Clinical Practice Guidelines
2.0.0 - trial-use
Clinical Practice Guidelines
2.0.0 - trial-use
Clinical Practice Guidelines, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-recommendations/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-immunization | Version: 2.0.0 | |||
| Active as of 2024-11-21 | Computable Name: CPGImmunization | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.48.42.71 | ||||
Documents a particular immunization as an activity within the context of a computable clinical practice guideline
This is an activity event profile
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Immunization
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Immunization |
0..* | Immunization | Immunization event information | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   instantiatesCaseFeature |
S | 0..1 | canonical(CPG Case Feature Definition) | CPG Instantiates Case Feature Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature |
| caseFeatureType |
S | 0..1 | code | CPG Case Feature Type Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type Value Set (required): Whether the case feature is asserted or inferred |
| caseFeaturePertinence |
S | 0..1 | code | CPG Case Feature Pertinence Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence Value Set (required): Describes the pertinence of a case feature |
| basedOn |
S | 0..1 | Reference(Resource) | Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn |
 pertinent |
S | 0..* | Reference() | CPG Pertinent Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinent |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier |
S | 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 |
S | 0..1 | CodeableConcept | Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered. |
| vaccineCode |
Σ | 1..1 | CodeableConcept | Vaccine product administered Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered. |
 patient |
SΣ | 1..1 | Reference(Patient) | Who was immunized |
| encounter |
S | 0..1 | Reference(Encounter) | Encounter immunization was part of |
 occurrence[x] |
Σ | 1..1 | Vaccine administration date | |
| occurrenceDateTime |
dateTime | |||
 occurrenceString |
string | |||
| reasonCode |
S | 0..* | CodeableConcept | Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered. |
| reasonReference |
S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why immunization occurred |
| isSubpotent |
?!Σ | 0..1 | boolean | Dose potency |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Immunization.status | required | ImmunizationStatusCodeshttp://hl7.org/fhir/ValueSet/immunization-status|4.0.1from the FHIR Standard | |
| Immunization.statusReason | example | ImmunizationStatusReasonCodeshttp://hl7.org/fhir/ValueSet/immunization-status-reasonfrom the FHIR Standard | |
| Immunization.vaccineCode | example | VaccineAdministeredValueSethttp://hl7.org/fhir/ValueSet/vaccine-codefrom the FHIR Standard | |
| Immunization.reasonCode | example | ImmunizationReasonCodeshttp://hl7.org/fhir/ValueSet/immunization-reasonfrom the FHIR Standard |
| 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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Immunization |
0..* | Immunization | Immunization event information | |||||
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| instantiatesCaseFeature |
S | 0..1 | canonical(CPG Case Feature Definition) | CPG Instantiates Case Feature Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature | ||||
| caseFeatureType |
S | 0..1 | code | CPG Case Feature Type Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type Value Set (required): Whether the case feature is asserted or inferred | ||||
| caseFeaturePertinence |
S | 0..1 | code | CPG Case Feature Pertinence Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence Value Set (required): Describes the pertinence of a case feature | ||||
| basedOn |
S | 0..1 | Reference(Resource) | Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn | ||||
| pertinent |
S | 0..* | Reference() | CPG Pertinent Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinent | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
S | 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 |
S | 0..1 | CodeableConcept | Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered. | ||||
| vaccineCode |
Σ | 1..1 | CodeableConcept | Vaccine product administered Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered. | ||||
| patient |
SΣ | 1..1 | Reference(Patient) | Who was immunized | ||||
| encounter |
S | 0..1 | Reference(Encounter) | Encounter immunization was part of | ||||
| occurrence[x] |
Σ | 1..1 | Vaccine administration date | |||||
| occurrenceDateTime |
dateTime | |||||||
| occurrenceString |
string | |||||||
| 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) | Where immunization occurred | |||||
| manufacturer |
0..1 | Reference(Organization) | Vaccine manufacturer | |||||
| lotNumber |
0..1 | string | Vaccine 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 | Amount of vaccine administered | |||||
| performer |
Σ | 0..* | BackboneElement | Who performed event | ||||
| 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 | ||||
