Usage scenarios

The following are supported usage scenarios for this profile:

• Query for a patient’s immunisations
• Record or update an immunisation record for a patient

Comparison with other national and international IGs

A resource conforming to this profile is conformant to:

• IPA-Immunization
• and MAY be conformant to
  • Immunization (IPS) if patient is supported as Immunization.patient.reference
  • US Core Immunization noting that US Core extensibly binds to CVX which is not an AU vaccine terminology

Conformance in reverse is not guaranteed, i.e. a resource conforming to International Patient Access, International Patient Summary, or US Core MAY NOT conform to AU Core.

Profile specific implementation guidance

• Use the status code: not-done to represent that an immunization was not given.

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

This structure is derived from AUBaseImmunisation

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	AUBaseImmunisation	An immunisation statement in an Australian healthcare context
status	SO	1..1	code	completed | entered-in-error | not-done Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
vaccineCode	SO	1..1	CodeableConcept	Vaccine product administered Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:amtVaccineCode	SO	0..1	Coding	AMT Vaccine Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
coding:airVaccineCode	SO	0..1	Coding	AIR Vaccine Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
patient	SO	1..1	Reference(AU Core Patient)	Who was immunized Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
occurrence[x]	SO	1..1	dateTime, string	Vaccine administration date Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
primarySource	SO	0..1	boolean	Indicates context the data was recorded in Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
note	SO	0..*	Annotation	Additional immunization notes Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	AUBaseImmunisation	An immunisation statement in an Australian healthcare context
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SOΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
vaccineCode	SOΣ	1..1	CodeableConcept	Vaccine product administered Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:amtVaccineCode	SOΣ	0..1	Coding	AMT Vaccine Binding: Australian Medicines Terminology Vaccine (preferred) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:airVaccineCode	SOΣ	0..1	Coding	AIR Vaccine Binding: Australian Immunisation Register Vaccine (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats
patient	SOΣ	1..1	Reference(AU Core Patient)	Who was immunized Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
occurrence[x]	SOΣ	1..1		Vaccine administration date Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
occurrenceDateTime			dateTime
occurrenceString			string
primarySource	SOΣ	0..1	boolean	Indicates context the data was recorded in Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for performer	Σ	0..*	BackboneElement	Who performed event Slice: Unordered, Open by pattern:function
performer:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Individual or organization who was performing
performer:administeredBy	Σ	0..1	BackboneElement	Immunisation Administered By
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	1..1	CodeableConcept	Administering role Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AP
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Administering performer
performer:approvedBy	Σ	0..1	BackboneElement	Immunisation Approved By
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	1..1	CodeableConcept	Approver role Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
code		1..1	code	Symbol in syntax defined by the system Fixed Value: OP
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Approver
note	SOΣ	0..*	Annotation	Additional immunization notes Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
isSubpotent	?!Σ	0..1	boolean	Dose potency
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 from the FHIR Standard
Immunization.vaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code from the FHIR Standard
Immunization.vaccineCode.coding:amtVaccineCode	preferred	AustralianMedicinesTerminologyVaccine https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1 from https://tx.ontoserver.csiro.au/fhir
Immunization.vaccineCode.coding:airVaccineCode	required	AustralianImmunisationRegisterVaccine (a valid code from https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats) https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1 from https://tx.ontoserver.csiro.au/fhir
Immunization.performer:administeredBy.function	extensible	Pattern: AP http://hl7.org/fhir/ValueSet/immunization-function from the FHIR Standard
Immunization.performer:approvedBy.function	extensible	Pattern: OP http://hl7.org/fhir/ValueSet/immunization-function from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Immunization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Immunization	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	Immunization	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	Immunization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Immunization	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()

