<?xml version="1.0" encoding="UTF-8"?>

<Immunization xmlns="http://hl7.org/fhir">  
    <id value="ufBwIe4TMb27r9J5-pQghi"/>  
    <meta> 
        <security> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>  
            <code value="HTEST"/>  
            <display value="test health data"/> 
        </security> 
    </meta>  
    <text> 
        <status value="generated"/>  
        <div xmlns="http://www.w3.org/1999/xhtml">  
            <p>Patient: ufBwIe4TMb27r9J5-pQghi; Reason Not Given: product out of stock; Site: left arm; DoseSequence: 1; TargetDisease: SNOMED CT code '1857005'; DoseStatusReason: given as 'Cold chain break'</p> 
        </div> 
    </text>  
    <identifier> 
        <system value="http://happyvalley.com/immunization"/>  
        <value value="ufBwIe4TMb27r9J5pQghi"/> 
    </identifier>  
    <status value="entered-in-error"/>  
    <vaccineCode> 
        <coding> 
            <system value="urn:oid:1.2.36.1.2001.1005.17"/>  
            <code value="FLUVAX"/> 
        </coding>  
        <text value="Fluvax (Influenza)"/> 
    </vaccineCode>  
    <patient> 
        <reference value="Patient/b9bef1318bb54f7a8cb9c38e19c98f99"/> 
    </patient>  
    <occurrenceDateTime value="2017-10-11"/>  
    <primarySource value="false"/>  
    <lotNumber value="AAJN11K6LyrBteu4C"/>  
    <expirationDate value="2018-02-15"/>  
    <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="5.0"/>  
        <system value="http://unitsofmeasure.org"/>  
        <code value="mg"/> 
    </doseQuantity>  
    <performer> 
        <actor> 
            <reference value="Practitioner/10fb9942d4af4212bd69bb8497f1648d"/> 
        </actor> 
    </performer>  
    <note> 
        <text value="Patient advised to return when product is in stock."/> 
    </note> 
</Immunization>