HL7 Czech EMS Implementation Guide
0.0.2 - ci-build

HL7 Czech EMS Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-ems/ and changes regularly. See the Directory of published versions

## Resource Profile: Immunization Recommendation: (EMS CZ)

Official URL: https://hl7.cz/fhir/cz-ems/StructureDefinition/cz-immunizationRecommendation-ems | Version: 0.0.2
Draft as of 2025-10-14 | Computable Name: CZ_ImmunizationRecommendationEMS

This profile defines how to represent Immunization Recommandations for the purpose of this guide.

Usages:

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

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImmunizationRecommendation |  | 0..* | CZ_ImmunizationRecommendationHdr | Guidance or advice relating to an immunization
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
patient | Σ | 1..1 | Reference(https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core) | Who this profile is for
date | Σ | 1..1 | dateTime | When recomendation was created
recommendation | Σ C | 1..* | BackboneElement | Generic description of the vaccine/prophylaxis or its component(s) Constraints: imr-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
forecastStatus | ?!Σ | 1..1 | CodeableConcept | Recommendation status Binding: ImmunizationRecommendationStatusCodes (example): The patient's status with respect to a vaccination protocol.
Slices for dateCriterion |  | 0..* | BackboneElement | Dates governing proposed immunization Slice: Unordered, Open by value:code
dateCriterion:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).
value |  | 1..1 | dateTime | Recommended date
dateCriterion:nextDose |  | 0..1 | BackboneElement | Dates governing proposed immunization
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.). Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30980-7
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
value |  | 1..1 | dateTime | Recommended date
Slices for doseNumber[x] | Σ | 0..1 |  | Recommended dose number within series Slice: Unordered, Open by type:$this
doseNumberPositiveInt |  |  | positiveInt |
doseNumberString |  |  | string |
doseNumber[x]:doseNumberPositiveInt | Σ | 0..1 | positiveInt | Dose Number
Slices for seriesDoses[x] |  | 0..1 |  | Recommended number of doses for immunity Slice: Unordered, Open by type:$this
seriesDosesPositiveInt |  |  | positiveInt |
seriesDosesString |  |  | string |
seriesDoses[x]:seriesDosesPositiveInt |  | 0..1 | positiveInt | Number of doses
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ImmunizationRecommendation.​recommendation.forecastStatus | Base | example | Immunization Recommendation Status Codes | 📍4.0.1 | FHIR Std.
ImmunizationRecommendation.​recommendation.dateCriterion.​code | Base | example | Immunization Recommendation Date Criterion Codes | 📍4.0.1 | FHIR Std.
ImmunizationRecommendation.​recommendation.dateCriterion:nextDose.​code | Base | example | Immunization Recommendation Date Criterion Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ImmunizationRecommendation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ImmunizationRecommendation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ImmunizationRecommendation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ImmunizationRecommendation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ImmunizationRecommendation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
imr-1 | error | ImmunizationRecommendation.recommendation | One of vaccineCode or targetDisease SHALL be present | `vaccineCode.exists() or targetDisease.exists()`

