International Patient Summary Implementation Guide
2.0.0 - STU 2

International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ips/ and changes regularly. See the Directory of published versions

## : Bundle - No Information in Required Sections - XML Representation

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      <type value="document"/>
      <timestamp value="2022-01-08T20:42:11.0607701+00:00"/>
      <entry>
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              <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><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>?? --&gt; 2021-05-03</td></tr></table></div>
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            <status value="final"/>
            <type>
              <coding>
                <system value="http://loinc.org"/>
                <code value="60591-5"/>
                <display value="Patient summary Document"/>
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            </type>
            <subject>
              <reference value="Patient/AAA1234"/>
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            <date value="2021-05-03"/>
            <author>
              <reference
                         value="Organization/d9b97b04-b606-4f07-baf2-7eb3dcae0a2a"/>
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            <title value="International Patient Summary"/>
            <confidentiality value="N"/>
            <attester>
              <mode value="professional"/>
              <time value="2021-05-03"/>
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                <reference
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            <custodian>
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            <relatesTo>
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            <section>
              <title value="Allergies and Intolerances"/>
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                <coding>
                  <system value="http://loinc.org"/>
                  <code value="48765-2"/>
                  <display value="Allergies and adverse reactions Document"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
                <div xml:lang="en-NZ" xmlns="http://www.w3.org/1999/xhtml" lang="en-NZ">There is no information available regarding the subject's allergies.</div>
              </text>
              <emptyReason>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
                  <code value="unavailable"/>
                  <display value="Unavailable"/>
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                <text value="No information available"/>
              </emptyReason>
            </section>
            <section>
              <title value="Problem List"/>
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                <coding>
                  <system value="http://loinc.org"/>
                  <code value="11450-4"/>
                  <display value="Problem list - Reported"/>
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              </code>
              <text>
                <status value="generated"/>
                <div xml:lang="en-NZ" xmlns="http://www.w3.org/1999/xhtml" lang="en-NZ">There is no information available about the subject's health problems or disabilities.</div>
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                  <code value="unavailable"/>
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                <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 xml:lang="en-NZ" xmlns="http://www.w3.org/1999/xhtml" lang="en-NZ">There is no information available about the subject's medication use or administration.</div>
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                <text value="No information available"/>
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            </section>
            <section>
              <title value="Immunizations"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="11369-6"/>
                  <display value="History of Immunization note"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
                <div xml:lang="en-NZ" xmlns="http://www.w3.org/1999/xhtml"><table><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>
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                           value="Immunization/bd6c6537-6c5a-4fa8-8d26-2b49377425a2"/>
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      </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><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>
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              <value value="AAA1234"/>
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              <family value="Judge"/>
              <given value="James"/>
            </name>
            <telecom>
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              <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>
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                        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"/>
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                <family value="mother"/>
                <given value="Natural"/>
                <given value="mother"/>
              </name>
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            <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><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><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>
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        </resource>
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      <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><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><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><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title="Codes:{http://hl7.org/fhir/sid/cvx 141}">Influenza, split virus, trivalent, preservative</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, split virus, trivalent, preservative"/>
              </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><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title="Codes:{http://hl7.org/fhir/sid/cvx 141}">Influenza, split virus, trivalent, preservative</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, split virus, trivalent, preservative"/>
              </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>