Left: | IPA-Immunization (http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-immunization) |
Right: | Immunization Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-immunization) |
Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-immunization' vs 'http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-immunization' |
Information | StructureDefinition.name | Values for name differ: 'IPAImmunization' vs 'ImmunizationProfile' |
Information | StructureDefinition.title | Values for title differ: 'IPA-Immunization' vs 'Immunization Profile' |
Information | StructureDefinition.status | Values for status differ: 'active' vs 'draft' |
Information | StructureDefinition.date | Values for date differ: '2022-08-02' vs '2023-10-26' |
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Patient Care' vs 'HL7 Canada - FHIR Implementation Work Group' |
Information | StructureDefinition.jurisdiction | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001' |
Information | StructureDefinition.jurisdiction | Added the item 'urn:iso:std:iso:3166#CA' |
Information | StructureDefinition.comment | Values for comment differ: 'This is generally only used for the status of 'not-done'. The reason for performing the immunization event is captured in reasonCode, not here.' vs 'CA Baseline Usage Notes: a reason should be provided if the status is 'not-done'.' |
Information | StructureDefinition.comment | Values for comment differ: 'When immunizations are given a specific date and time should always be known. When immunizations are patient reported, a specific date might not be known. Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose.' vs 'CA Baseline Usage Notes: While occurrenceString is allowed given its use in existing Canadian systems - a combination of occurrenceDateTime (full or partial) with the 'estimated' extension is the preferred mechanism for expressing when an exact date is unknown. For example, if a patient recalls that they were immunized in June 1980, occurrenceDateTime will have a partial date '1980-06' with 'estimated'=true. Another example: if in 2020, a 55 y.o. patient recalls that they were immunized at the age of 5, occurrenceDateTime will have a partial date '1970' with 'estimated'=true.' |
Warning | Immunization.occurrence[x] | Elements differ in definition for mustSupport: 'true' vs 'false' |
Information | StructureDefinition.short | Values for short differ: 'Indicates context the data was recorded in' vs 'Indicates that data is from the primary record created at the time the vaccine was administered.' |
Information | Immunization.reportOrigin | Example/preferred bindings differ at Immunization.reportOrigin using binding from ImmunizationProfile |
Information | Immunization.site | Example/preferred bindings differ at Immunization.site using binding from ImmunizationProfile |
Information | Immunization.route | Example/preferred bindings differ at Immunization.route using binding from ImmunizationProfile |
Information | Immunization.protocolApplied.targetDisease | Example/preferred bindings differ at Immunization.protocolApplied.targetDisease using binding from ImmunizationProfile |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/fhir/StructureDefinition/Immunization | ||
copyright | Used by permission of HL7 International all rights reserved Creative Commons License |
| |
date | 2022-08-02 | 2023-10-26 |
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description | Minimum expectations for an Immunization resource when accessed via a International Patient Access API | Proposed constraints and extensions on the Immunization resource. Generated as a first step toward creating a set of Canadian Baseline FHIR profiles. |
|
experimental | false |
| |
fhirVersion | 4.0.1 | ||
jurisdiction | |||
jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 |
| |
jurisdiction[1] | urn:iso:std:iso:3166#CA |
| |
kind | resource | ||
name | IPAImmunization | ImmunizationProfile |
|
publisher | HL7 International / Patient Care | HL7 Canada - FHIR Implementation Work Group |
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purpose | |||
status | active | draft |
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title | IPA-Immunization | Immunization Profile |
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type | Immunization | ||
url | http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-immunization | http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-immunization |
|
version | 1.1.0 |
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Immunization | 0..* | Immunization | Immunization event information | 0..* | Immunization | Immunization event information | |||||||||||
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
identifier | 0..* | Identifier | Business identifier | 0..* | Identifier | Business identifier | |||||||||||
status | ?!SOΣ | 1..1 | code | completed | entered-in-error | not-done Binding: ?? (required): A set of codes indicating the current status of an Immunization.
