Generated Narrative: StructureDefinition cr-core-immunization

Language: es

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..*Immunization(5.0.0)Immunization event information
... identifier S0..*IdentifierIdentificadores de la inmunización.
... status S1..1codeEstado de la inmunización.
Binding: ImmunizationStatusCodes (required): ValueSet de estados de Immunization definidos en FHIR.
... statusReason S0..1CodeableConceptRazón del estado de la inmunización.
Binding: ImmunizationStatusReasonCodes (extensible): ValueSet de razones de estado de Immunization definidas en FHIR.
... vaccineCode S1..1CodeableConceptCódigo de la vacuna administrada.
... manufacturer S0..1CodeableReference(Organization)Vaccine manufacturer
... lotNumber S0..1stringVaccine lot number
... expirationDate S0..1dateVaccine expiration date
... patient S1..1Reference(Paciente(0.0.1-ballot))Paciente que recibió la inmunización.
... encounter S0..1Reference(Encounter)Encounter immunization was part of
... Slices for occurrence[x] 1..1dateTimeVaccine administration date
Slice: Unordered, Open by type:$this
.... occurrence[x]:occurrenceDateTime S1..1dateTimeVaccine administration date
... primarySource S0..1booleanIndicates context the data was captured in
... informationSource S0..1CodeableReference(Profesional de la Salud(0.0.1-ballot) | Organización(0.0.1-ballot))Indicates the source of a reported record
... location S0..1Reference(Ubicación(0.0.1-ballot))Where immunization occurred
... performer S0..*BackboneElementWho performed event
.... function S0..1CodeableConceptWhat type of performance was done
.... actor S1..1Reference(Profesional de la Salud(0.0.1-ballot) | Organización(0.0.1-ballot))Individual or organization who was performing
... note S0..*AnnotationAdditional immunization notes
... reaction S0..*BackboneElementDetails of a reaction that follows immunization

doco Documentation for this format
 <status value="draft"/> <experimental value="false"/> <date value="2025-11-08"/> <publisher value="Iniciativa HL7® Costa Rica"/> <contact> <name value="Iniciativa HL7® Costa Rica"/> <telecom> <system value="url"/> <value value="https://hl7.or.cr"/> </telecom> <telecom> <system value="email"/> <value value="info@hl7.or.cr"/> </telecom> </contact> <contact> <name value="Iniciativa HL7® Costa Rica"/> <telecom> <system value="email"/> <value value="info@hl7.or.cr"/> <use value="work"/> </telecom> <telecom> <system value="url"/> <value value="https://hl7.or.cr"/> <use value="work"/> </telecom> </contact> <description value="Perfil Immunization para registrar eventos de inmunización, incluyendo metadatos específicos relacionados con la administración de vacunas."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="CR"/> <display value="Costa Rica"/> </coding> </jurisdiction> <copyright value="Usado con el permiso de HL7 International, todos los derechos resevados en los Licencias de HL7 Internacional."/> <fhirVersion value="5.0.0"/> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Pattern"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/fivews"/> <name value="FiveWs Pattern Mapping"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 V2 Mapping"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="cda"/> <uri value="http://hl7.org/v3/cda"/> <name value="CDA (R2)"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="Immunization"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Immunization|5.0.0"/> <derivation value="constraint"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="5.0.0"/> </extension> <element id="Immunization"> <path value="Immunization"/> <short value="Immunization event information"/> <definition value="Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party."/> <min value="0"/> <max value="*"/> <base> <path value="Immunization"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource|5.0.0"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="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"/> <expression value="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()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource|5.0.0"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource|5.0.0"/> </constraint> <constraint> <key value="dom-5"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> <expression value="contained.meta.security.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource|5.0.0"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/> </extension> <key value="dom-6"/> <severity value="warning"/> <human value="A resource should have narrative for robust management"/> <expression value="text.`div`.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Entity, Role, or Act,SubstanceAdministration"/> </mapping> <mapping> <identity value="workflow"/> <map value="Event"/> </mapping> <mapping> <identity value="w5"/> <map value="clinical.medication"/> </mapping> <mapping> <identity value="v2"/> <map value="VXU_V04"/> </mapping> </element> <element id="Immunization.id"> <path value="Immunization.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Immunization.meta"> <path value="Immunization.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Immunization.implicitRules"> <path value="Immunization.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/> <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation"/> <isSummary value="true"/> </element> <element id="Immunization.language"> <path value="Immunization.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <strength value="required"/> <description value="IETF language tag for a human language"/> <valueSet value="http://hl7.org/fhir/ValueSet/all-languages|5.0.0"/> <additional> <purpose value="starter"/> <valueSet value="http://hl7.org/fhir/ValueSet/languages|5.0.0"/> </additional> </binding> </element> <element id="Immunization.text"> <path value="Immunization.