HL7 Czech Hospital Discharge Report Implementation Guide
0.0.2 - ci-build

HL7 Czech Hospital Discharge Report 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/hdr/ and changes regularly. See the Directory of published versions

## Resource Profile: Immunization Obligations: HDR CZ

Official URL: https://hl7.cz/fhir/hdr/StructureDefinition/cz-immunization-obl-hdr | Version: 0.0.2
Standards status: Informative | Maturity Level: 0 | Computable Name: CZ_ImmunizationObligationsHdr

Profile for Immunization Obligations in the Czech Republic Health Data Repository (HDR CZ).

Usages:

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

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Immunization |  | 0..* | CZ_ImmunizationHdr | Immunization event information This profile also imposes the profile Immunization (IPS)
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:basedOn |  | 0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.basedOn
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.basedOn"
value[x] |  | 1..1 | Reference(ImmunizationRecommendation (CZ HDR)) | Value of extension
extension:administeredProduct |  | 0..1 | (Complex) | Immunization AdministeredProduct URL: http://hl7.eu/fhir/hdr/StructureDefinition/immunization-administeredProduct
Slices for extension |  |  |  | Content/Rules for all slices
extension:concept |  | 0..1 | Extension | Extension
extension |  | 0..0 |  |
url |  | 1..1 | uri | "concept"
extension:reference |  | 0..1 | Extension | Extension
extension |  | 0..0 |  |
url |  | 1..1 | uri | "reference"
url |  | 1..1 | uri | "http://hl7.eu/fhir/hdr/StructureDefinition/immunization-administeredProduct"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
vaccineCode | O Σ | 1..1 | CodeableConcept | Vaccine product administered 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
Obligations | Actor
SHOULD:able-to-populate | HdrCreator-L3
patient | Σ | 1..1 | Reference(Patient (CZ core)) | Who was immunized
occurrence[x] | O Σ | 1..1 | dateTime | Vaccine administration date
Obligations | Actor
SHOULD:able-to-populate | HdrCreator-L3
Slices for performer | Σ | 0..* | BackboneElement | Who performed event Slice: Unordered, Open by value:$this.function
performer:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Individual or organization who was performing
performer:administeringCentre | Σ | 0..* | BackboneElement | Administering centre
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: AP
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
actor | Σ | 1..1 | Reference(Organization (EU core)(0.1.0-ci-build)) | Individual or organization who was performing
performer:administeringHp | Σ | 0..* | BackboneElement | Administering Health Professional
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: AP
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
actor | Σ | 1..1 | Reference(PractitionerRole (EU core)(0.1.0-ci-build) | Practitioner (EU core)(0.1.0-ci-build)) | Individual or organization who was performing
isSubpotent | ?!Σ | 0..1 | boolean | Dose potency
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Immunization.status | required | ImmunizationStatusCodes `http://hl7.org/fhir/ValueSet/immunization-status|4.0.1` From the FHIR Standard
Immunization.vaccineCode | preferred | VaccinesUvIps `http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips`
Immunization.performer:administeringCentre.function | extensible | Pattern Value: AP `http://hl7.org/fhir/ValueSet/immunization-function|4.0.1` From the FHIR Standard
Immunization.performer:administeringHp.function | extensible | Pattern Value: AP `http://hl7.org/fhir/ValueSet/immunization-function|4.0.1` From the FHIR Standard

