FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

Packagegpc.stu3.fhir-assets
Resource TypeBundle
Idvaccination--digimeds--covid-19--data-processing-service.json
FHIR VersionR3

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "id": "402bb010-c992-4e7f-a353-52f70021d2de",
  "meta": {
    "profile": [
      "https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Message-Bundle-1"
    ]
  },
  "identifier": {
    "system": "https://tools.ietf.org/html/rfc4122",
    "value": "e9e53d9d-395c-425c-be94-9228d13d0b99"
  },
  "type": "message",
  "entry": [
    {
      "fullUrl": "urn:uuid:2d7addc3-6b4a-4931-b600-d8eab3a22c55",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "2d7addc3-6b4a-4931-b600-d8eab3a22c55",
        "meta": {
          "profile": [
            "https://fhir.nhs.uk/STU3/StructureDefinition/ITK-MessageHeader-2"
          ]
        },
        "extension": [
          {
            "extension": [
              {
                "url": "BusAckRequested",
                "valueBoolean": true
              },
              {
                "url": "InfAckRequested",
                "valueBoolean": true
              },
              {
                "url": "RecipientType",
                "valueCoding": {
                  "system": "https://fhir.nhs.uk/STU3/CodeSystem/ITK-RecipientType-1",
                  "code": "FA",
                  "display": "For Action"
                }
              },
              {
                "url": "MessageDefinition",
                "valueReference": {
                  "reference": "https://fhir.nhs.uk/STU3/MessageDefinition/ITK-DM-Immunization-MessageDefinition-1"
                }
              },
              {
                "url": "SenderReference",
                "valueString": "None"
              },
              {
                "url": "LocalExtension",
                "valueString": "None"
              }
            ],
            "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-ITK-MessageHandling-2"
          }
        ],
        "event": {
          "system": "https://fhir.nhs.uk/STU3/CodeSystem/ITK-MessageEvent-2",
          "code": "ITK009D",
          "display": "ITK Digital Medicine Immunization Document"
        },
        "receiver": {
          "reference": "urn:uuid:d3b034fb-dfb6-4d98-be95-6b13e383a90e"
        },
        "sender": {
          "reference": "urn:uuid:2240e02a-5c27-48e3-b5fd-e0a4bbc0c2a8"
        },
        "timestamp": "2021-04-14T15:50:43+00:00",
        "source": {
          "endpoint": "X26OT134"
        },
        "focus": [
          {
            "reference": "urn:uuid:bb760ef6-1c52-460c-83dc-874e5549127f"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:2240e02a-5c27-48e3-b5fd-e0a4bbc0c2a8",
      "resource": {
        "resourceType": "Organization",
        "id": "2240e02a-5c27-48e3-b5fd-e0a4bbc0c2a8",
        "meta": {
          "profile": [
            "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Header-Organization-1"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "X26"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:d3b034fb-dfb6-4d98-be95-6b13e383a90e",
      "resource": {
        "resourceType": "Organization",
        "id": "d3b034fb-dfb6-4d98-be95-6b13e383a90e",
        "meta": {
          "profile": [
            "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Header-Organization-1"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "B86057"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:bb760ef6-1c52-460c-83dc-874e5549127f",
      "resource": {
        "resourceType": "Bundle",
        "id": "bb760ef6-1c52-460c-83dc-874e5549127f",
        "meta": {
          "profile": [
            "https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Document-Bundle-1"
          ]
        },
        "identifier": {
          "system": "https://tools.ietf.org/html/rfc4122",
          "value": "9fc8e8aa-0694-42bd-8844-7dc2a39fbd59"
        },
        "type": "document",
        "entry": [
          {
            "fullUrl": "urn:uuid:7f9d8cfc-60b0-4b04-ae99-0739ead45a75",
            "resource": {
              "resourceType": "Composition",
              "id": "7f9d8cfc-60b0-4b04-ae99-0739ead45a75",
              "meta": {
                "profile": [
                  "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-DM-Immunization-Composition-1"
                ]
              },
              "extension": [
                {
                  "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareSettingType-1",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "413294000",
                        "display": "Community health services (qualifier value)"
                      }
                    ]
                  }
                }
              ],
              "identifier": {
                "system": "https://tools.ietf.org/html/rfc4122",
                "value": "ba40fc7a-07a3-454e-bd74-4c1a57ea255a"
              },
              "status": "final",
              "type": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "41000179103",