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/> <comment value="Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="dom-6"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="Immunization.contained"> <path value="Immunization.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning."/> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <condition value="dom-2"/> <condition value="dom-4"/> <condition value="dom-3"/> <condition value="dom-5"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Immunization.extension"> <path value="Immunization.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Immunization.modifierExtension"> <path value="Immunization.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Immunization.identifier"> <path value="Immunization.identifier"/> <short value="Identificadores de la inmunización."/> <definition value="Lista de identificadores únicos asociados con la inmunización, como números de lote o códigos internos."/> <min value="0"/> <max value="*"/> <base> <path value="Immunization.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> <mapping> <identity value="cda"/> <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id"/> </mapping> </element> <element id="Immunization.basedOn"> <path value="Immunization.basedOn"/> <short value="Authority that the immunization event is based on"/> <definition value="A plan, order or recommendation fulfilled in whole or in part by this immunization."/> <comment value="Allows tracing of an authorization for the Immunization."/> <min value="0"/> <max value="*"/> <base> <path value="Immunization.basedOn"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan|5.0.0"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest|5.0.0"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest|5.0.0"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|5.0.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.basedOn"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Immunization.status"> <path value="Immunization.status"/> <short value="Estado de la inmunización."/> <definition value="Estado actual de la inmunización."/> <comment value="Will generally be set to show that the immunization has been completed or not done. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/> <min value="1"/> <max value="1"/> <base> <path value="Immunization.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because it is a status element that contains statuses entered-in-error and not-done which means that the resource should not be treated as valid"/> <isSummary value="true"/> <binding> <strength value="required"/> <description value="ValueSet de estados de Immunization definidos en FHIR."/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-status|5.0.0"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.status"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> <mapping> <identity value="rim"/> <map value="statusCode"/> </mapping> </element> <element id="Immunization.statusReason"> <path value="Immunization.statusReason"/> <short value="Razón del estado de la inmunización."/> <definition value="Razón que explica el estado actual de la inmunización."/> <comment value="This is generally only used for the status of "not-done". The reason for performing the immunization event is captured in reasonCode, not here."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.statusReason"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <description value="ValueSet de razones de estado de Immunization definidas en FHIR."/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-status-reason|5.0.0"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.statusReason"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"/> </mapping> </element> <element id="Immunization.vaccineCode"> <path value="Immunization.vaccineCode"/> <short value="Código de la vacuna administrada."/> <definition value="Código que identifica la vacuna administrada."/> <comment value="Se recomienda utilizar un código del ValueSet de códigos de vacunas de FHIR o códigos locales registrados."/> <min value="1"/> <max value="1"/> <base> <path value="Immunization.vaccineCode"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="VaccineCode"/> </extension> <strength value="example"/> <valueSet value="http://hl7.org/fhir/ValueSet/vaccine-code|5.0.0"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.code"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.what[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-5"/> </mapping> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> <mapping> <identity value="cda"/> <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code"/> </mapping> </element> <element id="Immunization.administeredProduct"> <path value="Immunization.administeredProduct"/> <short value="Product that was administered"/> <definition value="An indication of which product was administered to the patient. This is typically a more detailed representation of the concept conveyed by the vaccineCode data element. If a Medication resource is referenced, it may be to a stand-alone resource or a contained resource within the Immunization resource."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.administeredProduct"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableReference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication|5.0.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.code"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.what[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-5"/> </mapping> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> <mapping> <identity value="cda"/> <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code"/> </mapping> </element> <element id="Immunization.manufacturer"> <path value="Immunization.manufacturer"/> <short value="Vaccine manufacturer"/> <definition value="Name of vaccine manufacturer."