<Immunization xmlns="http://hl7.org/fhir">
  <id value="1035977" />
  <meta>
    <versionId value="1" />
    <lastUpdated value="2018-12-31T18:23:58.215+00:00" />
    <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-immunization-Immunization" />
  </meta>
  <status value="completed" />
  <notGiven value="false" />
  <vaccineCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/cvx" />
      <code value="140" />
      <display value="Influenza, seasonal, injectable, preservative free" />
    </coding>
    <text value="Influenza, seasonal, injectable, preservative free" />
  </vaccineCode>
  <patient>
    <reference value="Patient/1035907" />
  </patient>
  <encounter>
    <reference value="Encounter/1035960" />
  </encounter>
  <date value="2014-08-04T18:49:02-04:00" />
  <primarySource value="true" />
</Immunization>