<?xml version=“1.0” encoding=“UTF-8”?> <Immunization xmlns=“hl7.org/fhir”>
<id value="protocol"/> <meta> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HTEST"/> <display value="test health data"/> </security> </meta> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"/> </identifier> <status value="completed"/> <vaccineCode> <coding> <system value="http://hl7.org/fhir/sid/cvx"/> <code value="104"/> </coding> <text value="Twinrix (HepA/HepB)"/> </vaccineCode> <patient> <reference value="Patient/example"/> </patient> <encounter> <reference value="Encounter/example"/> </encounter> <occurrenceDateTime value="2018-06-18"/> <primarySource value="true"/> <location> <reference value="Location/1"/> </location> <manufacturer> <reference value="Organization/hl7"/> </manufacturer> <lotNumber value="PT123F"/> <expirationDate value="2018-12-15"/> <site> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActSite"/> <code value="LA"/> <display value="left 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="5"/> <system value="http://unitsofmeasure.org"/> <code value="mg"/> </doseQuantity> <performer> <function> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0443"/> <code value="OP"/> </coding> </function> <actor> <reference value="Practitioner/example"/> </actor> </performer> <performer> <function> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0443"/> <code value="AP"/> </coding> </function> <actor> <reference value="Practitioner/example"/> </actor> </performer> <isSubpotent value="false"/> <programEligibility> <coding> <system value="http://terminology.hl7.org/CodeSystem/immunization-program-eligibility"/> <code value="ineligible"/> </coding> </programEligibility> <fundingSource> <coding> <system value="http://terminology.hl7.org/CodeSystem/immunization-funding-source"/> <code value="private"/> </coding> </fundingSource> <protocolApplied> <series value="2-dose"/> <targetDisease> <coding> <system value="http://snomed.info/sct"/> <code value="40468003"/> </coding> </targetDisease> <doseNumberPositiveInt value="1"/> </protocolApplied> <protocolApplied> <series value="3-dose"/> <targetDisease> <coding> <system value="http://snomed.info/sct"/> <code value="66071002"/> </coding> </targetDisease> <doseNumberPositiveInt value="2"/> </protocolApplied>
</Immunization>