                    "display": "Immunization record"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:4d0e5c7a-2f0a-4ce4-8ab2-35ec960b1a75"
              },
              "encounter": {
                "reference": "urn:uuid:a807d9eb-ab18-4f5e-a323-ef9c6efeff0c"
              },
              "date": "2021-04-14",
              "author": [
                {
                  "reference": "urn:uuid:8dffa561-2481-490a-b24a-0b6f65dc814e"
                }
              ],
              "title": "COVID-19 Vaccination Record",
              "custodian": {
                "reference": "urn:uuid:b5608427-b313-4c72-96e8-b2a8fb35ad31"
              },
              "section": [
                {
                  "title": "Allergies and adverse reactions",
                  "code": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "886921000000105",
                        "display": "Allergies and adverse reactions"
                      }
                    ]
                  },
                  "text": {
                    "status": "additional",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Causative agent</th><td>COVID-19 mRNA (nucleoside modified) Vaccine Moderna 0.1mg/0.5mL dose dispersion for injection multidose vials (Moderna, Inc)</td></tr><tr><th>Description of reaction</th><td>described feeling all whoozy</td></tr><tr><th>SNOMED Code of reaction</th><td>404640003 (Dizziness (finding))</td></tr><tr><th>Severity</th><td>mild</td></tr><tr><th>Certainty</th><td>unconfirmed</td></tr><tr><th>Date recorded</th><td>21 Dec 2020</td></tr></tbody></table><table width=\"100%\"><tbody><tr><th>Causative agent</th><td>COVID-19 mRNA (nucleoside modified) Vaccine Moderna 0.1mg/0.5mL dose dispersion for injection multidose vials (Moderna, Inc)</td></tr><tr><th>Description of reaction</th><td>looked a bit damp</td></tr><tr><th>SNOMED Code of reaction</th><td>16514006 (Moist skin (finding))</td></tr><tr><th>Severity</th><td>severe</td></tr><tr><th>Certainty</th><td>unconfirmed</td></tr><tr><th>Date recorded</th><td>21 Dec 2020</td></tr></tbody></table></div>"
                  },
                  "entry": [
                    {
                      "reference": "urn:uuid:7ac9fcf5-2719-4b2d-bedd-adc89654bf1e"
                    }
                  ]
                },
                {
                  "title": "Consent",
                  "code": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "61861000000100",
                        "display": "Consent"
                      }
                    ]
                  },
                  "text": {
                    "status": "additional",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Consent for treatment record</th><td>Patient consented to be given the vaccination</td></tr></tbody></table></div>"
                  }
                },
                {
                  "title": "GP practice",
                  "code": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "886711000000101",
                        "display": "GP practice"
                      }
                    ]
                  },
                  "text": {
                    "status": "additional",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>GP practice identifier</th><td><p>ODS Site Code: B86057</p></td></tr><tr><th>GP practice details</th><td><p>GP practice name: WINDSOR HOUSE GROUP PRACTICE</p></td></tr></tbody></table></div>"
                  },
                  "entry": [
                    {
                      "reference": "urn:uuid:b5608427-b313-4c72-96e8-b2a8fb35ad31"
                    }
                  ]
                },
                {
                  "title": "Vaccinations",
                  "code": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "1102181000000102",
                        "display": "Immunisations"
                      }
                    ]
                  },
                  "text": {
                    "status": "additional",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Vaccine product</th><td>COVID-19 mRNA (nucleoside modified) Vaccine Moderna 0.1mg/0.5mL dose dispersion for injection multidose vials - Moderna, Inc</td><td>39326911000001101</td></tr><tr><th>Manufacturer</th><td>Moderna</td></tr><tr><th>Batch number</th><td>GH56565</td></tr><tr><th>Expiry date</th><td>22 Dec 2020</td></tr></tbody></table><table width=\"100%\"><tbody><tr><th>Vaccine procedure</th><td>Administration of first dose of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) vaccine</td><td>1324681000000101</td></tr><tr><th>Site</th><td>Left upper arm structure (body structure)</td><td>368208006</td></tr><tr><th>Route</th><td>Intramuscular Route (qualifier value)</td><td>78421000</td></tr><tr><th>Indication</th><td>Disease outbreak (event)</td><td>443684005</td></tr><tr><th>Dose</th><td>1 dose</td><td>3317411000001100</td></tr><tr><th>Date Time</th><td>21-Dec-2020 12:34 (GMT)</td></tr><tr><th>Administered by</th><td>Emma Hewitt</td></tr><tr><th>GPHC identifier</th><td>44636</td></tr></tbody></table></div>"
