AU Core Implementation Guide
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: Immunization - COVID Dose 1 - XML Representation

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<Immunization xmlns="http://hl7.org/fhir">
  <id value="covid-1"/>
  <meta>
    <profile
             value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Immunization</b><a name="covid-1"> </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;covid-1&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-au-core-immunization.html">AU Core Immunization</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-bennelong-anne.html">Patient/bennelong-anne</a> &quot; BENNELONG&quot;</p><p><b>encounter</b>: <a href="Encounter-covid-admin-1.html">Encounter/covid-admin-1</a></p><p><b>occurrence</b>: 2021-06-17</p><p><b>recorded</b>: 2021-06-17</p><p><b>primarySource</b>: true</p><p><b>location</b>: <a href="Location-bobrester-medical-center.html">Location/bobrester-medical-center</a> &quot;Tindal Building&quot;</p><p><b>manufacturer</b>: <span>: Pfizer Australia Ltd</span></p><p><b>lotNumber</b>: 200000000P</p><p><b>site</b>: Left upper arm <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#368208006 &quot;Left upper arm structure&quot;)</span></p><p><b>route</b>: Intramuscular <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#78421000 &quot;Intramuscular route&quot;)</span></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-bobrester-bob-gp.html">PractitionerRole/bobrester-bob-gp</a></td></tr></table><h3>ProtocolApplieds</h3><table class="grid"><tr><td>-</td><td><b>Series</b></td><td><b>TargetDisease</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td>*</td><td>primary vaccination course 2-dose</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/bennelong-anne"/>
    <identifier>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
          <code value="NI"/>
          <display value="National unique individual identifier"/>
        </coding>
        <text value="IHI"/>
      </type>
      <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
      <value value="8003608833357361"/>
    </identifier>
  </patient>
  <encounter>
    <reference value="Encounter/covid-admin-1"/>
  </encounter>
  <occurrenceDateTime value="2021-06-17"/>
  <recorded value="2021-06-17"/>
  <primarySource value="true"/>
  <location>
    <reference value="Location/bobrester-medical-center"/>
  </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="200000000P"/>
  <site>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="368208006"/>
      <display value="Left upper arm structure"/>
    </coding>
    <text value="Left upper arm"/>
  </site>
  <route>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="78421000"/>
      <display value="Intramuscular route"/>
    </coding>
    <text value="Intramuscular"/>
  </route>
  <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/bobrester-bob-gp"/>
      <identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="NPI"/>
            <display value="National provider identifier"/>
          </coding>
          <text value="HPI-I"/>
        </type>
        <system value="http://ns.electronichealth.net.au/id/hi/hpii/1.0"/>
        <value value="8003619900015717"/>
      </identifier>
    </actor>
  </performer>
  <protocolApplied>
    <series value="primary vaccination course 2-dose"/>
    <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>