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.manufacturer"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableReference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|5.0.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="RXA-17"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]"/> </mapping> <mapping> <identity value="cda"/> <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacuturerOrganization/name"/> </mapping> </element> <element id="Immunization.lotNumber"> <path value="Immunization.lotNumber"/> <short value="Vaccine lot number"/> <definition value="Lot number of the vaccine product."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.lotNumber"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="RXA-15"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id"/> </mapping> <mapping> <identity value="cda"/> <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/lotNumberText"/> </mapping> </element> <element id="Immunization.expirationDate"> <path value="Immunization.expirationDate"/> <short value="Vaccine expiration date"/> <definition value="Date vaccine batch expires."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.expirationDate"/> <min value="0"/> <max value="1"/> </base> <type> <code value="date"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="RXA-16"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"/> </mapping> </element> <element id="Immunization.patient"> <path value="Immunization.patient"/> <short value="Paciente que recibió la inmunización."/> <definition value="Referencia al recurso Patient que es el sujeto de la inmunización."/> <comment value="El paciente debe estar tener un cédula costarricense, dimex o válido."/> <min value="1"/> <max value="1"/> <base> <path value="Immunization.patient"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-patient|0.0.1-ballot"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.subject"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="PID-3"/> </mapping> <mapping> <identity value="rim"/> <map value=".partipication[ttypeCode=].role"/> </mapping> </element> <element id="Immunization.encounter"> <path value="Immunization.encounter"/> <short value="Encounter immunization was part of"/> <definition value="The visit or admission or other contact between patient and health care provider the immunization was performed as part of."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.encounter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter|5.0.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.encounter"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.context"/> </mapping> <mapping> <identity value="v2"/> <map value="PV1-19"/> </mapping> <mapping> <identity value="rim"/> <map value="component->EncounterEvent"/> </mapping> </element> <element id="Immunization.supportingInformation"> <path value="Immunization.supportingInformation"/> <short value="Additional information in support of the immunization"/> <definition value="Additional information that is relevant to the immunization (e.g. for a vaccine recipient who is pregnant, the gestational age of the fetus). The reason why a vaccine was given (e.g. occupation, underlying medical condition) should be conveyed in Immunization.reason, not as supporting information. The reason why a vaccine was not given (e.g. contraindication) should be conveyed in Immunization.statusReason, not as supporting information."/> <min value="0"/> <max value="*"/> <base> <path value="Immunization.supportingInformation"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource|5.0.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="w5"/> <map value="FiveWs.context"/> </mapping> </element> <element id="Immunization.occurrence[x]"> <path value="Immunization.occurrence[x]"/> <slicing> <discriminator> <type value="type"/> <path value="$this"/> </discriminator> <ordered value="false"/> <rules value="closed"/> </slicing> <short value="Vaccine administration date"/> <definition value="Date vaccine administered or was to be administered."/> <comment value="When immunizations are given a specific date and time should always be known. When immunizations are patient reported, a specific date might not be known. Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose."/> <min value="1"/> <max value="1"/> <base> <path value="Immunization.occurrence[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.occurrence[x]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.done[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-3"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime"/> </mapping> <mapping> <identity value="cda"/> <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value"/> </mapping> </element> <element id="Immunization.occurrence[x]:occurrenceDateTime"> <path value="Immunization.occurrence[x]"/> <sliceName value="occurrenceDateTime"/> <short value="Vaccine administration date"/> <definition value="Date vaccine administered or was to be administered."/> <comment value="When immunizations are given a specific date and time should always be known. When immunizations are patient reported, a specific date might not be known. Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose."/> <min value="1"/> <max value="1"/> <base> <path value="Immunization.occurrence[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.occurrence[x]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.done[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-3"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime"/> </mapping> <mapping> <identity value="cda"/> <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value"/> </mapping> </element> <element id="Immunization.primarySource"> <path value="Immunization.primarySource"/> <short value="Indicates context the data was captured in"/> <definition value="Indicates whether the data contained in the resource was captured by the individual/organization which was responsible for the administration of the vaccine rather than as 'secondary reported' data documented by a third party. A value of 'true' means this data originated with the individual/organization which was responsible for the administration of the vaccine."