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	AUBaseImmunisation	An immunisation statement in an Australian healthcare context
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		0..*	Identifier	Business identifier
status	?!SOΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
statusReason		0..1	CodeableConcept	Reason not done Binding: Reason Vaccine Not Administered (preferred)
vaccineCode	SOΣ	1..1	CodeableConcept	Vaccine product administered Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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 value:system
coding:amtVaccineCode	SOΣ	0..1	Coding	AMT Vaccine Binding: Australian Medicines Terminology Vaccine (preferred) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:airVaccineCode	SOΣ	0..1	Coding	AIR Vaccine Binding: Australian Immunisation Register Vaccine (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
patient	SOΣ	1..1	Reference(AU Core Patient)	Who was immunized Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
occurrence[x]	SOΣ	1..1		Vaccine administration date Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
occurrenceDateTime			dateTime
occurrenceString			string
recorded		0..1	dateTime	When the immunization was first captured in the subject's record
primarySource	SOΣ	0..1	boolean	Indicates context the data was recorded in Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
reportOrigin		0..1	CodeableConcept	Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.
location		0..1	Reference(Location)	Where immunization occurred
manufacturer		0..1	Reference(Organization)	Vaccine manufacturer
lotNumber		0..1	string	Vaccine lot number
expirationDate		0..1	date	Vaccine expiration date
site		0..1	CodeableConcept	Body site vaccine was administered Binding: Immunisation Anatomical Site (preferred)
route		0..1	CodeableConcept	How vaccine entered body Binding: Immunisation Route of Administration (preferred)
doseQuantity		0..1	SimpleQuantity	Amount of vaccine administered
Slices for performer	Σ	0..*	BackboneElement	Who performed event Slice: Unordered, Open by pattern:function
performer:All Slices				Content/Rules for all slices
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
function	Σ	0..1	CodeableConcept	What type of performance was done Binding: hl7VS-providerRole - AU Extended (extensible)
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Individual or organization who was performing
performer:administeredBy	Σ	0..1	BackboneElement	Immunisation Administered By
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
function	Σ	1..1	CodeableConcept	Administering role Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AP
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Administering performer
performer:approvedBy	Σ	0..1	BackboneElement	Immunisation Approved By
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
function	Σ	1..1	CodeableConcept	Approver role Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: OP
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Approver
note	SOΣ	0..*	Annotation	Additional immunization notes Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
reasonCode		0..*	CodeableConcept	Why immunization occurred Binding: Reason Vaccine Administered (preferred)
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Why immunization occurred
isSubpotent	?!Σ	0..1	boolean	Dose potency
subpotentReason		0..*	CodeableConcept	Reason for being subpotent Binding: ImmunizationSubpotentReason (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
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
documentType		0..1	string	Educational material document identifier
reference		0..1	uri	Educational material reference pointer
publicationDate		0..1	dateTime	Educational material publication date
presentationDate		0..1	dateTime	Educational material presentation date
programEligibility		0..*	CodeableConcept	Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.
fundingSource		0..1	CodeableConcept	Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
reaction		0..*	BackboneElement	Details of a reaction that follows 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
date		0..1	dateTime	When reaction started
detail		0..1	Reference(Observation)	Additional information on reaction
reported		0..1	boolean	Indicates self-reported reaction
protocolApplied		0..*	BackboneElement	Protocol followed by the provider
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
series		0..1	string	Name of vaccine series
authority		0..1	Reference(Organization)	Who is responsible for publishing the recommendations
targetDisease		0..*	CodeableConcept	Vaccine preventatable disease being targetted Binding: Vaccination Target Disease (preferred)
doseNumber[x]		1..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	Conformance	ValueSet / Code	URI
Immunization.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 from the FHIR Standard
Immunization.statusReason	preferred	ReasonVaccineNotAdministered https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-not-administered-3 from https://tx.ontoserver.csiro.au/fhir
Immunization.vaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code from the FHIR Standard
Immunization.vaccineCode.coding:amtVaccineCode	preferred	AustralianMedicinesTerminologyVaccine https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1 from https://tx.ontoserver.csiro.au/fhir
Immunization.vaccineCode.coding:airVaccineCode	required	AustralianImmunisationRegisterVaccine (a valid code from https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats) https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1 from https://tx.ontoserver.csiro.au/fhir
Immunization.reportOrigin	example	ImmunizationOriginCodes http://hl7.org/fhir/ValueSet/immunization-origin from the FHIR Standard
Immunization.site	preferred	ImmunisationAnatomicalSite https://healthterminologies.gov.au/fhir/ValueSet/immunisation-anatomical-site-1 from https://tx.ontoserver.csiro.au/fhir
Immunization.route	preferred	ImmunisationRouteOfAdministration https://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1 from https://tx.ontoserver.csiro.au/fhir
Immunization.performer.function	extensible	Hl7VSProviderRoleAUExtended http://terminology.hl7.org.au/ValueSet/v2-0443-extended
Immunization.performer:administeredBy.function	extensible	Pattern: AP http://hl7.org/fhir/ValueSet/immunization-function from the FHIR Standard
Immunization.performer:approvedBy.function	extensible	Pattern: OP http://hl7.org/fhir/ValueSet/immunization-function from the FHIR Standard
Immunization.reasonCode	preferred	ReasonVaccineAdministered https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1 from https://tx.ontoserver.csiro.au/fhir
Immunization.subpotentReason	example	ImmunizationSubpotentReason http://hl7.org/fhir/ValueSet/immunization-subpotent-reason from the FHIR Standard
Immunization.programEligibility	example	ImmunizationProgramEligibility http://hl7.org/fhir/ValueSet/immunization-program-eligibility from the FHIR Standard
Immunization.fundingSource	example	ImmunizationFundingSource http://hl7.org/fhir/ValueSet/immunization-funding-source from the FHIR Standard
Immunization.protocolApplied.targetDisease	preferred	VaccinationTargetDisease https://healthterminologies.gov.au/fhir/ValueSet/vaccination-target-disease-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Immunization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Immunization	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	Immunization	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	Immunization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Immunization	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()
imm-1	error	Immunization.education	One of documentType or reference SHALL be present : documentType.exists() or reference.exists()

