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Narrative

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Source1

{
  "resourceType": "Immunization",
  "meta": {
    "extension": [
      {
        "url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact",
        "extension": [
          {
            "url": "msgId",
            "valueIdentifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
              "value": "CR001"
            }
          },
          {
            "url": "msgSequenceId",
            "valueIdentifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
              "value": "001"
            }
          },
          {
            "url": "date",
            "valueDateTime": "2026-04-01T15:00:00+08:00"
          }
        ]
      }
    ],
    "profile": [
      "https://fhir.synapxe.sg/StructureDefinition/profile-immunization"
    ],
    "source": "HPB-IDEAS",
    "tag": [
      {
        "code": "TTSH"
      }
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
      "value": "IMM-2026-00345"
    }
  ],
  "status": "completed",
  "vaccineCode": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "1119349007",
        "display": "Vaccine product containing only Severe acute respiratory syndrome coronavirus 2 messenger ribonucleic acid"
      }
    ]
  },
  "manufacturer": {
    "concept": {
      "coding": [
        {
          "system": "http://hl7.org/fhir/sid/mvx",
          "code": "PFR",
          "display": "Pfizer, Inc"
        }
      ],
      "text": "Pfizer, Inc"
    }
  },
  "patient": {
    "type": "Patient",
    "identifier": {
      "system": "https://fhir.synapxe.sg/NamingSystem/nric",
      "value": "S8765432A"
    }
  },
  "occurrenceDateTime": "2026-02-20T10:30:00+08:00",
  "primarySource": true,
  "lotNumber": "EL9261",
  "expirationDate": "2026-06-30",
  "site": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "368209003",
        "display": "Right arm"
      }
    ]
  },
  "route": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
        "code": "IM",
        "display": "Injection, intramuscular"
      }
    ]
  },
  "doseQuantity": {
    "value": 0.3,
    "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": {
        "type": "Practitioner",
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
          "value": "N11223"
        },
        "display": "Nurse Siti Aminah"
      }
    },
    {
      "function": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0443",
            "code": "OP",
            "display": "Ordering Provider"
          }
        ]
      },
      "actor": {
        "type": "Practitioner",
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
          "value": "M45678"
        },
        "display": "Dr. Lim Boon Keng"
      }
    }
  ],
  "note": [
    {
      "text": "Vaccine administered in right deltoid. Patient observed for 30 minutes post-vaccination. No immediate adverse reactions noted. Patient advised on common side effects."
    }
  ],
  "reason": [
    {
      "concept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "281647001",
            "display": "Adverse reaction"
          }
        ]
      },
      "reference": {
        "type": "Condition",
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
          "value": "COND-2026-00123"
        },
        "display": "COVID-19 vaccination schedule"
      }
    }
  ],
  "reaction": [
    {
      "date": "2026-02-20T11:00:00+08:00",
      "manifestation": {
        "concept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "247412007",
              "display": "Injection site pain"
            }
          ]
        }
      },
      "reported": true
    }
  ],
  "protocolApplied": [
    {
      "authority": {
        "type": "Organization",
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
          "value": "HCI-MOHH"
        },
        "display": "Ministry of Health Holdings"
      },
      "targetDisease": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "840539006",
              "display": "COVID-19"
            }
          ]
        }
      ],
      "doseNumber": "3"
    }
  ]
}