This page is part of the International Patient Summary Implementation Guide (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="bundle-no-info-required-sections"/>
<language value="en-NZ"/>
<identifier>
<system value="urn:oid:2.16.724.4.8.10.200.10"/>
<value value="59f51f0b-2005-485c-858e-3d3ae9657287"/>
</identifier>
<type value="document"/>
<timestamp value="2022-01-08T20:42:11.0607701+00:00"/>
<entry>
<fullUrl
value="https://terminz.azurewebsites.net/fhir/Composition/514af4c1-194d-48b4-8afe-7be09d3f895a"/>
<resource>
<Composition>
<id value="514af4c1-194d-48b4-8afe-7be09d3f895a"/>
<meta>
<versionId value="1"/>
</meta>
<language value="en-NZ"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-NZ" lang="en-NZ"><a name="Composition_514af4c1-194d-48b4-8afe-7be09d3f895a"> </a><p class="res-header-id"><b>Generated Narrative: Composition 514af4c1-194d-48b4-8afe-7be09d3f895a</b></p><a name="514af4c1-194d-48b4-8afe-7be09d3f895a"> </a><a name="hc514af4c1-194d-48b4-8afe-7be09d3f895a"> </a><a name="514af4c1-194d-48b4-8afe-7be09d3f895a-en-US"> </a><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">version: 1; Language: en-NZ</p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.2.18.7.2</code>/59f51f0b-2005-485c-858e-3d3ae9657287</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 60591-5}">Patient summary Document</span></p><p><b>date</b>: 2021-05-03</p><p><b>author</b>: <a href="Bundle-bundle-no-info-required-sections.html#Organization_d9b97b04-b606-4f07-baf2-7eb3dcae0a2a">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#59f51f0b-2005-485c-858e-3d3ae9657287; type = document; timestamp = 2022-01-08 20:42:11+0000</a></p><p><b>title</b>: International Patient Summary</p><p><b>confidentiality</b>: normal</p><h3>Attesters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style="display: none">*</td><td>Professional</td><td>2021-05-03</td><td><a href="Bundle-bundle-no-info-required-sections.html#PractitionerRole_f54d8c90-aea2-46b0-8f7a-8683db78344e">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#59f51f0b-2005-485c-858e-3d3ae9657287; type = document; timestamp = 2022-01-08 20:42:11+0000</a></td></tr></table><p><b>custodian</b>: <a href="Bundle-bundle-no-info-required-sections.html#Organization_70a756e3-20b3-4637-8601-a222983e295a">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#59f51f0b-2005-485c-858e-3d3ae9657287; type = document; timestamp = 2022-01-08 20:42:11+0000</a></p><h3>RelatesTos</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Target[x]</b></td></tr><tr><td style="display: none">*</td><td>Transforms</td><td><code>urn:oid:2.16.840.1.113883.2.18.7.2</code>/59f51f0b-2005-485c-858e-3d3ae9657287</td></tr></table><h3>Events</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Period</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActClass PCPR}">care provision</span></td><td>?? --> 2021-05-03</td></tr></table></div>
</text>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.18.7.2"/>
<value value="59f51f0b-2005-485c-858e-3d3ae9657287"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="60591-5"/>
<display value="Patient summary Document"/>
</coding>
</type>
<subject>
<reference value="Patient/AAA1234"/>
</subject>
<date value="2021-05-03"/>
<author>
<reference
value="Organization/d9b97b04-b606-4f07-baf2-7eb3dcae0a2a"/>
</author>
<title value="International Patient Summary"/>
<confidentiality value="N"/>
<attester>
<mode value="professional"/>
<time value="2021-05-03"/>
<party>
<reference
value="PractitionerRole/f54d8c90-aea2-46b0-8f7a-8683db78344e"/>
</party>
</attester>
<custodian>
<reference
value="Organization/70a756e3-20b3-4637-8601-a222983e295a"/>
</custodian>
<relatesTo>
<code value="transforms"/>
<targetIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.18.7.2"/>
<value value="59f51f0b-2005-485c-858e-3d3ae9657287"/>
</targetIdentifier>
</relatesTo>
<event>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActClass"/>
