{
  "resourceType": "Immunization",
  "id": "ma-ma-schema-1-Immunization-7001",
  "meta": {
    "lastUpdated": "2023-12-18T23:07:47Z",
    "source": "urn:telus:emr:ma:ma-schema-1",
    "security": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code": "N",
        "display": "normal"
      }
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Immunization ma-ma-schema-1-Immunization-7001</b></p><a name=\"ma-ma-schema-1-Immunization-7001\"> </a><a name=\"hcma-ma-schema-1-Immunization-7001\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2023-12-18 23:07:47+0000; </p><p style=\"margin-bottom: 0px\">Information Source: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.ca.baseline@1.1.7&amp;canonical=urn:telus:emr:ma:ma-schema-1\">urn:telus:emr:ma:ma-schema-1</a></p><p style=\"margin-bottom: 0px\">Security Label: <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-Confidentiality.html\">normal (Details: Confidentiality code N = 'normal')</a></p></div><p><b>identifier</b>: <code>urn:telus:emr:ma:ma-schema-1:Immunization</code>/7001 (use: official, )</p><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/cvx 141}, {http://snomed.info/sct 1181000221105}\">Seasonal Influenza Vaccine</span></p><p><b>patient</b>: <a href=\"Patient-ma-ma-schema-1-Patient-12345.html\">John Michael Smith</a></p><p><b>encounter</b>: <a href=\"Encounter-ma-ma-schema-1-Encounter-2001.html\">Encounter: identifier = urn:telus:emr:ma:ma-schema-1:Encounter#2001 (use: official, ); status = finished; class = ambulatory (ActCode#AMB); type = ; period = 2023-12-18 10:00:00+0000 --&gt; 2023-12-18 10:45:00+0000; reasonCode = </a></p><p><b>occurrence</b>: 2023-12-18 10:30:00+0000</p><p><b>primarySource</b>: true</p><p><b>location</b>: <a href=\"Location-ma-ma-schema-1-Location-101.html\">Exam Room 1</a></p><p><b>manufacturer</b>: ABC Pharmaceuticals</p><p><b>lotNumber</b>: FLU2023-12345</p><p><b>expirationDate</b>: 2024-06-30</p><p><b>site</b>: <span title=\"Codes:{http://snomed.info/sct 72098002}\">Entire left upper arm</span></p><p><b>route</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration IM}\">Injection, intramuscular</span></p><p><b>doseQuantity</b>: 0.5 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span></p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0443 AP}\">Administering Provider</span></td><td><a href=\"Practitioner-ma-ma-schema-1-Practitioner-789.html\">Dr. Sarah Johnson</a></td></tr></table><p><b>note</b>: </p><blockquote><div><p>Patient tolerated the vaccine well. No immediate adverse reactions observed. Advised to monitor for any delayed reactions and to return if concerns arise.</p>\n</div></blockquote><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 134436002}\">Seasonal influenza prevention</span></p><p><b>isSubpotent</b>: false</p><h3>Educations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>DocumentType</b></td><td><b>PublicationDate</b></td><td><b>PresentationDate</b></td></tr><tr><td style=\"display: none\">*</td><td>VIS</td><td>2023-08-15</td><td>2023-12-18 10:25:00+0000</td></tr></table><h3>ProtocolApplieds</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Series</b></td><td><b>TargetDisease</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Annual</td><td><span title=\"Codes:{http://snomed.info/sct 6142004}\">Influenza</span></td><td>1</td></tr></table></div>"
  },
  "identifier": [
    {
      "use": "official",
      "system": "urn:telus:emr:ma:ma-schema-1:Immunization",
      "value": "7001"
    }
  ],
  "status": "completed",
  "vaccineCode": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/sid/cvx",
        "code": "141",
        "display": "Influenza, seasonal, injectable"
      },
      {
        "system": "http://snomed.info/sct",
        "code": "1181000221105",
        "display": "Influenza vaccine"
      }
    ],
    "text": "Seasonal Influenza Vaccine"
  },
  "patient": {
    "reference": "Patient/ma-ma-schema-1-Patient-12345",
    "type": "Patient",
    "display": "John Michael Smith"
  },
  "encounter": {
    "reference": "Encounter/ma-ma-schema-1-Encounter-2001",
    "type": "Encounter"
  },
  "occurrenceDateTime": "2023-12-18T10:30:00Z",
  "primarySource": true,
  "location": {
    "reference": "Location/ma-ma-schema-1-Location-101",
    "type": "Location",
    "display": "Exam Room 1"
  },
  "manufacturer": {
    "display": "ABC Pharmaceuticals"
  },
  "lotNumber": "FLU2023-12345",
  "expirationDate": "2024-06-30",
  "site": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "72098002",
        "display": "Entire left upper arm"
      }
    ]
  },
  "route": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
        "code": "IM",
        "display": "Injection, intramuscular"
      }
    ]
  },
  "doseQuantity": {
    "value": 0.5,
    "unit": "mL",
    "system": "http://unitsofmeasure.org",
    "code": "mL"
  },
  "performer": [
    {
      "function": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0443",
            "code": "AP",
            "display": "Administering Provider"
          }
        ]
      },
      "actor": {
        "reference": "Practitioner/ma-ma-schema-1-Practitioner-789",
        "type": "Practitioner",
        "display": "Dr. Sarah Johnson"
      }
    }
  ],
  "note": [
    {
      "text": "Patient tolerated the vaccine well. No immediate adverse reactions observed. Advised to monitor for any delayed reactions and to return if concerns arise."
    }
  ],
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "134436002",
          "display": "Lifestyle"
        }
      ],
      "text": "Seasonal influenza prevention"
    }
  ],
  "isSubpotent": false,
  "education": [
    {
      "documentType": "VIS",
      "publicationDate": "2023-08-15",
      "presentationDate": "2023-12-18T10:25:00Z"
    }
  ],
  "protocolApplied": [
    {
      "series": "Annual",
      "targetDisease": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "6142004",
              "display": "Influenza"
            }
          ]
        }
      ],
      "doseNumberPositiveInt": 1
    }
  ]
}