Guías de Implementación HL7 FHIR: CR Core, published by Ministerio de Salud de Costa Rica. This guide is not an authorized publication; it is the continuous build for version 0.1.1-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HIE-cr/core-ig/ and changes regularly. See the Directory of published versions

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Resource Profile: Inmunización

Perfil CORE de Vacunas (Immunization)

Usages:

• This Profile is not used by any profiles in this Implementation Guide

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
Immunization		0..*	Immunization	Immunization event information
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	S	0..*	Identifier	Identificador(es) por los que se conoce este registro de Inmunización. En el caso del sistema público correspondería al ID del Registro de Inmunización
status	?!SΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required)
statusReason	S	0..1	CodeableConcept	Razón de no realizarse la inmunización Binding: ImmunizationStatusReasonCodes (required)
text	SΣ	0..1	string	Descripción de la razón por la cual no se produjo la inmunización
vaccineCode	SΣ	1..1	CodeableConcept	Vacuna que se administró o se iba a administrar Binding: Listado de vacunas (required)
text	SΣ	0..1	string	Nombre normalizado a nivel nacional de la vacuna
lotNumber	S	0..1	string	Número de lote de la vacuna
expirationDate	S	0..1	date	Fecha de caducidad de la vacuna
patient	SΣ	1..1	Reference(Paciente)	Paciente inmunizado
Slices for occurrence[x]	SΣ	1..1		Momento de administración de la vacuna Slice: Unordered, Closed by type:$this
occurrenceDateTime			dateTime
occurrenceString			string
occurrence[x]:occurrenceDateTime	SΣ	0..1	dateTime	Fecha y hora de la administración
occurrence[x]:occurrenceString	SΣ	0..1	string	Momento de la administración
informationSource	S	0..1	CodeableReference(Paciente | Profesional de Salud | Rol de Profesional de la Salud | Organizaciones)	Fuente de la información Binding: ImmunizationOriginCodes (example)
location	S	0..1	Reference(Ubicación de eventos)	Dónde se produjo la inmunización
performer	SΣ	0..*	BackboneElement	Quién realizó la inmunización
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣ	1..1	Reference(Profesional de Salud | Organizaciones)	Prestador personal u organizacional que realizó la acción
isSubpotent	?!Σ	0..1	boolean	Dose potency
programEligibility	S	0..*	BackboneElement	Corresponde al Id del criterio de elegibilidad de la vacuna administrada
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
program		1..1	CodeableConcept	The program that eligibility is declared for Binding: CodesForVaccineFundingPrograms (example)
programStatus		1..1	CodeableConcept	Descripción del programa asociado al identificador del criterio Binding: ImmunizationProgramEligibility (example)
reaction	S	0..*	BackboneElement	Detalles de una reacción que proviene de la inmunización
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date		0..1	dateTime	Cuándo comenzó la reacción
reported		0..1	boolean	Indica si se reportó reacción adversa a la vacuna
protocolApplied	S	0..*	BackboneElement	Protocolo seguido por el proveedor
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
doseNumber		1..1	string	Dose number within series
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status From the FHIR Standard
Immunization.statusReason	required	ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason From the FHIR Standard
Immunization.vaccineCode	required	VaccineCode(a valid code from Catálogo de vacunas administradas) https://ministeriodesalud.go.cr/fhir/core/ValueSet/vaccine-code From this IG
Immunization.informationSource	example	ImmunizationOriginCodes http://hl7.org/fhir/ValueSet/immunization-origin From the FHIR Standard
Immunization.programEligibility.program	example	CodesForVaccineFundingPrograms http://hl7.org/fhir/ValueSet/immunization-vaccine-funding-program From the FHIR Standard
Immunization.programEligibility.programStatus	example	ImmunizationProgramEligibility http://hl7.org/fhir/ValueSet/immunization-program-eligibility 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

