## Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization

Left: | US Core Immunization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization)
Right: | US Core Immunization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization)

### Messages

Error | StructureDefinition.version | Values for version differ: '4.0.0' vs '8.0.1'
Information | StructureDefinition.date | Values for date differ: '2019-08-26' vs '2023-10-17'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International - US Realm Steering Committee' vs 'HL7 International / Cross-Group Projects'
Information | StructureDefinition.definition | Values for definition differ: 'The US Core Immunization Profile is based upon the core FHIR Immunization Resource and created to meet the 2015 Edition Common Clinical Data Set 'Immunizations' requirements.' vs 'Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party.'
Information | Immunization.language | Example/preferred bindings differ at Immunization.language using binding from USCoreImmunizationProfile
Information | StructureDefinition.short | Values for short differ: 'Encounter immunization was part of' vs 'Encounter the immunization was part of'
Warning | Immunization.encounter | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.definition | Values for definition differ: 'An indication that the content of the record is based on information from the person who administered the vaccine. This reflects the context under which the data was originally recorded.' vs 'Indicates whether the data contained in the resource was captured by the individual/organization which was responsible for the administration of the vaccine rather than as 'secondary reported' data documented by a third party. A value of 'true' means this data originated with the individual/organization which was responsible for the administration of the vaccine.'
Information | StructureDefinition.comment | Values for comment differ: 'Reflects the “reliability” of the content.' vs 'This updated definition is adopted from the FHIR R5 Immunization resource.'
Information | Immunization.primarySource | Element minimum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Where immunization occurred' vs 'Where the vaccine was administered'
Warning | Immunization.location | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | Immunization.lotNumber | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | Immunization.performer | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | Immunization.performer.actor | Elements differ in definition for mustSupport: 'false' vs 'true'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Immunization |
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
date | 2019-08-26 | 2023-10-17 | Values Differ
description | Defines constraints and extensions on the Immunization resource for the minimal set of data to query and retrieve patient's immunization information. | The US Core Immunization Profile inherits from the FHIR [Immunization](https://hl7.org/fhir/R4/immunization.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Immunization resource to record, search, and fetch immunization history associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. | Values Differ
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | USCoreImmunizationProfile |
publisher | HL7 International - US Realm Steering Committee | HL7 International / Cross-Group Projects | Values Differ
purpose |  |
status | active |
title | US Core Immunization Profile |
type | Immunization |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization |
version | 4.0.0 | 8.0.1 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Immunization |  | 0..* | Immunization | Immunization event information | C | 0..* | Immunization | Immunization event information Constraints: us-core-5 |
id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
| Example/preferred bindings differ at Immunization.language using binding from USCoreImmunizationProfile
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 |  | 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 |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier |  | 0..* | Identifier | Business identifier |  | 0..* | Identifier | Business identifier |
status | ?!S Σ | 1..1 | code | completed | entered-in-error | not-done Binding: ?? (required) | ?!S Σ | 1..1 | code | completed | entered-in-error | not-done Binding: ?? (required) |
statusReason | S | 0..1 | CodeableConcept | Reason not done Binding: ?? (example) | S | 0..1 | CodeableConcept | Reason not done Binding: ?? (example) |
vaccineCode | S Σ C | 1..1 | CodeableConcept | Vaccine Product Type (bind to CVX) Binding: ?? (extensible) Constraints: us-core-1 | S Σ C | 1..1 | CodeableConcept | Vaccine Product Type (bind to CVX) Binding: ?? (extensible) |
patient | S Σ | 1..1 | Reference(US Core Patient Profile) | Who was immunized | S Σ | 1..1 | Reference(US Core Patient Profile) | Who was immunized |
encounter |  | 0..1 | Reference(Encounter) | Encounter immunization was part of | S | 0..1 | Reference(US Core Encounter Profile) | Encounter the immunization was part of | Elements differ in definition for mustSupport: 'false' vs 'true'
occurrence[x] | S Σ | 1..1 | dateTime S, string | Vaccine administration date | S Σ | 1..1 | dateTime S, string | Vaccine administration date |
recorded |  | 0..1 | dateTime | When the immunization was first captured in the subject's record |  | 0..1 | dateTime | When the immunization was first captured in the subject's record |
primarySource | S Σ | 1..1 | boolean | Indicates context the data was recorded in | S Σ | 0..1 | boolean | Indicates context the data was recorded in | Element minimum cardinalities differ: '1' vs '0'
reportOrigin |  | 0..1 | CodeableConcept | Indicates the source of a secondarily reported record Binding: ?? (example): The source of the data for a record which is not from a primary source. |  | 0..1 | CodeableConcept | Indicates the source of a secondarily reported record Binding: ?? (example): The source of the data for a record which is not from a primary source. |