This structure is derived from CZ_ImmunizationRecommendationHdr

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImmunizationRecommendation |  | 0..* | CZ_ImmunizationRecommendationHdr | Guidance or advice relating to an immunization
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImmunizationRecommendation |  | 0..* | CZ_ImmunizationRecommendationHdr | Guidance or advice relating to an immunization
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business identifier
patient | Σ | 1..1 | Reference(https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core) | Who this profile is for
date | Σ | 1..1 | dateTime | When recomendation was created
authority |  | 0..1 | Reference(Organization) | Who is responsible for protocol
recommendation | Σ C | 1..* | BackboneElement | Generic description of the vaccine/prophylaxis or its component(s) Constraints: imr-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
vaccineCode | Σ | 0..* | CodeableConcept | Vaccine or vaccine group recommendation applies to Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization.
Additional Bindings | Purpose | Documentation
Vaccines WHO ATC - IPS | candidate | For when WHO ATC code system is preferred
targetDisease | Σ | 0..1 | CodeableConcept | Disease or agent that the vaccination provides protection against Binding: Condition Value Set (preferred)
contraindicatedVaccineCode | Σ | 0..* | CodeableConcept | Vaccine which is contraindicated to fulfill the recommendation Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.
forecastStatus | ?!Σ | 1..1 | CodeableConcept | Recommendation status Binding: ImmunizationRecommendationStatusCodes (example): The patient's status with respect to a vaccination protocol.
forecastReason | Σ | 0..* | CodeableConcept | Vaccine administration status reason Binding: ImmunizationRecommendationReasonCodes (example): The reason for the patient's status with respect to a vaccination protocol.
Slices for dateCriterion |  | 0..* | BackboneElement | Dates governing proposed immunization Slice: Unordered, Open by value:code
dateCriterion:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).
value |  | 1..1 | dateTime | Recommended date
dateCriterion:nextDose |  | 0..1 | BackboneElement | Dates governing proposed immunization
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.). Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30980-7
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
value |  | 1..1 | dateTime | Recommended date
description |  | 0..1 | string | Protocol details
series |  | 0..1 | string | Name of vaccination series
Slices for doseNumber[x] | Σ | 0..1 |  | Recommended dose number within series Slice: Unordered, Open by type:$this
doseNumberPositiveInt |  |  | positiveInt |
doseNumberString |  |  | string |
doseNumber[x]:doseNumberPositiveInt | Σ | 0..1 | positiveInt | Dose Number
Slices for seriesDoses[x] |  | 0..1 |  | Recommended number of doses for immunity Slice: Unordered, Open by type:$this
seriesDosesPositiveInt |  |  | positiveInt |
seriesDosesString |  |  | string |
seriesDoses[x]:seriesDosesPositiveInt |  | 0..1 | positiveInt | Number of doses
supportingImmunization |  | 0..* | Reference(Immunization | ImmunizationEvaluation) | Past immunizations supporting recommendation
supportingPatientInformation |  | 0..* | Reference(Resource) | Patient observations supporting recommendation
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ImmunizationRecommendation.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
ImmunizationRecommendation.​recommendation.vaccineCode | Base | preferred | Vaccines - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
ImmunizationRecommendation.​recommendation.targetDisease | Base | preferred | Condition Value Set | 📦0.1.0-ballot | HL7 Europe Hospital Discharge Report v0.1
ImmunizationRecommendation.​recommendation.contraindicatedVaccineCode | Base | example | Vaccine Administered Value Set | 📍4.0.1 | FHIR Std.
ImmunizationRecommendation.​recommendation.forecastStatus | Base | example | Immunization Recommendation Status Codes | 📍4.0.1 | FHIR Std.
ImmunizationRecommendation.​recommendation.forecastReason | Base | example | Immunization Recommendation Reason Codes | 📍4.0.1 | FHIR Std.
ImmunizationRecommendation.​recommendation.dateCriterion.​code | Base | example | Immunization Recommendation Date Criterion Codes | 📍4.0.1 | FHIR Std.
ImmunizationRecommendation.​recommendation.dateCriterion:nextDose.​code | Base | example | Immunization Recommendation Date Criterion Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ImmunizationRecommendation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ImmunizationRecommendation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ImmunizationRecommendation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ImmunizationRecommendation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ImmunizationRecommendation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
imr-1 | error | ImmunizationRecommendation.recommendation | One of vaccineCode or targetDisease SHALL be present | `vaccineCode.exists() or targetDisease.exists()`

This structure is derived from CZ_ImmunizationRecommendationHdr

Summary

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImmunizationRecommendation |  | 0..* | CZ_ImmunizationRecommendationHdr | Guidance or advice relating to an immunization
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
patient | Σ | 1..1 | Reference(https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core) | Who this profile is for
date | Σ | 1..1 | dateTime | When recomendation was created
recommendation | Σ C | 1..* | BackboneElement | Generic description of the vaccine/prophylaxis or its component(s) Constraints: imr-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
forecastStatus | ?!Σ | 1..1 | CodeableConcept | Recommendation status Binding: ImmunizationRecommendationStatusCodes (example): The patient's status with respect to a vaccination protocol.
Slices for dateCriterion |  | 0..* | BackboneElement | Dates governing proposed immunization Slice: Unordered, Open by value:code
dateCriterion:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).
value |  | 1..1 | dateTime | Recommended date
dateCriterion:nextDose |  | 0..1 | BackboneElement | Dates governing proposed immunization
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.). Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30980-7
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
value |  | 1..1 | dateTime | Recommended date
Slices for doseNumber[x] | Σ | 0..1 |  | Recommended dose number within series Slice: Unordered, Open by type:$this
doseNumberPositiveInt |  |  | positiveInt |
doseNumberString |  |  | string |
doseNumber[x]:doseNumberPositiveInt | Σ | 0..1 | positiveInt | Dose Number
Slices for seriesDoses[x] |  | 0..1 |  | Recommended number of doses for immunity Slice: Unordered, Open by type:$this
seriesDosesPositiveInt |  |  | positiveInt |
seriesDosesString |  |  | string |
seriesDoses[x]:seriesDosesPositiveInt |  | 0..1 | positiveInt | Number of doses
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ImmunizationRecommendation.​recommendation.forecastStatus | Base | example | Immunization Recommendation Status Codes | 📍4.0.1 | FHIR Std.
ImmunizationRecommendation.​recommendation.dateCriterion.​code | Base | example | Immunization Recommendation Date Criterion Codes | 📍4.0.1 | FHIR Std.
ImmunizationRecommendation.​recommendation.dateCriterion:nextDose.​code | Base | example | Immunization Recommendation Date Criterion Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ImmunizationRecommendation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ImmunizationRecommendation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ImmunizationRecommendation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ImmunizationRecommendation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ImmunizationRecommendation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
imr-1 | error | ImmunizationRecommendation.recommendation | One of vaccineCode or targetDisease SHALL be present | `vaccineCode.exists() or targetDisease.exists()`