This structure is derived from Immunization

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	Immunization	Immunization event information
identifier	S	0..*	Identifier	Identificador(es) por los que se conoce este registro de Inmunización. En el caso del sistema público correspondería al ID del Registro de Inmunización
status	S	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required)
statusReason	S	0..1	CodeableConcept	Razón de no realizarse la inmunización Binding: ImmunizationStatusReasonCodes (required)
text	S	0..1	string	Descripción de la razón por la cual no se produjo la inmunización
vaccineCode	S	1..1	CodeableConcept	Vacuna que se administró o se iba a administrar Binding: Listado de vacunas (required)
text	S	0..1	string	Nombre normalizado a nivel nacional de la vacuna
lotNumber	S	0..1	string	Número de lote de la vacuna
expirationDate	S	0..1	date	Fecha de caducidad de la vacuna
patient	S	1..1	Reference(Paciente)	Paciente inmunizado
Slices for occurrence[x]	S	1..1	dateTime, string	Momento de administración de la vacuna Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceDateTime	S	0..1	dateTime	Fecha y hora de la administración
occurrence[x]:occurrenceString	S	0..1	string	Momento de la administración
informationSource	S	0..1	CodeableReference(Paciente | Profesional de Salud | Rol de Profesional de la Salud | Organizaciones)	Fuente de la información
location	S	0..1	Reference(Ubicación de eventos)	Dónde se produjo la inmunización
performer	S	0..*	BackboneElement	Quién realizó la inmunización
actor	S	1..1	Reference(Profesional de Salud | Organizaciones)	Prestador personal u organizacional que realizó la acción
programEligibility	S	0..*	BackboneElement	Corresponde al Id del criterio de elegibilidad de la vacuna administrada
programStatus		1..1	CodeableConcept	Descripción del programa asociado al identificador del criterio Binding: ImmunizationProgramEligibility (example)
reaction	S	0..*	BackboneElement	Detalles de una reacción que proviene de la inmunización
date		0..1	dateTime	Cuándo comenzó la reacción
reported		0..1	boolean	Indica si se reportó reacción adversa a la vacuna
protocolApplied	S	0..*	BackboneElement	Protocolo seguido por el proveedor
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status From the FHIR Standard
Immunization.statusReason	required	ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason From the FHIR Standard
Immunization.vaccineCode	required	VaccineCode(a valid code from Catálogo de vacunas administradas) https://ministeriodesalud.go.cr/fhir/core/ValueSet/vaccine-code From this IG
Immunization.programEligibility.programStatus	example	ImmunizationProgramEligibility http://hl7.org/fhir/ValueSet/immunization-program-eligibility From the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	Immunization	Immunization event 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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	S	0..*	Identifier	Identificador(es) por los que se conoce este registro de Inmunización. En el caso del sistema público correspondería al ID del Registro de Inmunización
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	Authority that the immunization event is based on
status	?!SΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required)
statusReason	S	0..1	CodeableConcept	Razón de no realizarse la inmunización Binding: ImmunizationStatusReasonCodes (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Descripción de la razón por la cual no se produjo la inmunización
vaccineCode	SΣ	1..1	CodeableConcept	Vacuna que se administró o se iba a administrar Binding: Listado de vacunas (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Nombre normalizado a nivel nacional de la vacuna
administeredProduct		0..1	CodeableReference(Medication)	Product that was administered
manufacturer		0..1	CodeableReference(Organization)	Vaccine manufacturer
lotNumber	S	0..1	string	Número de lote de la vacuna
expirationDate	S	0..1	date	Fecha de caducidad de la vacuna
patient	SΣ	1..1	Reference(Paciente)	Paciente inmunizado
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
supportingInformation		0..*	Reference(Resource)	Additional information in support of the immunization
Slices for occurrence[x]	SΣ	1..1		Momento de administración de la vacuna Slice: Unordered, Closed by type:$this