| note |
Σ | 0..* | Annotation | Additional immunization notes | ||||
| reasonCode |
S | 0..* | CodeableConcept | Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered. | ||||
| reasonReference |
S | 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 imm-1: One of documentType or reference SHALL be present | ||||
| 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: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for. | |||||
| doseNumber[x] |
1..1 | Dose number within series | ||||||
| doseNumberPositiveInt |
positiveInt | |||||||
| doseNumberString |
string | |||||||
| seriesDoses[x] |
0..1 | Recommended number of doses for immunity | ||||||
| seriesDosesPositiveInt |
positiveInt | |||||||
| seriesDosesString |
string | |||||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Immunization.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Immunization.status | required | ImmunizationStatusCodeshttp://hl7.org/fhir/ValueSet/immunization-status|4.0.1from the FHIR Standard | ||||
| Immunization.statusReason | example | ImmunizationStatusReasonCodeshttp://hl7.org/fhir/ValueSet/immunization-status-reasonfrom the FHIR Standard | ||||
| Immunization.vaccineCode | example | VaccineAdministeredValueSethttp://hl7.org/fhir/ValueSet/vaccine-codefrom the FHIR Standard | ||||
| Immunization.reportOrigin | example | ImmunizationOriginCodeshttp://hl7.org/fhir/ValueSet/immunization-originfrom the FHIR Standard | ||||
| Immunization.site | example | CodesForImmunizationSiteOfAdministrationhttp://hl7.org/fhir/ValueSet/immunization-sitefrom the FHIR Standard | ||||
| Immunization.route | example | ImmunizationRouteCodeshttp://hl7.org/fhir/ValueSet/immunization-routefrom the FHIR Standard | ||||
| Immunization.performer.function | extensible | ImmunizationFunctionCodeshttp://hl7.org/fhir/ValueSet/immunization-functionfrom the FHIR Standard | ||||
| Immunization.reasonCode | example | ImmunizationReasonCodeshttp://hl7.org/fhir/ValueSet/immunization-reasonfrom the FHIR Standard | ||||
| Immunization.subpotentReason | example | ImmunizationSubpotentReasonhttp://hl7.org/fhir/ValueSet/immunization-subpotent-reasonfrom the FHIR Standard | ||||
| Immunization.programEligibility | example | ImmunizationProgramEligibilityhttp://hl7.org/fhir/ValueSet/immunization-program-eligibilityfrom the FHIR Standard | ||||
| Immunization.fundingSource | example | ImmunizationFundingSourcehttp://hl7.org/fhir/ValueSet/immunization-funding-sourcefrom the FHIR Standard | ||||
| Immunization.protocolApplied.targetDisease | example | ImmunizationTargetDiseaseCodeshttp://hl7.org/fhir/ValueSet/immunization-target-diseasefrom the FHIR Standard |
| 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 Immunization
Summary
Must-Support: 11 elements
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from Immunization
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Immunization |
0..* | Immunization | Immunization event information | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| instantiatesCaseFeature |
S | 0..1 | canonical(CPG Case Feature Definition) | CPG Instantiates Case Feature Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature |
| caseFeatureType |
S | 0..1 | code | CPG Case Feature Type Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type Value Set (required): Whether the case feature is asserted or inferred |
| caseFeaturePertinence |
S | 0..1 | code | CPG Case Feature Pertinence Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence Value Set (required): Describes the pertinence of a case feature |
| basedOn |
S | 0..1 | Reference(Resource) | Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn |
| pertinent |
S | 0..* | Reference() | CPG Pertinent Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinent |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
S | 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 |
S | 0..1 | CodeableConcept | Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered. |
| vaccineCode |
Σ | 1..1 | CodeableConcept | Vaccine product administered Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered. |
| patient |
SΣ | 1..1 | Reference(Patient) | Who was immunized |
| encounter |
S | 0..1 | Reference(Encounter) | Encounter immunization was part of |
| occurrence[x] |
Σ | 1..1 | Vaccine administration date | |
| occurrenceDateTime |
dateTime | |||
| occurrenceString |
string | |||
| reasonCode |
S | 0..* | CodeableConcept | Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered. |
| reasonReference |
S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why immunization occurred |
| isSubpotent |
?!Σ | 0..1 | boolean | Dose potency |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Immunization.status | required | ImmunizationStatusCodeshttp://hl7.org/fhir/ValueSet/immunization-status|4.0.1from the FHIR Standard | |
| Immunization.statusReason | example | ImmunizationStatusReasonCodeshttp://hl7.org/fhir/ValueSet/immunization-status-reasonfrom the FHIR Standard | |
| Immunization.vaccineCode | example | VaccineAdministeredValueSethttp://hl7.org/fhir/ValueSet/vaccine-codefrom the FHIR Standard | |
