International Patient Summary Implementation Guide
1.1.0 - STU 1 Update 1 International flag

This page is part of the International Patient Summary Implementation Guide (v1.1.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: IPS Bundle example - no information in required sections - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "bundle-no-info-required-sections",
  "language" : "en-NZ",
  "identifier" : {
    "system" : "urn:oid:2.16.724.4.8.10.200.10",
    "value" : "59f51f0b-2005-485c-858e-3d3ae9657287"
  },
  "type" : "document",
  "timestamp" : "2022-01-08T20:42:11.0607701+00:00",
  "entry" : [
    {
      "fullUrl" : "https://terminz.azurewebsites.net/fhir/Composition/514af4c1-194d-48b4-8afe-7be09d3f895a",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "514af4c1-194d-48b4-8afe-7be09d3f895a",
        "meta" : {
          "versionId" : "1"
        },
        "language" : "en-NZ",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns='http://www.w3.org/1999/xhtml' lang='en-NZ' xml:lang='en-NZ'>International Patient Summary for James Judge</div>"
        },
        "identifier" : {
          "system" : "urn:oid:2.16.840.1.113883.2.18.7.2",
          "value" : "59f51f0b-2005-485c-858e-3d3ae9657287"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "60591-5",
              "display" : "Patient summary Document"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/AAA1234"
        },
        "date" : "2021-05-03",
        "author" : [
          {
            "reference" : "Organization/d9b97b04-b606-4f07-baf2-7eb3dcae0a2a"
          }
        ],
        "title" : "International Patient Summary",
        "confidentiality" : "N",
        "attester" : [
          {
            "mode" : "professional",
            "time" : "2021-05-03",
            "party" : {
              "reference" : "PractitionerRole/f54d8c90-aea2-46b0-8f7a-8683db78344e"
            }
          }
        ],
        "custodian" : {
          "reference" : "Organization/70a756e3-20b3-4637-8601-a222983e295a"
        },
        "relatesTo" : [
          {
            "code" : "transforms",
            "targetIdentifier" : {
              "system" : "urn:oid:2.16.840.1.113883.2.18.7.2",
              "value" : "59f51f0b-2005-485c-858e-3d3ae9657287"
            }
          }
        ],
        "event" : [
          {
            "code" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass",
                    "code" : "PCPR"
                  }
                ]
              }
            ],
            "period" : {
              "end" : "2021-05-03"
            }
          }
        ],
        "section" : [
          {
            "title" : "Allergies and Intolerances",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48765-2",
                  "display" : "Allergies and adverse reactions Document"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "entry" : [
              {
                "reference" : "AllergyIntolerance/e198be1e-9861-46af-9d97-841ef9f7c707"
              }
            ]
          },
          {
            "title" : "Problem List",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "11450-4",
                  "display" : "Problem list - Reported"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "entry" : [
              {
                "reference" : "Condition/da138a5d-633f-493f-9485-e5af1320db5b"
              }
            ]
          },
          {
            "title" : "Medication Summary",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "10160-0",
                  "display" : "History of Medication use Narrative"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "entry" : [
              {
                "reference" : "MedicationStatement/ceb9a0d2-454c-4834-be55-2fa1eb2acd49"
              }
            ]
          },
          {
            "title" : "Immunizations",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "11369-6",
                  "display" : "History of Immunization Narrative"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns='http://www.w3.org/1999/xhtml' xml:lang='en-NZ'><table xmlns=\"http://www.w3.org/1999/xhtml\">\r\n        <thead>\r\n          <tr>\r\n            <th>Vaccine</th>\r\n            <th>Date</th>\r\n            <th>Seq</th>\r\n            <th>Route</th>\r\n            <th>Site</th>\r\n            <th>Indication</th>\r\n            <th>Status</th>\r\n            \r\n            \r\n          </tr>\r\n        </thead>\r\n        <tbody>\r\n          <tr>\r\n            <td>Influenza</td>\r\n            <td>03/07/2020</td>\r\n            <td>2</td>\r\n            <td>Injection, intramuscular</td>\r\n            <td>Entire left upper arm</td>\r\n            <td>Eligible condition (Influenza)</td>\r\n            <td>completed</td>\r\n            \r\n            \r\n          </tr>\r\n          <tr>\r\n            <td>Influenza</td>\r\n            <td>03/06/2019</td>\r\n            <td>1</td>\r\n            <td>Injection, intramuscular</td>\r\n            <td>Entire left upper arm</td>\r\n            <td>Eligible condition (Influenza)</td>\r\n            <td>completed</td>\r\n            \r\n            \r\n          </tr>\r\n        </tbody>\r\n      </table>\r\n    </div>"
            },
            "entry" : [
              {
