# Immunization Example 1 - US Core Implementation Guide v9.0.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Immunization Example 1**

## Example Immunization: Immunization Example 1

| |
| :--- |
| *Page standards status:*[Informative](http://hl7.org/fhir/R4/versions.html#std-process) |

Profile: [US Core Immunization Profile](StructureDefinition-us-core-immunization.md) version: 9.0.0

**status**: Completed

**vaccineCode**: Influenza, high-dose, quadrivalent, PF

**patient**: [Amy Shaw](Patient-example.md)

**encounter**: [Office Visit](Encounter-example-1.md)

**occurrence**: 2020-11-19 12:46:57-0800

**primarySource**: false

**location**: [Holy Family Hospital](Location-hospital.md)

**lotNumber**: AAJN11K

### Performers

| | |
| :--- | :--- |
| - | **Actor** |
| * | [Dr Ronald Bone](Practitioner-practitioner-1.md) |



## Resource Content

```json
{
  "resourceType" : "Immunization",
  "id" : "imm-1",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization|9.0.0"]
  },
  "status" : "completed",
  "vaccineCode" : {
    "coding" : [{
      "system" : "http://hl7.org/fhir/sid/cvx",
      "code" : "197",
      "display" : "Influenza, high-dose, quadrivalent, PF"
    },
    {
      "system" : "http://hl7.org/fhir/sid/ndc",
      "code" : "49281012188",
      "display" : "FLUZONE High-Dose Quadrivalent Northern Hemisphere"
    }],
    "text" : "Influenza, high-dose, quadrivalent, PF"
  },
  "patient" : {
    "reference" : "Patient/example",
    "display" : "Amy Shaw"
  },
  "encounter" : {
    "reference" : "Encounter/example-1",
    "display" : "Office Visit"
  },
  "occurrenceDateTime" : "2020-11-19T12:46:57-08:00",
  "primarySource" : false,
  "location" : {
    "reference" : "Location/hospital",
    "display" : "Holy Family Hospital"
  },
  "lotNumber" : "AAJN11K",
  "performer" : [{
    "actor" : {
      "reference" : "Practitioner/practitioner-1",
      "display" : "Dr Ronald Bone"
    }
  }]
}

```