#### Constraints

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

This structure is derived from CZ_ImmunizationHdr

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Immunization |  | 0..* | CZ_ImmunizationHdr | Immunization event information This profile also imposes the profile Immunization (IPS)
vaccineCode | O | 1..1 | CodeableConcept | Vaccine product administered
Obligations | Actor
SHOULD:able-to-populate | HdrCreator-L3
occurrence[x] | O | 1..1 | dateTime | Vaccine administration date
Obligations | Actor
SHOULD:able-to-populate | HdrCreator-L3
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Immunization |  | 0..* | CZ_ImmunizationHdr | Immunization event information This profile also imposes the profile Immunization (IPS)
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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:basedOn |  | 0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.basedOn
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.basedOn"
value[x] |  | 1..1 | Reference(ImmunizationRecommendation (CZ HDR)) | Value of extension
extension:administeredProduct |  | 0..1 | (Complex) | Immunization AdministeredProduct URL: http://hl7.eu/fhir/hdr/StructureDefinition/immunization-administeredProduct
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:concept |  | 0..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "concept"
value[x] |  | 0..1 | CodeableConcept | Value of extension
extension:reference |  | 0..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "reference"
value[x] |  | 0..1 | Reference(Medication (CZ)) | Value of extension
url |  | 1..1 | uri | "http://hl7.eu/fhir/hdr/StructureDefinition/immunization-administeredProduct"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | Business identifier
status | ?!Σ | 1..1 | code | completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
statusReason |  | 0..1 | CodeableConcept | Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.
vaccineCode | O Σ | 1..1 | CodeableConcept | Vaccine product administered 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
Obligations | Actor
SHOULD:able-to-populate | HdrCreator-L3
patient | Σ | 1..1 | Reference(Patient (CZ core)) | Who was immunized
encounter |  | 0..1 | Reference(Encounter) | Encounter immunization was part of
occurrence[x] | O Σ | 1..1 | dateTime | Vaccine administration date
Obligations | Actor
SHOULD:able-to-populate | HdrCreator-L3
recorded |  | 0..1 | dateTime | When the immunization was first captured in the subject's record
primarySource | Σ | 0..1 | boolean | Indicates context the data was recorded in
reportOrigin |  | 0..1 | CodeableConcept | Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.
location |  | 0..1 | Reference(Location) | Location
manufacturer |  | 0..1 | Reference(Organization) | Vaccine manufacturer/MAH
lotNumber |  | 0..1 | string | Batch/lot number
expirationDate |  | 0..1 | date | Vaccine expiration date
site |  | 0..1 | CodeableConcept | Body site vaccine was administered Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.
route |  | 0..1 | CodeableConcept | How vaccine entered body Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.
doseQuantity |  | 0..1 | SimpleQuantity(4.0.1) | Amount of vaccine administered
Slices for performer | Σ | 0..* | BackboneElement | Who performed event Slice: Unordered, Open by value:$this.function
performer:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Individual or organization who was performing
performer:administeringCentre | Σ | 0..* | BackboneElement | Administering centre
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: AP
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
actor | Σ | 1..1 | Reference(Organization (EU core)(0.1.0-ci-build)) | Individual or organization who was performing
performer:administeringHp | Σ | 0..* | BackboneElement | Administering Health Professional
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: AP
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
actor | Σ | 1..1 | Reference(PractitionerRole (EU core)(0.1.0-ci-build) | Practitioner (EU core)(0.1.0-ci-build)) | Individual or organization who was performing
note | Σ | 0..* | Annotation | Additional immunization notes
reasonCode |  | 0..* | CodeableConcept | Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
reasonReference |  | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why immunization occurred
isSubpotent | ?!Σ | 0..1 | boolean | Dose potency
subpotentReason |  | 0..* | CodeableConcept | Reason for being subpotent Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.
education | C | 0..* | BackboneElement | Educational material presented to patient Constraints: imm-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
documentType |  | 0..1 | string | Educational material document identifier
reference |  | 0..1 | uri | Educational material reference pointer
publicationDate |  | 0..1 | dateTime | Educational material publication date
presentationDate |  | 0..1 | dateTime | Educational material presentation date
programEligibility |  | 0..* | CodeableConcept | Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.
fundingSource |  | 0..1 | CodeableConcept | Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
reaction |  | 0..* | BackboneElement | Details of a reaction that follows immunization
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
date |  | 0..1 | dateTime | When reaction started
detail |  | 0..1 | Reference(Observation) | Additional information on reaction
reported |  | 0..1 | boolean | Indicates self-reported reaction
protocolApplied |  | 0..* | BackboneElement | Protocol followed by the provider
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
series |  | 0..1 | string | Name of vaccine series
authority |  | 0..1 | Reference(Organization) | Who is responsible for publishing the recommendations
targetDisease |  | 0..* | CodeableConcept | Vaccine preventatable disease being targetted Binding: Condition Value Set (preferred)
Slices for doseNumber[x] |  | 1..1 |  | Dose number within series Slice: Unordered, Open by type:$this
doseNumberPositiveInt |  |  | positiveInt |
doseNumberString |  |  | string |
doseNumber[x]:doseNumberPositiveInt |  | 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 | Conformance | ValueSet / Code | URI
Immunization.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages|4.0.1` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Immunization.status | required | ImmunizationStatusCodes `http://hl7.org/fhir/ValueSet/immunization-status|4.0.1` From the FHIR Standard
Immunization.statusReason | example | ImmunizationStatusReasonCodes `http://hl7.org/fhir/ValueSet/immunization-status-reason|4.0.1` From the FHIR Standard
Immunization.vaccineCode | preferred | VaccinesUvIps `http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips`
Immunization.reportOrigin | example | ImmunizationOriginCodes `http://hl7.org/fhir/ValueSet/immunization-origin|4.0.1` From the FHIR Standard
Immunization.site | example | CodesForImmunizationSiteOfAdministration `http://hl7.org/fhir/ValueSet/immunization-site|4.0.1` From the FHIR Standard
Immunization.route | example | ImmunizationRouteCodes `http://hl7.org/fhir/ValueSet/immunization-route|4.0.1` From the FHIR Standard
Immunization.performer.function | extensible | ImmunizationFunctionCodes `http://hl7.org/fhir/ValueSet/immunization-function|4.0.1` From the FHIR Standard
Immunization.performer:administeringCentre.function | extensible | Pattern Value: AP `http://hl7.org/fhir/ValueSet/immunization-function|4.0.1` From the FHIR Standard
Immunization.performer:administeringHp.function | extensible | Pattern Value: AP `http://hl7.org/fhir/ValueSet/immunization-function|4.0.1` From the FHIR Standard
Immunization.reasonCode | example | ImmunizationReasonCodes `http://hl7.org/fhir/ValueSet/immunization-reason|4.0.1` From the FHIR Standard
Immunization.subpotentReason | example | ImmunizationSubpotentReason `http://hl7.org/fhir/ValueSet/immunization-subpotent-reason|4.0.1` From the FHIR Standard
Immunization.programEligibility | example | ImmunizationProgramEligibility `http://hl7.org/fhir/ValueSet/immunization-program-eligibility|4.0.1` From the FHIR Standard
Immunization.fundingSource | example | ImmunizationFundingSource `http://hl7.org/fhir/ValueSet/immunization-funding-source|4.0.1` From the FHIR Standard
Immunization.protocolApplied.targetDisease | preferred | ConditionHdrVS `http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr`

