Sample IDS outbound message

This is a sample IDS outbound FHIR message to downstream systems.

{
    "resourceType": "Bundle",
    "id": "b381ec40-5113-4851-aa68-2025feb-06",
    "meta": {
        "profile":  [
            "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Bundle"
        ]
    },
    "identifier": {
        "type": {
            "text": "Panorama IDS Bundle ID"
        },
        "system": "https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-ids-source-bundle-id",
        "value": "b381ec40-5113-4851-aa68-2025feb-06"
    },
    "type": "collection",
    "timestamp": "12/25/2024 18:00:00",
    "entry":  [
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/MessageHeader/b381ec40-5113-4851-aa68-2025feb-06",
            "resource": {
                "resourceType": "MessageHeader",
                "id": "b381ec40-5113-4851-aa68-2025feb-06",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/MessageHeader"
                    ]
                },
                "eventUri": "http://ehealth.bc.ca/panorama/fhir/MessageHeader",
                "destination":  [
                    {
                        "name": "viha",
                        "endpoint": "[id-system-local-base]/ca-bc-viha"
                    },
                    {
                        "name": "hgwy",
                        "endpoint": "[id-system-local-base]/ca-bc-healthGateway"
                    },
                    {
                        "name": "nha",
                        "endpoint": "[id-system-local-base]/ca-bc-nha"
                    },
                    {
                        "name": "vcha",
                        "endpoint": "[id-system-local-base]/ca-bc-vcha"
                    },
                    {
                        "name": "fha",
                        "endpoint": "[id-system-local-base]/ca-bc-fha"
                    }
                ],
                "source": {
                    "name": "PIR Immz",
                    "endpoint": "[id-system-local-base]/ca-bc-panorama-immunization"
                },
                "responsible": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Organization/159"
                },
                "reason": {
                    "text": "AEFI,CLIENT,CONSENT,CONSENTCMMT,DEFERRAL,FORECAST,IMMS,IMMSCMMTAE,IMMSCMMTDF,IMMSCMMTSC,SPECIALCONSID"
                },
                "focus":  [
                    {
                        "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                    }
                ]
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999",
            "resource": {
                "resourceType": "Patient",
                "id": "59900999",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Patient"
                    ]
                },
                "identifier":  [
                    {
                        "type": {
                            "coding":  [
                                {
                                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                                    "code": "PI"
                                }
                            ],
                            "text": "Panorama Client ID"
                        },
                        "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-client-id",
                        "value": "59900999"
                    },
                    {
                        "type": {
                            "coding":  [
                                {
                                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                                    "code": "JHN"
                                }
                            ],
                            "text": "British Columbia, Canada Personal Health Number"
                        },
                        "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-patient-healthcare-id",
                        "value": "9698011001"
                    },
                    {
                        "type": {
                            "coding":  [
                                {
                                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                                    "code": "PI"
                                }
                            ],
                            "text": "NHACEDARID"
                        },
                        "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-nha-patient-id",
                        "value": "12345"
                    },
                    {
                        "type": {
                            "coding":  [
                                {
                                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                                    "code": "PI"
                                }
                            ],
                            "text": "Canadian RCMP Regiment Number"
                        },
                        "system": "urn:oid:2.16.840.1.113883.3.51.1.1.6.16",
                        "value": "RCMP-911011"
                    }
                ],
                "active": true,
                "name":  [
                    {
                        "use": "official",
                        "family": "IDSPAT",
                        "given":  [
                            "IDSFORECAST"
                        ]
                    }
                ],
                "gender": "unknown",
                "birthDate": "2015-01-01",
                "address":  [
                    {
                        "use": "home",
                        "line":  [
                            ""
                        ],
                        "_line":  [
                            {
                                "extension":  [
                                    {
                                        "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                                        "valueString": "6777 Hart Way"
                                    }
                                ]
                            }
                        ],
                        "city": "Prince George",
                        "state": "BC",
                        "postalCode": "V2K 3A5",
                        "country": "CA",
                        "period": {
                            "start": "2021-01-01"
                        }
                    }
                ],
                "extension":  [
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/patient-genderIdentity",
                        "valueCodeableConcept": {
                            "coding":  [
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                    "code": "3131-1",
                                    "display": "Other Gender"
                                }
                            ],
                            "text": "TBD by season"
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/Organization/159",
            "resource": {
                "resourceType": "Organization",
                "id": "159",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Organization"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-organization-unit-id",
                        "value": "159"
                    }
                ],
                "name": "Prince George",
                "partOf": {
                    "identifier": {
                        "value": "NHA"
                    }
                }
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/Consent/6789001",
            "resource": {
                "resourceType": "Consent",
                "id": "6789001",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Consent"
                    ]
                },
                "contained":  [
                    {
                        "resourceType": "RelatedPerson",
                        "id": "RelatedPerson6789001",
                        "meta": {
                            "profile":  [
                                "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/RelatedPerson"
                            ]
                        },
                        "patient": {
                            "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                        },
                        "relationship":  [
                            {
                                "coding":  [
                                    {
                                        "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-consent-givenBy-relationship",
                                        "code": "MM",
                                        "display": "Mature Minor"
                                    }
                                ]
                            }
                        ],
                        "name":  [
                            {
                                "family": "Gibson",
                                "given":  [
                                    "Boris"
                                ]
                            }
                        ]
                    },
                    {
                        "resourceType": "Practitioner",
                        "id": "PractitionerConsentGivenTo6789001",
                        "meta": {
                            "profile":  [
                                "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/PractitionerConsentGivenTo"
                            ]
                        },
                        "name":  [
                            {
                                "family": "Watson",
                                "given":  [
                                    "Josh"
                                ]
                            }
                        ]
                    }
                ],
                "identifier":  [
                    {
                        "type": {
                            "text": "PANORAMACONSENTID"
                        },
                        "system": "https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-consent-id",
                        "value": "6789001"
                    }
                ],
                "status": "active",
                "scope": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/consentscope",
                            "code": "treatment"
                        }
                    ]
                },
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://loinc.org",
                                "code": "59284-0"
