<Immunization xmlns="http://hl7.org/fhir">
    <id value="1035852" />
    <meta>
        <versionId value="1" />
        <lastUpdated value="2018-12-31T18:23:19.738+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="03" />
            <display value="MMR" />
        </coding>
        <text value="MMR" />
    </vaccineCode>
    <patient>
        <reference value="Patient/1035805" />
    </patient>
    <encounter>
        <reference value="Encounter/1035846" />
    </encounter>
    <date value="2015-08-21T02:24:22-04:00" />
    <primarySource value="true" />
</Immunization>