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Packageca.on.ir.r4
Resource TypeBundle
IdSample-Scenario-4_Point of Service-Off-site-Public School.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "point-of-service-offsite-school",
  "identifier": {
    "system": "http://ontariohealth.ca/fhir/NamingSystem/ca-on-phu-1234567-bundle-id",
    "value": "bundle-offsite-002"
  },
  "type": "document",
  "timestamp": "2025-11-25T12:00:00Z",
  "entry": [
    {
      "fullUrl": "urn:uuid:5d3e2c1b-4a5f-6d7e-8b9a-0c1d2e3f4a5b",
      "resource": {
        "resourceType": "Composition",
        "identifier": {
          "system": "http://ontariohealth.ca/fhir/NamingSystem/ca-on-phu-1234567-composition-id",
          "value": "comp-offsite-002"
        },
        "status": "final",
        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "80565-5",
              "display": "Medication administration record"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:1a2b3c4d-5e6f-7a8b-9c0d-1e2f3a4b5c6d"
        },
        "date": "2025-11-25T12:00:00Z",
        "author": [
          {
            "reference": "urn:uuid:8b1a55b6-735c-44e2-892f-c5d3a7894a11"
          }
        ],
        "title": "Medication administration record",
        "custodian": {
          "reference": "urn:uuid:1e2d3c4b-5a6f-4789-8a9b-0c1d2e3f4a5b"
        },
        "section": [
          {
            "title": "Medication administration record",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "80565-5",
                  "display": "Medication administration record"
                }
              ]
            },
            "entry": [
              {
                "reference": "urn:uuid:2b3c4d5e-6f7a-8b9c-0d1e-2f3a4b5c6d7e"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:1a2b3c4d-5e6f-7a8b-9c0d-1e2f3a4b5c6d",
      "resource": {
        "resourceType": "Patient",
        "id": "patient-susan",
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "JHN"
                }
              ]
            },
            "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-patient-hcn",
            "value": "12233454312"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR"
                }
              ]
            },
            "system": "http://ehealthontario.ca/fhir/NamingSystem/id-panorama-mrn",
            "value": "123-456-7891-AB"
          }
        ],
        "name": [
          {
            "family": "Smith",
            "given": [
              "Susan"
            ]
          }
        ],
        "gender": "female",
        "birthDate": "2011-03-19",
        "telecom": [
          {
            "system": "phone",
            "value": "519-759-4150"
          }
        ],
        "address": [
          {
            "line": [
              "123 Test Lane"
            ],
            "city": "Brantford",
            "state": "ON",
            "postalCode": "N3L 4A2",
            "country": "CAN"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:8b1a55b6-735c-44e2-892f-c5d3a7894a11",
      "resource": {
        "resourceType": "PractitionerRole",
        "practitioner": {
          "reference": "urn:uuid:b6c7d8e9-f0a1-4234-9b8a-7c6d5e4f3a2b"
        },
        "organization": {
          "reference": "urn:uuid:1e2d3c4b-5a6f-4789-8a9b-0c1d2e3f4a5b"
        },
        "telecom": [
          {
            "system": "phone",
            "value": "416-555-0198",
            "use": "work"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:b6c7d8e9-f0a1-4234-9b8a-7c6d5e4f3a2b",
      "resource": {
        "resourceType": "Practitioner",
        "id": "practitioner-sarah",
        "identifier": [
          {
            "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-nurse",
            "value": "1110000"
          }
        ],
        "name": [
          {
            "family": "Lee",
            "given": [
              "Sarah"
            ],
            "suffix": [
              "RN"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:1e2d3c4b-5a6f-4789-8a9b-0c1d2e3f4a5b",
      "resource": {
        "resourceType": "Organization",
        "id": "org-phu",
        "identifier": [
          {
            "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-pharmacist-org",
            "value": "1234567"
          }
        ],
        "name": "Public Health Unit"
      }
    },
    {
      "fullUrl": "urn:uuid:9a8b7c6d-5e4f-3a2b-1c0d-e9f8a7b6c5d4",
      "resource": {
        "resourceType": "Location",
        "id": "loc-public-school",
        "name": "Brantford Public School"
      }
    },
    {
      "fullUrl": "urn:uuid:2b3c4d5e-6f7a-8b9c-0d1e-2f3a4b5c6d7e",
      "resource": {
        "resourceType": "Immunization",
        "id": "immz-002",
        "extension": [
          {
            "url": "http://ontariohealth.ca/fhir/ehr/StructureDefinition/ext-immunization-isValid",
            "valueBoolean": true
          }
        ],
        "identifier": [
          {
            "system": "http://ontariohealth.ca/fhir/NamingSystem/ca-on-phu-1234567-immunization-id",
            "value": "PHU-OFFSITE-002"
          }
        ],
        "status": "completed",
        "vaccineCode": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "20871000087109",
              "display": "GARDASIL 9 270 micrograms per 0.5 milliliter suspension for injection Merck Canada Inc. (real clinical drug)"
            }
          ]
        },
        "patient": {
          "reference": "urn:uuid:1a2b3c4d-5e6f-7a8b-9c0d-1e2f3a4b5c6d"
        },
        "occurrenceDateTime": "2025-11-25T12:00:00Z",
        "primarySource": true,
        "location": {
          "reference": "urn:uuid:9a8b7c6d-5e4f-3a2b-1c0d-e9f8a7b6c5d4"
        },
        "lotNumber": "Y003937",
        "expirationDate": "2026-11-03",
        "site": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "16217661000119109",
              "display": "Structure of right deltoid muscle (body structure)"
            }
          ]
        },
        "route": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "78421000",
              "display": "Intramuscular route (qualifier value)"
            }
          ]
        },
        "doseQuantity": {
          "value": 0.5,
          "unit": "mL",
          "system": "http://unitsofmeasure.org",
          "code": "mL"
        },
        "performer": [
          {
            "actor": {
              "reference": "urn:uuid:8b1a55b6-735c-44e2-892f-c5d3a7894a11"
            }
          }
        ],
        "reasonCode": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "8171000087105",
                "display": "Routine immunization (finding)"
              }
            ]
          }
        ],
        "fundingSource": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code": "PUBLICPOL",
              "display": "public healthcare"
            }
          ]
        }
      }
    }
  ]
}