Canadian Baseline, published by HL7 Canada - FHIR Implementation Work Group. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-Canada/ca-baseline/ and changes regularly. See the Directory of published versions

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Resource Profile: ImmunizationRecommendation Profile

Proposed constraints and extensions on the ImmunizationRecommendation resource. Generated as a first step toward creating a set of Canadian Baseline FHIR profiles.

Usage:

• Refer to this Resource Profile: Encounter Profile and MedicationRequest Profile

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from ImmunizationRecommendation

Name	Flags	Card.	Type	Description & Constraints
ImmunizationRecommendation		0..*	ImmunizationRecommendation	ImmunizationRecommendation Profile
patient	S	1..1	Reference(Patient Profile)	Who this profile is for
date	S	1..1	dateTime	Date recommendation(s) created
authority		0..1	Reference(Organization Profile)	Who is responsible for protocol
recommendation	S	1..*	BackboneElement	Vaccine administration recommendations
vaccineCode	S	0..*	CodeableConcept	Vaccine or vaccine group recommendation applies to Binding: https://cvc.canimmunize.ca/v3/ValueSet/Generic (preferred)
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system, pattern:code
coding:Generic		0..1	Coding	Code defined by a terminology system Binding: https://cvc.canimmunize.ca/v3/ValueSet/Generic (preferred)
coding:Tradename		0..1	Coding	Code defined by a terminology system Binding: https://cvc.canimmunize.ca/v3/ValueSet/Tradename (preferred)
targetDisease	S	0..1	CodeableConcept	Disease to be immunized against Binding: https://cvc.canimmunize.ca/v3/ValueSet/Disease (preferred)
forecastStatus	S	1..1	CodeableConcept	Vaccine recommendation status Binding: https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus (preferred)
dateCriterion	S	0..*	BackboneElement	Dates governing proposed immunization
code	S	1..1	CodeableConcept	Type of date
value	S	1..1	dateTime	Recommended date
supportingImmunization		0..*	Reference(Immunization Profile | ImmunizationEvaluation)	Past immunizations supporting recommendation
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ImmunizationRecommendation.recommendation.vaccineCode	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Generic https://cvc.canimmunize.ca/v3/ValueSet/Generic
ImmunizationRecommendation.recommendation.vaccineCode.coding:Generic	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Generic https://cvc.canimmunize.ca/v3/ValueSet/Generic
ImmunizationRecommendation.recommendation.vaccineCode.coding:Tradename	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Tradename https://cvc.canimmunize.ca/v3/ValueSet/Tradename
ImmunizationRecommendation.recommendation.targetDisease	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Disease https://cvc.canimmunize.ca/v3/ValueSet/Disease
ImmunizationRecommendation.recommendation.forecastStatus	preferred	https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus

