QI-Core Implementation Guide
7.0.2 - STU 7

QI-Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 7.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-qi-core/ and changes regularly. See the Directory of published versions

## Resource Profile: QICore ImmunizationEvaluation

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunizationevaluation | Version: 7.0.2
Standards status: Trial-use | Maturity Level: 4 | Computable Name: QICoreImmunizationEvaluation

Defines constraints and extensions on the ImmunizationEvaluation resource for the minimal set of data to query and retrieve a patient's Immunization Evaluation.

"Must Have", "QI Elements" and "primary code path" are defined in the QI-Core Must Support section.
QI Elements:

- targetDisease: (QI) Evaluation target disease
- date: (QI) Date evaluation was performed
- immunizationEvent: (QI) Immunization being evaluated
- doseStatusReason: (QI) Reason for the dose status
- identifier: (QI) Business identifier
- status: (QI) completed | entered-in-error
- patient: (QI) Who this evaluation is for
- doseStatus: (QI) Status of the dose relative to published recommendations

Primary code path: targetDisease
(PCPath) This element is the primary code path for this resource CQL Retrieve
Usage

See the patterns page for implementation and usage patterns.

### Examples

Example of immunization evaluation

Usages:

- Refer to this Profile: QICore ImmunizationRecommendation
- Examples for this Profile: ImmunizationEvaluation/example

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImmunizationEvaluation |  | 0..* | ImmunizationEvaluation | Immunization evaluation information
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | (QI) Business identifier
status | ?!Σ | 1..1 | code | (QI) completed | entered-in-error Binding: ImmunizationEvaluationStatusCodes (required): The status of the evaluation being done.
patient | Σ | 1..1 | Reference(QICore Patient) | (QI) Who this evaluation is for
date |  | 1..1 | dateTime | (QI) Date evaluation was performed
authority |  | 0..1 | Reference(QICore Organization) | Who is responsible for publishing the recommendations
targetDisease | Σ | 1..1 | CodeableConcept | (QI) Evaluation target disease Binding: ImmunizationEvaluationTargetDiseaseCodes (preferred)
immunizationEvent | Σ | 1..1 | Reference(QICore Immunization) | (QI) Immunization being evaluated
doseStatus | Σ | 1..1 | CodeableConcept | (QI) Status of the dose relative to published recommendations Binding: ImmunizationEvaluationDoseStatusCodes (preferred)
doseStatusReason |  | 0..* | CodeableConcept | (QI) Reason for the dose status Binding: ImmunizationEvaluationDoseStatusCodes (preferred)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ImmunizationEvaluation.​status | Base | required | Immunization Evaluation Status Codes | 📍4.0.1 | FHIR Std.
ImmunizationEvaluation.​targetDisease | Base | preferred | Immunization Evaluation Target Disease Codes | 📦4.0.1 | FHIR Std.
ImmunizationEvaluation.​doseStatus | Base | preferred | Immunization Evaluation Dose Status codes | 📦4.0.1 | FHIR Std.
ImmunizationEvaluation.​doseStatusReason | Base | preferred | Immunization Evaluation Dose Status codes | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ImmunizationEvaluation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ImmunizationEvaluation | 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 | ImmunizationEvaluation | 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 | ImmunizationEvaluation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ImmunizationEvaluation | 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()`

This structure is derived from ImmunizationEvaluation

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImmunizationEvaluation |  | 0..* | ImmunizationEvaluation | Immunization evaluation information
identifier |  | 0..* | Identifier | (QI) Business identifier
status |  | 1..1 | code | (QI) completed | entered-in-error
patient |  | 1..1 | Reference(QICore Patient) | (QI) Who this evaluation is for
date |  | 1..1 | dateTime | (QI) Date evaluation was performed
authority |  | 0..1 | Reference(QICore Organization) | Who is responsible for publishing the recommendations
targetDisease |  | 1..1 | CodeableConcept | (QI) Evaluation target disease Binding: ImmunizationEvaluationTargetDiseaseCodes (preferred)
immunizationEvent |  | 1..1 | Reference(QICore Immunization) | (QI) Immunization being evaluated
doseStatus |  | 1..1 | CodeableConcept | (QI) Status of the dose relative to published recommendations Binding: ImmunizationEvaluationDoseStatusCodes (preferred)
doseStatusReason |  | 0..* | CodeableConcept | (QI) Reason for the dose status Binding: ImmunizationEvaluationDoseStatusCodes (preferred)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ImmunizationEvaluation.​targetDisease | Base | preferred | Immunization Evaluation Target Disease Codes | 📦4.0.1 | FHIR Std.
ImmunizationEvaluation.​doseStatus | Base | preferred | Immunization Evaluation Dose Status codes | 📦4.0.1 | FHIR Std.
ImmunizationEvaluation.​doseStatusReason | Base | preferred | Immunization Evaluation Dose Status codes | 📦4.0.1 | FHIR Std.