Differential View

This structure is derived from AUBaseImmunisation

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	AUBaseImmunisation	An immunisation statement in an Australian healthcare context
status	SO	1..1	code	completed | entered-in-error | not-done Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
vaccineCode	SO	1..1	CodeableConcept	Vaccine product administered Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:amtVaccineCode	SO	0..1	Coding	AMT Vaccine Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
coding:airVaccineCode	SO	0..1	Coding	AIR Vaccine Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
patient	SO	1..1	Reference(AU Core Patient)	Who was immunized Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
occurrence[x]	SO	1..1	dateTime, string	Vaccine administration date Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
primarySource	SO	0..1	boolean	Indicates context the data was recorded in Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
note	SO	0..*	Annotation	Additional immunization notes Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	AUBaseImmunisation	An immunisation statement in an Australian healthcare context
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SOΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
vaccineCode	SOΣ	1..1	CodeableConcept	Vaccine product administered Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:amtVaccineCode	SOΣ	0..1	Coding	AMT Vaccine Binding: Australian Medicines Terminology Vaccine (preferred) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:airVaccineCode	SOΣ	0..1	Coding	AIR Vaccine Binding: Australian Immunisation Register Vaccine (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats
patient	SOΣ	1..1	Reference(AU Core Patient)	Who was immunized Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
occurrence[x]	SOΣ	1..1		Vaccine administration date Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
occurrenceDateTime			dateTime
occurrenceString			string
primarySource	SOΣ	0..1	boolean	Indicates context the data was recorded in Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for performer	Σ	0..*	BackboneElement	Who performed event Slice: Unordered, Open by pattern:function
performer:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Individual or organization who was performing
performer:administeredBy	Σ	0..1	BackboneElement	Immunisation Administered By
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	1..1	CodeableConcept	Administering role Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AP
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Administering performer
performer:approvedBy	Σ	0..1	BackboneElement	Immunisation Approved By
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	1..1	CodeableConcept	Approver role Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
code		1..1	code	Symbol in syntax defined by the system Fixed Value: OP
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Approver
note	SOΣ	0..*	Annotation	Additional immunization notes Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
isSubpotent	?!Σ	0..1	boolean	Dose potency
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 from the FHIR Standard
Immunization.vaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code from the FHIR Standard
Immunization.vaccineCode.coding:amtVaccineCode	preferred	AustralianMedicinesTerminologyVaccine https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1 from https://tx.ontoserver.csiro.au/fhir
Immunization.vaccineCode.coding:airVaccineCode	required	AustralianImmunisationRegisterVaccine (a valid code from https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats) https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1 from https://tx.ontoserver.csiro.au/fhir
Immunization.performer:administeredBy.function	extensible	Pattern: AP http://hl7.org/fhir/ValueSet/immunization-function from the FHIR Standard
Immunization.performer:approvedBy.function	extensible	Pattern: OP http://hl7.org/fhir/ValueSet/immunization-function from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Immunization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Immunization	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	Immunization	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	Immunization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Immunization	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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	AUBaseImmunisation	An immunisation statement in an Australian healthcare context
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		0..*	Identifier	Business identifier
status	?!SOΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
statusReason		0..1	CodeableConcept	Reason not done Binding: Reason Vaccine Not Administered (preferred)
vaccineCode	SOΣ	1..1	CodeableConcept	Vaccine product administered Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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 value:system
coding:amtVaccineCode	SOΣ	0..1	Coding	AMT Vaccine Binding: Australian Medicines Terminology Vaccine (preferred) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:airVaccineCode	SOΣ	0..1	Coding	AIR Vaccine Binding: Australian Immunisation Register Vaccine (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
patient	SOΣ	1..1	Reference(AU Core Patient)	Who was immunized Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
occurrence[x]	SOΣ	1..1		Vaccine administration date Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
occurrenceDateTime			dateTime
occurrenceString			string
recorded		0..1	dateTime	When the immunization was first captured in the subject's record
primarySource	SOΣ	0..1	boolean	Indicates context the data was recorded in Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
reportOrigin		0..1	CodeableConcept	Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.
location		0..1	Reference(Location)	Where immunization occurred
manufacturer		0..1	Reference(Organization)	Vaccine manufacturer
lotNumber		0..1	string	Vaccine lot number
expirationDate		0..1	date	Vaccine expiration date
