Mandatory and Must Support Data Elements

The following data elements must always be present (in other words, mandatory resource properties where the minimum cardinality is 1) or must be supported (Must Support definition). Servers cannot restrict access to mandatory elements when authorizing an application. However, servers may choose to provide additional information or may be required to do so by national or other profiles that apply to the server's context.

Each Immunization SHALL have:

• a status
• a code that identifies the allergy or intolerance
• a patient
• date vaccine administered or was to be administered.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Immunization

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	Immunization	Immunization event information
status	SO	1..1	code	completed | entered-in-error | not-done Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
statusReason		0..1	CodeableConcept	Reason not done
vaccineCode	SO	1..1	CodeableConcept	Vaccine product administered Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
patient	SO	1..1	Reference(IPA-Patient)	Who was immunized Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
occurrence[x]	SO	1..1	dateTime, string	Vaccine administration date Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
Documentation for this format

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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SOΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
statusReason		0..1	CodeableConcept	Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.
vaccineCode	SOΣ	1..1	CodeableConcept	Vaccine product administered Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered. Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
patient	SOΣ	1..1	Reference(IPA-Patient)	Who was immunized Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
occurrence[x]	SOΣ	1..1		Vaccine administration date Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
occurrenceDateTime			dateTime
occurrenceString			string
isSubpotent	?!Σ	0..1	boolean	Dose potency
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 from the FHIR Standard
Immunization.statusReason	example	ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason from the FHIR Standard
Immunization.vaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code from the FHIR Standard

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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!SOΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
statusReason		0..1	CodeableConcept	Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.
vaccineCode	SOΣ	1..1	CodeableConcept	Vaccine product administered Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered. Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
patient	SOΣ	1..1	Reference(IPA-Patient)	Who was immunized Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
occurrence[x]	SOΣ	1..1		Vaccine administration date Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
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		0..*	CodeableConcept	Why immunization occurred Binding: ImmunizationReasonCodes (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: 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

Terminology Bindings

Path	Conformance	ValueSet	URI
Immunization.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 from the FHIR Standard
Immunization.statusReason	example	ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason from the FHIR Standard
Immunization.vaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code from the FHIR Standard
Immunization.reportOrigin	example	ImmunizationOriginCodes http://hl7.org/fhir/ValueSet/immunization-origin from the FHIR Standard
Immunization.site	example	CodesForImmunizationSiteOfAdministration http://hl7.org/fhir/ValueSet/immunization-site from the FHIR Standard
Immunization.route	example	ImmunizationRouteCodes http://hl7.org/fhir/ValueSet/immunization-route from the FHIR Standard
Immunization.performer.function	extensible	ImmunizationFunctionCodes http://hl7.org/fhir/ValueSet/immunization-function from the FHIR Standard
Immunization.reasonCode	example	ImmunizationReasonCodes http://hl7.org/fhir/ValueSet/immunization-reason from the FHIR Standard
Immunization.subpotentReason	example	ImmunizationSubpotentReason http://hl7.org/fhir/ValueSet/immunization-subpotent-reason from the FHIR Standard
Immunization.programEligibility	example	ImmunizationProgramEligibility http://hl7.org/fhir/ValueSet/immunization-program-eligibility from the FHIR Standard
Immunization.fundingSource	example	ImmunizationFundingSource http://hl7.org/fhir/ValueSet/immunization-funding-source from the FHIR Standard
Immunization.protocolApplied.targetDisease	example	ImmunizationTargetDiseaseCodes http://hl7.org/fhir/ValueSet/immunization-target-disease from the FHIR Standard

Differential View

This structure is derived from Immunization

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	Immunization	Immunization event information
status	SO	1..1	code	completed | entered-in-error | not-done Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
statusReason		0..1	CodeableConcept	Reason not done
vaccineCode	SO	1..1	CodeableConcept	Vaccine product administered Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
patient	SO	1..1	Reference(IPA-Patient)	Who was immunized Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
occurrence[x]	SO	1..1	dateTime, string	Vaccine administration date Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
Documentation for this format

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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SOΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
statusReason		0..1	CodeableConcept	Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.
vaccineCode	SOΣ	1..1	CodeableConcept	Vaccine product administered Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered. Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
patient	SOΣ	1..1	Reference(IPA-Patient)	Who was immunized Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
occurrence[x]	SOΣ	1..1		Vaccine administration date Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
occurrenceDateTime			dateTime
occurrenceString			string
isSubpotent	?!Σ	0..1	boolean	Dose potency
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 from the FHIR Standard
Immunization.statusReason	example	ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason from the FHIR Standard
Immunization.vaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code from the FHIR Standard

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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!SOΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
statusReason		0..1	CodeableConcept	Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.
vaccineCode	SOΣ	1..1	CodeableConcept	Vaccine product administered Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered. Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
patient	SOΣ	1..1	Reference(IPA-Patient)	Who was immunized Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
occurrence[x]	SOΣ	1..1		Vaccine administration date Obligations Actor SHALL:populate-if-known Server SHALL:handle Client
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		0..*	CodeableConcept	Why immunization occurred Binding: ImmunizationReasonCodes (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: 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

Terminology Bindings

Path	Conformance	ValueSet	URI
Immunization.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 from the FHIR Standard
Immunization.statusReason	example	ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason from the FHIR Standard
Immunization.vaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code from the FHIR Standard
Immunization.reportOrigin	example	ImmunizationOriginCodes http://hl7.org/fhir/ValueSet/immunization-origin from the FHIR Standard
Immunization.site	example	CodesForImmunizationSiteOfAdministration http://hl7.org/fhir/ValueSet/immunization-site from the FHIR Standard
Immunization.route	example	ImmunizationRouteCodes http://hl7.org/fhir/ValueSet/immunization-route from the FHIR Standard
Immunization.performer.function	extensible	ImmunizationFunctionCodes http://hl7.org/fhir/ValueSet/immunization-function from the FHIR Standard
Immunization.reasonCode	example	ImmunizationReasonCodes http://hl7.org/fhir/ValueSet/immunization-reason from the FHIR Standard
Immunization.subpotentReason	example	ImmunizationSubpotentReason http://hl7.org/fhir/ValueSet/immunization-subpotent-reason from the FHIR Standard
Immunization.programEligibility	example	ImmunizationProgramEligibility http://hl7.org/fhir/ValueSet/immunization-program-eligibility from the FHIR Standard
Immunization.fundingSource	example	ImmunizationFundingSource http://hl7.org/fhir/ValueSet/immunization-funding-source from the FHIR Standard
Immunization.protocolApplied.targetDisease	example	ImmunizationTargetDiseaseCodes http://hl7.org/fhir/ValueSet/immunization-target-disease from the FHIR Standard

This structure is derived from Immunization

Summary

Mandatory: 4 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• IPA-Patient (http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-patient)