HL7 Czech PS Implementation Guide
0.0.1 - ci-build CZ

HL7 Czech PS Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/ps/ and changes regularly. See the Directory of published versions

Resource Profile: Immunization Recommendation (CZ PS)

Official URL: https://hl7.cz/fhir/ps/StructureDefinition/cz-immunizationRecommendation-ps Version: 0.0.1
Draft as of 2026-05-19 Computable Name: CZ_ImmunizationRecommendationPs

This profile represents the constraints applied to the Immunization Recommendation resource by the Czech Patient Summary FHIR Implementation Guide. The Immunization resource is used to record details about immunizations administered to patients.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImmunizationRecommendation 0..* CZ_ImmunizationRecommendationHdr Guidance or advice relating to an immunization
This profile also imposes the profile http://hl7.eu/fhir/hdr/StructureDefinition/immunizationrecommendation-eu-hdr
... 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(Patient (CZ core)(0.4.0)) Who this profile is for
... recommendation ΣC 1..* BackboneElement Vaccine administration recommendations
Constraints: imr-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... forecastStatus ?!Σ 1..1 CodeableConcept Vaccine recommendation status
Binding: ImmunizationRecommendationStatusCodes (example): The patient's status with respect to a vaccination protocol.

doco 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.

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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImmunizationRecommendation 0..* CZ_ImmunizationRecommendationHdr Guidance or advice relating to an immunization
This profile also imposes the profile http://hl7.eu/fhir/hdr/StructureDefinition/immunizationrecommendation-eu-hdr

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImmunizationRecommendation 0..* CZ_ImmunizationRecommendationHdr Guidance or advice relating to an immunization
This profile also imposes the profile http://hl7.eu/fhir/hdr/StructureDefinition/immunizationrecommendation-eu-hdr
... 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
... 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(Patient (CZ core)(0.4.0)) 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 ΣC 1..* BackboneElement Vaccine administration recommendations
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: VaccineAdministeredValueSet (example): The type of vaccine administered.
.... targetDisease Σ 0..1 CodeableConcept Disease to be immunized against
Binding: ImmunizationRecommendationTargetDiseaseCodes (example): The disease that the recommended vaccination targets.
.... 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 Vaccine 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.
.... dateCriterion 0..* 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.).
..... value 1..1 dateTime Recommended date
.... description 0..1 string Protocol details
.... series 0..1 string Name of vaccination series
.... doseNumber[x] Σ 0..1 Recommended dose number within series
..... doseNumberPositiveInt positiveInt
..... doseNumberString string
.... seriesDoses[x] 0..1 Recommended number of doses for immunity
..... seriesDosesPositiveInt positiveInt
..... seriesDosesString string
.... supportingImmunization 0..* Reference(Immunization | ImmunizationEvaluation) Past immunizations supporting recommendation
.... supportingPatientInformation 0..* Reference(Resource) Patient observations supporting recommendation

doco 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 example Vaccine Administered Value Set 📍4.0.1 FHIR Std.
ImmunizationRecommendation.​recommendation.targetDisease Base example Immunization Recommendation Target Disease Codes 📍4.0.1 FHIR Std.
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.

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()

Summary

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImmunizationRecommendation 0..* CZ_ImmunizationRecommendationHdr Guidance or advice relating to an immunization
This profile also imposes the profile http://hl7.eu/fhir/hdr/StructureDefinition/immunizationrecommendation-eu-hdr
... 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(Patient (CZ core)(0.4.0)) Who this profile is for
... recommendation ΣC 1..* BackboneElement Vaccine administration recommendations
Constraints: imr-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... forecastStatus ?!Σ 1..1 CodeableConcept Vaccine recommendation status
Binding: ImmunizationRecommendationStatusCodes (example): The patient's status with respect to a vaccination protocol.

doco 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.

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImmunizationRecommendation 0..* CZ_ImmunizationRecommendationHdr Guidance or advice relating to an immunization
This profile also imposes the profile http://hl7.eu/fhir/hdr/StructureDefinition/immunizationrecommendation-eu-hdr

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImmunizationRecommendation 0..* CZ_ImmunizationRecommendationHdr Guidance or advice relating to an immunization
This profile also imposes the profile http://hl7.eu/fhir/hdr/StructureDefinition/immunizationrecommendation-eu-hdr
... 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
... 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(Patient (CZ core)(0.4.0)) 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 ΣC 1..* BackboneElement Vaccine administration recommendations
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: VaccineAdministeredValueSet (example): The type of vaccine administered.
.... targetDisease Σ 0..1 CodeableConcept Disease to be immunized against
Binding: ImmunizationRecommendationTargetDiseaseCodes (example): The disease that the recommended vaccination targets.
.... 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 Vaccine 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.
.... dateCriterion 0..* 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.).
..... value 1..1 dateTime Recommended date
.... description 0..1 string Protocol details
.... series 0..1 string Name of vaccination series
.... doseNumber[x] Σ 0..1 Recommended dose number within series
..... doseNumberPositiveInt positiveInt
..... doseNumberString string
.... seriesDoses[x] 0..1 Recommended number of doses for immunity
..... seriesDosesPositiveInt positiveInt
..... seriesDosesString string
.... supportingImmunization 0..* Reference(Immunization | ImmunizationEvaluation) Past immunizations supporting recommendation
.... supportingPatientInformation 0..* Reference(Resource) Patient observations supporting recommendation

doco 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 example Vaccine Administered Value Set 📍4.0.1 FHIR Std.
ImmunizationRecommendation.​recommendation.targetDisease Base example Immunization Recommendation Target Disease Codes 📍4.0.1 FHIR Std.
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.

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()

Summary

 

Other representations of profile: CSV, Excel, Schematron