site		0..1	CodeableConcept	Body site vaccine was administered Binding: Immunisation Anatomical Site (preferred)
route		0..1	CodeableConcept	How vaccine entered body Binding: Immunisation Route of Administration (preferred)
doseQuantity		0..1	SimpleQuantity	Amount of vaccine administered
Slices for performer	Σ	0..*	BackboneElement	Who performed event Slice: Unordered, Open by pattern:function
performer:All Slices				Content/Rules for all slices
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
function	Σ	0..1	CodeableConcept	What type of performance was done Binding: hl7VS-providerRole - AU Extended (extensible)
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Individual or organization who was performing
performer:administeredBy	Σ	0..1	BackboneElement	Immunisation Administered By
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
function	Σ	1..1	CodeableConcept	Administering role Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AP
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Administering performer
performer:approvedBy	Σ	0..1	BackboneElement	Immunisation Approved By
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
function	Σ	1..1	CodeableConcept	Approver role Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: OP
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Approver
note	SOΣ	0..*	Annotation	Additional immunization notes Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
reasonCode		0..*	CodeableConcept	Why immunization occurred Binding: Reason Vaccine Administered (preferred)
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Why immunization occurred
isSubpotent	?!Σ	0..1	boolean	Dose potency
subpotentReason		0..*	CodeableConcept	Reason for being subpotent Binding: ImmunizationSubpotentReason (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
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
documentType		0..1	string	Educational material document identifier
reference		0..1	uri	Educational material reference pointer
publicationDate		0..1	dateTime	Educational material publication date
presentationDate		0..1	dateTime	Educational material presentation date
programEligibility		0..*	CodeableConcept	Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.
fundingSource		0..1	CodeableConcept	Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
reaction		0..*	BackboneElement	Details of a reaction that follows 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
date		0..1	dateTime	When reaction started
detail		0..1	Reference(Observation)	Additional information on reaction
reported		0..1	boolean	Indicates self-reported reaction
protocolApplied		0..*	BackboneElement	Protocol followed by the provider
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
series		0..1	string	Name of vaccine series
authority		0..1	Reference(Organization)	Who is responsible for publishing the recommendations
targetDisease		0..*	CodeableConcept	Vaccine preventatable disease being targetted Binding: Vaccination Target Disease (preferred)
doseNumber[x]		1..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	Conformance	ValueSet / Code	URI
Immunization.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 from the FHIR Standard
Immunization.statusReason	preferred	ReasonVaccineNotAdministered https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-not-administered-3 from https://tx.ontoserver.csiro.au/fhir
Immunization.vaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code from the FHIR Standard
Immunization.vaccineCode.coding:amtVaccineCode	preferred	AustralianMedicinesTerminologyVaccine https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1 from https://tx.ontoserver.csiro.au/fhir
Immunization.vaccineCode.coding:airVaccineCode	required	AustralianImmunisationRegisterVaccine (a valid code from https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats) https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1 from https://tx.ontoserver.csiro.au/fhir
Immunization.reportOrigin	example	ImmunizationOriginCodes http://hl7.org/fhir/ValueSet/immunization-origin from the FHIR Standard
Immunization.site	preferred	ImmunisationAnatomicalSite https://healthterminologies.gov.au/fhir/ValueSet/immunisation-anatomical-site-1 from https://tx.ontoserver.csiro.au/fhir
Immunization.route	preferred	ImmunisationRouteOfAdministration https://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1 from https://tx.ontoserver.csiro.au/fhir
Immunization.performer.function	extensible	Hl7VSProviderRoleAUExtended http://terminology.hl7.org.au/ValueSet/v2-0443-extended
Immunization.performer:administeredBy.function	extensible	Pattern: AP http://hl7.org/fhir/ValueSet/immunization-function from the FHIR Standard
Immunization.performer:approvedBy.function	extensible	Pattern: OP http://hl7.org/fhir/ValueSet/immunization-function from the FHIR Standard
Immunization.reasonCode	preferred	ReasonVaccineAdministered https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1 from https://tx.ontoserver.csiro.au/fhir
Immunization.subpotentReason	example	ImmunizationSubpotentReason http://hl7.org/fhir/ValueSet/immunization-subpotent-reason from the FHIR Standard
Immunization.programEligibility	example	ImmunizationProgramEligibility http://hl7.org/fhir/ValueSet/immunization-program-eligibility from the FHIR Standard
Immunization.fundingSource	example	ImmunizationFundingSource http://hl7.org/fhir/ValueSet/immunization-funding-source from the FHIR Standard
Immunization.protocolApplied.targetDisease	preferred	VaccinationTargetDisease https://healthterminologies.gov.au/fhir/ValueSet/vaccination-target-disease-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Immunization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Immunization	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	Immunization	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	Immunization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Immunization	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()
imm-1	error	Immunization.education	One of documentType or reference SHALL be present : documentType.exists() or reference.exists()

