## Union of http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization and http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-immunization

This is the set of resources that conform to either of the profiles US Core Immunization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization) and De-Identified UDS Plus Immunization (http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-immunization). E.g. what you have to deal with if you get resources conforming to one of them

### Structure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Immunization | C | 0..* |  | left: Immunization event information; right: De-Identified UDS Plus Immunization Constraints: us-core-5
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: ?? (preferred): A human language.
text |  | 0..1 | Narrative | left: Text summary of the resource, for human interpretation; right: Cannot include any text in the resource as part of the de-identified data. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | left: Contained, inline Resources; right: Cannot include any contained resources in the resource as part of the de-identified data.
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | Business identifier
status | ?!S Σ | 1..1 | code | completed | entered-in-error | not-done Binding: ?? (required): A set of codes indicating the current status of an Immunization.
statusReason | S | 0..1 | CodeableConcept | Reason not done Binding: ?? (example): The reason why a vaccine was not administered.
vaccineCode | S Σ | 1..1 | CodeableConcept | left: Vaccine Product Type (bind to CVX); right: Vaccine product administered Binding: ?? (extensible): The code for vaccine product administered.
patient | S Σ | 1..1 | Reference(US Core Patient Profile | #sd-us-core-patient-de-identified-uds-plus-patient) | Who was immunized
encounter | S | 0..1 | Reference(Encounter) | left: Encounter the immunization was part of; right: Encounter immunization was part of
occurrence[x] | S Σ | 1..1 |  | Vaccine administration date
occurrenceDateTime |  |  | dateTime S |
occurrenceString |  |  | string |
recorded | S | 0..1 | dateTime | When the immunization was first captured in the subject's record
primarySource | S Σ | 0..1 | boolean | Indicates context the data was recorded in
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.
location | S | 0..1 | Reference(Location) | left: Where the vaccine was administered; right: Where immunization occurred
manufacturer |  | 0..1 | Reference(Organization) | Vaccine manufacturer
lotNumber | S | 0..1 | string | Vaccine lot number
expirationDate |  | 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.
route |  | 0..1 | CodeableConcept | How vaccine entered body Binding: ?? (example): The route by which the vaccine was administered.
doseQuantity |  | 0..1 | ?? | Amount of vaccine administered
performer | S Σ | 0..* | BackboneElement | Who performed event
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: ?? (extensible): The role a practitioner or organization plays in the immunization event.
actor | S Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Individual or organization who was performing
note | Σ | 0..* | Annotation | Additional immunization notes
reasonCode |  | 0..* | CodeableConcept | Why immunization occurred Binding: ?? (example): The reason why a vaccine was administered.
reasonReference |  | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why immunization occurred
isSubpotent | ?!Σ | 0..1 | boolean | Dose potency
subpotentReason |  | 0..* | CodeableConcept | Reason for being subpotent Binding: ?? (example): The reason why a dose is considered to be subpotent.
education | C | 0..* | BackboneElement | Educational material presented to patient Constraints: imm-1
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: ?? (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.
reaction |  | 0..* | BackboneElement | Details of a reaction that follows immunization
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
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: ?? (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