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

<Immunization xmlns="http://hl7.org/fhir">
  <id value="immunisation-update-response-message-meta-tag"/>
  <meta>
    <extension url="https://standards.digital.health.nz/fhir/air/StructureDefinition/air-created-source-system">
      <valueString value="HSAPP0010"/>
    </extension>
    <extension url="https://standards.digital.health.nz/fhir/air/StructureDefinition/air-created-by">
      <valueString value="user"/>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/firstCreated">
      <valueInstant value="2026-03-31T01:29:49.597+00:00"/>
    </extension>
    <extension url="https://standards.digital.health.nz/fhir/air/StructureDefinition/air-modified-by">
      <valueString value="user"/>
    </extension>
    <extension url="https://standards.digital.health.nz/fhir/air/StructureDefinition/air-modified-source-system">
      <valueString value="HSAPP0010"/>
    </extension>
    <extension url="https://standards.digital.health.nz/fhir/air/StructureDefinition/air-data-quality-assessment">
      <extension url="dqScore">
        <valueInteger value="100"/>
      </extension>
      <extension url="dqLastUpdated">
        <valueDateTime value="2026-03-31T01:32:08.270+00:00"/>
      </extension>
      <extension url="dqStatus">
        <valueString value="P"/>
      </extension>
    </extension>
    <extension url="https://standards.digital.health.nz/fhir/air/StructureDefinition/air-planned-event-match">
      <extension url="match">
        <extension url="plannedEventId">
          <valueString value="00513eb7-7d2a-495a-b3aa-c361b3f923a2"/>
        </extension>
        <extension url="matchedDate">
          <valueDateTime value="2026-03-31T01:32:08.369+00:00"/>
        </extension>
        <extension url="matchedBy">
          <valueString value="user"/>
        </extension>
        <extension url="matchedReason">
          <valueCoding>
            <code value="302"/>
            <display value="Automatically matched by dose and indication"/>
          </valueCoding>
        </extension>
      </extension>
    </extension>
    <versionId value="2"/>
    <lastUpdated value="2026-03-31T01:32:08.126+00:00"/>
    <profile value="https://standards.digital.health.nz/fhir/air/StructureDefinition/air-immunization"/>
    <tag>
      <system value="https://standards.digital.health.nz/ns/air-processing-terms"/>
      <code value="identifier-not-updated"/>
      <display value="Patient identifier not updated - identifier is immutable for this operation"/>
    </tag>
  </meta>
  <text>
    <status value="extensions"/><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>
  </text>
  <extension url="https://standards.digital.health.nz/fhir/air/StructureDefinition/air-age-given">
    <extension url="years">
      <valueInteger value="0"/>
    </extension>
    <extension url="months">
      <valueInteger value="1"/>
    </extension>
    <extension url="days">
      <valueInteger value="14"/>
    </extension>
    <extension url="daysSinceBirth">
      <valueInteger value="45"/>
    </extension>
    <extension url="precision">
      <valueString value="DAY"/>
    </extension>
  </extension>
  <status value="completed"/>
  <statusReason>
    <coding>
      <system value="https://standards.digital.health.nz/ns/air-status-reason-terms"/>
      <code value="GIVEN"/>
      <display value="Vaccination given"/>
    </coding>
  </statusReason>
  <vaccineCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/cvx"/>
      <code value="119"/>
      <display value="RV1"/>
    </coding>
    <text value="RV1"/>
  </vaccineCode>
  <patient>
    <reference value="https://api.hip.digital.health.nz/fhir/nhi/v1/Patient/ZGY9681"/>
    <identifier>
      <system value="https://standards.digital.health.nz/ns/nhi-id"/>
      <value value="ZGY9681"/>
    </identifier>
  </patient>
  <occurrenceDateTime value="2024-03-02T00:00:00+00:00"/>
  <location>
    <reference value="https://api.hip.digital.health.nz/fhir/hpi/v1/Location/FZZ835-E"/>
    <identifier>
      <system value="https://standards.digital.health.nz/ns/hpi-facility-id"/>
      <value value="FZZ835-E"/>
    </identifier>
  </location>
  <lotNumber value="RV1-001"/>
  <expirationDate value="2026-01-31"/>
  <route>
    <coding>
      <system value="https://standards.digital.health.nz/ns/air-terms-code"/>
      <code value="PO"/>
      <display value="Oral"/>
    </coding>
  </route>
  <performer>
    <function>
      <coding>
        <system value="https://standards.digital.health.nz/ns/air-terms-code"/>
        <code value="VC"/>
        <display value="Vaccinator"/>
      </coding>
    </function>
    <actor>
      <reference value="https://api.hip.digital.health.nz/fhir/hpi/v1/Practitioner/92ZZRR"/>
      <identifier>
        <system value="https://standards.digital.health.nz/ns/hpi-person-id"/>
        <value value="92ZZRR"/>
      </identifier>
    </actor>
  </performer>
  <reasonCode>
    <coding>
      <system value="https://standards.digital.health.nz/ns/air-terms-code"/>
      <code value="6W"/>
      <display value="6 weeks"/>
    </coding>
  </reasonCode>
  <protocolApplied>
    <targetDisease>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="18624000"/>
        <display value="Rotavirus"/>
      </coding>
    </targetDisease>
    <doseNumberPositiveInt value="1"/>
  </protocolApplied>
</Immunization>