Profile Comparison between http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity vs http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity

Left:Immunization Activity (http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity)
Right:Immunization Activity (http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity)

Messages

ErrorStructureDefinition.versionValues for version differ: '3.0.0' vs '4.0.0-ballot'
InformationStructureDefinition.dateValues for date differ: '2024-05-18T00:16:25-05:00' vs '2024-12-19T00:36:20+00:00'
InformationSubstanceAdministration.typeIdStructureDefinition ImmunizationActivity has added constraint that is not found in ImmunizationActivity and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists())
InformationSubstanceAdministration.doseQuantity.unitExample/preferred bindings differ at SubstanceAdministration.doseQuantity.unit using binding from ImmunizationActivity
InformationSubstanceAdministration.consumable.typeIdStructureDefinition ImmunizationActivity has added constraint that is not found in ImmunizationActivity and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists())

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
      .copyright
        .date2024-05-18T00:16:25-05:002024-12-19T00:36:20+00:00
        • Values Differ
        .descriptionAn Immunization Activity describes immunization substance administrations that have actually occurred or are intended to occur. Immunization Activities in "INT" mood are reflections of immunizations a clinician intends a patient to receive. Immunization Activities in "EVN" mood reflect immunizations actually received. An Immunization Activity is very similar to a Medication Activity with some key differentiators. The drug code system is constrained to CVX codes. Administration timing is less complex. Patient refusal reasons should be captured. All vaccines administered should be fully documented in the patient's permanent medical record. Healthcare providers who administer vaccines covered by the National Childhood Vaccine Injury Act are required to ensure that the permanent medical record of the recipient indicates: 1. Date of administration 2. Vaccine manufacturer 3. Vaccine lot number 4. Name and title of the person who administered the vaccine and the address of the clinic or facility where the permanent record will reside 5. Vaccine information statement (VIS) a. Date printed on the VIS b. Date VIS given to patient or parent/guardian. This information should be included in an Immunization Activity when available. (Reference: [https://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/c/vis-instruct.pdf])
          .experimental
            .fhirVersion5.0.0
              .jurisdiction
                ..jurisdiction[0]urn:iso:std:iso:3166#US
                  .kindlogical
                    .nameImmunizationActivity
                      .publisherHealth Level Seven
                        .purpose
                          .statusdraft
                            .titleImmunization Activity
                              .typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                                .urlhttp://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity
                                  .version3.0.04.0.0-ballot
                                  • Values Differ