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImmunizationEvaluation |  | 0..* | ImmunizationEvaluation | Immunization evaluation information
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | (QI) Business identifier
status | ?!Σ | 1..1 | code | (QI) completed | entered-in-error Binding: ImmunizationEvaluationStatusCodes (required): The status of the evaluation being done.
patient | Σ | 1..1 | Reference(QICore Patient) | (QI) Who this evaluation is for
date |  | 1..1 | dateTime | (QI) Date evaluation was performed
authority |  | 0..1 | Reference(QICore Organization) | Who is responsible for publishing the recommendations
targetDisease | Σ | 1..1 | CodeableConcept | (QI) Evaluation target disease Binding: ImmunizationEvaluationTargetDiseaseCodes (preferred)
immunizationEvent | Σ | 1..1 | Reference(QICore Immunization) | (QI) Immunization being evaluated
doseStatus | Σ | 1..1 | CodeableConcept | (QI) Status of the dose relative to published recommendations Binding: ImmunizationEvaluationDoseStatusCodes (preferred)
doseStatusReason |  | 0..* | CodeableConcept | (QI) Reason for the dose status Binding: ImmunizationEvaluationDoseStatusCodes (preferred)
description |  | 0..1 | string | Evaluation notes
series |  | 0..1 | string | Name of vaccine series
doseNumber[x] |  | 0..1 |  | Dose number within series
doseNumberPositiveInt |  |  | positiveInt |
doseNumberString |  |  | string |
seriesDoses[x] |  | 0..1 |  | Recommended number of doses for immunity
seriesDosesPositiveInt |  |  | positiveInt |
seriesDosesString |  |  | string |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ImmunizationEvaluation.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
ImmunizationEvaluation.​status | Base | required | Immunization Evaluation Status Codes | 📍4.0.1 | FHIR Std.
ImmunizationEvaluation.​targetDisease | Base | preferred | Immunization Evaluation Target Disease Codes | 📦4.0.1 | FHIR Std.
ImmunizationEvaluation.​doseStatus | Base | preferred | Immunization Evaluation Dose Status codes | 📦4.0.1 | FHIR Std.
ImmunizationEvaluation.​doseStatusReason | Base | preferred | Immunization Evaluation Dose Status codes | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ImmunizationEvaluation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ImmunizationEvaluation | 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 | ImmunizationEvaluation | 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 | ImmunizationEvaluation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ImmunizationEvaluation | 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()`

This structure is derived from ImmunizationEvaluation

Summary

Mandatory: 4 elements

Structures

This structure refers to these other structures:

- QICore Patient (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)
- QICore Organization (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization)
- QICore Immunization (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization)

Maturity: 4

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImmunizationEvaluation |  | 0..* | ImmunizationEvaluation | Immunization evaluation information
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | (QI) Business identifier
status | ?!Σ | 1..1 | code | (QI) completed | entered-in-error Binding: ImmunizationEvaluationStatusCodes (required): The status of the evaluation being done.
patient | Σ | 1..1 | Reference(QICore Patient) | (QI) Who this evaluation is for
date |  | 1..1 | dateTime | (QI) Date evaluation was performed
authority |  | 0..1 | Reference(QICore Organization) | Who is responsible for publishing the recommendations
targetDisease | Σ | 1..1 | CodeableConcept | (QI) Evaluation target disease Binding: ImmunizationEvaluationTargetDiseaseCodes (preferred)
immunizationEvent | Σ | 1..1 | Reference(QICore Immunization) | (QI) Immunization being evaluated
doseStatus | Σ | 1..1 | CodeableConcept | (QI) Status of the dose relative to published recommendations Binding: ImmunizationEvaluationDoseStatusCodes (preferred)
doseStatusReason |  | 0..* | CodeableConcept | (QI) Reason for the dose status Binding: ImmunizationEvaluationDoseStatusCodes (preferred)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ImmunizationEvaluation.​status | Base | required | Immunization Evaluation Status Codes | 📍4.0.1 | FHIR Std.
ImmunizationEvaluation.​targetDisease | Base | preferred | Immunization Evaluation Target Disease Codes | 📦4.0.1 | FHIR Std.
ImmunizationEvaluation.​doseStatus | Base | preferred | Immunization Evaluation Dose Status codes | 📦4.0.1 | FHIR Std.
ImmunizationEvaluation.​doseStatusReason | Base | preferred | Immunization Evaluation Dose Status codes | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ImmunizationEvaluation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ImmunizationEvaluation | 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 | ImmunizationEvaluation | 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 | ImmunizationEvaluation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ImmunizationEvaluation | 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()`