Name	Flags	Card.	Type	Description & Constraints
ImmunizationRecommendation		0..*	ImmunizationRecommendation	ImmunizationRecommendation Profile dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
patient	SΣ	1..1	Reference(Patient Profile)	Who this profile is for ele-1: All FHIR elements must have a @value or children
date	SΣ	1..1	dateTime	Date recommendation(s) created ele-1: All FHIR elements must have a @value or children
authority		0..1	Reference(Organization Profile)	Who is responsible for protocol ele-1: All FHIR elements must have a @value or children
recommendation	SΣC	1..*	BackboneElement	Vaccine administration recommendations ele-1: All FHIR elements must have a @value or children imr-1: One of vaccineCode or targetDisease SHALL be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
vaccineCode	SΣ	0..*	CodeableConcept	Vaccine or vaccine group recommendation applies to Binding: https://cvc.canimmunize.ca/v3/ValueSet/Generic (preferred) ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system, pattern:code ele-1: All FHIR elements must have a @value or children
coding:Generic	Σ	0..1	Coding	Code defined by a terminology system Binding: https://cvc.canimmunize.ca/v3/ValueSet/Generic (preferred) ele-1: All FHIR elements must have a @value or children
coding:Tradename	Σ	0..1	Coding	Code defined by a terminology system Binding: https://cvc.canimmunize.ca/v3/ValueSet/Tradename (preferred) ele-1: All FHIR elements must have a @value or children
targetDisease	SΣ	0..1	CodeableConcept	Disease to be immunized against Binding: https://cvc.canimmunize.ca/v3/ValueSet/Disease (preferred) ele-1: All FHIR elements must have a @value or children
forecastStatus	?!SΣ	1..1	CodeableConcept	Vaccine recommendation status Binding: https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus (preferred) ele-1: All FHIR elements must have a @value or children
dateCriterion	S	0..*	BackboneElement	Dates governing proposed immunization ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	1..1	CodeableConcept	Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.). ele-1: All FHIR elements must have a @value or children
value	S	1..1	dateTime	Recommended date ele-1: All FHIR elements must have a @value or children
supportingImmunization		0..*	Reference(Immunization Profile | ImmunizationEvaluation)	Past immunizations supporting recommendation ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImmunizationRecommendation.recommendation.vaccineCode	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Generic https://cvc.canimmunize.ca/v3/ValueSet/Generic
ImmunizationRecommendation.recommendation.vaccineCode.coding:Generic	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Generic https://cvc.canimmunize.ca/v3/ValueSet/Generic
ImmunizationRecommendation.recommendation.vaccineCode.coding:Tradename	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Tradename https://cvc.canimmunize.ca/v3/ValueSet/Tradename
ImmunizationRecommendation.recommendation.targetDisease	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Disease https://cvc.canimmunize.ca/v3/ValueSet/Disease
ImmunizationRecommendation.recommendation.forecastStatus	preferred	https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus
ImmunizationRecommendation.recommendation.dateCriterion.code	example	ImmunizationRecommendationDateCriterionCodes http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImmunizationRecommendation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
imr-1	error	ImmunizationRecommendation.recommendation	One of vaccineCode or targetDisease SHALL be present : vaccineCode.exists() or targetDisease.exists()