                            }
                        ]
                    }
                ],
                "policyRule": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/consentpolicycodes",
                            "code": "cric"
                        }
                    ]
                },
                "patient": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                },
                "performer":  [
                    {
                        "reference": "#RelatedPerson6789001"
                    }
                ],
                "provision": {
                    "period": {
                        "start": "2023-12-01",
                        "end": "2024-12-31"
                    },
                    "actor":  [
                        {
                            "role": {
                                "coding":  [
                                    {
                                        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                                        "code": "CONSENTER"
                                    }
                                ]
                            },
                            "reference": {
                                "reference": "#PractitionerConsentGivenTo6789001"
                            }
                        }
                    ],
                    "action":  [
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-consent-instruction",
                                    "code": "G",
                                    "display": "Grant"
                                }
                            ],
                            "text": "Go ahead no regret"
                        }
                    ],
                    "code":  [
                        {
                            "coding":  [
                                {
                                    "system": "https://nvc-cnv.canada.ca",
                                    "code": "840536004",
                                    "display": "COVID-19 mRNA"
                                }
                            ]
                        },
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                    "code": "840536004",
                                    "display": "COVID-19 mRNA"
                                }
                            ]
                        }
                    ]
                },
                "extension":  [
                    {
                        "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/consent-type-form-doses-comments",
                        "extension":  [
                            {
                                "url": "PIRconsentDirectiveCategory",
                                "valueString": "Service"
                            },
                            {
                                "url": "PIRconsentDirectiveSubCategory",
                                "valueString": "Immunization"
                            },
                            {
                                "url": "PIRconsentDirectiveType",
                                "valueString": "Service Immunization"
                            },
                            {
                                "url": "consentDirectiveDoses",
                                "valueString": "2"
                            },
                            {
                                "url": "consentDirectiveForm",
                                "valueString": "In Person"
                            },
                            {
                                "url": "consentDirectiveComments",
                                "valueAnnotation": {
                                    "time": "2024-01-01",
                                    "text": "Additional comment about this Consent: Client prefers beer to ice-cream."
                                }
                            },
                            {
                                "url": "consentDirectiveComments",
                                "valueAnnotation": {
                                    "time": "2023-01-01",
                                    "text": "Additional comment about this Consent: Client must have ice-cream after each vaccination."
                                }
                            }
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/Consent/5948690",
            "resource": {
                "resourceType": "Consent",
                "id": "5948690",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Consent"
                    ]
                },
                "contained":  [
                    {
                        "resourceType": "RelatedPerson",
                        "id": "RelatedPerson5948690",
                        "meta": {
                            "profile":  [
                                "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/RelatedPerson"
                            ]
                        },
                        "patient": {
                            "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                        },
                        "relationship":  [
                            {
                                "text": "Father"
                            }
                        ],
                        "name":  [
                            {
                                "family": "IDSPAT",
                                "given":  [
                                    "Daddy"
                                ]
                            }
                        ]
                    },
                    {
                        "resourceType": "Practitioner",
                        "id": "PractitionerConsentGivenTo5948690",
                        "meta": {
                            "profile":  [
                                "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/PractitionerConsentGivenTo"
                            ]
                        },
                        "name":  [
                            {
                                "family": "CSTSUP",
                                "given":  [
                                    "Maria Hu"
                                ]
                            }
                        ]
                    }
                ],
                "extension":  [
                    {
                        "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/consent-type-form-doses-comments",
                        "extension":  [
                            {
                                "url": "PIRconsentDirectiveCategory",
                                "valueString": "Service"
                            },
                            {
                                "url": "PIRconsentDirectiveSubCategory",
                                "valueString": "Immunization"
                            },
                            {
                                "url": "PIRconsentDirectiveType",
                                "valueString": "Service for Immunization"
                            },
                            {
                                "url": "consentDirectiveComments",
                                "valueAnnotation": {
                                    "time": "04/26/2024 22:37:16",
                                    "text": "Testing Refuals - Take One"
                                }
                            }
                        ]
                    }
                ],
                "identifier":  [
                    {
                        "type": {
                            "text": "PANORAMACONSENTID"
                        },
                        "system": "https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-consent-id",
                        "value": "5948690"
                    }
                ],
                "status": "active",
                "scope": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/consentscope",
                            "code": "treatment"
                        }
                    ]
                },
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://loinc.org",
                                "code": "59284-0"
                            }
                        ]
                    }
                ],
                "patient": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                },
                "performer":  [
                    {
                        "reference": "#RelatedPerson5948690"
                    }
                ],
                "policyRule": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/consentpolicycodes",
                            "code": "cric"
                        }
                    ]
                },
                "provision": {
                    "period": {
                        "start": "04/26/2024 07:00:00"
                    },
                    "actor":  [
                        {
                            "role": {
                                "coding":  [
                                    {
                                        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                                        "code": "CONSENTER"
                                    }
                                ]
                            },
                            "reference": {
                                "reference": "#PractitionerConsentGivenTo5948690"
                            }
                        }
                    ],
                    "action":  [
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-consent-instruction",
                                    "code": "R",
                                    "display": "Refuse"
                                },
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-consent-refusal-reason",
                                    "code": "CR",
                                    "display": "Client Refusal"
                                }
                            ]
                        }
                    ],
                    "code":  [
                        {
                            "coding":  [
                                {
                                    "system": "https://nvc-cnv.canada.ca",
                                    "code": "8361000087104",
                                    "display": "Typhoid antigen"
                                },
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                    "code": "396441007",