/> <comment value="Reflects the “reliability” of the content."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.primarySource"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.reported"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.source"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-9"/> </mapping> <mapping> <identity value="rim"/> <map value="immunization.uncertaintycode (if primary source=false, uncertainty=U)"/> </mapping> </element> <element id="Immunization.informationSource"> <path value="Immunization.informationSource"/> <short value="Indicates the source of a reported record"/> <definition value="Typically the source of the data when the report of the immunization event is not based on information from the person who administered the vaccine."/> <comment value="Typically will not be populated if primarySource = True, not required even if primarySource = False."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.informationSource"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableReference"/> <targetProfile value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-practitioner|0.0.1-ballot"/> <targetProfile value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-organization|0.0.1-ballot"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ImmunizationReportOrigin"/> </extension> <strength value="example"/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-origin|5.0.0"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.reported"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.source"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-9"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported) .participation[typeCode=INF].role[classCode=LIC] (this syntax for health care professional) .participation[typeCode=INF].role[classCode=PRS] (this syntax for family member)"/> </mapping> </element> <element id="Immunization.location"> <path value="Immunization.location"/> <short value="Where immunization occurred"/> <definition value="The service delivery location where the vaccine administration occurred."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.location"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-location|0.0.1-ballot"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.location"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.where[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-27 (or RXA-11, deprecated as of v2.7)"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=LOC].COCT_MT240000UV"/> </mapping> </element> <element id="Immunization.site"> <path value="Immunization.site"/> <short value="Body site vaccine was administered"/> <definition value="Body site where vaccine was administered."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.site"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ImmunizationSite"/> </extension> <strength value="example"/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-site|5.0.0"/> </binding> <mapping> <identity value="v2"/> <map value="RXR-2"/> </mapping> <mapping> <identity value="rim"/> <map value="observation.targetSiteCode"/> </mapping> <mapping> <identity value="cda"/> <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSiteCode/code"/> </mapping> </element> <element id="Immunization.route"> <path value="Immunization.route"/> <short value="How vaccine entered body"/> <definition value="The path by which the vaccine product is taken into the body."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.route"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ImmunizationRoute"/> </extension> <strength value="example"/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-route|5.0.0"/> </binding> <mapping> <identity value="v2"/> <map value="RXR-1"/> </mapping> <mapping> <identity value="rim"/> <map value=".routeCode"/> </mapping> <mapping> <identity value="cda"/> <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/code"/> </mapping> </element> <element id="Immunization.doseQuantity"> <path value="Immunization.doseQuantity"/> <short value="Amount of vaccine administered"/> <definition value="The quantity of vaccine product that was administered."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.doseQuantity"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity|5.0.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="RXA-6 / RXA-7"/> </mapping> <mapping> <identity value="rim"/> <map value=".doseQuantity"/> </mapping> </element> <element id="Immunization.performer"> <path value="Immunization.performer"/> <short value="Who performed event"/> <definition value="Indicates who performed the immunization event."/> <min value="0"/> <max value="*"/> <base> <path value="Immunization.performer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.performer"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC-12 / RXA-10"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/> </mapping> </element> <element id="Immunization.performer.id"> <path value="Immunization.performer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Immunization.performer.extension"> <path value="Immunization.performer.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Immunization.performer.modifierExtension"> <path value="Immunization.performer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Immunization.performer.function"> <path value="Immunization.performer.function"/> <short value="What type of performance was done"/> <definition value="Describes the type of performance (e.g. ordering provider, administering provider, etc.)