Name	Flags	Card.	Type	Description & Constraints
ImmunizationRecommendation		0..*	ImmunizationRecommendation	ImmunizationRecommendation Profile
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier
patient	SΣ	1..1	Reference(Patient Profile)	Who this profile is for
date	SΣ	1..1	dateTime	Date recommendation(s) created
authority		0..1	Reference(Organization Profile)	Who is responsible for protocol
recommendation	SΣC	1..*	BackboneElement	Vaccine administration recommendations imr-1: One of vaccineCode or targetDisease SHALL be present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
vaccineCode	SΣ	0..*	CodeableConcept	Vaccine or vaccine group recommendation applies to Binding: https://cvc.canimmunize.ca/v3/ValueSet/Generic (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system, pattern:code
coding:Generic	Σ	0..1	Coding	Code defined by a terminology system Binding: https://cvc.canimmunize.ca/v3/ValueSet/Generic (preferred)
coding:Tradename	Σ	0..1	Coding	Code defined by a terminology system Binding: https://cvc.canimmunize.ca/v3/ValueSet/Tradename (preferred)
text	Σ	0..1	string	Plain text representation of the concept
targetDisease	SΣ	0..1	CodeableConcept	Disease to be immunized against Binding: https://cvc.canimmunize.ca/v3/ValueSet/Disease (preferred)
contraindicatedVaccineCode	Σ	0..*	CodeableConcept	Vaccine which is contraindicated to fulfill the recommendation Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.
forecastStatus	?!SΣ	1..1	CodeableConcept	Vaccine recommendation status Binding: https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus (preferred)
forecastReason	Σ	0..*	CodeableConcept	Vaccine administration status reason Binding: ImmunizationRecommendationReasonCodes (example): The reason for the patient's status with respect to a vaccination protocol.
dateCriterion	S	0..*	BackboneElement	Dates governing proposed immunization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).
value	S	1..1	dateTime	Recommended date
description		0..1	string	Protocol details
series		0..1	string	Name of vaccination series
doseNumber[x]	Σ	0..1		Recommended dose number within series
doseNumberPositiveInt			positiveInt
doseNumberString			string
seriesDoses[x]		0..1		Recommended number of doses for immunity
seriesDosesPositiveInt			positiveInt
seriesDosesString			string
supportingImmunization		0..*	Reference(Immunization Profile | ImmunizationEvaluation)	Past immunizations supporting recommendation
supportingPatientInformation		0..*	Reference(Resource)	Patient observations supporting recommendation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImmunizationRecommendation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ImmunizationRecommendation.recommendation.vaccineCode	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Generic https://cvc.canimmunize.ca/v3/ValueSet/Generic
ImmunizationRecommendation.recommendation.vaccineCode.coding:Generic	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Generic https://cvc.canimmunize.ca/v3/ValueSet/Generic
ImmunizationRecommendation.recommendation.vaccineCode.coding:Tradename	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Tradename https://cvc.canimmunize.ca/v3/ValueSet/Tradename
ImmunizationRecommendation.recommendation.targetDisease	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Disease https://cvc.canimmunize.ca/v3/ValueSet/Disease
ImmunizationRecommendation.recommendation.contraindicatedVaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code from the FHIR Standard
ImmunizationRecommendation.recommendation.forecastStatus	preferred	https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus
ImmunizationRecommendation.recommendation.forecastReason	example	ImmunizationRecommendationReasonCodes http://hl7.org/fhir/ValueSet/immunization-recommendation-reason from the FHIR Standard
ImmunizationRecommendation.recommendation.dateCriterion.code	example	ImmunizationRecommendationDateCriterionCodes http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImmunizationRecommendation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
imr-1	error	ImmunizationRecommendation.recommendation	One of vaccineCode or targetDisease SHALL be present : vaccineCode.exists() or targetDisease.exists()

This structure is derived from ImmunizationRecommendation

Summary

Must-Support: 9 elements

Structures

This structure refers to these other structures:

• Patient Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient)
• Organization Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization)
• Immunization Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-immunization)

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of ImmunizationRecommendation.recommendation.vaccineCode.coding