Differential View

This structure is derived from ImmunizationEvaluation

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImmunizationEvaluation |  | 0..* | ImmunizationEvaluation | Immunization evaluation information
identifier |  | 0..* | Identifier | (QI) Business identifier
status |  | 1..1 | code | (QI) completed | entered-in-error
patient |  | 1..1 | Reference(QICore Patient) | (QI) Who this evaluation is for
date |  | 1..1 | dateTime | (QI) Date evaluation was performed
authority |  | 0..1 | Reference(QICore Organization) | Who is responsible for publishing the recommendations
targetDisease |  | 1..1 | CodeableConcept | (QI) Evaluation target disease Binding: ImmunizationEvaluationTargetDiseaseCodes (preferred)
immunizationEvent |  | 1..1 | Reference(QICore Immunization) | (QI) Immunization being evaluated
doseStatus |  | 1..1 | CodeableConcept | (QI) Status of the dose relative to published recommendations Binding: ImmunizationEvaluationDoseStatusCodes (preferred)
doseStatusReason |  | 0..* | CodeableConcept | (QI) Reason for the dose status Binding: ImmunizationEvaluationDoseStatusCodes (preferred)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ImmunizationEvaluation.​targetDisease | Base | preferred | Immunization Evaluation Target Disease Codes | 📦4.0.1 | FHIR Std.
ImmunizationEvaluation.​doseStatus | Base | preferred | Immunization Evaluation Dose Status codes | 📦4.0.1 | FHIR Std.
ImmunizationEvaluation.​doseStatusReason | Base | preferred | Immunization Evaluation Dose Status codes | 📦4.0.1 | FHIR Std.

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImmunizationEvaluation |  | 0..* | ImmunizationEvaluation | Immunization evaluation information
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | (QI) Business identifier
status | ?!Σ | 1..1 | code | (QI) completed | entered-in-error Binding: ImmunizationEvaluationStatusCodes (required): The status of the evaluation being done.
patient | Σ | 1..1 | Reference(QICore Patient) | (QI) Who this evaluation is for
date |  | 1..1 | dateTime | (QI) Date evaluation was performed
authority |  | 0..1 | Reference(QICore Organization) | Who is responsible for publishing the recommendations
targetDisease | Σ | 1..1 | CodeableConcept | (QI) Evaluation target disease Binding: ImmunizationEvaluationTargetDiseaseCodes (preferred)
immunizationEvent | Σ | 1..1 | Reference(QICore Immunization) | (QI) Immunization being evaluated
doseStatus | Σ | 1..1 | CodeableConcept | (QI) Status of the dose relative to published recommendations Binding: ImmunizationEvaluationDoseStatusCodes (preferred)
doseStatusReason |  | 0..* | CodeableConcept | (QI) Reason for the dose status Binding: ImmunizationEvaluationDoseStatusCodes (preferred)
description |  | 0..1 | string | Evaluation notes
series |  | 0..1 | string | Name of vaccine series
doseNumber[x] |  | 0..1 |  | Dose number within series
doseNumberPositiveInt |  |  | positiveInt |
doseNumberString |  |  | string |
seriesDoses[x] |  | 0..1 |  | Recommended number of doses for immunity
seriesDosesPositiveInt |  |  | positiveInt |
seriesDosesString |  |  | string |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ImmunizationEvaluation.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
ImmunizationEvaluation.​status | Base | required | Immunization Evaluation Status Codes | 📍4.0.1 | FHIR Std.
ImmunizationEvaluation.​targetDisease | Base | preferred | Immunization Evaluation Target Disease Codes | 📦4.0.1 | FHIR Std.
ImmunizationEvaluation.​doseStatus | Base | preferred | Immunization Evaluation Dose Status codes | 📦4.0.1 | FHIR Std.
ImmunizationEvaluation.​doseStatusReason | Base | preferred | Immunization Evaluation Dose Status codes | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ImmunizationEvaluation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ImmunizationEvaluation | 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 | ImmunizationEvaluation | 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 | ImmunizationEvaluation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ImmunizationEvaluation | 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()`

This structure is derived from ImmunizationEvaluation

Summary

Mandatory: 4 elements

Structures

This structure refers to these other structures:

- QICore Patient (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)
- QICore Organization (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization)
- QICore Immunization (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization)

Maturity: 4

Other representations of profile: CSV, Excel, Schematron