                  },
                  "entry": [
                    {
                      "reference": "urn:uuid:05b2add4-c00d-47da-9035-399e3e8adb58"
                    }
                  ]
                },
                {
                  "title": "Patient demographics",
                  "code": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "886731000000109",
                        "display": "Patient demographics"
                      }
                    ]
                  },
                  "text": {
                    "status": "additional",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Patient name</th><td><p>Given Name: GEORGE</p><p>Family Name: CHAPMAN</p></td></tr><tr><th>Date of birth</th><td>22 August 1976</td></tr><tr><th>Sex</th><td>Male</td></tr><tr><th>NHS Number</th><td>9223344867</td></tr><tr><th>Patient address</th><td><p>SA2 8AN</p></td></tr></tbody></table></div>"
                  },
                  "entry": [
                    {
                      "reference": "urn:uuid:4d0e5c7a-2f0a-4ce4-8ab2-35ec960b1a75"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:4d0e5c7a-2f0a-4ce4-8ab2-35ec960b1a75",
            "resource": {
              "resourceType": "Patient",
              "id": "4d0e5c7a-2f0a-4ce4-8ab2-35ec960b1a75",
              "meta": {
                "profile": [
                  "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"
                ]
              },
              "identifier": [
                {
                  "extension": [
                    {
                      "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1",
                            "code": "01",
                            "display": "Number present and verified"
                          }
                        ]
                      }
                    }
                  ],
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9223344867"
                }
              ],
              "name": [
                {
                  "use": "official",
                  "family": "CHAPMAN",
                  "given": [
                    "GEORGE"
                  ]
                }
              ],
              "gender": "male",
              "birthDate": "1976-08-22",
              "address": [
                {
                  "use": "home",
                  "postalCode": "SA2 8AN"
                }
              ],
              "generalPractitioner": [
                {
                  "reference": "urn:uuid:b5608427-b313-4c72-96e8-b2a8fb35ad31"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:8dffa561-2481-490a-b24a-0b6f65dc814e",
            "resource": {
              "resourceType": "Practitioner",
              "id": "8dffa561-2481-490a-b24a-0b6f65dc814e",
              "meta": {
                "profile": [
                  "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"
                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.hl7.org.uk/Id/gphc-number",
                  "value": "44636"
                }
              ],
              "name": [
                {
                  "use": "official",
                  "family": "Hewitt",
                  "given": [
                    "Emma"
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:05b2add4-c00d-47da-9035-399e3e8adb58",
            "resource": {
              "resourceType": "Immunization",
              "id": "05b2add4-c00d-47da-9035-399e3e8adb58",
              "meta": {
                "profile": [
                  "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-DM-Immunization-1"
                ]
              },
              "extension": [
                {
                  "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DateRecorded-1",
                  "valueDateTime": "2020-12-21T00:00:00+00:00"
                },
                {
                  "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-VaccinationProcedure-1",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "1324681000000101",
                        "display": "Administration of first dose of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) vaccine"
                      }
                    ]
                  }
                }
              ],
              "identifier": [
                {
                  "system": "https://example.com/identifier/digital-medicines/vaccination",
                  "value": "foo"
                }
              ],
              "status": "completed",
              "notGiven": false,
              "vaccineCode": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "39326911000001101",
                    "display": "COVID-19 mRNA (nucleoside modified) Vaccine Moderna 0.1mg/0.5mL dose dispersion for injection multidose vials - Moderna, Inc"
                  }
                ]
              },
              "patient": {
                "reference": "urn:uuid:4d0e5c7a-2f0a-4ce4-8ab2-35ec960b1a75",
