Medplum

{
  "resourceType": "Bundle",
  "type": "document",
  "entry": [
    {
      "resource": {
        "resourceType": "Composition",
        "id": "3db70aff-83f5-4caf-91dc-d23fcc5e03bb",
        "language": "en-US",
        "status": "final",
        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "34133-9",
              "display": "Summarization of Episode Note"
            }
          ],
          "text": "Summarization of Episode Note"
        },
        "author": [
          {
            "display": "Medplum"
          }
        ],
        "date": "2025-01-01T00:00:00-05:00",
        "title": "Medical Summary",
        "section": [
          {
            "title": "IMMUNIZATIONS",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11369-6",
                  "display": "History of immunizations"
                }
              ],
              "text": "History of immunizations"
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><content ID=\"immunSect\"/><table border=\"1\" width=\"100%\"><thead><tr><th>Vaccine</th><th>Lot Number</th><th>Date</th><th>Status</th></tr></thead><tbody><tr ID=\"immun1\"><td ID=\"ImmunizationProduct_100\">Influenza Virus Vaccine</td><td>1</td><td>8/15/2010</td><td>Completed</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "Immunization/e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92"
              }
            ]
          }
        ]
      }
    },
    {
      "resource": {
        "resourceType": "Patient",
        "id": "ce862cfe-6559-411e-92e9-e8d005b1c226",
        "identifier": [
          {
            "system": "http://hl7.org/fhir/sid/us-ssn",
            "value": "111223333"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Madison",
            "given": [
              "Katherine"
            ]
          }
        ]
      }
    },
    {
      "resource": {
        "resourceType": "Practitioner",
        "id": "7ae96c77-6b8f-4e5a-9938-2f6392857789",
        "name": [
          {
            "family": "Assigned",
            "given": [
              "Amanda"
            ]
          }
        ],
        "address": [
          {
            "line": [
              "1021 Health Drive"
            ],
            "city": "Ann Arbor",
            "state": "MI",
            "postalCode": "99099",
            "country": "US"
          }
        ]
      }
    },
    {
      "resource": {
        "resourceType": "Organization",
        "id": "7ae96c77-6b8f-4e5a-9938-2f6392857789",
        "name": "Good Health Clinic"
      }
    },
    {
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "7ae96c77-6b8f-4e5a-9938-2f6392857789",
        "practitioner": {
          "reference": "Practitioner/7ae96c77-6b8f-4e5a-9938-2f6392857789",
          "display": "Amanda Assigned"
        },
        "organization": {
          "reference": "Organization/7ae96c77-6b8f-4e5a-9938-2f6392857789",
          "display": "Good Health Clinic"
        }
      }
    },
    {
      "resource": {
        "resourceType": "Immunization",
        "id": "e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92",
        "status": "completed",
        "vaccineCode": {
          "coding": [
            {
              "system": "http://nucc.org/cvx",
              "code": "88",
              "display": "influenza virus vaccine, unspecified formulation"
            }
          ],
          "text": "influenza virus vaccine, unspecified formulation"
        },
        "patient": {
          "reference": "Patient/ce862cfe-6559-411e-92e9-e8d005b1c226",
          "display": "Katherine Madison"
        },
        "occurrenceDateTime": "2010-08-15T00:00:00Z",
        "lotNumber": "1",
        "performer": [
          {
            "actor": {
              "reference": "PractitionerRole/7ae96c77-6b8f-4e5a-9938-2f6392857789"
            }
          }
        ],
        "extension": [
          {
            "url": "https://medplum.com/fhir/StructureDefinition/ccda-narrative-reference",
            "valueString": "#immun1"
          }
        ],
        "manufacturer": {
          "display": "Health LS - Immuno Inc."
        }
      }
    }
  ]
}