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Packageca.on.ir.r4
Resource TypeBundle
IdSample-Scenario3_PointofService-Pharmacy Contribution.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "point-of-service-pharmacy-contribution",
  "identifier": {
    "system": "http://ontariohealth.ca/fhir/NamingSystem/ca-on-pharmacy-7654321-bundle-id",
    "value": "7654321-bundle-3"
  },
  "type": "document",
  "timestamp": "2025-07-14T12:00:00Z",
  "entry": [
    {
      "fullUrl": "urn:uuid:8b9c0d1e-2f3a-4b5c-9d6e-7f8a9b0c1d2e",
      "resource": {
        "resourceType": "Composition",
        "identifier": {
          "system": "http://ontariohealth.ca/fhir/NamingSystem/ca-on-pharmacy-7654321-composition-id",
          "value": "7654321-comp-3"
        },
        "status": "final",
        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "80565-5",
              "display": "Medication administration record"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:f0e1d2c3-b4a5-4678-890a-1b2c3d4e5f6a"
        },
        "date": "2025-07-14T12:00:00Z",
        "author": [
          {
            "reference": "urn:uuid:8b1a55b6-735c-44e2-892f-c5d3a7894a44"
          }
        ],
        "title": "Medication administration record",
        "custodian": {
          "reference": "urn:uuid:7c8d9e0f-1a2b-4345-9c6d-7e8f9a0b1c2d"
        },
        "section": [
          {
            "title": "Medication administration record",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "80565-5",
                  "display": "Medication administration record"
                }
              ]
            },
            "entry": [
              {
                "reference": "urn:uuid:5e6f7a8b-9c0d-4e1f-a2b3-c4d5e6f7a8b9"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:f0e1d2c3-b4a5-4678-890a-1b2c3d4e5f6a",
      "resource": {
        "resourceType": "Patient",
        "id": "patient-tyler",
        "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": "5938594829"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR"
                }
              ]
            },
            "system": "http://ehealthontario.ca/fhir/NamingSystem/id-pharmacy-mrn",
            "value": "RX049573940240"
          }
        ],
        "name": [
          {
            "family": "McKay",
            "given": [
              "Tyler"
            ]
          }
        ],
        "gender": "male",
        "birthDate": "1985-04-17",
        "telecom": [
          {
            "system": "phone",
            "value": "807-555-2233"
          }
        ],
        "address": [
          {
            "line": [
              "245 Red River Rd"
            ],
            "city": "Thunder Bay",
            "state": "ON",
            "postalCode": "P7B1A9",
            "country": "CAN"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:8b1a55b6-735c-44e2-892f-c5d3a7894a44",
      "resource": {
        "resourceType": "PractitionerRole",
        "practitioner": {
          "reference": "urn:uuid:4a5b6c7d-8e9f-4012-a3b4-c5d6e7f8a9b0"
        },
        "organization": {
          "reference": "urn:uuid:7c8d9e0f-1a2b-4345-9c6d-7e8f9a0b1c2d"
        },
        "telecom": [
          {
            "system": "phone",
            "value": "807-555-9876",
            "use": "work"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:4a5b6c7d-8e9f-4012-a3b4-c5d6e7f8a9b0",
      "resource": {
        "resourceType": "Practitioner",
        "id": "practitioner-laura",
        "identifier": [
          {
            "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-pharmacist",
            "value": "3330000"
          }
        ],
        "name": [
          {
            "family": "Sinclair",
            "given": [
              "Laura"
            ],
            "suffix": [
              "RPh"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:7c8d9e0f-1a2b-4345-9c6d-7e8f9a0b1c2d",
      "resource": {
        "resourceType": "Organization",
        "id": "org-pharmacy2",
        "identifier": [
          {
            "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-organization",
            "value": "7654321"
          }
        ],
        "name": "Thunder Bay Pharmacy",
        "telecom": [
          {
            "system": "phone",
            "value": "807-555-8899",
            "use": "work"
          }
        ],
        "address": [
          {
            "line": [
              "100 Pharmacy Way"
            ],
            "city": "Thunder Bay",
            "state": "ON",
            "postalCode": "P7B 1A2",
            "country": "CAN"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:5e6f7a8b-9c0d-4e1f-a2b3-c4d5e6f7a8b9",
      "resource": {
        "resourceType": "Immunization",
        "id": "immz-003",
        "identifier": [
          {
            "system": "http://ontariohealth.ca/fhir/NamingSystem/ca-on-pharmacy-7654321-immunization-id",
            "value": "RX-IMM-003"
          }
        ],
        "status": "completed",
        "vaccineCode": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "7311000087102",
              "display": "TYPHIM Vi 25 micrograms per 0.5 milliliter solution for injection Sanofi Pasteur Limited (real clinical drug)"
            }
          ]
        },
        "patient": {
          "reference": "urn:uuid:f0e1d2c3-b4a5-4678-890a-1b2c3d4e5f6a"
        },
        "occurrenceDateTime": "2025-07-14T12:00:00Z",
        "lotNumber": "Y2A06D4",
        "expirationDate": "2027-03-31",
        "site": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "1217006009",
              "display": "Structure of right vastus lateralis 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-c5d3a7894a44"
            }
          }
        ],
        "reasonCode": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "414448007",
                "display": "Identified as high risk for travel immunization"
              }
            ]
          }
        ],
        "fundingSource": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/coverage-selfpay",
              "code": "pay",
              "display": "Pay"
            }
          ]
        }
      }
    }
  ]
}