<Immunization xmlns="http://hl7.org/fhir">
  <id value="chr-on-west-Immunization-12345" />
  <meta>
    <lastUpdated value="2024-01-15T14:30:00Z" />
    <source value="urn:telus:emr:chr:on-west:123" />
    <profile value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwImmunization" />
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality" />
      <code value="N" />
      <display value="normal" />
    </security>
  </meta>
  <extension url="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/ext-ArchivedIndicator">
    <valueBoolean value="false" />
  </extension>
  <identifier>
    <use value="official" />
    <system value="urn:telus:emr:chr:on-west:1234:immunization" />
    <value value="12345" />
  </identifier>
  <status value="completed" />
  <vaccineCode>
    <text value="COVID-19 Vaccine Moderna" />
  </vaccineCode>
  <patient>
    <reference value="Patient/chr-on-west-Patient-12345" />
    <type value="Patient" />
  </patient>
  <encounter>
    <reference value="Encounter/chr-on-west-Encounter-67890" />
    <type value="Encounter" />
  </encounter>
  <occurrenceDateTime value="2024-01-15T10:00:00Z" />
  <recorded value="2024-01-15T10:05:00Z" />
  <primarySource value="true" />
  <manufacturer>
    <display value="Moderna" />
  </manufacturer>
  <lotNumber value="MOD20240115-ABC" />
  <expirationDate value="2024-12-31" />
  <site>
    <coding>
      <system value="http://snomed.info/sct" />
      <code value="16217701000119102" />
      <display value="Left deltoid muscle" />
    </coding>
    <text value="left deltoid" />
  </site>
  <route>
    <coding>
      <system value="http://snomed.info/sct" />
      <code value="78421000" />
      <display value="Intramuscular" />
    </coding>
    <text value="intramuscular" />
  </route>
  <doseQuantity>
    <value value="0.5" />
    <unit value="mL" />
    <system value="http://unitsofmeasure.org" />
    <code value="mL" />
  </doseQuantity>
  <performer>
    <function>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0443" />
        <code value="AP" />
        <display value="Administering Provider" />
      </coding>
    </function>
    <actor>
      <reference value="Practitioner/chr-on-west-Practitioner-789" />
      <display value="Dr. John Smith" />
    </actor>
  </performer>
  <note>
    <text value="Patient had fever last time" />
  </note>
</Immunization>