| ?!SΣ | 1..1 | code | completed | entered-in-error | not-done Binding: ?? (required): A set of codes indicating the current status of an Immunization. | |||||||||
statusReason | 0..1 | CodeableConcept | Reason not done Binding: ?? (example): The reason why a vaccine was not administered. | 0..1 | CodeableConcept | Reason not done Binding: ?? (example): The reason why a vaccine was not administered. | |||||||||||
vaccineCode | SOΣ | 1..1 | CodeableConcept | Vaccine product administered Binding: ?? (example): The code for vaccine product administered.
| SΣ | 1..1 | CodeableConcept | Vaccine product administered Binding: ?? (example): The code for vaccine product administered. | |||||||||
id | 0..1 | string | Unique id for inter-element referencing |
| |||||||||||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| |||||||||||||
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system, pattern:code |
| ||||||||||||
text | Σ | 0..1 | string | Plain text representation of the concept |
| ||||||||||||
patient | SOΣ | 1..1 | Reference(IPA-Patient) | Who was immunized
| SΣ | 1..1 | Reference(Patient Profile) | Who was immunized | |||||||||
encounter | 0..1 | Reference(Encounter) | Encounter immunization was part of | 0..1 | Reference(Encounter Profile) | Encounter immunization was part of | |||||||||||
occurrence[x] | SOΣ | 1..1 | dateTime, string | Vaccine administration date
| Σ | 1..1 | dateTime, string | Vaccine administration date Slice: Unordered, Open by type:$this |
| ||||||||
recorded | 0..1 | dateTime | When the immunization was first captured in the subject's record | 0..1 | dateTime | When the immunization was first captured in the subject's record | |||||||||||
primarySource | Σ | 0..1 | boolean | Indicates context the data was recorded in | Σ | 0..1 | boolean | Indicates that data is from the primary record created at the time the vaccine was administered. | |||||||||
reportOrigin | 0..1 | CodeableConcept | Indicates the source of a secondarily reported record Binding: ?? (example): The source of the data for a record which is not from a primary source. | 0..1 | CodeableConcept | Indicates the source of a secondarily reported record Binding: ?? (preferred) |
| ||||||||||
location | 0..1 | Reference(Location) | Where immunization occurred | 0..1 | Reference(Location Profile) | Where immunization occurred | |||||||||||
manufacturer | 0..1 | Reference(Organization) | Vaccine manufacturer | 0..1 | Reference(Organization Profile) | Vaccine manufacturer | |||||||||||
lotNumber | 0..1 | string | Vaccine lot number | 0..1 | string | Vaccine lot number | |||||||||||
expirationDate | 0..1 | date | Vaccine expiration date | 0..1 | date | Vaccine expiration date | |||||||||||
site | 0..1 | CodeableConcept | Body site vaccine was administered Binding: ?? (example): The site at which the vaccine was administered. | 0..1 | CodeableConcept | Body site vaccine was administered Binding: ?? (preferred) |
| ||||||||||
route | 0..1 | CodeableConcept | How vaccine entered body Binding: ?? (example): The route by which the vaccine was administered. | 0..1 | CodeableConcept | How vaccine entered body Binding: ?? (preferred) |
| ||||||||||
doseQuantity | 0..1 | ?? | Amount of vaccine administered | 0..1 | ?? | Amount of vaccine administered | |||||||||||
performer | Σ | 0..* | BackboneElement | Who performed event | Σ | 0..* | BackboneElement | Who performed event | |||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ?? (extensible): The role a practitioner or organization plays in the immunization event. | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ?? (extensible): The role a practitioner or organization plays in the immunization event. | |||||||||
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Individual or organization who was performing | Σ | 1..1 | Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile) | Individual or organization who was performing | |||||||||
note | Σ | 0..* | Annotation | Additional immunization notes | Σ | 0..* | Annotation | Additional immunization notes | |||||||||