                                    "display": "Typhoid"
                                }
                            ]
                        }
                    ]
                }
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/Consent/6789002",
            "resource": {
                "resourceType": "Consent",
                "id": "6789002",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Consent"
                    ]
                },
                "contained":  [
                    {
                        "resourceType": "RelatedPerson",
                        "id": "RelatedPerson6789002",
                        "meta": {
                            "profile":  [
                                "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/RelatedPerson"
                            ]
                        },
                        "patient": {
                            "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                        },
                        "name":  [
                            {
                                "family": "Not Specified",
                                "given":  [
                                    "Not Specified"
                                ]
                            }
                        ]
                    },
                    {
                        "resourceType": "Practitioner",
                        "id": "PractitionerConsentGivenTo6789002",
                        "meta": {
                            "profile":  [
                                "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/PractitionerConsentGivenTo"
                            ]
                        },
                        "name":  [
                            {
                                "family": "Not Specified",
                                "given":  [
                                    "Not Specified"
                                ]
                            }
                        ]
                    }
                ],
                "identifier":  [
                    {
                        "type": {
                            "text": "PANORAMACONSENTID"
                        },
                        "system": "https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-consent-id",
                        "value": "6789002"
                    }
                ],
                "status": "active",
                "scope": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/consentscope",
                            "code": "treatment"
                        }
                    ]
                },
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://loinc.org",
                                "code": "59284-0"
                            }
                        ]
                    }
                ],
                "policyRule": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/consentpolicycodes",
                            "code": "cric"
                        }
                    ]
                },
                "patient": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                },
                "performer":  [
                    {
                        "reference": "#RelatedPerson6789002"
                    }
                ],
                "provision": {
                    "period": {
                        "start": "2024-05-05",
                        "end": "2024-12-31"
                    },
                    "actor":  [
                        {
                            "role": {
                                "coding":  [
                                    {
                                        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                                        "code": "CONSENTER"
                                    }
                                ]
                            },
                            "reference": {
                                "reference": "#PractitionerConsentGivenTo6789002"
                            }
                        }
                    ],
                    "action":  [
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-consent-instruction",
                                    "code": "G",
                                    "display": "Grant"
                                }
                            ],
                            "text": "Braveheart at work"
                        }
                    ],
                    "code":  [
                        {
                            "coding":  [
                                {
                                    "system": "https://nvc-cnv.canada.ca",
                                    "code": "412175006",
                                    "display": "Diphtheria Antitoxin"
                                }
                            ]
                        },
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                    "code": "SCT_AN0003",
                                    "display": "DAtx"
                                }
                            ]
                        }
                    ]
                },
                "extension":  [
                    {
                        "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/consent-type-form-doses-comments",
                        "extension":  [
                            {
                                "url": "PIRconsentDirectiveCategory",
                                "valueString": "Service"
                            },
                            {
                                "url": "PIRconsentDirectiveSubCategory",
                                "valueString": "Immunization"
                            },
                            {
                                "url": "PIRconsentDirectiveType",
                                "valueString": "Service Immunization"
                            },
                            {
                                "url": "consentDirectiveDoses",
                                "valueString": "1"
                            },
                            {
                                "url": "consentDirectiveForm",
                                "valueString": "In Person"
                            },
                            {
                                "url": "consentDirectiveComments",
                                "valueAnnotation": {
                                    "time": "2024-05-05",
                                    "text": "Additional comment about this Consent: Client loves Bubble Tea."
                                }
                            },
                            {
                                "url": "consentDirectiveComments",
                                "valueAnnotation": {
                                    "time": "2024-05-01",
                                    "text": "Additional comment about this Consent: Client must play video game after vaccination."
                                }
                            }
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/Immunization/70846049",
            "resource": {
                "resourceType": "Immunization",
                "id": "70846049",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Immunization"
                    ]
                },
                "extension":  [
                    {
                        "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/immz-antigen",
                        "extension":  [
                            {
                                "url": "antigenCode",
                                "valueCodeableConcept": {
                                    "coding":  [
                                        {
                                            "system": "https://nvc-cnv.canada.ca",
                                            "code": "120998006",
                                            "display": "Rubella virus antigen"
                                        }
                                    ],
                                    "text": "Rubella"
                                }
                            },
                            {
                                "url": "antigenDoseNum",
                                "valueString": "1"
                            },
                            {
                                "url": "antigenDoseStatus",
                                "valueString": "Valid"
                            }
                        ]
                    },
                    {
                        "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/immz-antigen",
                        "extension":  [
                            {
                                "url": "antigenCode",
                                "valueCodeableConcept": {
                                    "coding":  [
                                        {
                                            "system": "https://nvc-cnv.canada.ca",
                                            "code": "120997001",
                                            "display": "Measles virus antigen"
                                        }
                                    ],
                                    "text": "Measles"
                                }
                            },
                            {
                                "url": "antigenDoseNum",
                                "valueString": "1"
                            },
                            {
                                "url": "antigenDoseStatus",
                                "valueString": "Valid"
                            }
                        ]
                    },
                    {
                        "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/immz-antigen",
                        "extension":  [
                            {
                                "url": "antigenCode",
                                "valueCodeableConcept": {
                                    "coding":  [
                                        {
                                            "system": "https://nvc-cnv.canada.ca",
                                            "code": "121087003",
                                            "display": "Mumps virus antigen"
                                        }
                                    ],
                                    "text": "Mumps"
