# Example: Immunization - Influenza, high-dose, quadrivalent, PF (Fluzone) - PACIO Transitions of Care Implementation Guide v1.0.0

* [**Table of Contents**](toc.md)
* [**FHIR Artifacts**](artifacts.md)
* **Example: Immunization - Influenza, high-dose, quadrivalent, PF (Fluzone)**

## Example Immunization: Example: Immunization - Influenza, high-dose, quadrivalent, PF (Fluzone)

| |
| :--- |
| *Page standards status:*[Informative](http://hl7.org/fhir/R4/versions.html#std-process) |

Profile: [US Core Immunization Profile](http://hl7.org/fhir/us/core/STU8.0.1/StructureDefinition-us-core-immunization.html) version: 8.0.1

**status**: Completed

**vaccineCode**: Influenza, high-dose, quadrivalent, PF

**patient**: [Betsy Smith-Johnson](Patient-Example-Smith-Johnson-Patient1.md)

**occurrence**: 2025-11-19 15:00:00-0800

**primarySource**: false

**location**: [Home Health - Motown](Location-org-Loc-HomeHealth-Motown.md)

**lotNumber**: AAJN55Q

### Performers

| | |
| :--- | :--- |
| - | **Actor** |
| * | [Dr. Gerald Park](PractitionerRole-Role-SNFDoc-GeraldPark.md) |



## Resource Content

```json
{
  "resourceType" : "Immunization",
  "id" : "BSJ-Immunization-Fluzone",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization|8.0.1"]
  },
  "status" : "completed",
  "vaccineCode" : {
    "coding" : [{
      "system" : "http://hl7.org/fhir/sid/cvx",
      "code" : "197",
      "display" : "Influenza, high-dose, quadrivalent, PF"
    }],
    "text" : "Influenza, high-dose, quadrivalent, PF"
  },
  "patient" : {
    "reference" : "Patient/Example-Smith-Johnson-Patient1",
    "display" : "Betsy Smith-Johnson"
  },
  "occurrenceDateTime" : "2025-11-19T15:00:00-08:00",
  "primarySource" : false,
  "location" : {
    "reference" : "Location/org-Loc-HomeHealth-Motown",
    "display" : "Home Health - Motown"
  },
  "lotNumber" : "AAJN55Q",
  "performer" : [{
    "actor" : {
      "reference" : "PractitionerRole/Role-SNFDoc-GeraldPark",
      "display" : "Dr. Gerald Park"
    }
  }]
}

```