| Immunization.reasonCode | example | ImmunizationReasonCodeshttp://hl7.org/fhir/ValueSet/immunization-reasonfrom the FHIR Standard |
| 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Immunization |
0..* | Immunization | Immunization event information | |||||
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| instantiatesCaseFeature |
S | 0..1 | canonical(CPG Case Feature Definition) | CPG Instantiates Case Feature Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature | ||||
| caseFeatureType |
S | 0..1 | code | CPG Case Feature Type Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type Value Set (required): Whether the case feature is asserted or inferred | ||||
| caseFeaturePertinence |
S | 0..1 | code | CPG Case Feature Pertinence Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence Value Set (required): Describes the pertinence of a case feature | ||||
| basedOn |
S | 0..1 | Reference(Resource) | Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn | ||||
| pertinent |
S | 0..* | Reference() | CPG Pertinent Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinent | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
S | 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 |
S | 0..1 | CodeableConcept | Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered. | ||||
| vaccineCode |
Σ | 1..1 | CodeableConcept | Vaccine product administered Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered. | ||||
| patient |
SΣ | 1..1 | Reference(Patient) | Who was immunized | ||||
| encounter |
S | 0..1 | Reference(Encounter) | Encounter immunization was part of | ||||
| occurrence[x] |
Σ | 1..1 | Vaccine administration date | |||||
| occurrenceDateTime |
dateTime | |||||||
| occurrenceString |
string | |||||||
| 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) | Where immunization occurred | |||||
| manufacturer |
0..1 | Reference(Organization) | Vaccine manufacturer | |||||
| lotNumber |
0..1 | string | Vaccine 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 | Amount of vaccine administered | |||||
| performer |
Σ | 0..* | BackboneElement | Who performed event | ||||
| 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 | ||||
| note |
Σ | 0..* | Annotation | Additional immunization notes | ||||
| reasonCode |
S | 0..* | CodeableConcept | Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered. | ||||
| reasonReference |
S | 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 imm-1: One of documentType or reference SHALL be present | ||||
| 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: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for. | |||||
| doseNumber[x] |
1..1 | Dose number within series | ||||||
| doseNumberPositiveInt |
positiveInt | |||||||
| doseNumberString |
string | |||||||
| seriesDoses[x] |
0..1 | Recommended number of doses for immunity | ||||||
| seriesDosesPositiveInt |
positiveInt | |||||||
| seriesDosesString |
string | |||||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Immunization.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Immunization.status | required | ImmunizationStatusCodeshttp://hl7.org/fhir/ValueSet/immunization-status|4.0.1from the FHIR Standard | ||||
| Immunization.statusReason | example | ImmunizationStatusReasonCodeshttp://hl7.org/fhir/ValueSet/immunization-status-reasonfrom the FHIR Standard | ||||
| Immunization.vaccineCode | example | VaccineAdministeredValueSethttp://hl7.org/fhir/ValueSet/vaccine-codefrom the FHIR Standard | ||||
| Immunization.reportOrigin | example | ImmunizationOriginCodeshttp://hl7.org/fhir/ValueSet/immunization-originfrom the FHIR Standard | ||||
| Immunization.site | example | CodesForImmunizationSiteOfAdministrationhttp://hl7.org/fhir/ValueSet/immunization-sitefrom the FHIR Standard | ||||
| Immunization.route | example | ImmunizationRouteCodeshttp://hl7.org/fhir/ValueSet/immunization-routefrom the FHIR Standard | ||||
| Immunization.performer.function | extensible | ImmunizationFunctionCodeshttp://hl7.org/fhir/ValueSet/immunization-functionfrom the FHIR Standard | ||||
| Immunization.reasonCode | example | ImmunizationReasonCodeshttp://hl7.org/fhir/ValueSet/immunization-reasonfrom the FHIR Standard | ||||
| Immunization.subpotentReason | example | ImmunizationSubpotentReasonhttp://hl7.org/fhir/ValueSet/immunization-subpotent-reasonfrom the FHIR Standard | ||||
| Immunization.programEligibility | example | ImmunizationProgramEligibilityhttp://hl7.org/fhir/ValueSet/immunization-program-eligibilityfrom the FHIR Standard | ||||
| Immunization.fundingSource | example | ImmunizationFundingSourcehttp://hl7.org/fhir/ValueSet/immunization-funding-sourcefrom the FHIR Standard | ||||
| Immunization.protocolApplied.targetDisease | example | ImmunizationTargetDiseaseCodeshttp://hl7.org/fhir/ValueSet/immunization-target-diseasefrom the FHIR Standard |
| 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 Immunization
Summary
Must-Support: 11 elements
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
IG © 2023+ HL7 International / Clinical Decision Support. Package hl7.fhir.uv.cpg#2.0.0 based on FHIR 4.0.1. Generated 2024-11-21
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