."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.performer.function"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ImmunizationFunction"/> </extension> <strength value="extensible"/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-function|5.0.0"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.performer.function"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation.functionCode"/> </mapping> </element> <element id="Immunization.performer.actor"> <path value="Immunization.performer.actor"/> <short value="Individual or organization who was performing"/> <definition value="The practitioner or organization who performed the action."/> <comment value="When the individual practitioner who performed the action is known, it is best to send."/> <min value="1"/> <max value="1"/> <base> <path value="Immunization.performer.actor"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-practitioner|0.0.1-ballot"/> <targetProfile value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-organization|0.0.1-ballot"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.performer.actor"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.actor"/> </mapping> <mapping> <identity value="rim"/> <map value=".player"/> </mapping> </element> <element id="Immunization.note"> <path value="Immunization.note"/> <short value="Additional immunization notes"/> <definition value="Extra information about the immunization that is not conveyed by the other attributes."/> <min value="0"/> <max value="*"/> <base> <path value="Immunization.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.note"/> </mapping> <mapping> <identity value="v2"/> <map value="OBX-5 : OBX-3 = 48767-8"/> </mapping> <mapping> <identity value="rim"/> <map value="note"/> </mapping> </element> <element id="Immunization.reason"> <path value="Immunization.reason"/> <short value="Why immunization occurred"/> <definition value="Describes why the immunization occurred in coded or textual form, or Indicates another resource (Condition, Observation or DiagnosticReport) whose existence justifies this immunization."/> <min value="0"/> <max value="*"/> <base> <path value="Immunization.reason"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableReference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition|5.0.0"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation|5.0.0"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport|5.0.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ImmunizationReason"/> </extension> <strength value="example"/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-reason|5.0.0"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.reason"/> </mapping> <mapping> <identity value="rim"/> <map value="[actionNegationInd=false].reasonCode"/> </mapping> </element> <element id="Immunization.isSubpotent"> <path value="Immunization.isSubpotent"/> <short value="Dose potency"/> <definition value="Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent."/> <comment value="Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.isSubpotent"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <meaningWhenMissing value="By default, a dose should be considered to be potent."/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because an immunization event with a subpotent vaccine doesn't protect the patient the same way as a potent dose."/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="RXA-20 = PA (partial administration)"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Immunization.subpotentReason"> <path value="Immunization.subpotentReason"/> <short value="Reason for being subpotent"/> <definition value="Reason why a dose is considered to be subpotent."/> <min value="0"/> <max value="*"/> <base> <path value="Immunization.subpotentReason"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SubpotentReason"/> </extension> <strength value="example"/> <description value="The reason why a dose is considered to be subpotent."/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-subpotent-reason|5.0.0"/> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Immunization.programEligibility"> <path value="Immunization.programEligibility"/> <short value="Patient eligibility for a specific vaccination program"/> <definition value="Indicates a patient's eligibility for a funding program."/> <min value="0"/> <max value="*"/> <base> <path value="Immunization.programEligibility"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-5 : OBX-3 = 64994-7"/> </mapping> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Immunization.programEligibility.id"> <path value="Immunization.programEligibility.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Immunization.programEligibility.extension"> <path value="Immunization.programEligibility.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Immunization.programEligibility.modifierExtension"> <path value="Immunization.programEligibility.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Immunization.programEligibility.program"> <path value="Immunization.programEligibility.program"/> <short value="The program that eligibility is declared for"/> <definition value="Indicates which program the patient had their eligility evaluated for."/> <min value="1"/> <max value="1"/> <base> <path value="Immunization.programEligibility.program"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="VaccineFundingProgram"/> </extension> <strength value="example"/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-vaccine-funding-program|5.0.0"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Immunization.programEligibility.programStatus"> <path value="Immunization.programEligibility.programStatus"/> <short value="The patient's eligibility status for the program"/> <definition value="Indicates the patient's eligility status for for a specific payment program."