<code value="PCPR"/>
</coding>
</code>
<period>
<end value="2021-05-03"/>
</period>
</event>
<section>
<title value="Allergies and Intolerances"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
<display value="Allergies and adverse reactions Document"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" lang="en-NZ" xml:lang="en-NZ">There is no information available regarding the subject's allergy conditions.</div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="unavailable"/>
<display value="Unavailable"/>
</coding>
<text value="No information available"/>
</emptyReason>
</section>
<section>
<title value="Problem List"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11450-4"/>
<display value="Problem list - Reported"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" lang="en-NZ" xml:lang="en-NZ">There is no information available about the subject's health problems or disabilities.</div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="unavailable"/>
<display value="Unavailable"/>
</coding>
<text value="No information available"/>
</emptyReason>
</section>
<section>
<title value="Medication Summary"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10160-0"/>
<display value="History of Medication use Narrative"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" lang="en-NZ" xml:lang="en-NZ">There is no information available about the subject's medication use or administration.</div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="unavailable"/>
<display value="Unavailable"/>
</coding>
<text value="No information available"/>
</emptyReason>
</section>
<section>
<title value="Immunizations"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11369-6"/>
<display value="History of Immunization Narrative"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-NZ"><table xmlns="http://www.w3.org/1999/xhtml"><thead><tr><th>Vaccine</th><th>Date</th><th>Seq</th><th>Route</th><th>Site</th><th>Indication</th><th>Status</th></tr></thead><tbody><tr><td>Influenza</td><td>03/07/2020</td><td>2</td><td>Injection, intramuscular</td><td>Entire left upper arm</td><td>Eligible condition (Influenza)</td><td>completed</td></tr><tr><td>Influenza</td><td>03/06/2019</td><td>1</td><td>Injection, intramuscular</td><td>Entire left upper arm</td><td>Eligible condition (Influenza)</td><td>completed</td></tr></tbody></table></div>
</text>
<entry>
<reference
value="Immunization/4ab062b3-8843-4b98-af62-3d6d178a3772"/>
</entry>
<entry>
<reference
value="Immunization/bd6c6537-6c5a-4fa8-8d26-2b49377425a2"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="https://terminz.azurewebsites.net/fhir/Patient/AAA1234"/>
<resource>
<Patient>
<id value="AAA1234"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_AAA1234"> </a><p class="res-header-id"><b>Generated Narrative: Patient AAA1234</b></p><a name="AAA1234"> </a><a name="hcAAA1234"> </a><a name="AAA1234-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">James Judge Male, DoB: 1985-04-25 ( https://standards.digital.health.nz/ns/nhi-id#AAA1234)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Known Marital status of Patient">Marital Status:</td><td colspan="3"><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}">Married</span></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: tel:+6478532279(Home)</li><li>Bleak House 3 Worcester Drive Rototuna North Hamilton 3210 NZ (home)</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Language spoken">Language:</td><td colspan="3"><span title="Codes:{urn:ietf:bcp:47 en-NZ}">English (Region=New Zealand)</span></td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: family member">family member:</td><td colspan="3"><ul><li>Natural mother mother </li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: unrelated friend">unrelated friend:</td><td colspan="3"><ul><li>Peter Rabbit Rabbit </li><li>9 Worcester Drive Rototuna Hamilton 3210 NZ (home)</li><li>ph: 07 853 9191(Home)</li></ul></td></tr></table></div>