                                }
                            },
                            {
                                "url": "antigenDoseNum",
                                "valueString": "1"
                            },
                            {
                                "url": "antigenDoseStatus",
                                "valueString": "Valid"
                            }
                        ]
                    }
                ],
                "identifier":  [
                    {
                        "type": {
                            "text": "PANORAMAIMMZID"
                        },
                        "system": " https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-id",
                        "value": "70846049"
                    }
                ],
                "status": "completed",
                "vaccineCode": {
                    "coding":  [
                        {
                            "system": "https://nvc-cnv.canada.ca",
                            "code": "61153008",
                            "display": "Measles + Mumps + Rubella"
                        },
                        {
                            "system": "https://nvc-cnv.canada.ca",
                            "code": "7161000087102",
                            "display": "M-M-R II (MMR)"
                        }
                    ]
                },
                "patient": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                },
                "occurrenceDateTime": "2012-01-01",
                "_occurrenceDateTime": {
                    "extension":  [
                        {
                            "url": "https://ehealthontario.ca/API/FHIR/StructureDefinition/ca-on-extension-estimated-date",
                            "valueBoolean": false
                        }
                    ]
                },
                "location": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Location/UNKorg81"
                },
                "lotNumber": "0682Z.",
                "expirationDate": "2012-05-05",
                "site": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "32696007",
                            "display": "Right Leg"
                        }
                    ]
                },
                "route": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "34206005",
                            "display": "Subcutaneous route"
                        }
                    ]
                },
                "doseQuantity": {
                    "value": 0.5,
                    "unit": "mL"
                },
                "performer":  [
                    {
                        "actor": {
                            "reference": "http://ehealth.bc.ca/panorama/fhir/Practitioner/21853"
                        }
                    }
                ],
                "note":  [
                    {
                        "time": "12/13/2012 01:27:37",
                        "text": "Testing Imms comments for MMR with Imms Org = Mission, FHA"
                    }
                ],
                "protocolApplied":  [
                    {
                        "doseNumberString": "1"
                    }
                ]
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/Location/UNKorg81",
            "resource": {
                "resourceType": "Location",
                "id": "UNKorg81",
                "identifier":  [
                    {
                        "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-service-delivery-location-id",
                        "value": "UNKorg81"
                    }
                ],
                "name": "Unknown",
                "managingOrganization": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Organization/81"
                }
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/Organization/81",
            "resource": {
                "resourceType": "Organization",
                "id": "81",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Organization"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-organization-unit-id",
                        "value": "81"
                    }
                ],
                "name": "Mission",
                "partOf": {
                    "identifier": {
                        "value": "FHA"
                    }
                }
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/Practitioner/21853",
            "resource": {
                "resourceType": "Practitioner",
                "id": "21853",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Practitioner"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-provider-id",
                        "value": "21853"
                    }
                ],
                "name":  [
                    {
                        "family": "Sweeney",
                        "given":  [
                            "Maureen",
                            "Frances"
                        ]
                    }
                ],
                "qualification":  [
                    {
                        "code": {
                            "coding":  [
                                {
                                    "system": "http://ehealth.bc.ca/fhir/CodeSystem/ca-bc-immunizations-practitioner-designation",
                                    "code": "MD",
                                    "display": "Physician"
                                }
                            ]
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/Immunization/70845357",
            "resource": {
                "resourceType": "Immunization",
                "id": "70845357",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Immunization"
                    ]
                },
                "extension":  [
                    {
                        "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/immz-antigen",
                        "extension":  [
                            {
                                "url": "antigenCode",
                                "valueCodeableConcept": {
                                    "coding":  [
                                        {
                                            "system": "https://nvc-cnv.canada.ca",
                                            "code": "29061000087103",
                                            "display": "COVID-19 non-replicating vector unspecified"
                                        }
                                    ],
                                    "text": "COVID-19 Non-replicating Viral Vector"
                                }
                            },
                            {
                                "url": "antigenDoseStatus",
                                "valueString": "Invalid"
                            }
                        ]
                    }
                ],
                "identifier":  [
                    {
                        "type": {
                            "text": "PANORAMAIMMZID"
                        },
                        "system": "https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-id",
                        "value": "70845357"
                    }
                ],
                "status": "completed",
                "vaccineCode": {
                    "coding":  [
                        {
                            "system": "https://nvc-cnv.canada.ca",
                            "code": "29061000087103",
                            "display": "COVID-19 non-replicating vector unspecified"
                        },
                        {
                            "system": "https://nvc-cnv.canada.ca",
                            "code": "28761000087108",
                            "display": "AstraZeneca Vaxzevria (COVID-19)"
                        }
                    ]
                },
                "patient": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                },
                "occurrenceDateTime": "2022-05-02",
                "_occurrenceDateTime": {
                    "extension":  [
                        {
                            "url": "https://ehealthontario.ca/API/FHIR/StructureDefinition/ca-on-extension-estimated-date",
                            "valueBoolean": false
                        }
                    ]
                },
                "location": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Location/423org135"
                },
                "lotNumber": "TL0005",
                "expirationDate": "2022-08-31",
                "route": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "78421000",
                            "display": "Intramuscular route"
                        }
                    ]
                },
                "doseQuantity": {
                    "value": 0.5,
                    "unit": "mL"
                },
                "note":  [
                    {
                        "time": "05/15/2022 22:25:35",
                        "text": "Add Comments for 2nd dose of C19 taken @Tofino with SDL = Tofino and Imms Org = Tofino, VIHA"
                    }
                ],
                "isSubpotent": true,
                "subpotentReason":  [
                    {
                        "coding":  [
                            {
                                "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                "code": "FI",
                                "display": "Status - Invalid"
                            }
                        ],
                        "text": "PIR Forecaster invalidated the imms record for the following possible reasons: 1.Non-WHO approved tradename 2.Administered prior to eligibility - interval or age 3.Additional dose resulting from use of multi-antigen agent 4.Client administered with same agent on same day"
                    }
                ]
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/Location/423org135",
            "resource": {
                "resourceType": "Location",
                "id": "423org135",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Location"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-service-delivery-location-id",
                        "value": "423"
                    }
                ],
                "name": "Tofino General Hospital",
                "managingOrganization": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Organization/135"
                }
