MyHealth@Eu Vaccination
10.0.0-preview - qa-preview 150

MyHealth@Eu Vaccination - Downloaded Version 10.0.0-preview See the Directory of published versions

## : Bundle - Vaccination History (EUVAC) - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="bundle-vachist-euvac"/>
      <meta>
        <profile
                 value="http://fhir.ehdsi.eu/euvac/StructureDefinition/bundle-euvac-myhealtheu"/>
      </meta>
      <identifier>
        <system value="urn:oid:2.16.724.4.8.10.200.10"/>
        <value value="VACHIST-EUVAC-2024-001"/>
      </identifier>
      <type value="document"/>
      <timestamp value="2024-10-10T10:00:00+02:00"/>
      <entry>
        <fullUrl value="http://example.org/fhir/Composition/comp-vachist-euvac"/>
        <resource>
          <Composition>
            <id value="comp-vachist-euvac"/>
            <meta>
              <profile
                       value="http://fhir.ehdsi.eu/euvac/StructureDefinition/composition-euvac-myhealtheu"/>
            </meta>
            <language value="en-GB"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-GB" lang="en-GB"><a name="Composition_comp-vachist-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Composition comp-vachist-euvac</b></p><a name="comp-vachist-euvac"> </a><a name="hccomp-vachist-euvac"> </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">Language: en-GB</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-composition-euvac-myhealtheu.html">Vaccination History (EUVAC)</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.724.4.8.10.200.10</code>/VACHIST-EUVAC-2024-001</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 11369-6}">History of Immunization note</span></p><p><b>date</b>: 2024-10-10 10:00:00+0200</p><p><b>author</b>: <a href="Practitioner-prac-vachist-euvac.html">Practitioner Alice Johnson </a></p><p><b>title</b>: Vaccination History</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>Legal</td><td>2024-10-10 10:00:00+0200</td><td><a href="Practitioner-prac-vachist-euvac.html">Practitioner Alice Johnson </a></td></tr></table><p><b>custodian</b>: <a href="Organization-org-vachist-euvac.html">Organization City Health Centre Brussels</a></p></div>
            </text>
            <identifier>
              <system value="urn:oid:2.16.724.4.8.10.200.10"/>
              <value value="VACHIST-EUVAC-2024-001"/>
            </identifier>
            <status value="final"/>
            <type>
              <coding>
                <system value="http://loinc.org"/>
                <code value="11369-6"/>
                <display value="History of Immunization note"/>
              </coding>
            </type>
            <subject>🔗
              <reference value="Patient/patient-vachist-euvac"/>
            </subject>
            <date value="2024-10-10T10:00:00+02:00"/>
            <author>🔗
              <reference value="Practitioner/prac-vachist-euvac"/>
            </author>
            <title value="Vaccination History"/>
            <attester>
              <mode value="legal"/>
              <time value="2024-10-10T10:00:00+02:00"/>
              <party>🔗
                <reference value="Practitioner/prac-vachist-euvac"/>
              </party>
            </attester>
            <custodian>🔗
              <reference value="Organization/org-vachist-euvac"/>
            </custodian>
            <section>
              <title value="Immunisations"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="11369-6"/>
                  <display value="History of Immunization note"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><p>Vaccination history for John Smith (DOB: 1985-03-15).</p><ul><li>Measles vaccine – 2021-04-15 (dose 1, minimal record)</li><li>COVID-19 vaccine (Comirnaty) – 2024-10-10 (dose 1, full record)</li></ul></div>
              </text>
              <entry>🔗
                <reference value="Immunization/vacc-minimal-euvac"/>
              </entry>
              <entry>🔗
                <reference value="Immunization/vacc-full-euvac"/>
              </entry>
            </section>
          </Composition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/fhir/Immunization/vacc-minimal-euvac"/>
        <resource>
          <Immunization>
            <id value="vacc-minimal-euvac"/>
            <meta>
              <profile
                       value="http://fhir.ehdsi.eu/euvac/StructureDefinition/vaccination-myhealtheu-euvac"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Immunization_vacc-minimal-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Immunization vacc-minimal-euvac</b></p><a name="vacc-minimal-euvac"> </a><a name="hcvacc-minimal-euvac"> </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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-vaccination-myhealtheu-euvac.html">Vaccination (EUVAC)</a></p></div><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title="Codes:{http://snomed.info/sct 28531000087107}">COVID-19 vaccine (Comirnaty)</span></p><p><b>patient</b>: <a href="Patient-patient-vachist-euvac.html">John Smith  Male, DoB: 1985-03-15 ( urn:oid:2.16.840.1.113883.2.9.4.3.2#BE-SMTJHN-19850315)</a></p><p><b>occurrence</b>: 2021-04-15</p><p><b>location</b>: <a href="Location-loc-vachist-euvac.html">Location</a></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:{http://terminology.hl7.org/CodeSystem/v2-0443 AP}">Administering Provider</span></td><td><a href="Organization-org-vachist-euvac.html">Organization City Health Centre Brussels</a></td></tr></table><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://hl7.org/fhir/sid/icd-10 U07.1}">COVID-19</span></td><td>1</td></tr></table></div>