</text>
<identifier>
<system value="https://standards.digital.health.nz/ns/nhi-id"/>
<value value="AAA1234"/>
</identifier>
<name>
<use value="usual"/>
<family value="Judge"/>
<given value="James"/>
</name>
<telecom>
<system value="phone"/>
<value value="tel:+6478532279"/>
<use value="home"/>
</telecom>
<gender value="male"/>
<birthDate value="1985-04-25"/>
<address>
<use value="home"/>
<type value="physical"/>
<line value="Bleak House"/>
<line value="3 Worcester Drive"/>
<line value="Rototuna North"/>
<city value="Hamilton"/>
<postalCode value="3210"/>
<country value="NZ"/>
</address>
<maritalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="M"/>
<display value="Married"/>
</coding>
</maritalStatus>
<contact>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="FAMMEMB"/>
<display value="family member"/>
</coding>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
<code value="N"/>
<display value="Next-of-Kin"/>
</coding>
</relationship>
<name>
<use value="usual"/>
<family value="mother"/>
<given value="Natural"/>
<given value="mother"/>
</name>
</contact>
<contact>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="FRND"/>
<display value="unrelated friend"/>
</coding>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
<code value="C"/>
<display value="Emergency Contact"/>
</coding>
</relationship>
<name>
<use value="usual"/>
<family value="Rabbit"/>
<given value="Peter"/>
<given value="Rabbit"/>
</name>
<telecom>
<system value="phone"/>
<value value="07 853 9191"/>
<use value="home"/>
</telecom>
<address>
<use value="home"/>
<type value="physical"/>
<line value="9 Worcester Drive"/>
<line value="Rototuna"/>
<city value="Hamilton"/>
<postalCode value="3210"/>
<country value="NZ"/>
</address>
</contact>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en-NZ"/>
</coding>
</language>
</communication>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="https://terminz.azurewebsites.net/fhir/Organization/d9b97b04-b606-4f07-baf2-7eb3dcae0a2a"/>
<resource>
<Organization>
<id value="d9b97b04-b606-4f07-baf2-7eb3dcae0a2a"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_d9b97b04-b606-4f07-baf2-7eb3dcae0a2a"> </a><p class="res-header-id"><b>Generated Narrative: Organization d9b97b04-b606-4f07-baf2-7eb3dcae0a2a</b></p><a name="d9b97b04-b606-4f07-baf2-7eb3dcae0a2a"> </a><a name="hcd9b97b04-b606-4f07-baf2-7eb3dcae0a2a"> </a><a name="d9b97b04-b606-4f07-baf2-7eb3dcae0a2a-en-US"> </a><p><b>identifier</b>: <code>https://standards.digital.health.nz/ns/hpi-facility-id</code>/F0K068-E</p><p><b>name</b>: Northcare, Thomas Road</p></div>
</text>
<identifier>
<system
value="https://standards.digital.health.nz/ns/hpi-facility-id"/>
<value value="F0K068-E"/>
</identifier>
<name value="Northcare, Thomas Road"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="https://terminz.azurewebsites.net/fhir/PractitionerRole/f54d8c90-aea2-46b0-8f7a-8683db78344e"/>
<resource>
<PractitionerRole>
<id value="f54d8c90-aea2-46b0-8f7a-8683db78344e"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_f54d8c90-aea2-46b0-8f7a-8683db78344e"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole f54d8c90-aea2-46b0-8f7a-8683db78344e</b></p><a name="f54d8c90-aea2-46b0-8f7a-8683db78344e"> </a><a name="hcf54d8c90-aea2-46b0-8f7a-8683db78344e"> </a><a name="f54d8c90-aea2-46b0-8f7a-8683db78344e-en-US"> </a><p><b>practitioner</b>: <a href="Bundle-bundle-no-info-required-sections.html#Practitioner_19c24876-ccf8-45e7-8b66-462317e970f1">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#59f51f0b-2005-485c-858e-3d3ae9657287; type = document; timestamp = 2022-01-08 20:42:11+0000</a></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 158965000}">Doctor</span></p></div>
</text>
<practitioner>
<reference
value="Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1"/>
