<Immunization xmlns="http://hl7.org/fhir">
    <id value="1036126" />
    <meta>
        <versionId value="1" />
        <lastUpdated value="2018-12-31T18:26:58.517+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/1036047" />
    </patient>
    <encounter>
        <reference value="Encounter/1036116" />
    </encounter>
    <date value="2013-03-20T08:32:01-04:00" />
    <primarySource value="true" />
</Immunization>