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Source1

{
  "resourceType": "Immunization",
  "id": "SEIR-example-entered-in-error-",
  "meta": {
    "profile": [
      "http://build.fhir.org/ig/UP-Manila-SILab/immunizationfhirig/branches/master/StructureDefinition-seir-immunization.html"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://example.org/fhir/StructureDefinition/patient-philhealth-id-on-immunization",
      "valueIdentifier": {
        "system": "http://www.philhealth.gov.ph/pin",
        "value": "ROBERTR-PHILHEALTH-009"
      }
    },
    {
      "url": "http://example.org/fhir/StructureDefinition/patient-philsys-id-on-immunization",
      "valueIdentifier": {
        "system": "http://nationalidsystem.gov.ph/psn",
        "value": "ROBERTR-PHILSYS-010"
      }
    },
    {
      "url": "http://example.org/fhir/StructureDefinition/mother-philhealth-id-on-immunization",
      "valueIdentifier": {
        "system": "http://www.philhealth.gov.ph/pin",
        "value": "ROBERTR-MOTHERS-PHILHEALTH-ABC12"
      }
    },
    {
      "url": "http://example.org/fhir/StructureDefinition/mother-philsys-id-on-immunization",
      "valueIdentifier": {
        "system": "http://nationalidsystem.gov.ph/psn",
        "value": "ROBERTR-MOTHERS-PHILSYS-DEF34"
      }
    }
  ],
  "identifier": [
    {
      "system": "urn:oid:1.2.3.4.5.6.7.8.9.14",
      "value": "IMZ-2025-0005"
    }
  ],
  "status": "entered-in-error",
  "statusReason": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/immunization-status-reason",
        "code": "MEDREC-ERR",
        "display": "Medical record error"
      }
    ],
    "text": "Patient received a different vaccine; this record was created in error."
  },
  "vaccineCode": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "414002008",
        "display": "Typhoid vaccine"
      },
      {
        "system": "urn://example.com/eLMIS-vaccine-codes",
        "code": "TYPH001",
        "display": "Typhoid Vaccine (Vi Polysaccharide)"
      }
    ],
    "text": "Typhoid Vaccine"
  },
  "patient": {
    "reference": "Patient/ph-patient-example02",
    "display": "Robert Dela Rosa"
  },
  "occurrenceDateTime": "2025-03-15T10:00:00+08:00",
  "recorded": "2025-03-15T10:30:00+08:00",
  "primarySource": true,
  "location": {
    "reference": "Location/ph-clinic-example02",
    "display": "Private Clinic Dr. Kim"
  },
  "manufacturer": {
    "reference": "Organization/ph-manufacturer-example02",
    "display": "Pharma Asia"
  },
  "lotNumber": "OPQR9012",
  "expirationDate": "2026-06-30",
  "site": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActSite",
        "code": "LA",
        "display": "Left Arm"
      }
    ]
  },
  "route": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
        "code": "IM",
        "display": "Intramuscular"
      }
    ]
  },
  "doseQuantity": {
    "value": 0.5,
    "unit": "mL",
    "system": "http://unitsofmeasure.org",
    "code": "mL"
  },
  "performer": [
    {
      "function": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0482",
            "code": "AP",
            "display": "Administering Provider"
          }
        ]
      },
      "actor": {
        "reference": "Practitioner/ph-practitioner-example02",
        "display": "Dr. Kim Chua"
      }
    }
  ],
  "note": [
    {
      "text": "Original entry was for Typhoid, but patient actually received Hepatitis A vaccine on this date. Correct record created separately."
    }
  ]
}