</practitioner>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="158965000"/>
<display value="Doctor"/>
</coding>
</code>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl
value="https://terminz.azurewebsites.net/fhir/Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1"/>
<resource>
<Practitioner>
<id value="19c24876-ccf8-45e7-8b66-462317e970f1"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_19c24876-ccf8-45e7-8b66-462317e970f1"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner 19c24876-ccf8-45e7-8b66-462317e970f1</b></p><a name="19c24876-ccf8-45e7-8b66-462317e970f1"> </a><a name="hc19c24876-ccf8-45e7-8b66-462317e970f1"> </a><a name="19c24876-ccf8-45e7-8b66-462317e970f1-en-US"> </a><p><b>name</b>: Dr Richard Kildare Kildare </p><p><b>telecom</b>: ph: tel:+6478539191(Work)</p><p><b>address</b>: 12 Thomas Rd Huntingdon Hamilton 3211 NZ (work)</p></div>
</text>
<name>
<use value="usual"/>
<family value="Kildare"/>
<given value="Dr"/>
<given value="Richard"/>
<given value="Kildare"/>
</name>
<telecom>
<system value="phone"/>
<value value="tel:+6478539191"/>
<use value="work"/>
</telecom>
<address>
<use value="work"/>
<type value="physical"/>
<line value="12 Thomas Rd"/>
<line value="Huntingdon"/>
<city value="Hamilton"/>
<postalCode value="3211"/>
<country value="NZ"/>
</address>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="https://terminz.azurewebsites.net/fhir/Organization/70a756e3-20b3-4637-8601-a222983e295a"/>
<resource>
<Organization>
<id value="70a756e3-20b3-4637-8601-a222983e295a"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_70a756e3-20b3-4637-8601-a222983e295a"> </a><p class="res-header-id"><b>Generated Narrative: Organization 70a756e3-20b3-4637-8601-a222983e295a</b></p><a name="70a756e3-20b3-4637-8601-a222983e295a"> </a><a name="hc70a756e3-20b3-4637-8601-a222983e295a"> </a><a name="70a756e3-20b3-4637-8601-a222983e295a-en-US"> </a><p><b>identifier</b>: <code>https://standards.digital.health.nz/ns/psychotherapists-board-id</code>/F2N000-J</p><p><b>name</b>: NorthCare Pukete Road</p></div>
</text>
<identifier>
<system
value="https://standards.digital.health.nz/ns/psychotherapists-board-id"/>
<value value="F2N000-J"/>
</identifier>
<name value="NorthCare Pukete Road"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="https://terminz.azurewebsites.net/fhir/Immunization/4ab062b3-8843-4b98-af62-3d6d178a3772"/>
<resource>
<Immunization>
<id value="4ab062b3-8843-4b98-af62-3d6d178a3772"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Immunization_4ab062b3-8843-4b98-af62-3d6d178a3772"> </a><p class="res-header-id"><b>Generated Narrative: Immunization 4ab062b3-8843-4b98-af62-3d6d178a3772</b></p><a name="4ab062b3-8843-4b98-af62-3d6d178a3772"> </a><a name="hc4ab062b3-8843-4b98-af62-3d6d178a3772"> </a><a name="4ab062b3-8843-4b98-af62-3d6d178a3772-en-US"> </a><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title="Codes:{http://hl7.org/fhir/sid/cvx 141}">Influenza, seasonal, injectable</span></p><p><b>patient</b>: <a href="Bundle-bundle-no-info-required-sections.html#Patient_AAA1234">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#59f51f0b-2005-485c-858e-3d3ae9657287; type = document; timestamp = 2022-01-08 20:42:11+0000</a></p><p><b>occurrence</b>: 2020-07-03</p><p><b>lotNumber</b>: B52b</p><p><b>expirationDate</b>: 2020-07-03</p><p><b>site</b>: <span title="Codes:{http://snomed.info/sct 72098002}">Entire left upper arm</span></p><p><b>route</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration IM}">Injection, intramuscular</span></p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><a href="Bundle-bundle-no-info-required-sections.html#Organization_70a756e3-20b3-4637-8601-a222983e295a">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#59f51f0b-2005-485c-858e-3d3ae9657287; type = document; timestamp = 2022-01-08 20:42:11+0000</a></td></tr></table><h3>ProtocolApplieds</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Series</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td style="display: none">*</td><td>45y (Eligible condition (Influenza))</td><td>2</td></tr></table></div>