This structure is derived from AUBaseImmunisation

Summary

Must-Support: 8 elements

Structures

This structure refers to these other structures:

• AU Core Patient (http://hl7.org.au/fhir/core/StructureDefinition/au-core-patient)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Immunization.vaccineCode.coding

Maturity: 1

Below is an overview of the mandatory and optional search parameters and combined search parameters. See the AU Core CapabilityStatements for a complete list of supported RESTful interactions for this IG.

FHIR search operations are described here and the syntax used to describe AU Core interactions is defined here.

Any search parameter defined in FHIR may be ‘allowed’ by the system unless explicitly marked as “SHALL NOT”. A few items are marked as MAY in this implementation guide to highlight their potential relevance.

Mandatory Search Parameters:

The following search parameters and search parameter combinations SHALL be supported:

1. SHALL support searching using the patient search parameter:
   • SHOULD support chained searching of patient canonical identifier patient.identifier (e.g. patient.identifier=[system|][code])

   GET [base]/Immunization?patient={Type/}[id] or optionallyGET [base]/Immunization?patient.identifier=[system|][code]

   Example:

   1. GET [base]/Immunization?patient=5678
   2. GET [base]/Immunization?patient.identifier=http://ns.electronichealth.net.au/id/medicare-number|32788511952
   3. GET [base]/Immunization?patient.identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608833357361

   Implementation Notes: Fetches a bundle of all Immunization resources for the specified patient (how to search by reference and how to search by token)

2. SHALL support searching using the combination of the patient and status search parameters:
   • SHOULD support chained searching of patient canonical identifier patient.identifier (e.g. patient.identifier=[system|][code])

   GET [base]/Immunization?patient={Type/}[id]&status={system|}[code]{,{system|}[code],...}

   Example:

   1. GET [base]/Immunization?patient=5678&status=not-done

   Implementation Notes: Fetches a bundle of all Immunization resources for the specified patient and status (how to search by reference and how to search by token)

Optional Search Parameters:

The following search parameters and search parameter combinations SHOULD be supported:

1. SHOULD support searching using the combination of the patient and date search parameters:
   • SHOULD support chained searching of patient canonical identifier patient.identifier (e.g. patient.identifier=[system|][code]
   • SHALL support these date comparators: gt,lt,ge,le
   • SHOULD support multipleAnd search on date (e.g.date=[date]&date=[date]]&...)

   GET [base]/Immunization?patient={Type/}[id]&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}

   Example:

   1. GET [base]/Immunization?patient=5678&date=ge2020-01-01T00:00:00Z
   2. GET [base]/Immunization?patient.identifier=http://example.org/fhir/mrn|12345&date=ge2020-01-01T00:00:00Z

   Implementation Notes: Fetches a bundle of all Immunization resources for the specified patient and date (how to search by reference and how to search by date)