{
  "resourceType" : "Immunization",
  "id" : "immunisation-update-response-message-meta-tag",
  "meta" : {
    "extension" : [{
      "url" : "https://standards.digital.health.nz/fhir/air/StructureDefinition/air-created-source-system",
      "valueString" : "HSAPP0010"
    },
    {
      "url" : "https://standards.digital.health.nz/fhir/air/StructureDefinition/air-created-by",
      "valueString" : "user"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/firstCreated",
      "valueInstant" : "2026-03-31T01:29:49.597+00:00"
    },
    {
      "url" : "https://standards.digital.health.nz/fhir/air/StructureDefinition/air-modified-by",
      "valueString" : "user"
    },
    {
      "url" : "https://standards.digital.health.nz/fhir/air/StructureDefinition/air-modified-source-system",
      "valueString" : "HSAPP0010"
    },
    {
      "extension" : [{
        "url" : "dqScore",
        "valueInteger" : 100
      },
      {
        "url" : "dqLastUpdated",
        "valueDateTime" : "2026-03-31T01:32:08.270+00:00"
      },
      {
        "url" : "dqStatus",
        "valueString" : "P"
      }],
      "url" : "https://standards.digital.health.nz/fhir/air/StructureDefinition/air-data-quality-assessment"
    },
    {
      "extension" : [{
        "extension" : [{
          "url" : "plannedEventId",
          "valueString" : "00513eb7-7d2a-495a-b3aa-c361b3f923a2"
        },
        {
          "url" : "matchedDate",
          "valueDateTime" : "2026-03-31T01:32:08.369+00:00"
        },
        {
          "url" : "matchedBy",
          "valueString" : "user"
        },
        {
          "url" : "matchedReason",
          "valueCoding" : {
            "code" : "302",
            "display" : "Automatically matched by dose and indication"
          }
        }],
        "url" : "match"
      }],
      "url" : "https://standards.digital.health.nz/fhir/air/StructureDefinition/air-planned-event-match"
    }],
    "versionId" : "2",
    "lastUpdated" : "2026-03-31T01:32:08.126+00:00",
    "profile" : ["https://standards.digital.health.nz/fhir/air/StructureDefinition/air-immunization"],
    "tag" : [{
      "system" : "https://standards.digital.health.nz/ns/air-processing-terms",
      "code" : "identifier-not-updated",
      "display" : "Patient identifier not updated - identifier is immutable for this operation"
    }]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Immunization immunisation-update-response-message-meta-tag</b></p><a name=\"immunisation-update-response-message-meta-tag\"> </a><a name=\"hcimmunisation-update-response-message-meta-tag\"> </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: 2; Last updated: 2026-03-31 01:32:08+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-air-immunization.html\">AIR Immunization</a></p><p style=\"margin-bottom: 0px\">Tag: <a href=\"CodeSystem-air-processing-terms.html\">Patient identifier not updated - identifier is immutable for this operation (Details: AIR Processing Terms code identifier-not-updated = 'Patient identifier not updated - identifier is immutable for this operation')</a></p></div><blockquote><p><b>AIR Age Given Extension</b></p><ul><li>years: 0</li><li>months: 1</li><li>days: 14</li><li>daysSinceBirth: 45</li><li>precision: DAY</li></ul></blockquote><p><b>status</b>: Completed</p><p><b>statusReason</b>: <span title=\"Codes:{https://standards.digital.health.nz/ns/air-status-reason-terms GIVEN}\">Vaccination given</span></p><p><b>vaccineCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/cvx 119}\">RV1</span></p><p><b>patient</b>: <a href=\"https://simplifier.net/resolve?scope=fhir.org.nz.ig.base@2.0.0&amp;canonical=https://api.hip.digital.health.nz/fhir/nhi/v1/Patient/ZGY9681\">https://api.hip.digital.health.nz/fhir/nhi/v1/Patient/ZGY9681</a></p><p><b>occurrence</b>: 