{
  "resourceType": "Immunization",
  "id": "notGiven",
  "status": "not-done",
  "statusReason": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "MEDPREC",
        "display": "medical precaution"
      }
    ]
  },
  "vaccineCode": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/sid/cvx",
        "code": "01",
        "display": "DTP"
      }
    ]
  },
  "patient": {
    "reference": "Patient/example"
  },
  "occurrenceDateTime": "2013-01-10",
  "primarySource": true,
  "meta": {
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  }
}