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: Administration of Moderna Spikevax dose 3 for Ms. Sally Field 14 February 2022 - JSON Representation

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{
  "resourceType" : "Immunization",
  "id" : "covid-03",
  "meta" : {
    "profile" : [
      🔗 "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-immunization-air-mhr-1"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Immunization covid-03</b></p><a name=\"covid-03\"> </a><a name=\"hccovid-03\"> </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-dh-immunization-air-mhr-1.html\">MHR Record of Immunisation from Australian Immunisation Register</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.2.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d</p><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/cvx 143}, {http://snomed.info/sct 1565201000168106}\">Moderna Spikevax</span></p><p><b>patient</b>: <a href=\"Patient-mhr-field-sally.html\">Sally FIELD  Female, DoB: 1999-02-14 ( National unique individual identifier: Austalian Healthcare Identifier - Individual#8003608333563104\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>occurrence</b>: 2022-02-14</p><p><b>recorded</b>: 2022-02-14</p><p><b>primarySource</b>: true</p><p><b>location</b>: <a href=\"Location-hi-testdata-pharmacy.html\">Location: identifier = HPI-O:\u00a08003629900033370; mode = instance; type = Pharmacy; physicalType = Building</a></p><p><b>manufacturer</b>: ModernaTX, Inc.</p><p><b>lotNumber</b>: RX00000F</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0443 AP}\">Administering Provider</span></td><td><a href=\"PractitionerRole-pharmacist-retail.html\">PractitionerRole Retail Pharmacist</a></td></tr></table><h3>ProtocolApplieds</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>TargetDisease</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 840539006}\">COVID-19</span></td><td>3</td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d"
    }
  ],
  "status" : "completed",
  "vaccineCode" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/sid/cvx",
        "code" : "143"
      },
      {
        "system" : "http://snomed.info/sct",
        "code" : "1565201000168106",
        "display" : "Spikevax"
      }
    ],
    "text" : "Moderna Spikevax"
  },
  "patient" : {
    🔗 "reference" : "Patient/mhr-field-sally",
    "identifier" : {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "NI",
            "display" : "National unique individual identifier"
          }
        ],
        "text" : "IHI"
      },
      "system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
      "value" : "8003608833357361"
    }
  },
  "occurrenceDateTime" : "2022-02-14",
  "recorded" : "2022-02-14",
  "primarySource" : true,
  "location" : {
    🔗 "reference" : "Location/hi-testdata-pharmacy",
    "identifier" : {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
            "code" : "NOI"
          }
        ],
        "text" : "HPI-O"
      },
      "system" : "http://ns.electronichealth.net.au/id/hi/hpio/1.0",
      "value" : "8003629900033370"
    }
  },
  "manufacturer" : {
    "display" : "ModernaTX, Inc."
  },
  "lotNumber" : "RX00000F",
  "performer" : [
    // Lot number below does not conform to batch number reporting requirements to avoid conflict with real world values
    {
      "function" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0443",
            "code" : "AP",
            "display" : "Administering Provider"
          }
        ],
        "text" : "Administering Provider"
      },
      "actor" : {
        🔗 "reference" : "PractitionerRole/pharmacist-retail",
        "identifier" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "NPI",
                "display" : "National provider identifier"
              }
            ],
            "text" : "HPI-I"
          },
          "system" : "http://ns.electronichealth.net.au/id/hi/hpii/1.0",
          "value" : "8003611566708354"
        }
      }
    }
  ],
  "protocolApplied" : [
    {
      "targetDisease" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "840539006",
              "display" : "COVID-19"
            }
          ],
          "text" : "COVID-19"
        }
      ],
      "doseNumberPositiveInt" : 3
    }
  ]
}