                "reference" : "Immunization/4ab062b3-8843-4b98-af62-3d6d178a3772"
              },
              {
                "reference" : "Immunization/bd6c6537-6c5a-4fa8-8d26-2b49377425a2"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "https://terminz.azurewebsites.net/fhir/Patient/AAA1234",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "AAA1234",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns='http://www.w3.org/1999/xhtml' xml:lang='en-NZ'>Name: James Judge</div>"
        },
        "identifier" : [
          {
            "system" : "https://standards.digital.health.nz/ns/nhi-id",
            "value" : "AAA1234"
          }
        ],
        "name" : [
          {
            "use" : "usual",
            "family" : "Judge",
            "given" : [
              "James"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "tel:+6478532279",
            "use" : "home"
          }
        ],
        "gender" : "male",
        "birthDate" : "1985-04-25",
        "address" : [
          {
            "use" : "home",
            "type" : "physical",
            "line" : [
              "Bleak House",
              "3 Worcester Drive",
              "Rototuna North"
            ],
            "city" : "Hamilton",
            "postalCode" : "3210",
            "country" : "NZ"
          }
        ],
        "maritalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code" : "M",
              "display" : "Married"
            }
          ]
        },
        "contact" : [
          {
            "relationship" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code" : "FAMMEMB",
                    "display" : "family member"
                  },
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
                    "code" : "N",
                    "display" : "Next-of-Kin"
                  }
                ]
              }
            ],
            "name" : {
              "use" : "usual",
              "family" : "mother",
              "given" : [
                "Natural",
                "mother"
              ]
            }
          },
          {
            "relationship" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code" : "FRND",
                    "display" : "unrelated friend"
                  },
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
                    "code" : "C",
                    "display" : "Emergency Contact"
                  }
                ]
              }
            ],
            "name" : {
              "use" : "usual",
              "family" : "Rabbit",
              "given" : [
                "Peter",
                "Rabbit"
              ]
            },
            "telecom" : [
              {
                "system" : "phone",
                "value" : "07 853 9191",
                "use" : "home"
              }
            ],
            "address" : {
              "use" : "home",
              "type" : "physical",
              "line" : [
                "9 Worcester Drive",
                "Rototuna"
              ],
              "city" : "Hamilton",
              "postalCode" : "3210",
              "country" : "NZ"
            }
          }
        ],
        "communication" : [
          {
            "language" : {
              "coding" : [
                {
                  "system" : "urn:ietf:bcp:47",
                  "code" : "en-NZ"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "https://terminz.azurewebsites.net/fhir/Organization/d9b97b04-b606-4f07-baf2-7eb3dcae0a2a",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "d9b97b04-b606-4f07-baf2-7eb3dcae0a2a",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"d9b97b04-b606-4f07-baf2-7eb3dcae0a2a\"> </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 Organization &quot;d9b97b04-b606-4f07-baf2-7eb3dcae0a2a&quot; </p></div><p><b>identifier</b>: id: F0K068-E</p><p><b>name</b>: Northcare, Thomas Road</p></div>"
        },
        "identifier" : [
          {
            "system" : "https://standards.digital.health.nz/ns/hpi-facility-id",
            "value" : "F0K068-E"
          }
        ],
        "name" : "Northcare, Thomas Road"
      }
    },
    {
      "fullUrl" : "https://terminz.azurewebsites.net/fhir/PractitionerRole/f54d8c90-aea2-46b0-8f7a-8683db78344e",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "f54d8c90-aea2-46b0-8f7a-8683db78344e",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PractitionerRole</b><a name=\"f54d8c90-aea2-46b0-8f7a-8683db78344e\"> </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 PractitionerRole &quot;f54d8c90-aea2-46b0-8f7a-8683db78344e&quot; </p></div><p><b>practitioner</b>: <a href=\"#Practitioner_19c24876-ccf8-45e7-8b66-462317e970f1\">See above (Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1)</a></p><p><b>code</b>: Doctor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#158965000)</span></p></div>"
        },
        "practitioner" : {
          "reference" : "Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1"
        },
        "code" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "158965000",
