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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<Immunization xmlns="http://hl7.org/fhir">
  <id value="negation-example-code"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-immunizationnotdone"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <status value="not-done"/>
  <statusReason>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="182895007"/>
      <display value="Drug declined by patient"/>
    </coding>
  </statusReason>
  <vaccineCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/cvx"/>
      <code value="160"/>
      <display
               value="Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013"/>
    </coding>
    <coding>
      <system value="http://hl7.org/fhir/sid/ndc"/>
      <code value="49281012165"/>
    </coding>
  </vaccineCode>
  <patient>🔗 
    <reference value="Patient/example"/>
  </patient>
  <encounter>🔗 
    <reference value="Encounter/example"/>
  </encounter>
  <occurrenceDateTime value="2026-08-01"/>
  <recorded value="2026-08-01"/>
  <primarySource value="true"/>
</Immunization>