                "display": "CHAPMAN, George"
              },
              "encounter": {
                "reference": "urn:uuid:a807d9eb-ab18-4f5e-a323-ef9c6efeff0c"
              },
              "date": "2020-12-21T12:34:44+00:00",
              "primarySource": true,
              "manufacturer": {
                "reference": "urn:uuid:f653edb4-6de5-4eef-bab3-bc9ffadfe2e0",
                "display": "Moderna"
              },
              "lotNumber": "GH56565",
              "expirationDate": "2020-12-22",
              "site": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "368208006",
                    "display": "Left upper arm structure (body structure)"
                  }
                ]
              },
              "route": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "78421000",
                    "display": "Intramuscular Route (qualifier value)"
                  }
                ]
              },
              "doseQuantity": {
                "value": 1,
                "unit": "dose",
                "system": "http://snomed.info/sct",
                "code": "3317411000001100"
              },
              "practitioner": [
                {
                  "role": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/v2/0443",
                        "code": "AP",
                        "display": "Administering Provider"
                      }
                    ]
                  },
                  "actor": {
                    "reference": "urn:uuid:8dffa561-2481-490a-b24a-0b6f65dc814e"
                  }
                }
              ],
              "explanation": {
                "reason": [
                  {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "443684005",
                        "display": "Disease outbreak (event)"
                      }
                    ]
                  }
                ]
              }
            }
          },
          {
            "fullUrl": "urn:uuid:b5608427-b313-4c72-96e8-b2a8fb35ad31",
            "resource": {
              "resourceType": "Organization",
              "id": "b5608427-b313-4c72-96e8-b2a8fb35ad31",
              "meta": {
                "profile": [
                  "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"
                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "B86057"
                }
              ],
              "name": "WINDSOR HOUSE GROUP PRACTICE"
            }
          },
          {
            "fullUrl": "urn:uuid:f653edb4-6de5-4eef-bab3-bc9ffadfe2e0",
            "resource": {
              "resourceType": "Organization",
              "id": "f653edb4-6de5-4eef-bab3-bc9ffadfe2e0",
              "meta": {
                "profile": [
                  "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"
                ]
              },
              "name": "Moderna"
            }
          },
          {
            "fullUrl": "urn:uuid:a807d9eb-ab18-4f5e-a323-ef9c6efeff0c",
            "resource": {
              "resourceType": "Encounter",
              "id": "a807d9eb-ab18-4f5e-a323-ef9c6efeff0c",
              "meta": {
                "profile": [
                  "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Encounter-1"
                ]
              },
              "status": "finished",
              "subject": {
                "reference": "urn:uuid:4d0e5c7a-2f0a-4ce4-8ab2-35ec960b1a75"
              },
              "participant": [
                {
                  "type": [
                    {
                      "coding": [
                        {
                          "system": "http://hl7.org/fhir/v3/ParticipationType",
                          "code": "PPRF",
                          "display": "primary performer"
                        }
                      ]
                    }
                  ],
                  "individual": {
                    "reference": "urn:uuid:8dffa561-2481-490a-b24a-0b6f65dc814e"
                  }
                }
              ],
              "period": {
                "start": "2020-12-21T12:34:44+00:00"
              },
              "serviceProvider": {
                "reference": "urn:uuid:871e1e07-af23-4669-af6c-e03a534c7fde"
              }
            }
          },
          {
            "fullUrl": "urn:uuid:871e1e07-af23-4669-af6c-e03a534c7fde",
            "resource": {
              "resourceType": "Organization",
              "id": "871e1e07-af23-4669-af6c-e03a534c7fde",
              "meta": {
                "profile": [
                  "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"
                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "RVVKC"
                }
              ],
              "name": "KENT & CANTERBURY HOSPITAL"
            }
          },
          {
            "fullUrl": "urn:uuid:7ac9fcf5-2719-4b2d-bedd-adc89654bf1e",
            "resource": {
              "resourceType": "List",
              "id": "7ac9fcf5-2719-4b2d-bedd-adc89654bf1e",
              "meta": {