                "display" : "Doctor"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "https://terminz.azurewebsites.net/fhir/Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "19c24876-ccf8-45e7-8b66-462317e970f1",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"19c24876-ccf8-45e7-8b66-462317e970f1\"> </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 Practitioner &quot;19c24876-ccf8-45e7-8b66-462317e970f1&quot; </p></div><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>"
        },
        "name" : [
          {
            "use" : "usual",
            "family" : "Kildare",
            "given" : [
              "Dr",
              "Richard",
              "Kildare"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "tel:+6478539191",
            "use" : "work"
          }
        ],
        "address" : [
          {
            "use" : "work",
            "type" : "physical",
            "line" : [
              "12 Thomas Rd",
              "Huntingdon"
            ],
            "city" : "Hamilton",
            "postalCode" : "3211",
            "country" : "NZ"
          }
        ]
      }
    },
    {
      "fullUrl" : "https://terminz.azurewebsites.net/fhir/Organization/70a756e3-20b3-4637-8601-a222983e295a",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "70a756e3-20b3-4637-8601-a222983e295a",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"70a756e3-20b3-4637-8601-a222983e295a\"> </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 Organization &quot;70a756e3-20b3-4637-8601-a222983e295a&quot; </p></div><p><b>identifier</b>: id: F2N000-J</p><p><b>name</b>: NorthCare Pukete Road</p></div>"
        },
        "identifier" : [
          {
            "system" : "https://standards.digital.health.nz/ns/psychotherapists-board-id",
            "value" : "F2N000-J"
          }
        ],
        "name" : "NorthCare Pukete Road"
      }
    },
    {
      "fullUrl" : "https://terminz.azurewebsites.net/fhir/AllergyIntolerance/e198be1e-9861-46af-9d97-841ef9f7c707",
      "resource" : {
        "resourceType" : "AllergyIntolerance",
        "id" : "e198be1e-9861-46af-9d97-841ef9f7c707",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: AllergyIntolerance</b><a name=\"e198be1e-9861-46af-9d97-841ef9f7c707\"> </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 AllergyIntolerance &quot;e198be1e-9861-46af-9d97-841ef9f7c707&quot; </p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-allergyintolerance-clinical.html\">AllergyIntolerance Clinical Status Codes</a>#active)</span></p><p><b>code</b>: No information about allergies <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-absent-unknown-uv-ips.html\">Absent and Unknown Data - IPS</a>#no-allergy-info)</span></p><p><b>patient</b>: <a href=\"#Patient_AAA1234\">See above (Patient/AAA1234)</a></p></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code" : "active"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips",
              "code" : "no-allergy-info",
              "display" : "No information about allergies"
            }
          ]
        },
        "patient" : {
          "reference" : "Patient/AAA1234"
        }
      }
    },
    {
      "fullUrl" : "https://terminz.azurewebsites.net/fhir/Condition/da138a5d-633f-493f-9485-e5af1320db5b",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "da138a5d-633f-493f-9485-e5af1320db5b",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"da138a5d-633f-493f-9485-e5af1320db5b\"> </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 Condition &quot;da138a5d-633f-493f-9485-e5af1320db5b&quot; </p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>code</b>: No information about problems <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-absent-unknown-uv-ips.html\">Absent and Unknown Data - IPS</a>#no-problem-info)</span></p><p><b>subject</b>: <a href=\"#Patient_AAA1234\">See above (Patient/AAA1234)</a></p></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips",
              "code" : "no-problem-info",
              "display" : "No information about problems"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/AAA1234"
        }
      }
    },
    {
      "fullUrl" : "https://terminz.azurewebsites.net/fhir/MedicationStatement/ceb9a0d2-454c-4834-be55-2fa1eb2acd49",
      "resource" : {
        "resourceType" : "MedicationStatement",
        "id" : "ceb9a0d2-454c-4834-be55-2fa1eb2acd49",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationStatement</b><a name=\"ceb9a0d2-454c-4834-be55-2fa1eb2acd49\"> </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 MedicationStatement &quot;ceb9a0d2-454c-4834-be55-2fa1eb2acd49&quot; </p></div><p><b>status</b>: unknown</p><p><b>medication</b>: No information about medications <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-absent-unknown-uv-ips.html\">Absent and Unknown Data - IPS</a>#no-medication-info)</span></p><p><b>subject</b>: <a href=\"#Patient_AAA1234\">See above (Patient/AAA1234)</a></p><p><b>effective</b>: ?? --&gt; (ongoing)</p></div>"
        },
        "status" : "unknown",
        "medicationCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips",
              "code" : "no-medication-info",
              "display" : "No information about medications"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/AAA1234"
        },
        "effectivePeriod" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