2024-03-02 00:00:00+0000</p><p><b>location</b>: <a href=\"https://simplifier.net/resolve?scope=fhir.org.nz.ig.base@2.0.0&amp;canonical=https://api.hip.digital.health.nz/fhir/hpi/v1/Location/FZZ835-E\">https://api.hip.digital.health.nz/fhir/hpi/v1/Location/FZZ835-E</a></p><p><b>lotNumber</b>: RV1-001</p><p><b>expirationDate</b>: 2026-01-31</p><p><b>route</b>: <span title=\"Codes:{https://standards.digital.health.nz/ns/air-terms-code PO}\">Oral</span></p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://standards.digital.health.nz/ns/air-terms-code VC}\">Vaccinator</span></td><td><a href=\"https://simplifier.net/resolve?scope=fhir.org.nz.ig.base@2.0.0&amp;canonical=https://api.hip.digital.health.nz/fhir/hpi/v1/Practitioner/92ZZRR\">https://api.hip.digital.health.nz/fhir/hpi/v1/Practitioner/92ZZRR</a></td></tr></table><p><b>reasonCode</b>: <span title=\"Codes:{https://standards.digital.health.nz/ns/air-terms-code 6W}\">6 weeks</span></p><h3>ProtocolApplieds</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>TargetDisease</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 18624000}\">Rotavirus</span></td><td>1</td></tr></table></div>"
  },
  "extension" : [{
    "extension" : [{
      "url" : "years",
      "valueInteger" : 0
    },
    {
      "url" : "months",
      "valueInteger" : 1
    },
    {
      "url" : "days",
      "valueInteger" : 14
    },
    {
      "url" : "daysSinceBirth",
      "valueInteger" : 45
    },
    {
      "url" : "precision",
      "valueString" : "DAY"
    }],
    "url" : "https://standards.digital.health.nz/fhir/air/StructureDefinition/air-age-given"
  }],
  "status" : "completed",
  "statusReason" : {
    "coding" : [{
      "system" : "https://standards.digital.health.nz/ns/air-status-reason-terms",
      "code" : "GIVEN",
      "display" : "Vaccination given"
    }]
  },
  "vaccineCode" : {
    "coding" : [{
      "system" : "http://hl7.org/fhir/sid/cvx",
      "code" : "119",
      "display" : "RV1"
    }],
    "text" : "RV1"
  },
  "patient" : {
    "reference" : "https://api.hip.digital.health.nz/fhir/nhi/v1/Patient/ZGY9681",
    "identifier" : {
      "system" : "https://standards.digital.health.nz/ns/nhi-id",
      "value" : "ZGY9681"
    }
  },
  "occurrenceDateTime" : "2024-03-02T00:00:00+00:00",
  "location" : {
    "reference" : "https://api.hip.digital.health.nz/fhir/hpi/v1/Location/FZZ835-E",
    "identifier" : {
      "system" : "https://standards.digital.health.nz/ns/hpi-facility-id",
      "value" : "FZZ835-E"
    }
  },
  "lotNumber" : "RV1-001",
  "expirationDate" : "2026-01-31",
  "route" : {
    "coding" : [{
      "system" : "https://standards.digital.health.nz/ns/air-terms-code",
      "code" : "PO",
      "display" : "Oral"
    }]
  },
  "performer" : [{
    "function" : {
      "coding" : [{
        "system" : "https://standards.digital.health.nz/ns/air-terms-code",
        "code" : "VC",
        "display" : "Vaccinator"
      }]
    },
    "actor" : {
      "reference" : "https://api.hip.digital.health.nz/fhir/hpi/v1/Practitioner/92ZZRR",
      "identifier" : {
        "system" : "https://standards.digital.health.nz/ns/hpi-person-id",
        "value" : "92ZZRR"
      }
    }
  }],
  "reasonCode" : [{
    "coding" : [{
      "system" : "https://standards.digital.health.nz/ns/air-terms-code",
      "code" : "6W",
      "display" : "6 weeks"
    }]
  }],
  "protocolApplied" : [{
    "targetDisease" : [{
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "18624000",
        "display" : "Rotavirus"
      }]
    }],
    "doseNumberPositiveInt" : 1
  }]
}