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/Organization/135",
            "resource": {
                "resourceType": "Organization",
                "id": "135",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Organization"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-organization-unit-id",
                        "value": "135"
                    }
                ],
                "name": "Tofino",
                "partOf": {
                    "identifier": {
                        "value": "VIHA"
                    }
                }
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/Immunization/70846348",
            "resource": {
                "resourceType": "Immunization",
                "id": "70846348",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Immunization"
                    ]
                },
                "extension":  [
                    {
                        "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/immz-antigen",
                        "extension":  [
                            {
                                "url": "antigenCode",
                                "valueCodeableConcept": {
                                    "coding":  [
                                        {
                                            "system": "https://nvc-cnv.canada.ca",
                                            "code": "260210008",
                                            "display": "Influenza virus antigen"
                                        }
                                    ],
                                    "text": "Influenza"
                                }
                            },
                            {
                                "url": "antigenDoseNum",
                                "valueString": "1"
                            },
                            {
                                "url": "antigenDoseStatus",
                                "valueString": "Valid"
                            }
                        ]
                    }
                ],
                "identifier":  [
                    {
                        "type": {
                            "text": "PANORAMAIMMZID"
                        },
                        "system": "https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-id",
                        "value": "70846348"
                    }
                ],
                "status": "completed",
                "vaccineCode": {
                    "coding":  [
                        {
                            "system": "https://nvc-cnv.canada.ca",
                            "code": "46233009",
                            "display": "Influenza"
                        }
                    ],
                    "text": "Influenza"
                },
                "patient": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                },
                "occurrenceDateTime": "2023-01-03",
                "_occurrenceDateTime": {
                    "extension":  [
                        {
                            "url": "https://ehealthontario.ca/API/FHIR/StructureDefinition/ca-on-extension-estimated-date",
                            "valueBoolean": false
                        }
                    ]
                },
                "note":  [
                    {
                        "time": "02/10/2023 20:12:12",
                        "text": "Testing imms comments for Influenza without any Imms Org nor dosage nor Tradename nor provider info"
                    }
                ],
                "isSubpotent": false,
                "subpotentReason":  [
                    {
                        "coding":  [
                            {
                                "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                "code": "UHOPD",
                                "display": "Reason - Undocumented History of Previous Doses - Client Declined to Restart Series"
                            },
                            {
                                "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                "code": "OV",
                                "display": "Status - Valid (override)"
                            }
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/ImmunizationRecommendation/201334919",
            "resource": {
                "resourceType": "ImmunizationRecommendation",
                "id": "201334919",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/ImmunizationRecommendation"
                    ]
                },
                "identifier":  [
                    {
                        "type": {
                            "text": "PANORAMAIMMZFORECASTID"
                        },
                        "system": "https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-forecaster-id",
                        "value": "201334919"
                    }
                ],
                "patient": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                },
                "date": "02/17/2023 16:56:32",
                "authority": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Organization/1"
                },
                "recommendation":  [
                    {
                        "vaccineCode":  [
                            {
                                "coding":  [
                                    {
                                        "system": "https://nvc-cnv.canada.ca",
                                        "code": "7891000087104",
                                        "display": "Tetanus + Diphtheria + Pertussis + Polio"
                                    }
                                ]
                            },
                            {
                                "coding":  [
                                    {
                                        "system": "https://nvc-cnv.canada.ca",
                                        "code": "8611000087105",
                                        "display": "Diphtheria toxoid low dose"
                                    }
                                ]
                            },
                            {
                                "coding":  [
                                    {
                                        "system": "https://nvc-cnv.canada.ca",
                                        "code": "121074009",
                                        "display": "Pertussis antigen"
                                    }
                                ]
                            },
                            {
                                "coding":  [
                                    {
                                        "system": "https://nvc-cnv.canada.ca",
                                        "code": "8451000087106",
                                        "display": "Tetanus toxoid"
                                    }
                                ]
                            },
                            {
                                "coding":  [
                                    {
                                        "system": "https://nvc-cnv.canada.ca",
                                        "code": "713616004",
                                        "display": "Poliomyelitis antigen"
                                    }
                                ]
                            }
                        ],
                        "forecastStatus": {
                            "coding":  [
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                    "code": "overdue",
                                    "display": "Overdue"
                                }
                            ]
                        },
                        "dateCriterion":  [
                            {
                                "code": {
                                    "coding":  [
                                        {
                                            "system": "http://loinc.org",
                                            "code": "30981-5",
                                            "display": "Earliest date to give"
                                        }
                                    ],
                                    "text": "Forecast by Agent Eligible Date"
                                },
                                "value": "01/01/2017 08:00:00"
                            },
                            {
                                "code": {
                                    "coding":  [
                                        {
                                            "system": "http://loinc.org",
                                            "code": "30980-7",
                                            "display": "Date vaccine due"
                                        }
                                    ],
                                    "text": "Forecast by Agent Due Date"
                                },
                                "value": "01/01/2017 08:00:00"
                            },
                            {
                                "code": {
                                    "coding":  [
                                        {
                                            "system": "http://loinc.org",
                                            "code": "59778-1",
                                            "display": "Date when overdue for immunization"
                                        }
                                    ],
                                    "text": "Forecast by Agent Past Due Date"
                                },
                                "value": "02/01/2017 08:00:00"
                            },
                            {
                                "code": {
                                    "coding":  [
                                        {
                                            "system": "http://loinc.org",
                                            "code": "59777-3",
                                            "display": "Latest date to give immunization"
                                        }
                                    ],
                                    "text": "Forecast by Agent Max Date"
                                },
                                "value": "12/31/2027 08:00:00"
                            }
                        ],