#### Constraints

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

This structure is derived from CZ_ImmunizationHdr

Summary

Maturity: 0

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Immunization |  | 0..* | CZ_ImmunizationHdr | Immunization event information This profile also imposes the profile Immunization (IPS)
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:basedOn |  | 0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.basedOn
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.basedOn"
value[x] |  | 1..1 | Reference(ImmunizationRecommendation (CZ HDR)) | Value of extension
extension:administeredProduct |  | 0..1 | (Complex) | Immunization AdministeredProduct URL: http://hl7.eu/fhir/hdr/StructureDefinition/immunization-administeredProduct
Slices for extension |  |  |  | Content/Rules for all slices
extension:concept |  | 0..1 | Extension | Extension
extension |  | 0..0 |  |
url |  | 1..1 | uri | "concept"
extension:reference |  | 0..1 | Extension | Extension
extension |  | 0..0 |  |
url |  | 1..1 | uri | "reference"
url |  | 1..1 | uri | "http://hl7.eu/fhir/hdr/StructureDefinition/immunization-administeredProduct"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
vaccineCode | O Σ | 1..1 | CodeableConcept | Vaccine product administered 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
Obligations | Actor
SHOULD:able-to-populate | HdrCreator-L3
patient | Σ | 1..1 | Reference(Patient (CZ core)) | Who was immunized
occurrence[x] | O Σ | 1..1 | dateTime | Vaccine administration date
Obligations | Actor
SHOULD:able-to-populate | HdrCreator-L3
Slices for performer | Σ | 0..* | BackboneElement | Who performed event Slice: Unordered, Open by value:$this.function
performer:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Individual or organization who was performing
performer:administeringCentre | Σ | 0..* | BackboneElement | Administering centre
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: AP
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
actor | Σ | 1..1 | Reference(Organization (EU core)(0.1.0-ci-build)) | Individual or organization who was performing
performer:administeringHp | Σ | 0..* | BackboneElement | Administering Health Professional
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: AP
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
actor | Σ | 1..1 | Reference(PractitionerRole (EU core)(0.1.0-ci-build) | Practitioner (EU core)(0.1.0-ci-build)) | Individual or organization who was performing
isSubpotent | ?!Σ | 0..1 | boolean | Dose potency
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Immunization.status | required | ImmunizationStatusCodes `http://hl7.org/fhir/ValueSet/immunization-status|4.0.1` From the FHIR Standard
Immunization.vaccineCode | preferred | VaccinesUvIps `http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips`
Immunization.performer:administeringCentre.function | extensible | Pattern Value: AP `http://hl7.org/fhir/ValueSet/immunization-function|4.0.1` From the FHIR Standard
Immunization.performer:administeringHp.function | extensible | Pattern Value: AP `http://hl7.org/fhir/ValueSet/immunization-function|4.0.1` From the FHIR Standard

