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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-core-1"
    ]
  },
  "text" : {
    "status" : "extensions",
    "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><a name=\"covid-03-en-AU\"> </a><p><b>Vaccine Vial Serial Number</b>: vNo12121</p><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title=\"Codes:{https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats MODERN}, {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>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org.au/fhir/StructureDefinition/vaccine-serial-number",
      "valueString" : "vNo12121"
    }
  ],
  "status" : "completed",
  "vaccineCode" : // Vial serial number below does not conform to reporting requirements to avoid conflict with real world values
  {
    "coding" : [
      {
        "system" : "https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats",
        "code" : "MODERN"
      },
      {
        "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
    }
  ]
}