                        "description": "Tetanus, Diphtheria, Pertussis, Polio",
                        "doseNumberString": "4"
                    },
                    {
                        "vaccineCode":  [
                            {
                                "coding":  [
                                    {
                                        "system": "https://nvc-cnv.canada.ca",
                                        "code": "8611000087105",
                                        "display": "Diphtheria toxoid low dose"
                                    }
                                ]
                            }
                        ],
                        "targetDisease": {
                            "coding":  [
                                {
                                    "system": "https://nvc-cnv.canada.ca",
                                    "code": "398102009",
                                    "display": "Diphtheria"
                                }
                            ]
                        },
                        "forecastStatus": {
                            "coding":  [
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                    "code": "overdue",
                                    "display": "Overdue"
                                }
                            ]
                        },
                        "dateCriterion":  [
                            {
                                "code": {
                                    "coding":  [
                                        {
                                            "system": "http://loinc.org",
                                            "code": "30981-5",
                                            "display": "Earliest date to give"
                                        }
                                    ],
                                    "text": "Forecast by Disease Eligible Date"
                                },
                                "value": "01/01/2017 08:00:00"
                            },
                            {
                                "code": {
                                    "coding":  [
                                        {
                                            "system": "http://loinc.org",
                                            "code": "30980-7",
                                            "display": "Date vaccine due"
                                        }
                                    ],
                                    "text": "Forecast by Disease Due Date"
                                },
                                "value": "01/01/2017 08:00:00"
                            }
                        ],
                        "description": "Diphtheria",
                        "doseNumberString": "4"
                    },
                    {
                        "vaccineCode":  [
                            {
                                "coding":  [
                                    {
                                        "system": "https://nvc-cnv.canada.ca",
                                        "code": "121074009",
                                        "display": "Pertussis antigen"
                                    }
                                ]
                            }
                        ],
                        "targetDisease": {
                            "coding":  [
                                {
                                    "system": "https://nvc-cnv.canada.ca",
                                    "code": "27836007",
                                    "display": "Pertussis "
                                }
                            ]
                        },
                        "forecastStatus": {
                            "coding":  [
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                    "code": "overdue",
                                    "display": "Overdue"
                                }
                            ]
                        },
                        "dateCriterion":  [
                            {
                                "code": {
                                    "coding":  [
                                        {
                                            "system": "http://loinc.org",
                                            "code": "30981-5",
                                            "display": "Earliest date to give"
                                        }
                                    ],
                                    "text": "Forecast by Disease Eligible Date"
                                },
                                "value": "01/01/2017 08:00:00"
                            },
                            {
                                "code": {
                                    "coding":  [
                                        {
                                            "system": "http://loinc.org",
                                            "code": "30980-7",
                                            "display": "Date vaccine due"
                                        }
                                    ],
                                    "text": "Forecast by Disease Due Date"
                                },
                                "value": "01/01/2017 08:00:00"
                            }
                        ],
                        "description": "Pertussis",
                        "doseNumberString": "4"
                    },
                    {
                        "vaccineCode":  [
                            {
                                "coding":  [
                                    {
                                        "system": "https://nvc-cnv.canada.ca",
                                        "code": "8451000087106",
                                        "display": "Tetanus toxoid"
                                    }
                                ]
                            }
                        ],
                        "targetDisease": {
                            "coding":  [
                                {
                                    "system": "https://nvc-cnv.canada.ca",
                                    "code": "76902006",
                                    "display": "Tetanus"
                                }
                            ]
                        },
                        "forecastStatus": {
                            "coding":  [
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                    "code": "overdue",
                                    "display": "Overdue"
                                }
                            ]
                        },
                        "dateCriterion":  [
                            {
                                "code": {
                                    "coding":  [
                                        {
                                            "system": "http://loinc.org",
                                            "code": "30981-5",
                                            "display": "Earliest date to give"
                                        }
                                    ],
                                    "text": "Forecast by Disease Eligible Date"
                                },
                                "value": "01/01/2017 08:00:00"
                            },
                            {
                                "code": {
                                    "coding":  [
                                        {
                                            "system": "http://loinc.org",
                                            "code": "30980-7",
                                            "display": "Date vaccine due"
                                        }
                                    ],
                                    "text": "Forecast by Disease Due Date"
                                },
                                "value": "01/01/2017 08:00:00"
                            }
                        ],
                        "description": "Tetanus",
                        "doseNumberString": "4"
                    },
                    {
                        "vaccineCode":  [
                            {
                                "coding":  [
                                    {
                                        "system": "https://nvc-cnv.canada.ca",
                                        "code": "713616004",
                                        "display": "Poliomyelitis antigen"
                                    }
                                ]
                            }
                        ],
                        "targetDisease": {
                            "coding":  [
                                {
                                    "system": "https://nvc-cnv.canada.ca",
                                    "code": "397428000",
                                    "display": "Poliomyelitis"
                                }
                            ]
                        },
                        "forecastStatus": {
                            "coding":  [
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                    "code": "overdue",
                                    "display": "Overdue"
                                }
                            ]
                        },
                        "dateCriterion":  [
                            {
                                "code": {
                                    "coding":  [
                                        {
                                            "system": "http://loinc.org",
                                            "code": "30981-5",
                                            "display": "Earliest date to give"
                                        }
                                    ],
                                    "text": "Forecast by Disease Eligible Date"
                                },
                                "value": "01/01/2017 08:00:00"
                            },
                            {
                                "code": {
                                    "coding":  [
                                        {
                                            "system": "http://loinc.org",
                                            "code": "30980-7",
                                            "display": "Date vaccine due"