reasonCode | 0..* | CodeableConcept | Why immunization occurred Binding: ?? (example): The reason why a vaccine was administered. | 0..* | CodeableConcept | Why immunization occurred Binding: ?? (example): The reason why a vaccine was administered. | |||||||||||
reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why immunization occurred | 0..* | Reference(Condition Profile | Observation Profile (General Use) | DiagnosticReport Profile for Results Reporting) | Why immunization occurred | |||||||||||
isSubpotent | ?!Σ | 0..1 | boolean | Dose potency | ?!Σ | 0..1 | boolean | Dose potency | |||||||||
subpotentReason | 0..* | CodeableConcept | Reason for being subpotent Binding: ?? (example): The reason why a dose is considered to be subpotent. | 0..* | CodeableConcept | Reason for being subpotent Binding: ?? (example): The reason why a dose is considered to be subpotent. | |||||||||||
education | C | 0..* | BackboneElement | Educational material presented to patient imm-1: One of documentType or reference SHALL be present | C | 0..* | BackboneElement | Educational material presented to patient imm-1: One of documentType or reference SHALL be present | |||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
documentType | 0..1 | string | Educational material document identifier | 0..1 | string | Educational material document identifier | |||||||||||
reference | 0..1 | uri | Educational material reference pointer | 0..1 | uri | Educational material reference pointer | |||||||||||
publicationDate | 0..1 | dateTime | Educational material publication date | 0..1 | dateTime | Educational material publication date | |||||||||||
presentationDate | 0..1 | dateTime | Educational material presentation date | 0..1 | dateTime | Educational material presentation date | |||||||||||
programEligibility | 0..* | CodeableConcept | Patient eligibility for a vaccination program Binding: ?? (example): The patient's eligibility for a vaccation program. | 0..* | CodeableConcept | Patient eligibility for a vaccination program Binding: ?? (example): The patient's eligibility for a vaccation program. | |||||||||||
fundingSource | 0..1 | CodeableConcept | Funding source for the vaccine Binding: ?? (example): The source of funding used to purchase the vaccine administered. | 0..1 | CodeableConcept | Funding source for the vaccine Binding: ?? (example): The source of funding used to purchase the vaccine administered. | |||||||||||
reaction | 0..* | BackboneElement | Details of a reaction that follows immunization | 0..* | BackboneElement | Details of a reaction that follows immunization | |||||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
date | 0..1 | dateTime | When reaction started | 0..1 | dateTime | When reaction started | |||||||||||
detail | 0..1 | Reference(Observation) | Additional information on reaction | 0..1 | Reference(Observation Profile (General Use)) | Additional information on reaction | |||||||||||
reported | 0..1 | boolean | Indicates self-reported reaction | 0..1 | boolean | Indicates self-reported reaction | |||||||||||
protocolApplied | 0..* | BackboneElement | Protocol followed by the provider | 0..* | BackboneElement | Protocol followed by the provider | |||||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
series | 0..1 | string | Name of vaccine series | 0..1 | string | Name of vaccine series | |||||||||||
authority | 0..1 | Reference(Organization) | Who is responsible for publishing the recommendations | 0..1 | Reference(Organization Profile) | Who is responsible for publishing the recommendations | |||||||||||
targetDisease | 0..* | CodeableConcept | Vaccine preventatable disease being targetted Binding: ?? (example): The vaccine preventable disease the dose is being administered for. | 0..* | CodeableConcept | Vaccine preventatable disease being targetted Binding: ?? (preferred) |
| ||||||||||
doseNumber[x] | 1..1 | positiveInt, string | Dose number within series | 1..1 | positiveInt, string | Dose number within series | |||||||||||
seriesDoses[x] | 0..1 | positiveInt, string | Recommended number of doses for immunity | 0..1 | positiveInt, string | Recommended number of doses for immunity | |||||||||||
Documentation for this format |