Polaris FHIR Implementation Guide
1.9.9 - ci-build
Polaris FHIR Implementation Guide - Local Development build (v1.9.9) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "Immunization",
"id" : "avery-tdap-20250408",
"meta" : {
"profile" : [
🔗 "https://fhir.apps.health/StructureDefinition/polaris-core-immunization"
]
},
"text" : {
"status" : "generated",
"div" : "<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>"
},
"identifier" : [
{
"system" : "https://fhir.apps.health/NamingSystem/cedarbrook-clinic-immunization-identifier",
"value" : "IMM-TDAP-AVERY-20250408"
}
],
"status" : "completed",
"vaccineCode" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/cvx",
"code" : "115",
"display" : "Tdap"
}
],
"text" : "Tdap (tetanus, diphtheria, pertussis) vaccine"
},
"patient" : {
"identifier" : {
"system" : "https://fhir.apps.health/NamingSystem/cedarbrook-clinic-patient-identifier",
"value" : "1234567890"
},
"display" : "Avery Linwood"
},
"encounter" : {
"identifier" : {
"system" : "https://fhir.apps.health/NamingSystem/cedarbrook-clinic-encounter-identifier",
"value" : "enc-avery-20250408-01"
},
"display" : "Annual Physical - Cedarbrook Site A"
},
"occurrenceDateTime" : "2025-04-08",
"primarySource" : true,
"reportOrigin" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/immunization-origin",
"code" : "provider",
"display" : "Other Provider"
}
],
"text" : "Administered during physical exam"
},
"location" : {
"identifier" : {
"system" : "https://fhir.apps.health/NamingSystem/cedarbrook-clinic-location-identifier",
"value" : "cedarbrook-site-a"
},
"display" : "Cedarbrook Family Health - Site A"
},
"lotNumber" : "TDAP-2025-APRIL-BATCH-01",
"site" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "368209003",
"display" : "Right arm"
}
]
},
"route" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
"code" : "IM",
"display" : "Injection, intramuscular"
}
]
},
"doseQuantity" : {
"value" : 0.5,
"unit" : "mL",
"system" : "http://unitsofmeasure.org",
"code" : "mL"
},
"performer" : [
{
"actor" : {
"identifier" : {
"system" : "https://fhir.apps.health/NamingSystem/cedarbrook-clinic-practitioner-identifier",
"value" : "NAVARRO-PRAC-001"
},
"display" : "Dr. Emil Navarro"
}
}
],
"note" : [
{
"authorString" : "Dr. Emil Navarro",
"time" : "2025-04-08T10:45:00-06:00",
"text" : "Tdap vaccine administered as part of routine preventative care. No immediate adverse reaction observed."
}
]
}