            </text>
            <status value="completed"/>
            <vaccineCode>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="28531000087107"/>
                <display value="COVID-19 vaccine"/>
              </coding>
              <text value="COVID-19 vaccine (Comirnaty)"/>
            </vaccineCode>
            <patient>🔗
              <reference value="Patient/patient-vachist-euvac"/>
            </patient>
            <occurrenceDateTime value="2021-04-15"/>
            <location>🔗
              <reference value="Location/loc-vachist-euvac"/>
            </location>
            <performer>
              <function>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0443"/>
                  <code value="AP"/>
                  <display value="Administering Provider"/>
                </coding>
              </function>
              <actor>🔗
                <reference value="Organization/org-vachist-euvac"/>
              </actor>
            </performer>
            <protocolApplied>
              <targetDisease>
                <coding>
                  <system value="http://hl7.org/fhir/sid/icd-10"/>
                  <code value="U07.1"/>
                  <display value="COVID-19, virus identified"/>
                </coding>
                <text value="COVID-19"/>
              </targetDisease>
              <doseNumberPositiveInt value="1"/>
            </protocolApplied>
          </Immunization>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/fhir/Immunization/vacc-full-euvac"/>
        <resource>
          <Immunization>
            <id value="vacc-full-euvac"/>
            <meta>
              <profile
                       value="http://fhir.ehdsi.eu/euvac/StructureDefinition/vaccination-myhealtheu-euvac"/>
            </meta>
            <text>
              <status value="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Immunization_vacc-full-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Immunization vacc-full-euvac</b></p><a name="vacc-full-euvac"> </a><a name="hcvacc-full-euvac"> </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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-vaccination-myhealtheu-euvac.html">Vaccination (EUVAC)</a></p></div><blockquote><p><b>R5: Product that was administered (new)</b></p><ul><li>reference: <a href="Medication-med-vachist-euvac.html">Medication COVID-19 vaccine</a></li><li>http://hl7.org/fhir/StructureDefinition/_datatype: CodeableReference</li></ul></blockquote><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title="Codes:{http://snomed.info/sct 28531000087107}">COVID-19 vaccine (Comirnaty)</span></p><p><b>patient</b>: <a href="Patient-patient-vachist-euvac.html">John Smith  Male, DoB: 1985-03-15 ( urn:oid:2.16.840.1.113883.2.9.4.3.2#BE-SMTJHN-19850315)</a></p><p><b>occurrence</b>: 2024-10-10</p><p><b>location</b>: <a href="Location-loc-vachist-euvac.html">Location</a></p><p><b>manufacturer</b>: <a href="Organization-mfr-vachist-euvac.html">Organization BioNTech Manufacturing GmbH</a></p><p><b>lotNumber</b>: V24-1098-B</p><blockquote><p><b>performer</b></p><p><b>function</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0443 AP}">Administering Provider</span></p><p><b>actor</b>: <a href="Organization-org-vachist-euvac.html">Organization City Health Centre Brussels</a></p></blockquote><blockquote><p><b>performer</b></p><p><b>function</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0443 AP}">Administering Provider</span></p><p><b>actor</b>: <a href="Practitioner-prac-vachist-euvac.html">Practitioner Alice Johnson </a></p></blockquote><p><b>note</b>: </p><blockquote><div><p>Patient reported mild soreness at injection site lasting approximately 1 day. No systemic reactions observed. No anaphylaxis.</p>
    </div></blockquote><h3>Reactions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Detail</b></td><td><b>Reported</b></td></tr><tr><td style="display: none">*</td><td><a href="Observation-obs-adverse-euvac.html">Observation Adverse reaction (disorder)</a></td><td>true</td></tr></table><h3>ProtocolApplieds</h3><table class="grid"><tr><td style="display: none">-</td><td><b>TargetDisease</b></td><td><b>DoseNumber[x]</b></td><td><b>SeriesDoses[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://hl7.org/fhir/sid/icd-10 U07.1}">COVID-19</span></td><td>1</td><td>1</td></tr></table></div>
            </text>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.administeredProduct">
              <extension url="reference">
                <valueReference>🔗
                  <reference value="Medication/med-vachist-euvac"/>
                </valueReference>
              </extension>
              <extension url="http://hl7.org/fhir/StructureDefinition/_datatype">
                <valueString value="CodeableReference"/>
              </extension>
            </extension>
            <status value="completed"/>
            <vaccineCode>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="28531000087107"/>
                <display value="COVID-19 vaccine"/>
              </coding>
              <text value="COVID-19 vaccine (Comirnaty)"/>
            </vaccineCode>