</text>
<status value="completed"/>
<vaccineCode>
<coding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="141"/>
<display value="Influenza, seasonal, injectable"/>
</coding>
</vaccineCode>
<patient>
<reference value="Patient/AAA1234"/>
</patient>
<occurrenceDateTime value="2020-07-03"/>
<lotNumber value="B52b"/>
<expirationDate value="2020-07-03"/>
<site>
<coding>
<system value="http://snomed.info/sct"/>
<code value="72098002"/>
<display value="Entire left upper arm"/>
</coding>
</site>
<route>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/>
<code value="IM"/>
<display value="Injection, intramuscular"/>
</coding>
</route>
<performer>
<actor>
<reference
value="Organization/70a756e3-20b3-4637-8601-a222983e295a"/>
</actor>
</performer>
<protocolApplied>
<series value="45y (Eligible condition (Influenza))"/>
<doseNumberPositiveInt value="2"/>
</protocolApplied>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl
value="https://terminz.azurewebsites.net/fhir/Immunization/bd6c6537-6c5a-4fa8-8d26-2b49377425a2"/>
<resource>
<Immunization>
<id value="bd6c6537-6c5a-4fa8-8d26-2b49377425a2"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Immunization_bd6c6537-6c5a-4fa8-8d26-2b49377425a2"> </a><p class="res-header-id"><b>Generated Narrative: Immunization bd6c6537-6c5a-4fa8-8d26-2b49377425a2</b></p><a name="bd6c6537-6c5a-4fa8-8d26-2b49377425a2"> </a><a name="hcbd6c6537-6c5a-4fa8-8d26-2b49377425a2"> </a><a name="bd6c6537-6c5a-4fa8-8d26-2b49377425a2-en-US"> </a><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title="Codes:{http://hl7.org/fhir/sid/cvx 141}">Influenza, seasonal, injectable</span></p><p><b>patient</b>: <a href="Bundle-bundle-no-info-required-sections.html#Patient_AAA1234">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#59f51f0b-2005-485c-858e-3d3ae9657287; type = document; timestamp = 2022-01-08 20:42:11+0000</a></p><p><b>occurrence</b>: 2019-06-03</p><p><b>lotNumber</b>: B52</p><p><b>expirationDate</b>: 2019-08-03</p><p><b>site</b>: <span title="Codes:{http://snomed.info/sct 72098002}">Entire left upper arm</span></p><p><b>route</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration IM}">Injection, intramuscular</span></p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><a href="Bundle-bundle-no-info-required-sections.html#Organization_70a756e3-20b3-4637-8601-a222983e295a">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#59f51f0b-2005-485c-858e-3d3ae9657287; type = document; timestamp = 2022-01-08 20:42:11+0000</a></td></tr></table><h3>ProtocolApplieds</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Series</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td style="display: none">*</td><td>45y (Eligible condition (Influenza))</td><td>1</td></tr></table></div>
</text>
<status value="completed"/>
<vaccineCode>
<coding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="141"/>
<display value="Influenza, seasonal, injectable"/>
</coding>
</vaccineCode>
<patient>
<reference value="Patient/AAA1234"/>
</patient>
<occurrenceDateTime value="2019-06-03"/>
<lotNumber value="B52"/>
<expirationDate value="2019-08-03"/>
<site>
<coding>
<system value="http://snomed.info/sct"/>
<code value="72098002"/>
<display value="Entire left upper arm"/>
</coding>
</site>
<route>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/>
<code value="IM"/>
<display value="Injection, intramuscular"/>
</coding>
</route>
<performer>
<actor>
<reference
value="Organization/70a756e3-20b3-4637-8601-a222983e295a"/>
</actor>
</performer>
<protocolApplied>
<series value="45y (Eligible condition (Influenza))"/>
<doseNumberPositiveInt value="1"/>
</protocolApplied>
</Immunization>
</resource>
</entry>
</Bundle>