US Quality Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-quality-core/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Immunization negation with code example

Page standards status: Informative

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Immunization/negation-example-code> a fhir:Immunization ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "negation-example-code"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-immunizationnotdone" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-immunizationnotdone>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Immunization negation-example-code</b></p><a name=\"negation-example-code\"> </a><a name=\"hcnegation-example-code\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-us-quality-core-immunizationnotdone.html\">US Quality Core Immunization Not Done</a></p></div><p><b>status</b>: Not Done</p><p><b>statusReason</b>: <span title=\"Codes:{http://snomed.info/sct 182895007}\">Drug declined by patient</span></p><p><b>vaccineCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/cvx 160}, {http://hl7.org/fhir/sid/ndc 49281012165}\">Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013</span></p><p><b>patient</b>: <a href=\"Patient-example.html\">Example Patient  Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --&gt; (ongoing)))</a></p><p><b>encounter</b>: <a href=\"Encounter-example.html\">Encounter: identifier = http://hospital.example.org/encounter-ids#ENC-2026-987654 (use: official, ); status = finished; class = inpatient encounter (ActCode#IMP); type = Hospital admission; priority = urgent; period = 2026-08-01 10:30:00-0400 --&gt; 2026-08-05 14:00:00-0400</a></p><p><b>occurrence</b>: 2026-08-01</p><p><b>recorded</b>: 2026-08-01</p><p><b>primarySource</b>: true</p></div>"
  ] ;
  fhir:Immunization.status [ fhir:value "not-done"] ;
  fhir:Immunization.statusReason [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:182895007 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "182895007" ] ;
       fhir:Coding.display [ fhir:value "Drug declined by patient" ]
     ]
  ] ;
  fhir:Immunization.vaccineCode [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/cvx" ] ;
       fhir:Coding.code [ fhir:value "160" ] ;
       fhir:Coding.display [ fhir:value "Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013" ]
     ], [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/ndc" ] ;
       fhir:Coding.code [ fhir:value "49281012165" ]
     ]
  ] ;
  fhir:Immunization.patient [
     fhir:link <http://hl7.org/fhir/Patient/example> ;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ] ;
  fhir:Immunization.encounter [
     fhir:link <http://hl7.org/fhir/Encounter/example> ;
     fhir:Reference.reference [ fhir:value "Encounter/example" ]
  ] ;
  fhir:Immunization.occurrenceDateTime [ fhir:value "2026-08-01"^^xsd:date] ;
  fhir:Immunization.recorded [ fhir:value "2026-08-01"^^xsd:date] ;
  fhir:Immunization.primarySource [ fhir:value "true"^^xsd:boolean] .

<http://hl7.org/fhir/Patient/example> a fhir:Patient .

<http://hl7.org/fhir/Encounter/example> a fhir:Encounter .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Immunization/negation-example-code.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Immunization/negation-example-code.ttl> .