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Immunization-example-historical.xml

Public Health and Emergency Response Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Patient, Practitioner

Raw XML (canonical form + also see XML Format Specification)

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Example of a Historical Example (id = "historical")

<?xml version="1.0" encoding="UTF-8"?>

<Immunization xmlns="http://hl7.org/fhir">
  <id value="historical"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> id</b> : historical</p> <p> <b> identifier</b> : urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234</p> <p> <b> status</b> : completed</p> <p> <b> vaccineCode</b> : <span> Influenza</span> </p> <p> <b> patient</b> : <a> Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James
           Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555
           6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate:
           1974-12-25; </a> </p> <p> <b> occurrence</b> : January 2012</p> <p> <b> primarySource</b> : false</p> <p> <b> informationSource</b> : <span> Written Record</span> </p> <p> <b> location</b> : <a> Generated Summary: id: 1; B1-S.F2; status: active; name: South Wing, second floor; alias:
           BU MC, SW, F2, alias: Burgers University Medical Center, South Wing, second floor; description:
           Second floor of the Old South Wing, formerly in use by Psychiatry; mode: instance; ph:
           2328(WORK), fax: 2329(WORK), second wing admissions, http://sampleorg.com/southwing(WORK);
           <span> Wing</span> </a> </p> <p> <b> note</b> : Annotation: Notes on adminstration of a historical vaccine</p> </div> </text> <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"/> 
  </identifier> 
  <status value="completed"/> 
  <vaccineCode> 
    <coding> 
      <system value="urn:oid:1.2.36.1.2001.1005.17"/> 
      <code value="GNFLU"/> 
    </coding> 
    <text value="Influenza"/> 
  </vaccineCode> 
  <patient> 
    <reference value="Patient/example"/> 
  </patient> 
  <occurrenceString value="January 2012"/> 
  <primarySource value="false"/> 
  <informationSourceCodeableConcept> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/immunization-origin"/> 
      <code value="record"/> 
    </coding> 
    <text value="Written Record"/> 
  </informationSourceCodeableConcept> 
  <location> 
    <reference value="Location/1"/> 
  </location> 
  <note> 
    <text value="Notes on adminstration of a historical vaccine"/> 
  </note> 
</Immunization> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.