occurrenceDateTime			dateTime
occurrenceString			string
occurrence[x]:occurrenceDateTime	SΣ	0..1	dateTime	Fecha y hora de la administración
occurrence[x]:occurrenceString	SΣ	0..1	string	Momento de la administración
primarySource	Σ	0..1	boolean	Indicates context the data was captured in
informationSource	S	0..1	CodeableReference(Paciente | Profesional de Salud | Rol de Profesional de la Salud | Organizaciones)	Fuente de la información Binding: ImmunizationOriginCodes (example)
location	S	0..1	Reference(Ubicación de eventos)	Dónde se produjo la inmunización
site		0..1	CodeableConcept	Body site vaccine was administered Binding: CodesForImmunizationSiteOfAdministration (example)
route		0..1	CodeableConcept	How vaccine entered body Binding: ImmunizationRouteCodes (example)
doseQuantity		0..1	SimpleQuantity	Amount of vaccine administered
performer	SΣ	0..*	BackboneElement	Quién realizó la inmunización
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: ImmunizationFunctionCodes (extensible)
actor	SΣ	1..1	Reference(Profesional de Salud | Organizaciones)	Prestador personal u organizacional que realizó la acción
note	Σ	0..*	Annotation	Additional immunization notes
reason		0..*	CodeableReference(Condition | Observation | DiagnosticReport)	Why immunization occurred Binding: ImmunizationReasonCodes (example)
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.
programEligibility	S	0..*	BackboneElement	Corresponde al Id del criterio de elegibilidad de la vacuna administrada
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
program		1..1	CodeableConcept	The program that eligibility is declared for Binding: CodesForVaccineFundingPrograms (example)
programStatus		1..1	CodeableConcept	Descripción del programa asociado al identificador del criterio Binding: ImmunizationProgramEligibility (example)
fundingSource		0..1	CodeableConcept	Funding source for the vaccine Binding: ImmunizationFundingSource (example)
reaction	S	0..*	BackboneElement	Detalles de una reacción que proviene de la inmunización
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	Cuándo comenzó la reacción
manifestation		0..1	CodeableReference(Observation)	Additional information on reaction
reported		0..1	boolean	Indica si se reportó reacción adversa a la vacuna
protocolApplied	S	0..*	BackboneElement	Protocolo seguido por el proveedor
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 targeted Binding: ImmunizationTargetDiseaseCodes (example)
doseNumber		1..1	string	Dose number within series
seriesDoses		0..1	string	Recommended number of doses for immunity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Immunization.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status From the FHIR Standard
Immunization.statusReason	required	ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason From the FHIR Standard
Immunization.vaccineCode	required	VaccineCode(a valid code from Catálogo de vacunas administradas) https://ministeriodesalud.go.cr/fhir/core/ValueSet/vaccine-code From this IG
Immunization.informationSource	example	ImmunizationOriginCodes http://hl7.org/fhir/ValueSet/immunization-origin From the FHIR Standard
Immunization.site	example	CodesForImmunizationSiteOfAdministration http://hl7.org/fhir/ValueSet/immunization-site From the FHIR Standard
Immunization.route	example	ImmunizationRouteCodes http://hl7.org/fhir/ValueSet/immunization-route From the FHIR Standard
Immunization.performer.function	extensible	ImmunizationFunctionCodes http://hl7.org/fhir/ValueSet/immunization-function From the FHIR Standard
Immunization.reason	example	ImmunizationReasonCodes http://hl7.org/fhir/ValueSet/immunization-reason From the FHIR Standard
Immunization.subpotentReason	example	ImmunizationSubpotentReason http://hl7.org/fhir/ValueSet/immunization-subpotent-reason From the FHIR Standard
Immunization.programEligibility.program	example	CodesForVaccineFundingPrograms http://hl7.org/fhir/ValueSet/immunization-vaccine-funding-program From the FHIR Standard
Immunization.programEligibility.programStatus	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	example	ImmunizationTargetDiseaseCodes http://hl7.org/fhir/ValueSet/immunization-target-disease 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

