<?xml version="1.0" encoding="UTF-8"?>

<Immunization xmlns="http://hl7.org/fhir">
  <id value="ExampleERefImmunizationRoutine"/>
  <meta>
    <profile value="urn://example.com/ph-ereferral/fhir/StructureDefinition/ereferral-immunization"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml">Routine MMR (Measles-Mumps-Rubella) vaccination administered to Juan Dela Cruz on 15 March 2025 at Quezon City Health Center No. 1. Vaccine lot: LOT-2025-MMR-0045 (expires 2026-12-31), manufactured by Serum Institute of India. Dose 1 of 2 administered subcutaneously (0.5 mL) in the left thigh by Nurse Maria Santos, RN. Funded under the national Expanded Program on Immunization (EPI).</div>
  </text>
  <identifier>
    <system value="http://example.ph/immunization-records"/>
    <value value="IMM-2025-00123"/>
  </identifier>
  <status value="completed"/>
  <vaccineCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="871831003"/>
      <display value="MMR (measles and mumps and rubella) vaccine"/>
    </coding>
  </vaccineCode>
  <patient>
    <reference value="Patient/ERefPatientExample"/>
  </patient>
  <occurrenceDateTime value="2025-03-15"/>
  <recorded value="2025-03-15T09:30:00+08:00"/>
  <primarySource value="true"/>
  <location>
    <display value="Quezon City Health Center No. 1"/>
  </location>
  <manufacturer>
    <display value="Serum Institute of India"/>
  </manufacturer>
  <lotNumber value="LOT-2025-MMR-0045"/>
  <expirationDate value="2026-12-31"/>
  <site>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="61396006"/>
      <display value="Structure of left thigh"/>
    </coding>
  </site>
  <route>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="34206005"/>
      <display value="Subcutaneous route"/>
    </coding>
  </route>
  <doseQuantity>
    <value value="0.5"/>
    <unit value="mL"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="mL"/>
  </doseQuantity>
  <performer>
    <function>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0443"/>
        <code value="AP"/>
        <display value="Administering Provider"/>
      </coding>
    </function>
    <actor>
      <display value="Nurse Maria Santos, RN"/>
    </actor>
  </performer>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="33879002"/>
      <display value="Administration of vaccine to produce active immunity (procedure)"/>
    </coding>
  </reasonCode>
  <isSubpotent value="false"/>
  <programEligibility>
    <text value="Eligible - DOH Expanded Program on Immunization (EPI)"/>
  </programEligibility>
  <fundingSource>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/immunization-funding-source"/>
      <code value="public"/>
      <display value="Public"/>
    </coding>
  </fundingSource>
  <protocolApplied>
    <series value="MMR 2-Dose Series"/>
    <targetDisease>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="14189004"/>
        <display value="Measles (disorder)"/>
      </coding>
    </targetDisease>
    <targetDisease>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="36989005"/>
        <display value="Mumps (disorder)"/>
      </coding>
    </targetDisease>
    <targetDisease>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="36653000"/>
        <display value="Rubella (disorder)"/>
      </coding>
    </targetDisease>
    <doseNumberPositiveInt value="1"/>
    <seriesDosesPositiveInt value="2"/>
  </protocolApplied>
</Immunization>