                                        }
                                    ],
                                    "text": "Forecast by Disease Due Date"
                                },
                                "value": "01/01/2017 08:00:00"
                            }
                        ],
                        "description": "Polio",
                        "doseNumberString": "4"
                    }
                ]
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/Organization/1",
            "resource": {
                "resourceType": "Organization",
                "id": "1",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Organization"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-organization-unit-id",
                        "value": "1"
                    }
                ],
                "name": "Panorama",
                "partOf": {
                    "identifier": {
                        "value": "BC/Yukon"
                    }
                }
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/AdverseEvent/34317",
            "resource": {
                "resourceType": "AdverseEvent",
                "id": "34317",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AdverseEvent"
                    ]
                },
                "identifier": {
                    "type": {
                        "text": "PANORAMAIMMZAEFIID"
                    },
                    "system": "https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-AEFI-id",
                    "value": "34317"
                },
                "actuality": "actual",
                "_actuality": {
                    "extension":  [
                        {
                            "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AEFI-status-reason",
                            "extension":  [
                                {
                                    "url": "AEFIstatus",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                                "code": "DEL",
                                                "display": "Deleted"
                                            }
                                        ]
                                    }
                                },
                                {
                                    "url": "AEFIdeleteReason",
                                    "valueString": "Specify AEFI removed reason"
                                },
                                {
                                    "url": "AEFIdeleteReasonOther",
                                    "valueString": "Specify comments for Delete Reason OTHER, specify, thanks"
                                }
                            ]
                        }
                    ]
                },
                "subject": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                },
                "recordedDate": "2022-11-10",
                "suspectEntity":  [
                    {
                        "instance": {
                            "reference": "http://ehealth.bc.ca/panorama/fhir/Immunization/70846049"
                        }
                    }
                ],
                "extension":  [
                    {
                        "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AEFI-publicHealth-recomm",
                        "extension":  [
                            {
                                "url": "AEFIphrRecomm",
                                "valueAnnotation": {
                                    "text": "Active follow-up for AEFI recurrence after next vaccine"
                                }
                            },
                            {
                                "url": "AEFIphrDate",
                                "valueDateTime": "01/03/2023 18:00:00"
                            },
                            {
                                "url": "AEFIphrComment",
                                "valueString": "Test recommendation"
                            }
                        ]
                    },
                    {
                        "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AEFI-publicHealth-recomm",
                        "extension":  [
                            {
                                "url": "AEFIphrRecomm",
                                "valueAnnotation": {
                                    "text": "No change to immunization schedule Controlled setting for next immunization"
                                }
                            },
                            {
                                "url": "AEFIphrDate",
                                "valueDateTime": "01/11/2023 18:00:00"
                            },
                            {
                                "url": "AEFIphrComment",
                                "valueString": "Jan 11 update"
                            }
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/RiskAssessment/4246417",
            "resource": {
                "resourceType": "RiskAssessment",
                "id": "4246417",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/RiskAssessment"
                    ]
                },
                "identifier":  [
                    {
                        "type": {
                            "text": "PANORAMARISKFACTORID"
                        },
                        "system": "https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-risk-factor-id",
                        "value": "4246417"
                    }
                ],
                "status": "cancelled",
                "subject": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                },
                "occurrenceDateTime": "2023-01-03",
                "prediction":  [
                    {
                        "outcome": {
                            "coding":  [
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                    "code": "CYSTICFIBROSIS",
                                    "display": "Chronic Medical Condition - Cystic Fibrosis (*)"
                                }
                            ]
                        },
                        "whenPeriod": {
                            "start": "2022-10-10",
                            "end": "2023-01-01"
                        },
                        "rationale": "YES"
                    }
                ],
                "note":  [
                    {
                        "time": "10/10/2023 20:12:24",
                        "text": "This is additional information about the risk assessment performed"
                    }
                ],
                "extension":  [
                    {
                        "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/riskFactor-status",
                        "extension":  [
                            {
                                "url": "RFendDateReason",
                                "valueString": "Risk Factor is end-dated, no longer a risk haunting the client"
                            },
                            {
                                "url": "RFdeleteReason",
                                "valueString": "other"
                            },
                            {
                                "url": "RFdeleteReasonOther",
                                "valueString": "Other Reason to delete this particular Risk Factor"
                            }
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/RiskAssessment/4246416",
            "resource": {
                "resourceType": "RiskAssessment",
                "id": "4246416",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/RiskAssessment"
                    ]
                },
                "identifier":  [
                    {
                        "type": {
                            "text": "PANORAMARISKFACTORID"
                        },
                        "system": "https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-risk-factor-id",
                        "value": "4246416"
                    }
                ],
                "status": "final",
                "subject": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                },
                "occurrenceDateTime": "2022-01-04",
                "prediction":  [
                    {
                        "outcome": {
                            "coding":  [
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                    "code": "CMCBLEEDING",
                                    "display": "Chronic Medical Condition - Bleeding Disorders (*)"
                                }
                            ]
                        },
                        "whenPeriod": {
                            "start": "2022-04-01"
                        },
                        "rationale": "YES"
                    }
                ],
                "note":  [
                    {
                        "time": "04/10/2022 17:10:10",
                        "text": "Risk assessment is performed by a robot"
                    }
                ]
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/MedicationRequest/183406",
            "resource": {
                "resourceType": "MedicationRequest",
                "id": "183406",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/MedicationRequest"
                    ]
                },
                "identifier":  [
                    {
                        "type": {
                            "text": "PANORAMADEFERID"
                        },
                        "system": "https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-deferral-id",
                        "value": "183406"
                    }
                ],
                "status": "cancelled",
                "_status": {
                    "extension":  [
                        {
                            "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/deferral-status",
                            "extension":  [
                                {
                                    "url": "deferralDeleteReason",
                                    "valueString": "Other"
                                },
                                {
                                    "url": "deferralDeleteReasonOther",
                                    "valueString": "Deferral Delete Reason Other, Specify"
                                }
