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Narrative

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Source1

{
  "resourceType": "Immunization",
  "id": "ma-ma-schema-1-Immunization-7001",
  "meta": {
    "lastUpdated": "2023-12-18T23:07:47Z",
    "source": "urn:telus:emr:ma:ma-schema-1",
    "security": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code": "N",
        "display": "normal"
      }
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "use": "official",
      "system": "urn:telus:emr:ma:ma-schema-1:Immunization",
      "value": "7001"
    }
  ],
  "status": "completed",
  "vaccineCode": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/sid/cvx",
        "code": "141",
        "display": "Influenza, seasonal, injectable"
      },
      {
        "system": "http://snomed.info/sct",
        "code": "1181000221105",
        "display": "Influenza vaccine"
      }
    ],
    "text": "Seasonal Influenza Vaccine"
  },
  "patient": {
    "reference": "Patient/ma-ma-schema-1-Patient-12345",
    "type": "Patient",
    "display": "John Michael Smith"
  },
  "encounter": {
    "reference": "Encounter/ma-ma-schema-1-Encounter-2001",
    "type": "Encounter"
  },
  "occurrenceDateTime": "2023-12-18T10:30:00Z",
  "primarySource": true,
  "location": {
    "reference": "Location/ma-ma-schema-1-Location-101",
    "type": "Location",
    "display": "Exam Room 1"
  },
  "manufacturer": {
    "display": "ABC Pharmaceuticals"
  },
  "lotNumber": "FLU2023-12345",
  "expirationDate": "2024-06-30",
  "site": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "72098002",
        "display": "Entire left upper arm"
      }
    ]
  },
  "route": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
        "code": "IM",
        "display": "Injection, intramuscular"
      }
    ]
  },
  "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": {
        "reference": "Practitioner/ma-ma-schema-1-Practitioner-789",
        "type": "Practitioner",
        "display": "Dr. Sarah Johnson"
      }
    }
  ],
  "note": [
    {
      "text": "Patient tolerated the vaccine well. No immediate adverse reactions observed. Advised to monitor for any delayed reactions and to return if concerns arise."
    }
  ],
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "134436002",
          "display": "Lifestyle"
        }
      ],
      "text": "Seasonal influenza prevention"
    }
  ],
  "isSubpotent": false,
  "education": [
    {
      "documentType": "VIS",
      "publicationDate": "2023-08-15",
      "presentationDate": "2023-12-18T10:25:00Z"
    }
  ],
  "protocolApplied": [
    {
      "series": "Annual",
      "targetDisease": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "6142004",
              "display": "Influenza"
            }
          ]
        }
      ],
      "doseNumberPositiveInt": 1
    }
  ]
}