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               <productOrService>
                  <coding>
                     <system value="http://hl7.org/fhir/sid/cvx"/>
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                  <text value="SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose"/>
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                     <coding>
                        <system value="https://bluebutton.cms.gov/resources/codesystem/adjudication"/>
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                        <display value="Line Beneficiary Coinsurance Amount"/>
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                        <display value="Line Provider Payment Amount"/>
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                     <currency value="USD"/>
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               <adjudication>
                  <category>
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                        <system value="https://bluebutton.cms.gov/resources/codesystem/adjudication"/>
                        <code value="https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt"/>
                        <display value="Line Submitted Charge Amount"/>
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                        <system value="https://bluebutton.cms.gov/resources/codesystem/adjudication"/>
                        <code value="https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt"/>
                        <display value="Line Allowed Charge Amount"/>
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               <adjudication>
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                        <system value="https://bluebutton.cms.gov/resources/codesystem/adjudication"/>
                        <code value="https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt"/>
                        <display value="Line Beneficiary Part B Deductible Amount"/>
                     </coding>
                  </category>
                  <amount>
                     <value value="0"/>
                     <currency value="USD"/>
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               </adjudication>
               <adjudication>
                  <category>
                     <coding>
                        <system value="https://bluebutton.cms.gov/resources/codesystem/adjudication"/>
                        <code value="https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd"/>
                        <display value="Line Processing Indicator Code"/>
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                  </category>
               </adjudication>
            </item>
            <total>
               <category>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
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                     <display value="Submitted Amount"/>
                  </coding>
                  <text value="Submitted Amount"/>
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               <amount>
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            <payment>
               <amount>
                  <value value="108.80000000000001"/>
                  <currency value="USD"/>
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         </ExplanationOfBenefit>
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         <method value="POST"/>
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   <entry>
      <fullUrl value="urn:uuid:56688952-c14c-bdb3-029f-768bda90648d"/>
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         <Encounter xmlns="http://hl7.org/fhir">
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               <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
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                  <system value="http://snomed.info/sct"/>
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            <subject>
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            <participant>
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                     <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
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                     <display value="primary performer"/>
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                  <text value="primary performer"/>
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            </participant>
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               <end value="2022-03-05T04:21:58+10:00"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
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            </reasonCode>
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   <entry>
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                  <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
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            <abatementDateTime value="2022-03-18T21:06:58+10:00"/>
            <recordedDate value="2022-03-05T04:06:58+10:00"/>
         </Condition>
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         <method value="POST"/>
         <url value="Condition"/>
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               <coding>
                  <system value="http://loinc.org"/>
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                  <display value="Body temperature"/>
               </coding>
               <coding>
                  <system value="http://loinc.org"/>
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                  <display value="Oral temperature"/>
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               <text value="Body temperature"/>
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               <unit value="Cel"/>
               <system value="http://unitsofmeasure.org"/>
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         <method value="POST"/>
         <url value="Observation"/>
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   <entry>
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            <contained>
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            <identifier>
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            <insurance>
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               </locationCodeableConcept>
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               <category>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
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                  <text value="Submitted Amount"/>
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            <payment>
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         </ExplanationOfBenefit>
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      <request>
         <method value="POST"/>
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      </request>
   </entry>
</Bundle>