/> <min value="1"/> <max value="1"/> <base> <path value="Immunization.programEligibility.programStatus"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProgramEligibility"/> </extension> <strength value="example"/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-program-eligibility|5.0.0"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Immunization.fundingSource"> <path value="Immunization.fundingSource"/> <short value="Funding source for the vaccine"/> <definition value="Indicates the source of the vaccine actually administered. This may be different than the patient eligibility (e.g. the patient may be eligible for a publically purchased vaccine but due to inventory issues, vaccine purchased with private funds was actually administered)."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.fundingSource"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="FundingSource"/> </extension> <strength value="example"/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-funding-source|5.0.0"/> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Immunization.reaction"> <path value="Immunization.reaction"/> <short value="Details of a reaction that follows immunization"/> <definition value="Categorical data indicating that an adverse event is associated in time to an immunization."/> <comment value="A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements."/> <min value="0"/> <max value="*"/> <base> <path value="Immunization.reaction"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-3"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation[classCode=obs].code"/> </mapping> </element> <element id="Immunization.reaction.id"> <path value="Immunization.reaction.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Immunization.reaction.extension"> <path value="Immunization.reaction.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Immunization.reaction.modifierExtension"> <path value="Immunization.reaction.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Immunization.reaction.date"> <path value="Immunization.reaction.date"/> <short value="When reaction started"/> <definition value="Date of reaction to the immunization."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.reaction.date"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7 V2 VXU message - most likely would appear in OBX segments if at all)"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime"/> </mapping> </element> <element id="Immunization.reaction.manifestation"> <path value="Immunization.reaction.manifestation"/> <short value="Additional information on reaction"/> <definition value="Details of the reaction."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.reaction.manifestation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableReference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation|5.0.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-5"/> </mapping> <mapping> <identity value="rim"/> <map value=".value"/> </mapping> </element> <element id="Immunization.reaction.reported"> <path value="Immunization.reaction.reported"/> <short value="Indicates self-reported reaction"/> <definition value="Self-reported indicator."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.reaction.reported"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="(HL7 V2 doesn't seem to provide for this)"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"/> </mapping> </element> <element id="Immunization.protocolApplied"> <path value="Immunization.protocolApplied"/> <short value="Protocol followed by the provider"/> <definition value="The protocol (set of recommendations) being followed by the provider who administered the dose."/> <min value="0"/> <max value="*"/> <base> <path value="Immunization.protocolApplied"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Immunization.protocolApplied.id"> <path value="Immunization.protocolApplied.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Immunization.protocolApplied.extension"> <path value="Immunization.protocolApplied.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Immunization.protocolApplied.modifierExtension"> <path value="Immunization.protocolApplied.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Immunization.protocolApplied.series"> <path value="Immunization.protocolApplied.series"/> <short value="Name of vaccine series"/> <definition value="One possible path to achieve presumed immunity against a disease - within the context of an authority."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.protocolApplied.series"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Immunization.protocolApplied.authority"> <path value="Immunization.protocolApplied.authority"/> <short value="Who is responsible for publishing the recommendations"/> <definition value="Indicates the authority who published the protocol (e.g. ACIP) that is being followed."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.protocolApplied.authority"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|5.0.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Immunization.protocolApplied.targetDisease"> <path value="Immunization.protocolApplied.targetDisease"/> <short value="Vaccine preventatable disease being targeted"/> <definition value="The vaccine preventable disease the dose is being administered against."/> <min value="0"/> <max value="*"/> <base> <path value="Immunization.protocolApplied.targetDisease"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="TargetDisease"/> </extension> <strength value="example"/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-target-disease|5.0.0"/> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Immunization.protocolApplied.doseNumber"> <path value="Immunization.protocolApplied.doseNumber"/> <short value="Dose number within series"/> <definition value="Nominal position in a series as intended by the practitioner administering the dose."