            <patient>🔗
              <reference value="Patient/patient-vachist-euvac"/>
            </patient>
            <occurrenceDateTime value="2024-10-10"/>
            <location>🔗
              <reference value="Location/loc-vachist-euvac"/>
            </location>
            <manufacturer>🔗
              <reference value="Organization/mfr-vachist-euvac"/>
            </manufacturer>
            <lotNumber value="V24-1098-B"/>
            <performer>
              <function>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0443"/>
                  <code value="AP"/>
                  <display value="Administering Provider"/>
                </coding>
              </function>
              <actor>🔗
                <reference value="Organization/org-vachist-euvac"/>
              </actor>
            </performer>
            <performer>
              <function>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0443"/>
                  <code value="AP"/>
                  <display value="Administering Provider"/>
                </coding>
              </function>
              <actor>🔗
                <reference value="Practitioner/prac-vachist-euvac"/>
              </actor>
            </performer>
            <note>
              <text
                    value="Patient reported mild soreness at injection site lasting approximately 1 day. No systemic reactions observed. No anaphylaxis."/>
            </note>
            <reaction>
              <detail>🔗
                <reference value="Observation/obs-adverse-euvac"/>
              </detail>
              <reported value="true"/>
            </reaction>
            <protocolApplied>
              <targetDisease>
                <coding>
                  <system value="http://hl7.org/fhir/sid/icd-10"/>
                  <code value="U07.1"/>
                  <display value="COVID-19, virus identified"/>
                </coding>
                <text value="COVID-19"/>
              </targetDisease>
              <doseNumberPositiveInt value="1"/>
              <seriesDosesPositiveInt value="1"/>
            </protocolApplied>
          </Immunization>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/fhir/Patient/patient-vachist-euvac"/>
        <resource>
          <Patient>
            <id value="patient-vachist-euvac"/>
            <meta>
              <profile
                       value="http://fhir.ehdsi.eu/core/StructureDefinition/patient-myhealtheu-core"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_patient-vachist-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient-vachist-euvac</b></p><a name="patient-vachist-euvac"> </a><a name="hcpatient-vachist-euvac"> </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"/><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ehdsi.eu/core/1.0.0/StructureDefinition-patient-myhealtheu-core.html">Patient (Core)</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">John Smith  Male, DoB: 1985-03-15 ( urn:oid:2.16.840.1.113883.2.9.4.3.2#BE-SMTJHN-19850315)</p><hr/></div>
            </text>
            <identifier>
              <system value="urn:oid:2.16.840.1.113883.2.9.4.3.2"/>
              <value value="BE-SMTJHN-19850315"/>
            </identifier>
            <name>
              <family value="Smith"/>
              <given value="John"/>
            </name>
            <gender value="male"/>
            <birthDate value="1985-03-15"/>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/fhir/Practitioner/prac-vachist-euvac"/>
        <resource>
          <Practitioner>
            <id value="prac-vachist-euvac"/>
            <meta>
              <profile
                       value="http://fhir.ehdsi.eu/core/StructureDefinition/practitioner-myhealtheu-core"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_prac-vachist-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner prac-vachist-euvac</b></p><a name="prac-vachist-euvac"> </a><a name="hcprac-vachist-euvac"> </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"/><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ehdsi.eu/core/1.0.0/StructureDefinition-practitioner-myhealtheu-core.html">Practitioner (Core)</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.2.9.4.3.8</code>/NURSE-001-BE</p><p><b>name</b>: Alice Johnson </p></div>
            </text>
            <identifier>
              <system value="urn:oid:2.16.840.1.113883.2.9.4.3.8"/>
              <value value="NURSE-001-BE"/>
            </identifier>
            <name>
              <family value="Johnson"/>
              <given value="Alice"/>
            </name>
          </Practitioner>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/fhir/Organization/org-vachist-euvac"/>
        <resource>
          <Organization>
            <id value="org-vachist-euvac"/>
            <meta>
              <profile
                       value="http://fhir.ehdsi.eu/core/StructureDefinition/organization-myhealtheu-core"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_org-vachist-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Organization org-vachist-euvac</b></p><a name="org-vachist-euvac"> </a><a name="hcorg-vachist-euvac"> </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"/><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ehdsi.eu/core/1.0.0/StructureDefinition-organization-myhealtheu-core.html">Organization (Core)</a></p></div><p><b>name</b>: City Health Centre Brussels</p><p><b>address</b>: BE </p></div>
