{"resourceType": "Bundle", "id": "1", "type": "collection", "entry": [{"resource": {"resourceType": "Patient", "id": "1", "name": [{"use": "official", "family": null, "given": ["Ozella", "Setsuko"], "prefix": ["Mrs."]}, {"use": "maiden", "family": "Hirthe", "given": ["Ozella", "Setsuko"], "prefix": ["Mrs."]}], "telecom": null, "gender": "female", "birthDate": null, "address": [{"line": ["536 Grimes Rue Apt 30"], "city": "Sterling", "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": null}}, {"resource": {"resourceType": "Immunization", "id": "2", "status": "completed", "vaccineCode": {"coding": [{"system": "http://hl7.org/fhir/sid/cvx", "code": "52", "display": "Hep A, adult"}], "text": "Hep A, adult"}, "patient": {"reference": "Patient/1"}, "occurrenceDateTime": null, "primarySource": null, "occurrenceString": "2018-08-12T06:11:13+02:00"}}]}
- Patient's Name: Mrs. Ozella Setsuko, also known as Mrs. Ozella Setsuko Hirthe (Maiden Name)
- Gender: Female 
- Address: 536 Grimes Rue Apt 30, Sterling, Massachusetts, 00000, US
- Marital Status: Divorced
- Has single birth: Yes

Immunization Details:
- Vaccine: Hep A, adult
- Administered Status: Completed
- Date administered: 2018-08-12 at 06:11:13, Central European Time
- Patient's Name: XXXXXXX. XXXXXXXXXXXXXX, also known as XXXXXXX. XXXXXXXXXXXXXXXXXXXXX (Maiden Name)
- Gender: XXXXXXX 
- Address: 536 XXXXXXX, XXXXXXX, XXXXXXX, 00000, US
- Marital Status: Divorced
- Has single birth: Yes

Immunization Details:
- Vaccine: Hep A, adult
- Administered Status: Completed
- Date administered: XXXXX at XXXXX, XXXXXXX Time