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

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<Immunization xmlns="http://hl7.org/fhir">
  <id value="covid-03"/>
  <meta>
    <profile
             value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-immunization-core-1"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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 (use: official, ))</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: 8003629900033370; 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>
  </text>
  <extension
             url="http://hl7.org.au/fhir/StructureDefinition/vaccine-serial-number">
    <!-- Vial serial number below does not conform to reporting requirements to avoid conflict with real world values -->
    <valueString value="vNo12121"/>
  </extension>
  <status value="completed"/>
  <vaccineCode>
    <coding>
      <system
              value="https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats"/>
      <code value="MODERN"/>
    </coding>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="1565201000168106"/>
      <display value="Spikevax"/>
    </coding>
    <text value="Moderna Spikevax"/>
  </vaccineCode>
  <patient>🔗 
    <reference value="Patient/mhr-field-sally"/>
    <identifier>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
          <code value="NI"/>
          <display value="National unique individual identifier"/>
        </coding>
        <text value="IHI"/>
      </type>
      <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
      <value value="8003608833357361"/>
    </identifier>
  </patient>
  <occurrenceDateTime value="2022-02-14"/>
  <recorded value="2022-02-14"/>
  <primarySource value="true"/>
  <location>🔗 
    <reference value="Location/hi-testdata-pharmacy"/>
    <identifier>
      <type>
        <coding>
          <system value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
          <code value="NOI"/>
        </coding>
        <text value="HPI-O"/>
      </type>
      <system value="http://ns.electronichealth.net.au/id/hi/hpio/1.0"/>
      <value value="8003629900033370"/>
    </identifier>
  </location>
  <manufacturer>
    <display value="ModernaTX, Inc."/>
  </manufacturer>
  <!-- Lot number below does not conform to batch number reporting requirements to avoid conflict with real world values -->
  <lotNumber value="RX00000F"/>
  <performer>
    <function>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0443"/>
        <code value="AP"/>
        <display value="Administering Provider"/>
      </coding>
      <text value="Administering Provider"/>
    </function>
    <actor>🔗 
      <reference value="PractitionerRole/pharmacist-retail"/>
      <identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="NPI"/>
            <display value="National provider identifier"/>
          </coding>
          <text value="HPI-I"/>
        </type>
        <system value="http://ns.electronichealth.net.au/id/hi/hpii/1.0"/>
        <value value="8003611566708354"/>
      </identifier>
    </actor>
  </performer>
  <protocolApplied>
    <targetDisease>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="840539006"/>
        <display value="COVID-19"/>
      </coding>
      <text value="COVID-19"/>
    </targetDisease>
    <doseNumberPositiveInt value="3"/>
  </protocolApplied>
</Immunization>