AU Base Implementation Guide
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This page is part of the Australian Base IG (v4.2.1-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.1.0. For a full list of available versions, see the Directory of published versions

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

Page standards status: Informative

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<Immunization xmlns="http://hl7.org/fhir">
  <id value="example3"/>
  <meta>
    <profile
             value="http://hl7.org.au/fhir/StructureDefinition/au-immunization"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Immunization </b><a name="example3"> </a><a name="hcexample3"> </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">ResourceImmunization &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 style="display: none">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td>Administering Provider <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/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 style="display: none">-</td><td><b>TargetDisease</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td style="display: none">*</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>
  </text>
  <extension
             url="http://hl7.org.au/fhir/StructureDefinition/vaccine-serial-number">
    <!-- Vial serial number below does not conform to reporting requirements to avoid conflict with real world values -->
    <valueString value="vNo1111"/>
  </extension>
  <status value="completed"/>
  <vaccineCode>
    <coding>
      <system
              value="https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats"/>
      <code value="COMIRN"/>
    </coding>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="1525011000168107"/>
      <display value="Comirnaty"/>
    </coding>
    <text value="Pfizer Comirnaty"/>
  </vaccineCode>
  <patient>🔗 
    <reference value="Patient/example5"/>
    <identifier>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
          <code value="MC"/>
          <display value="Patient's Medicare number"/>
        </coding>
        <text value="Medicare Number"/>
      </type>
      <system value="http://ns.electronichealth.net.au/id/medicare-number"/>
      <value value="22968184811"/>
      <period>
        <end value="2022-12"/>
      </period>
    </identifier>
  </patient>
  <occurrenceDateTime value="2021-11-17"/>
  <recorded value="2021-11-17"/>
  <primarySource value="true"/>
  <location>🔗 
    <reference value="Location/example3"/>
  </location>
  <manufacturer>
    <display value="Pfizer Australia Ltd"/>
  </manufacturer>
  <!-- Lot number below does not conform to batch number reporting requirements to avoid conflict with real world values -->
  <lotNumber value="500000000P"/>
  <performer>
    <function>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0443"/>
        <code value="AP"/>
        <display value="Administering Provider"/>
      </coding>
      <text value="Administering Provider"/>
    </function>
    <actor>🔗 
      <reference value="PractitionerRole/example3"/>
      <identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
            <code value="UPIN"/>
          </coding>
          <text value="Medicare Provider Number"/>
        </type>
        <system
                value="http://ns.electronichealth.net.au/id/medicare-provider-number"/>
        <value value="1234561A"/>
      </identifier>
    </actor>
  </performer>
  <protocolApplied>
    <targetDisease>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="840539006"/>
        <display value="COVID-19"/>
      </coding>
      <text value="COVID-19"/>
    </targetDisease>
    <doseNumberPositiveInt value="1"/>
  </protocolApplied>
</Immunization>