                                  Structure

                                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                  .. SubstanceAdministration C1..1SubstanceAdministrationBase for all types and resources
                                  Instance of this type are validated by templateId
                                  Logical Container: ClinicalDocument (CDA Class)
                                  should-text-ref-value: SHOULD contain text/reference/@value
                                  should-doseQuantity: SHOULD contain doseQuantity
                                  dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present.
                                  should-performer: SHOULD contain performer
                                  should-author: SHOULD contain author
                                  		C1..1SubstanceAdministrationBase for all types and resources
                                  Instance of this type are validated by templateId
                                  Logical Container: ClinicalDocument (CDA Class)
                                  should-text-ref-value: SHOULD contain text/reference/@value
                                  should-doseQuantity: SHOULD contain doseQuantity
                                  dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present.
                                  should-performer: SHOULD contain performer
                                  should-author: SHOULD contain author
                                    ... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                      ... realmCode 0..*CS0..*CS
                                        ... typeId 0..1IIC0..1IIII-1: An II instance must have either a root or an nullFlavor.
                                        • StructureDefinition ImmunizationActivity has added constraint that is not found in ImmunizationActivity and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists())
                                        .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                          .... assigningAuthorityName 0..1??0..1??
                                            .... displayable 0..1??0..1??
                                              .... root 1..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.31..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.3
                                                .... st-simple 1..1stringPrimitive Type string
                                                URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple                                                		1..1stringPrimitive Type string
                                                URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
                                                  ... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
                                                  		1..*IISlice: Unordered, Open by value:root, value:extension
                                                    ... classCode 1..1??Binding: ?? (required)
                                                    Fixed Value: SBADM                                                    		1..1??Binding: ?? (required)
                                                    Fixed Value: SBADM
                                                      ... moodCode 1..1??Binding: ?? (required)1..1??Binding: ?? (required)
                                                        ... id 1..*II1..*II
                                                          ... code 0..1CDSubstanceAdministration.code is an optional field. Per HL7 Pharmacy Committee, "this is intended to further specify the nature of the substance administration act. To date the committee has made no use of this attribute". Because the type of substance administration is generally implicit in the routeCode, in the consumable participant, etc., the field is generally not used and there is no defined value set.
                                                          Binding: ?? (example)                                                          		0..1CDSubstanceAdministration.code is an optional field. Per HL7 Pharmacy Committee, "this is intended to further specify the nature of the substance administration act. To date the committee has made no use of this attribute". Because the type of substance administration is generally implicit in the routeCode, in the consumable participant, etc., the field is generally not used and there is no defined value set.
                                                          Binding: ?? (example)
                                                            ... negationInd 1..1??Use negationInd="true" to indicate that the immunization was not given.1..1??Use negationInd="true" to indicate that the immunization was not given.
                                                              ... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
                                                                .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                  .... compression 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                    .... integrityCheck 0..1??0..1??
                                                                      .... integrityCheckAlgorithm 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                        .... language 0..1??0..1??
                                                                          .... mediaType 0..1??Binding: ?? (example)0..1??Binding: ?? (example)
                                                                            .... representation 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                              .... xmlText 0..1??Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.0..1??Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
                                                                                .... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrativeC0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
                                                                                  .... thumbnail 0..1ED0..1ED
                                                                                    ... statusCode 1..1CSBinding: ?? (required)1..1CSBinding: ?? (required)
                                                                                      .... nullFlavor 0..00..0
                                                                                        .... code 1..1??Binding: ?? (required)1..1??Binding: ?? (required)
                                                                                          .... codeSystem 0..00..0
                                                                                            .... codeSystemName 0..00..0
                                                                                              .... codeSystemVersion 0..00..0
                                                                                                .... displayName 0..00..0
                                                                                                  .... sdtcValueSet 0..1??XML: valueSet (urn:hl7-org:sdtc)0..1??XML: valueSet (urn:hl7-org:sdtc)
                                                                                                    .... sdtcValueSetVersion 0..1??XML: valueSetVersion (urn:hl7-org:sdtc)0..1??XML: valueSetVersion (urn:hl7-org:sdtc)
                                                                                                      .... originalText 0..00..0
                                                                                                        .... qualifier 0..00..0
                                                                                                          .... translation 0..00..0
                                                                                                            ... effectiveTime 1..1SXCM_TS, IVL_TS, EIVL_TS, PIVL_TS, SXPR_TS1..1SXCM_TS, IVL_TS, EIVL_TS, PIVL_TS, SXPR_TS
                                                                                                              ... priorityCode 0..1CEBinding: ?? (example)0..1CEBinding: ?? (example)
                                                                                                                ... repeatNumber C0..1IVL_INTIn "INT" (intent) mood, the repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a substance administration event means that the current administration is the 3rd in a series.
                                                                                                                value-only: Interval fields SHALL not be present                                                                                                                		C0..1IVL_INTIn "INT" (intent) mood, the repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a substance administration event means that the current administration is the 3rd in a series.
                                                                                                                value-only: Interval fields SHALL NOT be present
                                                                                                                  .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                    .... value 0..1??value should be used instead of low/high0..1??value should be used instead of low/high
                                                                                                                      .... operator 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                        .... low 0..1IVXB_INT0..1IVXB_INT
                                                                                                                          .... center 0..1INT0..1INT
                                                                                                                            .... width 0..1INT0..1INT
                                                                                                                              .... high 0..1IVXB_INT0..1IVXB_INT
                                                                                                                                ... routeCode C0..1CEBinding: ?? (required)
                                                                                                                                should-translation: SHOULD contain translation                                                                                                                                		C0..1CEBinding: ?? (required)
                                                                                                                                should-translation: SHOULD contain translation
                                                                                                                                  .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                    .... code 0..1??0..1??
                                                                                                                                      .... codeSystem 0..1??, ??, ??0..1??, ??, ??
                                                                                                                                        .... codeSystemName 0..1??0..1??
                                                                                                                                          .... codeSystemVersion 0..1??0..1??
                                                                                                                                            .... displayName 0..1??0..1??
                                                                                                                                              .... sdtcValueSet 0..1??XML: valueSet (urn:hl7-org:sdtc)0..1??XML: valueSet (urn:hl7-org:sdtc)
                                                                                                                                                .... sdtcValueSetVersion 0..1??XML: valueSetVersion (urn:hl7-org:sdtc)0..1??XML: valueSetVersion (urn:hl7-org:sdtc)
                                                                                                                                                  .... originalText 0..1ED0..1ED
                                                                                                                                                    .... qualifier 0..00..0
                                                                                                                                                      .... translation 0..*CDBinding: ?? (preferred)
                                                                                                                                                      		0..*CDBinding: ?? (preferred)
                                                                                                                                                        ... approachSiteCode 0..1CDBinding: ?? (required)
                                                                                                                                                        		0..1CDBinding: ?? (required)