/> <comment value="The use of an integer is preferred if known. Text should only be used in cases where an integer is not available (such as when documenting a recurring booster dose)."/> <min value="1"/> <max value="1"/> <base> <path value="Immunization.protocolApplied.doseNumber"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Immunization.protocolApplied.seriesDoses"> <path value="Immunization.protocolApplied.seriesDoses"/> <short value="Recommended number of doses for immunity"/> <definition value="The recommended number of doses to achieve immunity as intended by the practitioner administering the dose."/> <comment value="The use of an integer is preferred if known."/> <min value="0"/> <max value="1"/> <base> <path value="Immunization.protocolApplied.seriesDoses"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> </snapshot> <differential> <element id="Immunization"> <path value="Immunization"/> </element> <element id="Immunization.identifier"> <path value="Immunization.identifier"/> <short value="Identificadores de la inmunización."/> <definition value="Lista de identificadores únicos asociados con la inmunización, como números de lote o códigos internos."/> <mustSupport value="true"/> </element> <element id="Immunization.status"> <path value="Immunization.status"/> <short value="Estado de la inmunización."/> <definition value="Estado actual de la inmunización."/> <mustSupport value="true"/> <binding> <strength value="required"/> <description value="ValueSet de estados de Immunization definidos en FHIR."/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-status|5.0.0"/> </binding> </element> <element id="Immunization.statusReason"> <path value="Immunization.statusReason"/> <short value="Razón del estado de la inmunización."/> <definition value="Razón que explica el estado actual de la inmunización."/> <mustSupport value="true"/> <binding> <strength value="extensible"/> <description value="ValueSet de razones de estado de Immunization definidas en FHIR."/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-status-reason|5.0.0"/> </binding> </element> <element id="Immunization.vaccineCode"> <path value="Immunization.vaccineCode"/> <short value="Código de la vacuna administrada."/> <definition value="Código que identifica la vacuna administrada."/> <comment value="Se recomienda utilizar un código del ValueSet de códigos de vacunas de FHIR o códigos locales registrados."/> <mustSupport value="true"/> </element> <element id="Immunization.manufacturer"> <path value="Immunization.manufacturer"/> <mustSupport value="true"/> </element> <element id="Immunization.lotNumber"> <path value="Immunization.lotNumber"/> <mustSupport value="true"/> </element> <element id="Immunization.expirationDate"> <path value="Immunization.expirationDate"/> <mustSupport value="true"/> </element> <element id="Immunization.patient"> <path value="Immunization.patient"/> <short value="Paciente que recibió la inmunización."/> <definition value="Referencia al recurso Patient que es el sujeto de la inmunización."/> <comment value="El paciente debe estar tener un cédula costarricense, dimex o válido."/> <type> <code value="Reference"/> <targetProfile value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-patient|0.0.1-ballot"/> </type> <mustSupport value="true"/> </element> <element id="Immunization.encounter"> <path value="Immunization.encounter"/> <mustSupport value="true"/> </element> <element id="Immunization.occurrence[x]"> <path value="Immunization.occurrence[x]"/> <slicing> <discriminator> <type value="type"/> <path value="$this"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> </element> <element id="Immunization.occurrence[x]:occurrenceDateTime"> <path value="Immunization.occurrence[x]"/> <sliceName value="occurrenceDateTime"/> <min value="1"/> <max value="1"/> <type> <code value="dateTime"/> </type> <mustSupport value="true"/> </element> <element id="Immunization.primarySource"> <path value="Immunization.primarySource"/> <mustSupport value="true"/> </element> <element id="Immunization.informationSource"> <path value="Immunization.informationSource"/> <type> <code value="CodeableReference"/> <targetProfile value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-practitioner|0.0.1-ballot"/> <targetProfile value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-organization|0.0.1-ballot"/> </type> <mustSupport value="true"/> </element> <element id="Immunization.location"> <path value="Immunization.location"/> <type> <code value="Reference"/> <targetProfile value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-location|0.0.1-ballot"/> </type> <mustSupport value="true"/> </element> <element id="Immunization.performer"> <path value="Immunization.performer"/> <mustSupport value="true"/> </element> <element id="Immunization.performer.function"> <path value="Immunization.performer.function"/> <mustSupport value="true"/> </element> <element id="Immunization.performer.actor"> <path value="Immunization.performer.actor"/> <type> <code value="Reference"/> <targetProfile value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-practitioner|0.0.1-ballot"/> <targetProfile value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-organization|0.0.1-ballot"/> </type> <mustSupport value="true"/> </element> <element id="Immunization.note"> <path value="Immunization.note"/> <mustSupport value="true"/> </element> <element id="Immunization.reaction"> <path value="Immunization.reaction"/> <mustSupport value="true"/> </element> </differential> </StructureDefinition>