This structure is derived from Immunization

Summary

Must-Support: 19 elements

Structures

This structure refers to these other structures:

• Paciente (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/patient-cr-core)
• Profesional de Salud (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/practitioner-cr-core)
• Rol de Profesional de la Salud (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/practitioner-role-cr-core)
• Organizaciones (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/organization-cr-core)
• Ubicación de eventos (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/location-cr-core)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Immunization.occurrence[x]

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	Immunization	Immunization event information
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	S	0..*	Identifier	Identificador(es) por los que se conoce este registro de Inmunización. En el caso del sistema público correspondería al ID del Registro de Inmunización
status	?!SΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required)
statusReason	S	0..1	CodeableConcept	Razón de no realizarse la inmunización Binding: ImmunizationStatusReasonCodes (required)
text	SΣ	0..1	string	Descripción de la razón por la cual no se produjo la inmunización
vaccineCode	SΣ	1..1	CodeableConcept	Vacuna que se administró o se iba a administrar Binding: Listado de vacunas (required)
text	SΣ	0..1	string	Nombre normalizado a nivel nacional de la vacuna
lotNumber	S	0..1	string	Número de lote de la vacuna
expirationDate	S	0..1	date	Fecha de caducidad de la vacuna
patient	SΣ	1..1	Reference(Paciente)	Paciente inmunizado
Slices for occurrence[x]	SΣ	1..1		Momento de administración de la vacuna Slice: Unordered, Closed by type:$this
occurrenceDateTime			dateTime
occurrenceString			string
occurrence[x]:occurrenceDateTime	SΣ	0..1	dateTime	Fecha y hora de la administración
occurrence[x]:occurrenceString	SΣ	0..1	string	Momento de la administración
informationSource	S	0..1	CodeableReference(Paciente | Profesional de Salud | Rol de Profesional de la Salud | Organizaciones)	Fuente de la información Binding: ImmunizationOriginCodes (example)
location	S	0..1	Reference(Ubicación de eventos)	Dónde se produjo la inmunización
performer	SΣ	0..*	BackboneElement	Quién realizó la inmunización
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣ	1..1	Reference(Profesional de Salud | Organizaciones)	Prestador personal u organizacional que realizó la acción
isSubpotent	?!Σ	0..1	boolean	Dose potency
programEligibility	S	0..*	BackboneElement	Corresponde al Id del criterio de elegibilidad de la vacuna administrada
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
program		1..1	CodeableConcept	The program that eligibility is declared for Binding: CodesForVaccineFundingPrograms (example)
programStatus		1..1	CodeableConcept	Descripción del programa asociado al identificador del criterio Binding: ImmunizationProgramEligibility (example)
reaction	S	0..*	BackboneElement	Detalles de una reacción que proviene de la inmunización
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date		0..1	dateTime	Cuándo comenzó la reacción
reported		0..1	boolean	Indica si se reportó reacción adversa a la vacuna
protocolApplied	S	0..*	BackboneElement	Protocolo seguido por el proveedor
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
doseNumber		1..1	string	Dose number within series
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status From the FHIR Standard
Immunization.statusReason	required	ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason From the FHIR Standard
Immunization.vaccineCode	required	VaccineCode(a valid code from Catálogo de vacunas administradas) https://ministeriodesalud.go.cr/fhir/core/ValueSet/vaccine-code From this IG
Immunization.informationSource	example	ImmunizationOriginCodes http://hl7.org/fhir/ValueSet/immunization-origin From the FHIR Standard
Immunization.programEligibility.program	example	CodesForVaccineFundingPrograms http://hl7.org/fhir/ValueSet/immunization-vaccine-funding-program From the FHIR Standard
Immunization.programEligibility.programStatus	example	ImmunizationProgramEligibility http://hl7.org/fhir/ValueSet/immunization-program-eligibility 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