Differential View

This structure is derived from ImmunizationRecommendation

Name	Flags	Card.	Type	Description & Constraints
ImmunizationRecommendation		0..*	ImmunizationRecommendation	ImmunizationRecommendation Profile
patient	S	1..1	Reference(Patient Profile)	Who this profile is for
date	S	1..1	dateTime	Date recommendation(s) created
authority		0..1	Reference(Organization Profile)	Who is responsible for protocol
recommendation	S	1..*	BackboneElement	Vaccine administration recommendations
vaccineCode	S	0..*	CodeableConcept	Vaccine or vaccine group recommendation applies to Binding: https://cvc.canimmunize.ca/v3/ValueSet/Generic (preferred)
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system, pattern:code
coding:Generic		0..1	Coding	Code defined by a terminology system Binding: https://cvc.canimmunize.ca/v3/ValueSet/Generic (preferred)
coding:Tradename		0..1	Coding	Code defined by a terminology system Binding: https://cvc.canimmunize.ca/v3/ValueSet/Tradename (preferred)
targetDisease	S	0..1	CodeableConcept	Disease to be immunized against Binding: https://cvc.canimmunize.ca/v3/ValueSet/Disease (preferred)
forecastStatus	S	1..1	CodeableConcept	Vaccine recommendation status Binding: https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus (preferred)
dateCriterion	S	0..*	BackboneElement	Dates governing proposed immunization
code	S	1..1	CodeableConcept	Type of date
value	S	1..1	dateTime	Recommended date
supportingImmunization		0..*	Reference(Immunization Profile | ImmunizationEvaluation)	Past immunizations supporting recommendation
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ImmunizationRecommendation.recommendation.vaccineCode	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Generic https://cvc.canimmunize.ca/v3/ValueSet/Generic
ImmunizationRecommendation.recommendation.vaccineCode.coding:Generic	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Generic https://cvc.canimmunize.ca/v3/ValueSet/Generic
ImmunizationRecommendation.recommendation.vaccineCode.coding:Tradename	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Tradename https://cvc.canimmunize.ca/v3/ValueSet/Tradename
ImmunizationRecommendation.recommendation.targetDisease	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Disease https://cvc.canimmunize.ca/v3/ValueSet/Disease
ImmunizationRecommendation.recommendation.forecastStatus	preferred	https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ImmunizationRecommendation		0..*	ImmunizationRecommendation	ImmunizationRecommendation Profile dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
patient	SΣ	1..1	Reference(Patient Profile)	Who this profile is for ele-1: All FHIR elements must have a @value or children
date	SΣ	1..1	dateTime	Date recommendation(s) created ele-1: All FHIR elements must have a @value or children
authority		0..1	Reference(Organization Profile)	Who is responsible for protocol ele-1: All FHIR elements must have a @value or children
recommendation	SΣC	1..*	BackboneElement	Vaccine administration recommendations ele-1: All FHIR elements must have a @value or children imr-1: One of vaccineCode or targetDisease SHALL be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
vaccineCode	SΣ	0..*	CodeableConcept	Vaccine or vaccine group recommendation applies to Binding: https://cvc.canimmunize.ca/v3/ValueSet/Generic (preferred) ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system, pattern:code ele-1: All FHIR elements must have a @value or children
coding:Generic	Σ	0..1	Coding	Code defined by a terminology system Binding: https://cvc.canimmunize.ca/v3/ValueSet/Generic (preferred) ele-1: All FHIR elements must have a @value or children
coding:Tradename	Σ	0..1	Coding	Code defined by a terminology system Binding: https://cvc.canimmunize.ca/v3/ValueSet/Tradename (preferred) ele-1: All FHIR elements must have a @value or children
targetDisease	SΣ	0..1	CodeableConcept	Disease to be immunized against Binding: https://cvc.canimmunize.ca/v3/ValueSet/Disease (preferred) ele-1: All FHIR elements must have a @value or children
forecastStatus	?!SΣ	1..1	CodeableConcept	Vaccine recommendation status Binding: https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus (preferred) ele-1: All FHIR elements must have a @value or children
dateCriterion	S	0..*	BackboneElement	Dates governing proposed immunization ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	1..1	CodeableConcept	Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.). ele-1: All FHIR elements must have a @value or children
value	S	1..1	dateTime	Recommended date ele-1: All FHIR elements must have a @value or children
supportingImmunization		0..*	Reference(Immunization Profile | ImmunizationEvaluation)	Past immunizations supporting recommendation ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImmunizationRecommendation.recommendation.vaccineCode	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Generic https://cvc.canimmunize.ca/v3/ValueSet/Generic
ImmunizationRecommendation.recommendation.vaccineCode.coding:Generic	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Generic https://cvc.canimmunize.ca/v3/ValueSet/Generic
ImmunizationRecommendation.recommendation.vaccineCode.coding:Tradename	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Tradename https://cvc.canimmunize.ca/v3/ValueSet/Tradename
