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Source1

{
  "resourceType": "Immunization",
  "id": "SEIR-example-incomplete",
  "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": "PEDROSJ-PHILHEALTH-005"
      }
    },
    {
      "url": "http://example.org/fhir/StructureDefinition/patient-philsys-id-on-immunization",
      "valueIdentifier": {
        "system": "http://nationalidsystem.gov.ph/psn",
        "value": "PEDROSJ-PHILSYS-006"
      }
    },
    {
      "url": "http://example.org/fhir/StructureDefinition/mother-philhealth-id-on-immunization",
      "valueIdentifier": {
        "system": "http://www.philhealth.gov.ph/pin",
        "value": "PEDROSJ-MOTHERS-PHILHEALTH-ABCDE"
      }
    },
    {
      "url": "http://example.org/fhir/StructureDefinition/mother-philsys-id-on-immunization",
      "valueIdentifier": {
        "system": "http://nationalidsystem.gov.ph/psn",
        "value": "PEDROSJ-MOTHERS-PHILSYS-FGHIJ"
      }
    }
  ],
  "identifier": [
    {
      "system": "urn:oid:1.2.3.4.5.6.7.8.9.17",
      "value": "IMZ-2025-0008"
    }
  ],
  "status": "not-done",
  "statusReason": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/immunization-status-reason",
        "code": "PATOBJ",
        "display": "Patient objection"
      }
    ],
    "text": "Patient verbally refused tetanus shot due to fear of needles."
  },
  "vaccineCode": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "249826002",
        "display": "Tetanus toxoid vaccine"
      },
      {
        "system": "urn://example.com/eLMIS-vaccine-codes",
        "code": "TT001",
        "display": "Tetanus Toxoid Vaccine"
      }
    ],
    "text": "Tetanus Toxoid Vaccine"
  },
  "patient": {
    "reference": "Patient/ph-patient-example-08",
    "display": "Pedro San Jose"
  },
  "occurrenceDateTime": "2025-06-05T10:00:00+08:00",
  "recorded": "2025-06-05T10:10:00+08:00",
  "primarySource": true,
  "location": {
    "reference": "Location/ph-clinic-example-08",
    "display": "Municipal Health Office"
  },
  "performer": [
    {
      "function": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0482",
            "code": "AP",
            "display": "Administering Provider"
          }
        ]
      },
      "actor": {
        "reference": "Practitioner/ph-practitioner-example-08",
        "display": "Dr. Ben Lim"
      }
    }
  ],
  "note": [
    {
      "text": "Counseled patient on the importance of tetanus vaccination, but he remained hesitant. Advised to consider in the future."
    }
  ]
}