Differential View

This structure is derived from CZ_ImmunizationRecommendationHdr

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImmunizationRecommendation |  | 0..* | CZ_ImmunizationRecommendationHdr | Guidance or advice relating to an immunization
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImmunizationRecommendation |  | 0..* | CZ_ImmunizationRecommendationHdr | Guidance or advice relating to an immunization
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business identifier
patient | Σ | 1..1 | Reference(https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core) | Who this profile is for
date | Σ | 1..1 | dateTime | When recomendation was created
authority |  | 0..1 | Reference(Organization) | Who is responsible for protocol
recommendation | Σ C | 1..* | BackboneElement | Generic description of the vaccine/prophylaxis or its component(s) Constraints: imr-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
vaccineCode | Σ | 0..* | CodeableConcept | Vaccine or vaccine group recommendation applies to Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization.
Additional Bindings | Purpose | Documentation
Vaccines WHO ATC - IPS | candidate | For when WHO ATC code system is preferred
targetDisease | Σ | 0..1 | CodeableConcept | Disease or agent that the vaccination provides protection against Binding: Condition Value Set (preferred)
contraindicatedVaccineCode | Σ | 0..* | CodeableConcept | Vaccine which is contraindicated to fulfill the recommendation Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.
forecastStatus | ?!Σ | 1..1 | CodeableConcept | Recommendation status Binding: ImmunizationRecommendationStatusCodes (example): The patient's status with respect to a vaccination protocol.
forecastReason | Σ | 0..* | CodeableConcept | Vaccine administration status reason Binding: ImmunizationRecommendationReasonCodes (example): The reason for the patient's status with respect to a vaccination protocol.
Slices for dateCriterion |  | 0..* | BackboneElement | Dates governing proposed immunization Slice: Unordered, Open by value:code
dateCriterion:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).
value |  | 1..1 | dateTime | Recommended date
dateCriterion:nextDose |  | 0..1 | BackboneElement | Dates governing proposed immunization
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.). Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30980-7
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
value |  | 1..1 | dateTime | Recommended date
description |  | 0..1 | string | Protocol details
series |  | 0..1 | string | Name of vaccination series
Slices for doseNumber[x] | Σ | 0..1 |  | Recommended dose number within series Slice: Unordered, Open by type:$this
doseNumberPositiveInt |  |  | positiveInt |
doseNumberString |  |  | string |
doseNumber[x]:doseNumberPositiveInt | Σ | 0..1 | positiveInt | Dose Number
Slices for seriesDoses[x] |  | 0..1 |  | Recommended number of doses for immunity Slice: Unordered, Open by type:$this
seriesDosesPositiveInt |  |  | positiveInt |
seriesDosesString |  |  | string |
seriesDoses[x]:seriesDosesPositiveInt |  | 0..1 | positiveInt | Number of doses
supportingImmunization |  | 0..* | Reference(Immunization | ImmunizationEvaluation) | Past immunizations supporting recommendation
supportingPatientInformation |  | 0..* | Reference(Resource) | Patient observations supporting recommendation
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ImmunizationRecommendation.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
ImmunizationRecommendation.​recommendation.vaccineCode | Base | preferred | Vaccines - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
ImmunizationRecommendation.​recommendation.targetDisease | Base | preferred | Condition Value Set | 📦0.1.0-ballot | HL7 Europe Hospital Discharge Report v0.1
ImmunizationRecommendation.​recommendation.contraindicatedVaccineCode | Base | example | Vaccine Administered Value Set | 📍4.0.1 | FHIR Std.
ImmunizationRecommendation.​recommendation.forecastStatus | Base | example | Immunization Recommendation Status Codes | 📍4.0.1 | FHIR Std.
ImmunizationRecommendation.​recommendation.forecastReason | Base | example | Immunization Recommendation Reason Codes | 📍4.0.1 | FHIR Std.
ImmunizationRecommendation.​recommendation.dateCriterion.​code | Base | example | Immunization Recommendation Date Criterion Codes | 📍4.0.1 | FHIR Std.
ImmunizationRecommendation.​recommendation.dateCriterion:nextDose.​code | Base | example | Immunization Recommendation Date Criterion Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ImmunizationRecommendation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ImmunizationRecommendation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ImmunizationRecommendation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ImmunizationRecommendation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ImmunizationRecommendation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
imr-1 | error | ImmunizationRecommendation.recommendation | One of vaccineCode or targetDisease SHALL be present | `vaccineCode.exists() or targetDisease.exists()`

This structure is derived from CZ_ImmunizationRecommendationHdr

Summary

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