ImmunizationRecommendation.recommendation.targetDisease	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Disease https://cvc.canimmunize.ca/v3/ValueSet/Disease
ImmunizationRecommendation.recommendation.forecastStatus	preferred	https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus
ImmunizationRecommendation.recommendation.dateCriterion.code	example	ImmunizationRecommendationDateCriterionCodes http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImmunizationRecommendation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
imr-1	error	ImmunizationRecommendation.recommendation	One of vaccineCode or targetDisease SHALL be present : vaccineCode.exists() or targetDisease.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ImmunizationRecommendation		0..*	ImmunizationRecommendation	ImmunizationRecommendation Profile
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier
patient	SΣ	1..1	Reference(Patient Profile)	Who this profile is for
date	SΣ	1..1	dateTime	Date recommendation(s) created
authority		0..1	Reference(Organization Profile)	Who is responsible for protocol
recommendation	SΣC	1..*	BackboneElement	Vaccine administration recommendations imr-1: One of vaccineCode or targetDisease SHALL be present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
vaccineCode	SΣ	0..*	CodeableConcept	Vaccine or vaccine group recommendation applies to Binding: https://cvc.canimmunize.ca/v3/ValueSet/Generic (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system, pattern:code
coding:Generic	Σ	0..1	Coding	Code defined by a terminology system Binding: https://cvc.canimmunize.ca/v3/ValueSet/Generic (preferred)
coding:Tradename	Σ	0..1	Coding	Code defined by a terminology system Binding: https://cvc.canimmunize.ca/v3/ValueSet/Tradename (preferred)
text	Σ	0..1	string	Plain text representation of the concept
targetDisease	SΣ	0..1	CodeableConcept	Disease to be immunized against Binding: https://cvc.canimmunize.ca/v3/ValueSet/Disease (preferred)
contraindicatedVaccineCode	Σ	0..*	CodeableConcept	Vaccine which is contraindicated to fulfill the recommendation Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.
forecastStatus	?!SΣ	1..1	CodeableConcept	Vaccine recommendation status Binding: https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus (preferred)
forecastReason	Σ	0..*	CodeableConcept	Vaccine administration status reason Binding: ImmunizationRecommendationReasonCodes (example): The reason for the patient's status with respect to a vaccination protocol.
dateCriterion	S	0..*	BackboneElement	Dates governing proposed immunization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).
value	S	1..1	dateTime	Recommended date
description		0..1	string	Protocol details
series		0..1	string	Name of vaccination series
doseNumber[x]	Σ	0..1		Recommended dose number within series
doseNumberPositiveInt			positiveInt
doseNumberString			string
seriesDoses[x]		0..1		Recommended number of doses for immunity
seriesDosesPositiveInt			positiveInt
seriesDosesString			string
supportingImmunization		0..*	Reference(Immunization Profile | ImmunizationEvaluation)	Past immunizations supporting recommendation
supportingPatientInformation		0..*	Reference(Resource)	Patient observations supporting recommendation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImmunizationRecommendation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ImmunizationRecommendation.recommendation.vaccineCode	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Generic https://cvc.canimmunize.ca/v3/ValueSet/Generic
ImmunizationRecommendation.recommendation.vaccineCode.coding:Generic	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Generic https://cvc.canimmunize.ca/v3/ValueSet/Generic
ImmunizationRecommendation.recommendation.vaccineCode.coding:Tradename	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Tradename https://cvc.canimmunize.ca/v3/ValueSet/Tradename
ImmunizationRecommendation.recommendation.targetDisease	preferred	https://cvc.canimmunize.ca/v3/ValueSet/Disease https://cvc.canimmunize.ca/v3/ValueSet/Disease
ImmunizationRecommendation.recommendation.contraindicatedVaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code from the FHIR Standard
ImmunizationRecommendation.recommendation.forecastStatus	preferred	https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus
ImmunizationRecommendation.recommendation.forecastReason	example	ImmunizationRecommendationReasonCodes http://hl7.org/fhir/ValueSet/immunization-recommendation-reason from the FHIR Standard
ImmunizationRecommendation.recommendation.dateCriterion.code	example	ImmunizationRecommendationDateCriterionCodes http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImmunizationRecommendation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
imr-1	error	ImmunizationRecommendation.recommendation	One of vaccineCode or targetDisease SHALL be present : vaccineCode.exists() or targetDisease.exists()

This structure is derived from ImmunizationRecommendation

Summary

Must-Support: 9 elements

Structures

This structure refers to these other structures:

• Patient Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient)
• Organization Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization)
• Immunization Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-immunization)

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of ImmunizationRecommendation.recommendation.vaccineCode.coding

Other representations of profile: CSV, Excel, Schematron