Differential View

This structure is derived from Immunization

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	Immunization	Immunization event information
identifier	S	0..*	Identifier	Identificador(es) por los que se conoce este registro de Inmunización. En el caso del sistema público correspondería al ID del Registro de Inmunización
status	S	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required)
statusReason	S	0..1	CodeableConcept	Razón de no realizarse la inmunización Binding: ImmunizationStatusReasonCodes (required)
text	S	0..1	string	Descripción de la razón por la cual no se produjo la inmunización
vaccineCode	S	1..1	CodeableConcept	Vacuna que se administró o se iba a administrar Binding: Listado de vacunas (required)
text	S	0..1	string	Nombre normalizado a nivel nacional de la vacuna
lotNumber	S	0..1	string	Número de lote de la vacuna
expirationDate	S	0..1	date	Fecha de caducidad de la vacuna
patient	S	1..1	Reference(Paciente)	Paciente inmunizado
Slices for occurrence[x]	S	1..1	dateTime, string	Momento de administración de la vacuna Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceDateTime	S	0..1	dateTime	Fecha y hora de la administración
occurrence[x]:occurrenceString	S	0..1	string	Momento de la administración
informationSource	S	0..1	CodeableReference(Paciente | Profesional de Salud | Rol de Profesional de la Salud | Organizaciones)	Fuente de la información
location	S	0..1	Reference(Ubicación de eventos)	Dónde se produjo la inmunización
performer	S	0..*	BackboneElement	Quién realizó la inmunización
actor	S	1..1	Reference(Profesional de Salud | Organizaciones)	Prestador personal u organizacional que realizó la acción
programEligibility	S	0..*	BackboneElement	Corresponde al Id del criterio de elegibilidad de la vacuna administrada
programStatus		1..1	CodeableConcept	Descripción del programa asociado al identificador del criterio Binding: ImmunizationProgramEligibility (example)
reaction	S	0..*	BackboneElement	Detalles de una reacción que proviene de la inmunización
date		0..1	dateTime	Cuándo comenzó la reacción
reported		0..1	boolean	Indica si se reportó reacción adversa a la vacuna
protocolApplied	S	0..*	BackboneElement	Protocolo seguido por el proveedor
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status From the FHIR Standard
Immunization.statusReason	required	ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason From the FHIR Standard
Immunization.vaccineCode	required	VaccineCode(a valid code from Catálogo de vacunas administradas) https://ministeriodesalud.go.cr/fhir/core/ValueSet/vaccine-code From this IG
Immunization.programEligibility.programStatus	example	ImmunizationProgramEligibility http://hl7.org/fhir/ValueSet/immunization-program-eligibility From the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	Immunization	Immunization event 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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	S	0..*	Identifier	Identificador(es) por los que se conoce este registro de Inmunización. En el caso del sistema público correspondería al ID del Registro de Inmunización
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	Authority that the immunization event is based on
status	?!SΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required)
statusReason	S	0..1	CodeableConcept	Razón de no realizarse la inmunización Binding: ImmunizationStatusReasonCodes (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Descripción de la razón por la cual no se produjo la inmunización
vaccineCode	SΣ	1..1	CodeableConcept	Vacuna que se administró o se iba a administrar Binding: Listado de vacunas (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Nombre normalizado a nivel nacional de la vacuna
administeredProduct		0..1	CodeableReference(Medication)	Product that was administered
manufacturer		0..1	CodeableReference(Organization)	Vaccine manufacturer
lotNumber	S	0..1	string	Número de lote de la vacuna
expirationDate	S	0..1	date	Fecha de caducidad de la vacuna
patient	SΣ	1..1	Reference(Paciente)	Paciente inmunizado
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
supportingInformation		0..*	Reference(Resource)	Additional information in support of the immunization
Slices for occurrence[x]	SΣ	1..1		Momento de administración de la vacuna Slice: Unordered, Closed by type:$this
occurrenceDateTime			dateTime
occurrenceString			string
occurrence[x]:occurrenceDateTime	SΣ	0..1	dateTime	Fecha y hora de la administración
occurrence[x]:occurrenceString	SΣ	0..1	string	Momento de la administración
primarySource	Σ	0..1	boolean	Indicates context the data was captured in