              "valueCode" : "not-applicable"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "https://terminz.azurewebsites.net/fhir/Immunization/4ab062b3-8843-4b98-af62-3d6d178a3772",
      "resource" : {
        "resourceType" : "Immunization",
        "id" : "4ab062b3-8843-4b98-af62-3d6d178a3772",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Immunization</b><a name=\"4ab062b3-8843-4b98-af62-3d6d178a3772\"> </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;4ab062b3-8843-4b98-af62-3d6d178a3772&quot; </p></div><p><b>status</b>: completed</p><p><b>vaccineCode</b>: Influenza, seasonal, injectable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-CVX.html\">PH_VaccinesAdministeredCVX_CDC_NIP</a>#141)</span></p><p><b>patient</b>: <a href=\"#Patient_AAA1234\">See above (Patient/AAA1234)</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>: Entire left upper arm <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#72098002)</span></p><p><b>route</b>: Injection, intramuscular <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-RouteOfAdministration.html\">RouteOfAdministration</a>#IM)</span></p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"#Organization_70a756e3-20b3-4637-8601-a222983e295a\">See above (Organization/70a756e3-20b3-4637-8601-a222983e295a)</a></td></tr></table><h3>ProtocolApplieds</h3><table class=\"grid\"><tr><td>-</td><td><b>Series</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td>*</td><td>45y (Eligible condition (Influenza))</td><td>2</td></tr></table></div>"
        },
        "status" : "completed",
        "vaccineCode" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/sid/cvx",
              "code" : "141",
              "display" : "Influenza, seasonal, injectable"
            }
          ]
        },
        "patient" : {
          "reference" : "Patient/AAA1234"
        },
        "occurrenceDateTime" : "2020-07-03",
        "lotNumber" : "B52b",
        "expirationDate" : "2020-07-03",
        "site" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "72098002",
              "display" : "Entire left upper arm"
            }
          ]
        },
        "route" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
              "code" : "IM",
              "display" : "Injection, intramuscular"
            }
          ]
        },
        "performer" : [
          {
            "actor" : {
              "reference" : "Organization/70a756e3-20b3-4637-8601-a222983e295a"
            }
          }
        ],
        "protocolApplied" : [
          {
            "series" : "45y (Eligible condition (Influenza))",
            "doseNumberPositiveInt" : 2
          }
        ]
      }
    },
    {
      "fullUrl" : "https://terminz.azurewebsites.net/fhir/Immunization/bd6c6537-6c5a-4fa8-8d26-2b49377425a2",
      "resource" : {
        "resourceType" : "Immunization",
        "id" : "bd6c6537-6c5a-4fa8-8d26-2b49377425a2",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Immunization</b><a name=\"bd6c6537-6c5a-4fa8-8d26-2b49377425a2\"> </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;bd6c6537-6c5a-4fa8-8d26-2b49377425a2&quot; </p></div><p><b>status</b>: completed</p><p><b>vaccineCode</b>: Influenza, seasonal, injectable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-CVX.html\">PH_VaccinesAdministeredCVX_CDC_NIP</a>#141)</span></p><p><b>patient</b>: <a href=\"#Patient_AAA1234\">See above (Patient/AAA1234)</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>: Entire left upper arm <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#72098002)</span></p><p><b>route</b>: Injection, intramuscular <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-RouteOfAdministration.html\">RouteOfAdministration</a>#IM)</span></p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"#Organization_70a756e3-20b3-4637-8601-a222983e295a\">See above (Organization/70a756e3-20b3-4637-8601-a222983e295a)</a></td></tr></table><h3>ProtocolApplieds</h3><table class=\"grid\"><tr><td>-</td><td><b>Series</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td>*</td><td>45y (Eligible condition (Influenza))</td><td>1</td></tr></table></div>"
        },
        "status" : "completed",
        "vaccineCode" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/sid/cvx",
              "code" : "141",
              "display" : "Influenza, seasonal, injectable"
            }
          ]
        },
        "patient" : {
          "reference" : "Patient/AAA1234"
        },
        "occurrenceDateTime" : "2019-06-03",
        "lotNumber" : "B52",
        "expirationDate" : "2019-08-03",
        "site" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "72098002",
              "display" : "Entire left upper arm"
            }
          ]
        },
        "route" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
              "code" : "IM",
              "display" : "Injection, intramuscular"
            }
          ]
        },
        "performer" : [
          {
            "actor" : {
              "reference" : "Organization/70a756e3-20b3-4637-8601-a222983e295a"
            }
          }
        ],
        "protocolApplied" : [
          {
            "series" : "45y (Eligible condition (Influenza))",
            "doseNumberPositiveInt" : 1
          }
        ]
      }
    }
  ]
}