Polaris FHIR Implementation Guide - Local Development build (v1.9.8) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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: Avery TDAP Immunization - XML Representation

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<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>