---
type: "example"
title: "Immunization Example: immunization-example-refused"
resource: "Immunization"
example: "immunization-example-refused"
---
# Immunization Example: immunization-example-refused

## Example XML



```xml
<?xml version="1.0" encoding="UTF-8"?>
<!--Refused Immunization Example-->
<Immunization xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../schema/immunization.xsd">
	<id value="notGiven"/>
	<status value="not-done"/>
	<statusReason>
		<coding>
			<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
			<code value="MEDPREC"/>
			<display value="medical precaution"/>
		</coding>
	</statusReason>
	<vaccineCode>
		<coding>
			<system value="http://hl7.org/fhir/sid/cvx"/>
			<code value="01"/>
			<display value="DTP"/>
		</coding>
	</vaccineCode>
	<patient>
		<reference value="Patient/example"/>
	</patient>
	<occurrenceDateTime value="2013-01-10"/>
	<primarySource value="true"/>
</Immunization>
```