You guessed it right, this was both a coma dream and a daytime fantasy for her.
The entire Hawaii scene was showing her accepting, that this is her fate, she met the ONE and spent time with him in the place she most desired to be.
She passes away after the kiss. Her first and only kiss...and it's was all a dream. It illustrates she dies happy! (wipe away tears)
As for the picture she drew, this was meant to show her anticipation for the Hawaii trip, and the things they were going to do there, like swim with the sea turtles and watch the sunset and finally kiss but alas she died before the trip. Most of this was probably inspired by the fact that he was reading about Hawaii too her, so her subconscious established a link.
A seriously heart-touching film.
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