location |  | 0..1 | Reference(Location) | Where immunization occurred | S | 0..1 | Reference(US Core Location Profile) | Where the vaccine was administered | Elements differ in definition for mustSupport: 'false' vs 'true'
manufacturer |  | 0..1 | Reference(Organization) | Vaccine manufacturer |  | 0..1 | Reference(Organization) | Vaccine manufacturer |
lotNumber |  | 0..1 | string | Vaccine lot number | S | 0..1 | string | Vaccine lot number | Elements differ in definition for mustSupport: 'false' vs 'true'
expirationDate |  | 0..1 | date | Vaccine expiration date |  | 0..1 | date | Vaccine expiration date |
site |  | 0..1 | CodeableConcept | Body site vaccine was administered Binding: ?? (example): The site at which the vaccine was administered. |  | 0..1 | CodeableConcept | Body site vaccine was administered Binding: ?? (example): The site at which the vaccine was administered. |
route |  | 0..1 | CodeableConcept | How vaccine entered body Binding: ?? (example): The route by which the vaccine was administered. |  | 0..1 | CodeableConcept | How vaccine entered body Binding: ?? (example): The route by which the vaccine was administered. |
doseQuantity |  | 0..1 | ?? | Amount of vaccine administered |  | 0..1 | ?? | Amount of vaccine administered |
performer | Σ | 0..* | BackboneElement | Who performed event | S Σ | 0..* | BackboneElement | Who performed event | Elements differ in definition for mustSupport: 'false' vs 'true'
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ?? (extensible): The role a practitioner or organization plays in the immunization event. | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ?? (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 | S Σ | 1..1 | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | US Core Organization Profile) | Individual or organization who was performing | Elements differ in definition for mustSupport: 'false' vs 'true'
note | Σ | 0..* | Annotation | Additional immunization notes | Σ | 0..* | Annotation | Additional immunization notes |
reasonCode |  | 0..* | CodeableConcept | Why immunization occurred Binding: ?? (example): The reason why a vaccine was administered. |  | 0..* | CodeableConcept | Why immunization occurred Binding: ?? (example): The reason why a vaccine was administered. |
reasonReference |  | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why immunization occurred |  | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why immunization occurred |
isSubpotent | ?!Σ | 0..1 | boolean | Dose potency | ?!Σ | 0..1 | boolean | Dose potency |
subpotentReason |  | 0..* | CodeableConcept | Reason for being subpotent Binding: ?? (example): The reason why a dose is considered to be subpotent. |  | 0..* | CodeableConcept | Reason for being subpotent Binding: ?? (example): The reason why a dose is considered to be subpotent. |
education | C | 0..* | BackboneElement | Educational material presented to patient Constraints: imm-1 | C | 0..* | BackboneElement | Educational material presented to patient |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
documentType |  | 0..1 | string | Educational material document identifier |  | 0..1 | string | Educational material document identifier |
reference |  | 0..1 | uri | Educational material reference pointer |  | 0..1 | uri | Educational material reference pointer |
publicationDate |  | 0..1 | dateTime | Educational material publication date |  | 0..1 | dateTime | Educational material publication date |
presentationDate |  | 0..1 | dateTime | Educational material presentation date |  | 0..1 | dateTime | Educational material presentation date |
programEligibility |  | 0..* | CodeableConcept | Patient eligibility for a vaccination program Binding: ?? (example): The patient's eligibility for a vaccation program. |  | 0..* | CodeableConcept | Patient eligibility for a vaccination program Binding: ?? (example): The patient's eligibility for a vaccation program. |
fundingSource |  | 0..1 | CodeableConcept | Funding source for the vaccine Binding: ?? (example): The source of funding used to purchase the vaccine administered. |  | 0..1 | CodeableConcept | Funding source for the vaccine Binding: ?? (example): The source of funding used to purchase the vaccine administered. |
reaction |  | 0..* | BackboneElement | Details of a reaction that follows immunization |  | 0..* | BackboneElement | Details of a reaction that follows immunization |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
date |  | 0..1 | dateTime | When reaction started |  | 0..1 | dateTime | When reaction started |
detail |  | 0..1 | Reference(Observation) | Additional information on reaction |  | 0..1 | Reference(Observation) | Additional information on reaction |
reported |  | 0..1 | boolean | Indicates self-reported reaction |  | 0..1 | boolean | Indicates self-reported reaction |
protocolApplied |  | 0..* | BackboneElement | Protocol followed by the provider |  | 0..* | BackboneElement | Protocol followed by the provider |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
series |  | 0..1 | string | Name of vaccine series |  | 0..1 | string | Name of vaccine series |
authority |  | 0..1 | Reference(Organization) | Who is responsible for publishing the recommendations |  | 0..1 | Reference(Organization) | Who is responsible for publishing the recommendations |
targetDisease |  | 0..* | CodeableConcept | Vaccine preventatable disease being targetted Binding: ?? (example): The vaccine preventable disease the dose is being administered for. |  | 0..* | CodeableConcept | Vaccine preventatable disease being targetted Binding: ?? (example): The vaccine preventable disease the dose is being administered for. |
doseNumber[x] |  | 1..1 | positiveInt, string | Dose number within series |  | 1..1 | positiveInt, string | Dose number within series |
seriesDoses[x] |  | 0..1 | positiveInt, string | Recommended number of doses for immunity |  | 0..1 | positiveInt, string | Recommended number of doses for immunity |
Documentation for this format