                            ]
                        }
                    ]
                },
                "statusReason": {
                    "coding":  [
                        {
                            "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                            "code": "SPECIALCONSID_059",
                            "display": "Consultation with BCCDC Recommended"
                        }
                    ]
                },
                "intent": "order",
                "doNotPerform": true,
                "medicationCodeableConcept": {
                    "coding":  [
                        {
                            "system": "https://nvc-cnv.canada.ca",
                            "code": "111164008",
                            "display": "Polio"
                        }
                    ]
                },
                "subject": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                },
                "note":  [
                    {
                        "time": "05/13/2023 20:23:33",
                        "text": "This is additional information about the deeffeerraall"
                    }
                ],
                "dispenseRequest": {
                    "validityPeriod": {
                        "start": "2023-01-01"
                    }
                }
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/MedicationRequest/183407",
            "resource": {
                "resourceType": "MedicationRequest",
                "id": "183407",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/MedicationRequest"
                    ]
                },
                "identifier":  [
                    {
                        "type": {
                            "text": "PANORAMADEFERID"
                        },
                        "system": "https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-deferral-id",
                        "value": "183407"
                    }
                ],
                "status": "active",
                "statusReason": {
                    "coding":  [
                        {
                            "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                            "code": "SPECIALCONSID_057",
                            "display": "Allergy Testing Required"
                        }
                    ]
                },
                "intent": "order",
                "doNotPerform": true,
                "medicationCodeableConcept": {
                    "coding":  [
                        {
                            "system": "https://nvc-cnv.canada.ca",
                            "code": "35736007",
                            "display": "Cholera"
                        }
                    ]
                },
                "subject": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                },
                "note":  [
                    {
                        "time": "02/14/2022 22:24:34",
                        "text": "This is additional information about the deeeeeeferrrrral"
                    }
                ],
                "dispenseRequest": {
                    "validityPeriod": {
                        "start": "2022-07-04"
                    }
                }
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/CarePlan/1335258",
            "resource": {
                "resourceType": "CarePlan",
                "id": "1335258",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/CarePlan"
                    ]
                },
                "contained":  [
                    {
                        "resourceType": "Condition",
                        "id": "1335258",
                        "meta": {
                            "profile":  [
                                "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Condition"
                            ]
                        },
                        "code": {
                            "coding":  [
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                    "code": "PRECAUTION",
                                    "display": "Type - Precaution"
                                },
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                    "code": "64779008",
                                    "display": "Reason - Blood coagulation disorder"
                                }
                            ]
                        },
                        "subject": {
                            "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                        }
                    }
                ],
                "identifier":  [
                    {
                        "type": {
                            "text": "PANORAMASCID"
                        },
                        "system": "https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-special-consideration-id",
                        "value": "1335258"
                    }
                ],
                "status": "revoked",
                "_status": {
                    "extension":  [
                        {
                            "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/specialCond-status",
                            "extension":  [
                                {
                                    "url": "scDeleteReason",
                                    "valueString": "Other"
                                },
                                {
                                    "url": "scDeleteReasonOther",
                                    "valueString": "Do not need special consideration, just go for it kiddo !"
                                }
                            ]
                        }
                    ]
                },
                "intent": "order",
                "subject": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                },
                "period": {
                    "start": "2023-01-03"
                },
                "activity":  [
                    {
                        "detail": {
                            "reasonReference":  [
                                {
                                    "reference": "#1335258"
                                }
                            ],
                            "productCodeableConcept": {
                                "coding":  [
                                    {
                                        "system": "https://nvc-cnv.canada.ca",
                                        "code": "116083002",
                                        "display": "Lymes"
                                    }
                                ]
                            },
                            "status": "completed"
                        }
                    }
                ],
                "note":  [
                    {
                        "time": "08/09/2023 16:19:29",
                        "text": "This is additional information about the Special Cond - Precaution"
                    }
                ]
            }
        },
        {
            "fullUrl": "http://ehealth.bc.ca/panorama/fhir/CarePlan/1335257",
            "resource": {
                "resourceType": "CarePlan",
                "id": "1335257",
                "meta": {
                    "profile":  [
                        "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/CarePlan"
                    ]
                },
                "contained":  [
                    {
                        "resourceType": "Condition",
                        "id": "1335257",
                        "meta": {
                            "profile":  [
                                "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Condition"
                            ]
                        },
                        "code": {
                            "coding":  [
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                    "code": "EXEMPTION",
                                    "display": "Type - Exemption"
                                },
                                {
                                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
                                    "code": "MEDDIS",
                                    "display": "Other, specify"
                                }
                            ],
                            "text": "Some other reason which is called UNKNOWN"
                        },
                        "subject": {
                            "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                        }
                    }
                ],
                "identifier":  [
                    {
                        "type": {
                            "text": "PANORAMASCID"
                        },
                        "system": "https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-special-consideration-id",
                        "value": "1335257"
                    }
                ],
                "status": "completed",
                "intent": "order",
                "subject": {
                    "reference": "http://ehealth.bc.ca/panorama/fhir/Patient/59900999"
                },
                "period": {
                    "start": "2022-01-01",
                    "end": "2023-12-31"
                },
                "activity":  [
                    {
                        "detail": {
                            "reasonReference":  [
                                {
                                    "reference": "#1335257"
                                }
                            ],
                            "productCodeableConcept": {
                                "coding":  [
                                    {
                                        "system": "https://nvc-cnv.canada.ca",
                                        "code": "418571002",
                                        "display": "BCG"
                                    }
                                ]
                            },
                            "status": "completed"
                        }
                    }
                ],
                "note":  [
                    {
                        "time": "07/08/2022 00:27:37",
                        "text": "This is additional information about the Special Cond - Exemption"
                    }
                ]
            }
        }
    ]
}