#### Constraints

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

Differential View

This structure is derived from CZ_ImmunizationHdr

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Immunization |  | 0..* | CZ_ImmunizationHdr | Immunization event information This profile also imposes the profile Immunization (IPS)
vaccineCode | O | 1..1 | CodeableConcept | Vaccine product administered
Obligations | Actor
SHOULD:able-to-populate | HdrCreator-L3
occurrence[x] | O | 1..1 | dateTime | Vaccine administration date
Obligations | Actor
SHOULD:able-to-populate | HdrCreator-L3
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Immunization |  | 0..* | CZ_ImmunizationHdr | Immunization event information This profile also imposes the profile Immunization (IPS)
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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:basedOn |  | 0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.basedOn
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.basedOn"
value[x] |  | 1..1 | Reference(ImmunizationRecommendation (CZ HDR)) | Value of extension
extension:administeredProduct |  | 0..1 | (Complex) | Immunization AdministeredProduct URL: http://hl7.eu/fhir/hdr/StructureDefinition/immunization-administeredProduct
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:concept |  | 0..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "concept"
value[x] |  | 0..1 | CodeableConcept | Value of extension
extension:reference |  | 0..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "reference"
value[x] |  | 0..1 | Reference(Medication (CZ)) | Value of extension
url |  | 1..1 | uri | "http://hl7.eu/fhir/hdr/StructureDefinition/immunization-administeredProduct"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | Business identifier
status | ?!Σ | 1..1 | code | completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
statusReason |  | 0..1 | CodeableConcept | Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.
vaccineCode | O Σ | 1..1 | CodeableConcept | Vaccine product administered 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
Obligations | Actor
SHOULD:able-to-populate | HdrCreator-L3
patient | Σ | 1..1 | Reference(Patient (CZ core)) | Who was immunized
encounter |  | 0..1 | Reference(Encounter) | Encounter immunization was part of
occurrence[x] | O Σ | 1..1 | dateTime | Vaccine administration date
Obligations | Actor
SHOULD:able-to-populate | HdrCreator-L3
recorded |  | 0..1 | dateTime | When the immunization was first captured in the subject's record
primarySource | Σ | 0..1 | boolean | Indicates context the data was recorded in
reportOrigin |  | 0..1 | CodeableConcept | Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.
location |  | 0..1 | Reference(Location) | Location
manufacturer |  | 0..1 | Reference(Organization) | Vaccine manufacturer/MAH
lotNumber |  | 0..1 | string | Batch/lot number
expirationDate |  | 0..1 | date | Vaccine expiration date
site |  | 0..1 | CodeableConcept | Body site vaccine was administered Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.
route |  | 0..1 | CodeableConcept | How vaccine entered body Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.
doseQuantity |  | 0..1 | SimpleQuantity(4.0.1) | Amount of vaccine administered
Slices for performer | Σ | 0..* | BackboneElement | Who performed event Slice: Unordered, Open by value:$this.function
performer:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Individual or organization who was performing
performer:administeringCentre | Σ | 0..* | BackboneElement | Administering centre
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: AP
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
actor | Σ | 1..1 | Reference(Organization (EU core)(0.1.0-ci-build)) | Individual or organization who was performing
performer:administeringHp | Σ | 0..* | BackboneElement | Administering Health Professional
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: AP
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
actor | Σ | 1..1 | Reference(PractitionerRole (EU core)(0.1.0-ci-build) | Practitioner (EU core)(0.1.0-ci-build)) | Individual or organization who was performing
note | Σ | 0..* | Annotation | Additional immunization notes
reasonCode |  | 0..* | CodeableConcept | Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