                "profile": [
                  "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Allergy-List-1"
                ]
              },
              "identifier": [
                {
                  "system": "https://tools.ietf.org/html/rfc4122",
                  "value": "7ac9fcf5-2719-4b2d-bedd-adc89654bf1e"
                }
              ],
              "status": "current",
              "mode": "snapshot",
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "886921000000105",
                    "display": "Allergies and adverse reactions"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:4d0e5c7a-2f0a-4ce4-8ab2-35ec960b1a75",
                "display": "CHAPMAN, George"
              },
              "encounter": {
                "reference": "urn:uuid:a807d9eb-ab18-4f5e-a323-ef9c6efeff0c"
              },
              "source": {
                "reference": "urn:uuid:8dffa561-2481-490a-b24a-0b6f65dc814e",
                "display": "HEWITT, Emma"
              },
              "entry": [
                {
                  "item": {
                    "reference": "urn:uuid:0b8a397b-4e7e-4297-a1dd-f75bec62b247"
                  }
                },
                {
                  "item": {
                    "reference": "urn:uuid:07630115-9a30-4a2c-b78a-f9bd4a481dd2"
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:0b8a397b-4e7e-4297-a1dd-f75bec62b247",
            "resource": {
              "resourceType": "AllergyIntolerance",
              "id": "0b8a397b-4e7e-4297-a1dd-f75bec62b247",
              "meta": {
                "profile": [
                  "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-AllergyIntolerance-1"
                ]
              },
              "identifier": [
                {
                  "system": "https://example.com/identifier/digital-medicines/vaccination",
                  "value": "bar"
                }
              ],
              "clinicalStatus": "active",
              "verificationStatus": "unconfirmed",
              "type": "allergy",
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "39326911000001101",
                    "display": "COVID-19 mRNA (nucleoside modified) Vaccine Moderna 0.1mg/0.5mL dose dispersion for injection multidose vials (Moderna, Inc)"
                  }
                ]
              },
              "patient": {
                "reference": "urn:uuid:4d0e5c7a-2f0a-4ce4-8ab2-35ec960b1a75",
                "display": "CHAPMAN, George"
              },
              "assertedDate": "2020-12-21",
              "reaction": [
                {
                  "manifestation": [
                    {
                      "coding": [
                        {
                          "system": "http://snomed.info/sct",
                          "code": "404640003",
                          "display": "Dizziness (finding)"
                        }
                      ]
                    }
                  ],
                  "description": "described feeling all whoozy",
                  "onset": "2020-12-21T00:00:00+00:00",
                  "severity": "mild"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:07630115-9a30-4a2c-b78a-f9bd4a481dd2",
            "resource": {
              "resourceType": "AllergyIntolerance",
              "id": "07630115-9a30-4a2c-b78a-f9bd4a481dd2",
              "meta": {
                "profile": [
                  "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-AllergyIntolerance-1"
                ]
              },
              "identifier": [
                {
                  "system": "https://example.com/identifier/digital-medicines/vaccination",
                  "value": "baz"
                }
              ],
              "clinicalStatus": "active",
              "verificationStatus": "unconfirmed",
              "type": "intolerance",
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "39326911000001101",
                    "display": "COVID-19 mRNA (nucleoside modified) Vaccine Moderna 0.1mg/0.5mL dose dispersion for injection multidose vials (Moderna, Inc)"
                  }
                ]
              },
              "patient": {
                "reference": "urn:uuid:4d0e5c7a-2f0a-4ce4-8ab2-35ec960b1a75",
                "display": "CHAPMAN, George"
              },
              "assertedDate": "2020-12-21",
              "reaction": [
                {
                  "manifestation": [
                    {
                      "coding": [
                        {
                          "system": "http://snomed.info/sct",
                          "code": "16514006",
                          "display": "Moist skin (finding)"
                        }
                      ]
                    }
                  ],
                  "description": "looked a bit damp",
                  "onset": "2020-12-21T00:00:00+00:00",
                  "severity": "severe"
                }
              ]
            }
          }
        ]
      }
    }
  ]
}