                                                                                                                                                          ... doseQuantity C0..1IVL_PQshould-unit: SHOULD contain @unitC0..1IVL_PQshould-unit: SHOULD contain @unit
                                                                                                                                                            .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                              .... unit 0..1??NOTE: The base CDA R2.0 standard requires @unit to be drawn from UCUM, and best practice is to use case sensitive UCUM units
                                                                                                                                                              Binding: ?? (preferred)                                                                                                                                                              		0..1??NOTE: The base CDA R2.0 standard requires @unit to be drawn from UCUM, and best practice is to use case sensitive UCUM units
                                                                                                                                                              Binding: ?? (preferred)
                                                                                                                                                              • Example/preferred bindings differ at SubstanceAdministration.doseQuantity.unit using binding from ImmunizationActivity
                                                                                                                                                              .... value 0..1??0..1??
                                                                                                                                                                .... translation 0..*PQR0..*PQR
                                                                                                                                                                  .... operator 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                                    .... low 0..1IVXB_PQ0..1IVXB_PQ
                                                                                                                                                                      .... center 0..1PQ0..1PQ
                                                                                                                                                                        .... width 0..1PQ0..1PQ
                                                                                                                                                                          .... high 0..1IVXB_PQ0..1IVXB_PQ
                                                                                                                                                                            ... rateQuantity 0..1IVL_PQ0..1IVL_PQ
                                                                                                                                                                              ... maxDoseQuantity 0..1RTO_PQ_PQ0..1RTO_PQ_PQ
                                                                                                                                                                                ... administrationUnitCode 0..1CEBinding: ?? (required)0..1CEBinding: ?? (required)
                                                                                                                                                                                  ... consumable 1..1InfrastructureRoot1..1InfrastructureRoot
                                                                                                                                                                                    .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                                                      .... realmCode 0..*CS0..*CS
                                                                                                                                                                                        .... typeId 0..1IIC0..1IIII-1: An II instance must have either a root or an nullFlavor.
                                                                                                                                                                                        • StructureDefinition ImmunizationActivity has added constraint that is not found in ImmunizationActivity and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists())
                                                                                                                                                                                        ..... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                                                          ..... assigningAuthorityName 0..1??0..1??
                                                                                                                                                                                            ..... displayable 0..1??0..1??
                                                                                                                                                                                              ..... root 1..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.31..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.3
                                                                                                                                                                                                ..... st-simple 1..1stringPrimitive Type string
                                                                                                                                                                                                URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple                                                                                                                                                                                                		1..1stringPrimitive Type string
                                                                                                                                                                                                URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
                                                                                                                                                                                                  .... templateId 0..*II0..*II
                                                                                                                                                                                                    .... typeCode 0..1??Binding: ?? (required)
                                                                                                                                                                                                    Fixed Value: CSM                                                                                                                                                                                                    		0..1??Binding: ?? (required)
                                                                                                                                                                                                    Fixed Value: CSM
                                                                                                                                                                                                      .... manufacturedProduct C1..1??Base for all types and resources
                                                                                                                                                                                                      product-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present)
                                                                                                                                                                                                      should-manufacturerOrganization: SHOULD contain manufacturerOrganization                                                                                                                                                                                                      		C1..1??Base for all types and resources
                                                                                                                                                                                                      product-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present)
                                                                                                                                                                                                      should-manufacturerOrganization: SHOULD contain manufacturerOrganization
                                                                                                                                                                                                        ... subject 0..1Subject0..1Subject
                                                                                                                                                                                                          ... specimen 0..*Specimen0..*Specimen
                                                                                                                                                                                                            ... performer 0..1Performer20..1Performer2
                                                                                                                                                                                                              ... author 0..*??Base for all types and resources
                                                                                                                                                                                                              		0..*??Base for all types and resources
                                                                                                                                                                                                                ... informant 0..*Informant0..*Informant
                                                                                                                                                                                                                  ... Slices for participant 0..*Participant2Slice: Unordered, Open by value:typeCode
                                                                                                                                                                                                                  		0..*Participant2Slice: Unordered, Open by value:typeCode
                                                                                                                                                                                                                    ... Slices for entryRelationship 0..*EntryRelationshipSlice: Unordered, Open by profile:act, profile:observation, profile:supply
                                                                                                                                                                                                                    		0..*EntryRelationshipSlice: Unordered, Open by profile:act, profile:observation, profile:supply
                                                                                                                                                                                                                      ... reference 0..*Reference0..*Reference
                                                                                                                                                                                                                        ... Slices for precondition 0..*PreconditionSlice: Unordered, Open by profile:criterion
                                                                                                                                                                                                                        		0..*PreconditionSlice: Unordered, Open by profile:criterion
                                                                                                                                                                                                                          ... sdtcInFulfillmentOf1 0..*InFulfillmentOf1XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
                                                                                                                                                                                                                          		0..*InFulfillmentOf1XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

                                                                                                                                                                                                                            doco Documentation for this format