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Narrative

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Source1

{
  "resourceType": "Immunization",
  "id": "ExampleERefImmunizationRoutine",
  "meta": {
    "profile": [
      "https://fhir.doh.gov.ph/pheref/StructureDefinition/ereferral-immunization"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "system": "http://example.ph/immunization-records",
      "value": "IMM-2025-00123"
    }
  ],
  "status": "completed",
  "vaccineCode": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "871831003",
        "display": "MMR (measles and mumps and rubella) vaccine"
      }
    ]
  },
  "patient": {
    "reference": "Patient/ERefPatientExample"
  },
  "occurrenceDateTime": "2025-03-15",
  "recorded": "2025-03-15T09:30:00+08:00",
  "primarySource": true,
  "location": {
    "display": "Quezon City Health Center No. 1"
  },
  "manufacturer": {
    "display": "Serum Institute of India"
  },
  "lotNumber": "LOT-2025-MMR-0045",
  "expirationDate": "2026-12-31",
  "site": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "61396006",
        "display": "Structure of left thigh"
      }
    ]
  },
  "route": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "34206005",
        "display": "Subcutaneous route"
      }
    ]
  },
  "doseQuantity": {
    "value": 0.5,
    "unit": "mL",
    "system": "http://unitsofmeasure.org",
    "code": "mL"
  },
  "performer": [
    {
      "function": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0443",
            "code": "AP",
            "display": "Administering Provider"
          }
        ]
      },
      "actor": {
        "display": "Nurse Maria Santos, RN"
      }
    }
  ],
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "33879002",
          "display": "Administration of vaccine to produce active immunity (procedure)"
        }
      ]
    }
  ],
  "isSubpotent": false,
  "programEligibility": [
    {
      "text": "Eligible - DOH Expanded Program on Immunization (EPI)"
    }
  ],
  "fundingSource": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/immunization-funding-source",
        "code": "public",
        "display": "Public"
      }
    ]
  },
  "protocolApplied": [
    {
      "series": "MMR 2-Dose Series",
      "targetDisease": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "14189004",
              "display": "Measles (disorder)"
            }
          ]
        },
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "36989005",
              "display": "Mumps (disorder)"
            }
          ]
        },
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "36653000",
              "display": "Rubella (disorder)"
            }
          ]
        }
      ],
      "doseNumberPositiveInt": 1,
      "seriesDosesPositiveInt": 2
    }
  ]
}