reasonReference |  | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why immunization occurred
isSubpotent | ?!Σ | 0..1 | boolean | Dose potency
subpotentReason |  | 0..* | CodeableConcept | Reason for being subpotent Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.
education | C | 0..* | BackboneElement | Educational material presented to patient Constraints: imm-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
documentType |  | 0..1 | string | Educational material document identifier
reference |  | 0..1 | uri | Educational material reference pointer
publicationDate |  | 0..1 | dateTime | Educational material publication date
presentationDate |  | 0..1 | dateTime | Educational material presentation date
programEligibility |  | 0..* | CodeableConcept | Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.
fundingSource |  | 0..1 | CodeableConcept | Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
reaction |  | 0..* | BackboneElement | Details of a reaction that follows immunization
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
date |  | 0..1 | dateTime | When reaction started
detail |  | 0..1 | Reference(Observation) | Additional information on reaction
reported |  | 0..1 | boolean | Indicates self-reported reaction
protocolApplied |  | 0..* | BackboneElement | Protocol followed by the provider
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
series |  | 0..1 | string | Name of vaccine series
authority |  | 0..1 | Reference(Organization) | Who is responsible for publishing the recommendations
targetDisease |  | 0..* | CodeableConcept | Vaccine preventatable disease being targetted Binding: Condition Value Set (preferred)
Slices for doseNumber[x] |  | 1..1 |  | Dose number within series Slice: Unordered, Open by type:$this
doseNumberPositiveInt |  |  | positiveInt |
doseNumberString |  |  | string |
doseNumber[x]:doseNumberPositiveInt |  | 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 | Conformance | ValueSet / Code | URI
Immunization.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages|4.0.1` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Immunization.status | required | ImmunizationStatusCodes `http://hl7.org/fhir/ValueSet/immunization-status|4.0.1` From the FHIR Standard
Immunization.statusReason | example | ImmunizationStatusReasonCodes `http://hl7.org/fhir/ValueSet/immunization-status-reason|4.0.1` From the FHIR Standard
Immunization.vaccineCode | preferred | VaccinesUvIps `http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips`
Immunization.reportOrigin | example | ImmunizationOriginCodes `http://hl7.org/fhir/ValueSet/immunization-origin|4.0.1` From the FHIR Standard
Immunization.site | example | CodesForImmunizationSiteOfAdministration `http://hl7.org/fhir/ValueSet/immunization-site|4.0.1` From the FHIR Standard
Immunization.route | example | ImmunizationRouteCodes `http://hl7.org/fhir/ValueSet/immunization-route|4.0.1` From the FHIR Standard
Immunization.performer.function | extensible | ImmunizationFunctionCodes `http://hl7.org/fhir/ValueSet/immunization-function|4.0.1` From the FHIR Standard
Immunization.performer:administeringCentre.function | extensible | Pattern Value: AP `http://hl7.org/fhir/ValueSet/immunization-function|4.0.1` From the FHIR Standard
Immunization.performer:administeringHp.function | extensible | Pattern Value: AP `http://hl7.org/fhir/ValueSet/immunization-function|4.0.1` From the FHIR Standard
Immunization.reasonCode | example | ImmunizationReasonCodes `http://hl7.org/fhir/ValueSet/immunization-reason|4.0.1` From the FHIR Standard
Immunization.subpotentReason | example | ImmunizationSubpotentReason `http://hl7.org/fhir/ValueSet/immunization-subpotent-reason|4.0.1` From the FHIR Standard
Immunization.programEligibility | example | ImmunizationProgramEligibility `http://hl7.org/fhir/ValueSet/immunization-program-eligibility|4.0.1` From the FHIR Standard
Immunization.fundingSource | example | ImmunizationFundingSource `http://hl7.org/fhir/ValueSet/immunization-funding-source|4.0.1` From the FHIR Standard
Immunization.protocolApplied.targetDisease | preferred | ConditionHdrVS `http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr`

#### Constraints

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

This structure is derived from CZ_ImmunizationHdr

Summary

Maturity: 0

Other representations of profile: CSV, Excel, Schematron