hl7.org/fhir">
<id value="avery-tdap-20250408"/>
<meta>
<profile
value="https://fhir.apps.health/StructureDefinition/polaris-core-immunization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Tdap vaccination administered to Avery Linwood by Dr. Emil Navarro on April 8, 2025 at Cedarbrook Family Health Site A.</div>
</text>
<identifier>
<system
value="https://fhir.apps.health/NamingSystem/cedarbrook-clinic-immunization-identifier"/>
<value value="IMM-TDAP-AVERY-20250408"/>
</identifier>
<status value="completed"/>
<vaccineCode>
<coding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="115"/>
<display value="Tdap"/>
</coding>
<text value="Tdap (tetanus, diphtheria, pertussis) vaccine"/>
</vaccineCode>
<patient>
<identifier>
<system
value="https://fhir.apps.health/NamingSystem/cedarbrook-clinic-patient-identifier"/>
<value value="1234567890"/>
</identifier>
<display value="Avery Linwood"/>
</patient>
<encounter>
<identifier>
<system
value="https://fhir.apps.health/NamingSystem/cedarbrook-clinic-encounter-identifier"/>
<value value="enc-avery-20250408-01"/>
</identifier>
<display value="Annual Physical - Cedarbrook Site A"/>
</encounter>
<occurrenceDateTime value="2025-04-08"/>
<primarySource value="true"/>
<reportOrigin>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/immunization-origin"/>
<code value="provider"/>
<display value="Other Provider"/>
</coding>
<text value="Administered during physical exam"/>
</reportOrigin>
<location>
<identifier>
<system
value="https://fhir.apps.health/NamingSystem/cedarbrook-clinic-location-identifier"/>
<value value="cedarbrook-site-a"/>
</identifier>
<display value="Cedarbrook Family Health - Site A"/>
</location>
<lotNumber value="TDAP-2025-APRIL-BATCH-01"/>
<site>
<coding>
<system value="http://snomed.info/sct"/>
<code value="368209003"/>
<display value="Right arm"/>
</coding>
</site>
<route>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/>
<code value="IM"/>
<display value="Injection, intramuscular"/>
</coding>
</route>
<doseQuantity>
<value value="0.5"/>
<unit value="mL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mL"/>
</doseQuantity>
<performer>
<actor>
<identifier>
<system
value="https://fhir.apps.health/NamingSystem/cedarbrook-clinic-practitioner-identifier"/>
<value value="NAVARRO-PRAC-001"/>
</identifier>
<display value="Dr. Emil Navarro"/>
</actor>
</performer>
<note>
<authorString value="Dr. Emil Navarro"/>
<time value="2025-04-08T10:45:00-06:00"/>
<text
value="Tdap vaccine administered as part of routine preventative care. No immediate adverse reaction observed."/>
</note>
</Immunization>