<Immunization xmlns="http://hl7.org/fhir">
  <id value="ma-ma-schema-1-Immunization-7001" />
  <meta>
    <lastUpdated value="2023-12-18T23:07:47Z" />
    <source value="urn:telus:emr:ma:ma-schema-1" />
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality" />
      <code value="N" />
      <display value="normal" />
    </security>
  </meta>
  <text>
    <status value="generated" />
    <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>
        </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>
  </text>
  <identifier>
    <use value="official" />
    <system value="urn:telus:emr:ma:ma-schema-1:Immunization" />
    <value value="7001" />
  </identifier>
  <status value="completed" />
  <vaccineCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/cvx" />
      <code value="141" />
      <display value="Influenza, seasonal, injectable" />
    </coding>
    <coding>
      <system value="http://snomed.info/sct" />
      <code value="1181000221105" />
      <display value="Influenza vaccine" />
    </coding>
    <text value="Seasonal Influenza Vaccine" />
  </vaccineCode>
  <patient>
    <reference value="Patient/ma-ma-schema-1-Patient-12345" />
    <type value="Patient" />
    <display value="John Michael Smith" />
  </patient>
  <encounter>
    <reference value="Encounter/ma-ma-schema-1-Encounter-2001" />
    <type value="Encounter" />
  </encounter>
  <occurrenceDateTime value="2023-12-18T10:30:00Z" />
  <primarySource value="true" />
  <location>
    <reference value="Location/ma-ma-schema-1-Location-101" />
    <type value="Location" />
    <display value="Exam Room 1" />
  </location>
  <manufacturer>
    <display value="ABC Pharmaceuticals" />
  </manufacturer>
  <lotNumber value="FLU2023-12345" />
  <expirationDate value="2024-06-30" />
  <site>
    <coding>
      <system value="http://snomed.info/sct" />
      <code value="72098002" />
      <display value="Entire left upper arm" />
    </coding>
  </site>
  <route>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration" />
      <code value="IM" />
      <display value="Injection, intramuscular" />
    </coding>
  </route>
  <doseQuantity>
    <value value="0.5" />
    <unit value="mL" />
    <system value="http://unitsofmeasure.org" />
    <code value="mL" />
  </doseQuantity>
  <performer>
    <function>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0443" />
        <code value="AP" />
        <display value="Administering Provider" />
      </coding>
    </function>
    <actor>
      <reference value="Practitioner/ma-ma-schema-1-Practitioner-789" />
      <type value="Practitioner" />
      <display value="Dr. Sarah Johnson" />
    </actor>
  </performer>
  <note>
    <text value="Patient tolerated the vaccine well. No immediate adverse reactions observed. Advised to monitor for any delayed reactions and to return if concerns arise." />
  </note>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct" />
      <code value="134436002" />
      <display value="Lifestyle" />
    </coding>
    <text value="Seasonal influenza prevention" />
  </reasonCode>
  <isSubpotent value="false" />
  <education>
    <documentType value="VIS" />
    <publicationDate value="2023-08-15" />
    <presentationDate value="2023-12-18T10:25:00Z" />
  </education>
  <protocolApplied>
    <series value="Annual" />
    <targetDisease>
      <coding>
        <system value="http://snomed.info/sct" />
        <code value="6142004" />
        <display value="Influenza" />
      </coding>
    </targetDisease>
    <doseNumberPositiveInt value="1" />
  </protocolApplied>
</Immunization>