<Immunization xmlns="http://hl7.org/fhir">
  <id value="ma-ma-schema-1-Immunization-7001" />
  <meta>
    <lastUpdated value="2023-12-18T23:07:47Z" />
    <source value="urn:telus:emr:ma:ma-schema-1" />
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality" />
      <code value="N" />
      <display value="normal" />
    </security>
  </meta>
  <identifier>
    <use value="official" />
    <system value="urn:telus:emr:ma:ma-schema-1:Immunization" />
    <value value="7001" />
  </identifier>
  <status value="completed" />
  <vaccineCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/cvx" />
      <code value="141" />
      <display value="Influenza, seasonal, injectable" />
    </coding>
    <coding>
      <system value="http://snomed.info/sct" />
      <code value="1181000221105" />
      <display value="Influenza vaccine" />
    </coding>
    <text value="Seasonal Influenza Vaccine" />
  </vaccineCode>
  <patient>
    <reference value="Patient/ma-ma-schema-1-Patient-12345" />
    <type value="Patient" />
    <display value="John Michael Smith" />
  </patient>
  <encounter>
    <reference value="Encounter/ma-ma-schema-1-Encounter-2001" />
    <type value="Encounter" />
  </encounter>
  <occurrenceDateTime value="2023-12-18T10:30:00Z" />
  <primarySource value="true" />
  <location>
    <reference value="Location/ma-ma-schema-1-Location-101" />
    <type value="Location" />
    <display value="Exam Room 1" />
  </location>
  <manufacturer>
    <display value="ABC Pharmaceuticals" />
  </manufacturer>
  <lotNumber value="FLU2023-12345" />
  <expirationDate value="2024-06-30" />
  <site>
    <coding>
      <system value="http://snomed.info/sct" />
      <code value="72098002" />
      <display value="Entire left upper arm" />
    </coding>
  </site>
  <route>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration" />
      <code value="IM" />
      <display value="Injection, intramuscular" />
    </coding>
  </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/ma-ma-schema-1-Practitioner-789" />
      <type value="Practitioner" />
      <display value="Dr. Sarah Johnson" />
    </actor>
  </performer>
  <note>
    <text value="Patient tolerated the vaccine well. No immediate adverse reactions observed. Advised to monitor for any delayed reactions and to return if concerns arise." />
  </note>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct" />
      <code value="134436002" />
      <display value="Lifestyle" />
    </coding>
    <text value="Seasonal influenza prevention" />
  </reasonCode>
  <isSubpotent value="false" />
  <education>
    <documentType value="VIS" />
    <publicationDate value="2023-08-15" />
    <presentationDate value="2023-12-18T10:25:00Z" />
  </education>
  <protocolApplied>
    <series value="Annual" />
    <targetDisease>
      <coding>
        <system value="http://snomed.info/sct" />
        <code value="6142004" />
        <display value="Influenza" />
      </coding>
    </targetDisease>
    <doseNumberPositiveInt value="1" />
  </protocolApplied>
</Immunization>