AU Base Implementation Guide
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This page is part of the AU Base Implementation Guide 4.1.0. It is based on FHIR R4. For a full list of available versions, see the Directory of published versions

: Immunization - Administration of Pfizer Comirnaty dose 1 for Sarah Simmons - JSON Representation

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{
  "resourceType" : "Immunization",
  "id" : "example3",
  "meta" : {
    "profile" : [
      "http://hl7.org.au/fhir/StructureDefinition/au-immunization"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Immunization</b><a name=\"example3\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Immunization &quot;example3&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-au-immunization.html\">AU Base Immunisation</a></p></div><p><b>Vaccine Vial Serial Number</b>: vNo1111</p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: Pfizer Comirnaty <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (air-vaccine-code-formats#COMIRN; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1525011000168107 &quot;Comirnaty&quot;)</span></p><p><b>patient</b>: <a href=\"Patient-example5.html\">Patient/example5</a> &quot; SIMMONS&quot;</p><p><b>occurrence</b>: 2021-11-17</p><p><b>recorded</b>: 2021-11-17</p><p><b>primarySource</b>: true</p><p><b>location</b>: <a href=\"Location-example3.html\">Location/example3</a></p><p><b>manufacturer</b>: <span>: Pfizer Australia Ltd</span></p><p><b>lotNumber</b>: 500000000P</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td>Administering Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v2-0443.html\">providerRole</a>#AP)</span></td><td><a href=\"PractitionerRole-example3.html\">PractitionerRole/example3</a></td></tr></table><h3>ProtocolApplieds</h3><table class=\"grid\"><tr><td>-</td><td><b>TargetDisease</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td>*</td><td>COVID-19 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#840539006)</span></td><td>1</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org.au/fhir/StructureDefinition/vaccine-serial-number",
      "valueString" : "vNo1111"
    }
  ],
  "status" : "completed",
  "vaccineCode" : // Vial serial number below does not conform to reporting requirements to avoid conflict with real world values
  {
    "coding" : [
      {
        "system" : "https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats",
        "code" : "COMIRN"
      },
      {
        "system" : "http://snomed.info/sct",
        "code" : "1525011000168107",
        "display" : "Comirnaty"
      }
    ],
    "text" : "Pfizer Comirnaty"
  },
  "patient" : {
    "reference" : "Patient/example5",
    "identifier" : {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MC",
            "display" : "Patient's Medicare number"
          }
        ],
        "text" : "Medicare Number"
      },
      "system" : "http://ns.electronichealth.net.au/id/medicare-number",
      "value" : "22968184811",
      "period" : {
        "end" : "2022-12"
      }
    }
  },
  "occurrenceDateTime" : "2021-11-17",
  "recorded" : "2021-11-17",
  "primarySource" : true,
  "location" : {
    "reference" : "Location/example3"
  },
  "manufacturer" : {
    "display" : "Pfizer Australia Ltd"
  },
  "lotNumber" : "500000000P",
  "performer" : [
    // Lot number below does not conform to batch number reporting requirements to avoid conflict with real world values
    {
      "function" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0443",
            "code" : "AP",
            "display" : "Administering Provider"
          }
        ],
        "text" : "Administering Provider"
      },
      "actor" : {
        "reference" : "PractitionerRole/example3",
        "identifier" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
                "code" : "UPIN"
              }
            ],
            "text" : "Medicare Provider Number"
          },
          "system" : "http://ns.electronichealth.net.au/id/medicare-provider-number",
          "value" : "1234561A"
        }
      }
    }
  ],
  "protocolApplied" : [
    {
      "targetDisease" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "840539006",
              "display" : "COVID-19"
            }
          ],
          "text" : "COVID-19"
        }
      ],
      "doseNumberPositiveInt" : 1
    }
  ]
}