<?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>