informationSource	S	0..1	CodeableReference(Paciente | Profesional de Salud | Rol de Profesional de la Salud | Organizaciones)	Fuente de la información Binding: ImmunizationOriginCodes (example)
location	S	0..1	Reference(Ubicación de eventos)	Dónde se produjo la inmunización
site		0..1	CodeableConcept	Body site vaccine was administered Binding: CodesForImmunizationSiteOfAdministration (example)
route		0..1	CodeableConcept	How vaccine entered body Binding: ImmunizationRouteCodes (example)
doseQuantity		0..1	SimpleQuantity	Amount of vaccine administered
performer	SΣ	0..*	BackboneElement	Quién realizó la inmunización
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: ImmunizationFunctionCodes (extensible)
actor	SΣ	1..1	Reference(Profesional de Salud | Organizaciones)	Prestador personal u organizacional que realizó la acción
note	Σ	0..*	Annotation	Additional immunization notes
reason		0..*	CodeableReference(Condition | Observation | DiagnosticReport)	Why immunization occurred Binding: ImmunizationReasonCodes (example)
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.
programEligibility	S	0..*	BackboneElement	Corresponde al Id del criterio de elegibilidad de la vacuna administrada
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
program		1..1	CodeableConcept	The program that eligibility is declared for Binding: CodesForVaccineFundingPrograms (example)
programStatus		1..1	CodeableConcept	Descripción del programa asociado al identificador del criterio Binding: ImmunizationProgramEligibility (example)
fundingSource		0..1	CodeableConcept	Funding source for the vaccine Binding: ImmunizationFundingSource (example)
reaction	S	0..*	BackboneElement	Detalles de una reacción que proviene de la inmunización
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	Cuándo comenzó la reacción
manifestation		0..1	CodeableReference(Observation)	Additional information on reaction
reported		0..1	boolean	Indica si se reportó reacción adversa a la vacuna
protocolApplied	S	0..*	BackboneElement	Protocolo seguido por el proveedor
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 targeted Binding: ImmunizationTargetDiseaseCodes (example)
doseNumber		1..1	string	Dose number within series
seriesDoses		0..1	string	Recommended number of doses for immunity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Immunization.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status From the FHIR Standard
Immunization.statusReason	required	ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason From the FHIR Standard
Immunization.vaccineCode	required	VaccineCode(a valid code from Catálogo de vacunas administradas) https://ministeriodesalud.go.cr/fhir/core/ValueSet/vaccine-code From this IG
Immunization.informationSource	example	ImmunizationOriginCodes http://hl7.org/fhir/ValueSet/immunization-origin From the FHIR Standard
Immunization.site	example	CodesForImmunizationSiteOfAdministration http://hl7.org/fhir/ValueSet/immunization-site From the FHIR Standard
Immunization.route	example	ImmunizationRouteCodes http://hl7.org/fhir/ValueSet/immunization-route From the FHIR Standard
Immunization.performer.function	extensible	ImmunizationFunctionCodes http://hl7.org/fhir/ValueSet/immunization-function From the FHIR Standard
Immunization.reason	example	ImmunizationReasonCodes http://hl7.org/fhir/ValueSet/immunization-reason From the FHIR Standard
Immunization.subpotentReason	example	ImmunizationSubpotentReason http://hl7.org/fhir/ValueSet/immunization-subpotent-reason From the FHIR Standard
Immunization.programEligibility.program	example	CodesForVaccineFundingPrograms http://hl7.org/fhir/ValueSet/immunization-vaccine-funding-program From the FHIR Standard
Immunization.programEligibility.programStatus	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	example	ImmunizationTargetDiseaseCodes http://hl7.org/fhir/ValueSet/immunization-target-disease 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

This structure is derived from Immunization

Summary

Must-Support: 19 elements

Structures

This structure refers to these other structures:

• Paciente (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/patient-cr-core)
• Profesional de Salud (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/practitioner-cr-core)
• Rol de Profesional de la Salud (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/practitioner-role-cr-core)
• Organizaciones (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/organization-cr-core)
• Ubicación de eventos (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/location-cr-core)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Immunization.occurrence[x]

Maturity: 0

Other representations of profile: CSV, Excel, Schematron