            </text>
            <name value="City Health Centre Brussels"/>
            <address>
              <country value="BE"/>
            </address>
          </Organization>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/fhir/Organization/mfr-vachist-euvac"/>
        <resource>
          <Organization>
            <id value="mfr-vachist-euvac"/>
            <meta>
              <profile
                       value="http://fhir.ehdsi.eu/core/StructureDefinition/organization-myhealtheu-core"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_mfr-vachist-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Organization mfr-vachist-euvac</b></p><a name="mfr-vachist-euvac"> </a><a name="hcmfr-vachist-euvac"> </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"/><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ehdsi.eu/core/1.0.0/StructureDefinition-organization-myhealtheu-core.html">Organization (Core)</a></p></div><p><b>name</b>: BioNTech Manufacturing GmbH</p></div>
            </text>
            <name value="BioNTech Manufacturing GmbH"/>
          </Organization>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/fhir/Location/loc-vachist-euvac"/>
        <resource>
          <Location>
            <id value="loc-vachist-euvac"/>
            <meta>
              <profile
                       value="http://fhir.ehdsi.eu/core/StructureDefinition/location-myhealtheu-core"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_loc-vachist-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Location loc-vachist-euvac</b></p><a name="loc-vachist-euvac"> </a><a name="hcloc-vachist-euvac"> </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"/><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ehdsi.eu/core/1.0.0/StructureDefinition-location-myhealtheu-core.html">Location (Core)</a></p></div><p><b>address</b>: BE </p></div>
            </text>
            <address>
              <country value="BE"/>
            </address>
          </Location>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/fhir/Medication/med-vachist-euvac"/>
        <resource>
          <Medication>
            <id value="med-vachist-euvac"/>
            <meta>
              <profile
                       value="http://fhir.ehdsi.eu/core/StructureDefinition/medication-myhealtheu-core"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_med-vachist-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Medication med-vachist-euvac</b></p><a name="med-vachist-euvac"> </a><a name="hcmed-vachist-euvac"> </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"/><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ehdsi.eu/core/1.0.0/StructureDefinition-medication-myhealtheu-core.html">Medication (Core)</a></p></div><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 28531000087107}">Comirnaty 0.3 mL pre-filled syringe</span></p><p><b>manufacturer</b>: <a href="Organization-mfr-vachist-euvac.html">Organization BioNTech Manufacturing GmbH</a></p></div>
            </text>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="28531000087107"/>
                <display value="COVID-19 vaccine"/>
              </coding>
              <text value="Comirnaty 0.3 mL pre-filled syringe"/>
            </code>
            <manufacturer>🔗
              <reference value="Organization/mfr-vachist-euvac"/>
            </manufacturer>
          </Medication>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/fhir/Observation/obs-adverse-euvac"/>
        <resource>
          <Observation>
            <id value="obs-adverse-euvac"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_obs-adverse-euvac"> </a><p class="res-header-id"><b>Generated Narrative: Observation obs-adverse-euvac</b></p><a name="obs-adverse-euvac"> </a><a name="hcobs-adverse-euvac"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 281647001}">Mild local reaction at injection site</span></p><p><b>subject</b>: <a href="Patient-patient-vachist-euvac.html">John Smith  Male, DoB: 1985-03-15 ( urn:oid:2.16.840.1.113883.2.9.4.3.2#BE-SMTJHN-19850315)</a></p><p><b>effective</b>: 2024-10-11</p><p><b>performer</b>: <a href="Practitioner-prac-vachist-euvac.html">Practitioner Alice Johnson </a></p><p><b>value</b>: Mild redness and swelling at injection site, resolved within 48 hours without intervention.</p><p><b>note</b>: </p><blockquote><div><p>ICD-10: T88.1 – Other adverse effects of vaccination</p>
    </div></blockquote></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="281647001"/>
                <display value="Adverse reaction (disorder)"/>
              </coding>
              <text value="Mild local reaction at injection site"/>
            </code>
            <subject>🔗
              <reference value="Patient/patient-vachist-euvac"/>
            </subject>
            <effectiveDateTime value="2024-10-11"/>
            <performer>🔗
              <reference value="Practitioner/prac-vachist-euvac"/>
            </performer>
            <valueString
                         value="Mild redness and swelling at injection site, resolved within 48 hours without intervention."/>
            <note>
              <text value="ICD-10: T88.1 – Other adverse effects of vaccination"/>
            </note>
          </Observation>
        </resource>
      </entry>
    </Bundle>