<?xml version=“1.0” encoding=“UTF-8”?> <Immunization xmlns=“hl7.org/fhir”>
<id value="historical"/> <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="urn:oid:1.2.36.1.2001.1005.17"/> <code value="GNFLU"/> </coding> <text value="Influenza"/> </vaccineCode> <patient> <reference value="Patient/example"/> </patient> <occurrenceString value="January 2012"/> <primarySource value="false"/> <reportOrigin> <coding> <system value="http://terminology.hl7.org/CodeSystem/immunization-origin"/> <code value="record"/> </coding> <text value="Written Record"/> </reportOrigin> <location> <reference value="Location/1"/> </location> <note> <text value="Notes on adminstration of a historical vaccine"/> </note>
</Immunization>