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Packageca.bc.bcy-ids
Resource TypeBundle
IdIDS5.2_allModules_20250206.json
FHIR VersionR4

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Source1

{
  "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": "2024-12-25T10:00:00.104-08:00",
  "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": "2024-04-26T15:37:16-07:00",
                  "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": "2024-04-26T00:00:00-07:00"
          },
          "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": "2012-12-12T17:27:37.77-08:00",
            "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": "2022-05-15T15:25:35.55-07:00",
            "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": "2023-02-10T12:12:12.55-08:00",
            "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": "2023-02-17T08:56:32-08:00",
        "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": "2017-01-01T00:00:00-08:00"
              },
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://loinc.org",
                      "code": "30980-7",
                      "display": "Date vaccine due"
                    }
                  ],
                  "text": "Forecast by Agent Due Date"
                },
                "value": "2017-01-01T00:00:00-08:00"
              },
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://loinc.org",
                      "code": "59778-1",
                      "display": "Date when overdue for immunization"
                    }
                  ],
                  "text": "Forecast by Agent Past Due Date"
                },
                "value": "2017-02-01T00:00:00-08:00"
              },
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://loinc.org",
                      "code": "59777-3",
                      "display": "Latest date to give immunization"
                    }
                  ],
                  "text": "Forecast by Agent Max Date"
                },
                "value": "2027-12-31T00:00:00-08:00"
              }
            ],
            "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": "2017-01-01T00:00:00-08:00"
              },
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://loinc.org",
                      "code": "30980-7",
                      "display": "Date vaccine due"
                    }
                  ],
                  "text": "Forecast by Disease Due Date"
                },
                "value": "2017-01-01T00:00:00-08:00"
              }
            ],
            "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": "2017-01-01T00:00:00-08:00"
              },
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://loinc.org",
                      "code": "30980-7",
                      "display": "Date vaccine due"
                    }
                  ],
                  "text": "Forecast by Disease Due Date"
                },
                "value": "2017-01-01T00:00:00-08:00"
              }
            ],
            "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": "2017-01-01T00:00:00-08:00"
              },
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://loinc.org",
                      "code": "30980-7",
                      "display": "Date vaccine due"
                    }
                  ],
                  "text": "Forecast by Disease Due Date"
                },
                "value": "2017-01-01T00:00:00-08:00"
              }
            ],
            "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": "2017-01-01T00:00:00-08:00"
              },
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://loinc.org",
                      "code": "30980-7",
                      "display": "Date vaccine due"
                    }
                  ],
                  "text": "Forecast by Disease Due Date"
                },
                "value": "2017-01-01T00:00:00-08:00"
              }
            ],
            "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": "2023-01-03T10:00:00-08:00"
              },
              {
                "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": "2023-01-11T10:00:00-08:00"
              },
              {
                "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": "2023-10-10T12:12:24.104-08:00",
            "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": "2022-04-10T10:10:10.80-07:00",
            "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": "2023-05-13T13:23:33.63-07:00",
            "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": "2022-02-14T14:24:34.54-08:00",
            "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": "2023-08-09T09:19:29.99-07:00",
            "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": "2022-07-07T17:27:37.77-07:00",
            "text": "This is additional information about the Special Cond - Exemption"
          }
        ]
      }
    }
  ]
}