{"resourceType": "Bundle", "id": "1", "type": "collection", "entry": [{"resource": {"resourceType": "Immunization", "id": "1", "status": "unknown", "vaccineCode": {"coding": [{"system": "http://hl7.org/fhir/sid/cvx", "code": "208", "display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose"}], "text": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose"}, "patient": {"reference": "Patient/1"}, "encounter": {"reference": "Encounter/2"}, "occurrenceDateTime": "2021-11-05T09:45:08+01:00", "primarySource": null}}, {"resource": {"resourceType": "Patient", "id": "1", "name": [{"use": "official", "family": "Koss", "given": ["Maria"], "prefix": ["Mr."]}], "telecom": null, "gender": "male", "birthDate": "1969-04-11", "address": [{"line": ["916 Rodriguez Promenade"], "city": "South Duxbury", "state": "Massachusetts", "postalCode": "00000", "country": "US"}], "maritalStatus": {"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus", "code": "D", "display": "Divorced"}], "text": "Divorced"}, "multipleBirthBoolean": false, "communication": [{"language": {"coding": [{"system": "urn:ietf:bcp:47", "code": "en-US", "display": "English (United States)"}], "text": "English (United States)"}}]}}, {"resource": {"resourceType": "Encounter", "id": "2", "status": "unknown", "class": {"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "AMB"}, "type": null, "subject": {"reference": "Patient/1", "display": "Mr. Maria Koss"}, "participant": [{"type": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "PPRF", "display": "primary performer"}], "text": "primary performer"}], "period": {"start": "2021-11-05T09:45:08+01:00", "end": "2021-11-05T10:00:08+01:00"}, "individual": {"reference": "Practitioner/1", "display": "Dr. Crystle McCullough"}}], "period": null, "serviceProvider": null}}, {"resource": {"resourceType": "Encounter", "id": "1", "status": "finished", "class": {"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "AMB"}, "type": null, "subject": {"reference": "Patient/1", "display": "Mr. Maria Koss"}, "participant": null, "period": {"start": "2014-02-17T13:17:19+01:00", "end": "2014-02-17T14:06:23+01:00"}, "reasonCode": null, "serviceProvider": null}}]}
Clinical Note:

Patient Information:
- Full Name: Mr. Maria Koss
- Gender: Male
- Date of Birth: 11th April, 1969
- Address: 916 Rodriguez Promenade, South Duxbury, Massachusetts, US, Postal code: 00000
- Marital Status: Divorced
- Birth Order: Singleton
- Language: English (United States)

Medical Encounter:
- Encounter Type: Ambulatory 
- Encounter Information: Mr. Maria Koss had a consultation with the primary performer, Dr. Crystle McCullough. The consultation started at 09:45:08 (UTC+01:00) and ended at 10:00:08 (UTC+01:00).
- Past Encounter: Mr. Koss had a finished medical encounter on 17th February 2014. The encounter started at 13:17:19 (UTC+01:00) and ended at 14:06:23 (UTC+01:00).

Immunization Details:
- Vaccine: Mr. Koss received a SARS-COV-2 (COVID-19) vaccine, of mRNA type, containing spike protein and LNP, preservative free, at a dose of 30 mcg/0.3mL.
- Immunization Status: Unknown 
- Immunization Date and Time: 5th November, 2021 at 09:45:08 (UTC+01:00).

Note: The status of the immunization and the encounter remain unknown.
Clinical Note:

Patient Information:
- Full Name: XXXXXXX. XXXXXXX
- Gender: XXXXXXX
- Date of Birth: XXXXX
- Address: XXXXXXX XXXXXXX, XXXXXXX, XXXXXXX, US, Postal code: 00000
- Marital Status: Divorced
- Birth Order: Singleton
- Language: English (United States)

Medical Encounter:
- Encounter Type: Ambulatory 
- Encounter Information: XXXXXXX. XXXXXXX had a consultation with the primary performer, Dr. XXXXXXXXXXXXXXXXXXXXX. The consultation started at XXXXX(UTC+XXXXX) and ended at XXXXX(UTC+XXXXX).
- Past Encounter: XXXXXXX. XXXXXXX had a finished medical encounter on XXXXX. The encounter started at XXXXX(UTC+XXXXX) and ended at XXXXX(UTC+XXXXX).

Immunization Details:
- Vaccine: XXXXXXX. XXXXXXX received a SARS-COV-2 (COVID-19) vaccine, of mRNA type, containing spike protein and LNP, preservative free, at a dose of 30 mcg/0.3mL.
- Immunization Status: Unknown 
- Immunization Date and Time: XXXXX at XXXXX(UTC+XXXXX).

Note: The status of the immunization and the encounter remain unknown.