{
  "resourceType": "Immunization",
  "id": "covid-03",
  "meta": {
    "profile": [
      "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-immunization-core-1"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Immunization</b><a name=\"covid-03\"> </a></p><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\">Resource Immunization \"covid-03\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-dh-immunization-core-1.html\">ADHA Core Immunization</a></p></div><p><b>Vaccine Vial Serial Number</b>: vNo12121</p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: Moderna Spikevax <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (air-vaccine-code-formats#MODERN; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1565201000168106 \"Spikevax\")</span></p><p><b>patient</b>: <a href=\"Patient-mhr-field-sally.html\">Patient/mhr-field-sally</a> \" FIELD\"</p><p><b>occurrence</b>: 2022-02-14</p><p><b>recorded</b>: 2022-02-14</p><p><b>primarySource</b>: true</p><p><b>location</b>: <a href=\"Location-hi-testdata-pharmacy.html\">Location/hi-testdata-pharmacy</a></p><p><b>manufacturer</b>: <span>: ModernaTX, Inc.</span></p><p><b>lotNumber</b>: RX00000F</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td>Administering Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v2-0443.html\">providerRole</a>#AP)</span></td><td><a href=\"PractitionerRole-pharmacist-retail.html\">PractitionerRole/pharmacist-retail</a></td></tr></table><h3>ProtocolApplieds</h3><table class=\"grid\"><tr><td>-</td><td><b>TargetDisease</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td>*</td><td>COVID-19 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#840539006)</span></td><td>3</td></tr></table></div>"
  },
  "extension": [
    {
      "url": "http://hl7.org.au/fhir/StructureDefinition/vaccine-serial-number",
      "valueString": "vNo12121"
    }
  ],
  "status": "completed",
  "vaccineCode": {
    "coding": [
      {
        "system": "https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats",
        "code": "MODERN"
      },
      {
        "system": "http://snomed.info/sct",
        "code": "1565201000168106",
        "display": "Spikevax"
      }
    ],
    "text": "Moderna Spikevax"
  },
  "patient": {
    "reference": "Patient/mhr-field-sally",
    "identifier": {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "NI",
            "display": "National unique individual identifier"
          }
        ],
        "text": "IHI"
      },
      "system": "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
      "value": "8003608833357361"
    }
  },
  "occurrenceDateTime": "2022-02-14",
  "recorded": "2022-02-14",
  "primarySource": true,
  "location": {
    "reference": "Location/hi-testdata-pharmacy",
    "identifier": {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org.au/CodeSystem/v2-0203",
            "code": "NOI"
          }
        ],
        "text": "HPI-O"
      },
      "system": "http://ns.electronichealth.net.au/id/hi/hpio/1.0",
      "value": "8003629900033370"
    }
  },
  "manufacturer": {
    "display": "ModernaTX, Inc."
  },
  "lotNumber": "RX00000F",
  "performer": [
    {
      "function": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0443",
            "code": "AP",
            "display": "Administering Provider"
          }
        ],
        "text": "Administering Provider"
      },
      "actor": {
        "reference": "PractitionerRole/pharmacist-retail",
        "identifier": {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code": "NPI",
                "display": "National provider identifier"
              }
            ],
            "text": "HPI-I"
          },
          "system": "http://ns.electronichealth.net.au/id/hi/hpii/1.0",
          "value": "8003611566708354"
        }
      }
    }
  ],
  "protocolApplied": [
    {
      "targetDisease": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "840539006",
              "display": "COVID-19"
            }
          ],
          "text": "COVID-19"
        }
      ],
      "doseNumberPositiveInt": 3
    }
  ]
}