International Patient Summary Implementation Guide
2.0.0-ballot - STU 2 Ballot International flag

International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ips/ and changes regularly. See the Directory of published versions

Resource Profile: Immunization (IPS)

Official URL: http://hl7.org/fhir/uv/ips/StructureDefinition/Immunization-uv-ips Version: 2.0.0-ballot
Standards status: Trial-use Maturity Level: 2 Computable Name: ImmunizationUvIps

This profile represents the constraints applied to the Immunization resource by the International Patient Summary (IPS) FHIR Implementation Guide. A record of an immunization is represented in the patient summary as an instance of an Immunization resource constrained by this profile.

It describes the event of a patient being administered a vaccination or a record of a vaccination as reported by a patient, a clinician or another party.

This profile constrains the representation of a record of a vaccination of the patient, in the context of the international patient summary as specified by the IPS project of HL7 International.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Immunization

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..* Immunization Immunization event information
... status S 1..1 code completed | entered-in-error | not-done
... vaccineCode S 1..1 CodeableConceptIPS Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product.
Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization.

Additional BindingsPurposeDocumentation
Vaccines - SNOMED CT IPS Free Set candidate
For when codes from the SNOMED CT IPS free set are preferred
Vaccines WHO ATC - IPS candidate
For when WHO ATC code system is preferred
... patient S 1..1 Reference(Patient (IPS)) Who was immunized
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... Slices for extension Content/Rules for all slices
..... data-absent-reason S 0..1 code occurrence[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
... site 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (preferred)
... route 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Medicine Route of Administration - IPS (preferred)
... protocolApplied
.... targetDisease 0..* CodeableConcept Vaccine preventable disease being targeted
Binding: Vaccine Target Diseases - IPS (preferred): The particular disease or diseases against which the patient has been immunized.

Additional BindingsPurpose
Vaccine Target Diseases - SNOMED CT IPS Free Set candidate

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Immunization.vaccineCodepreferredVaccinesUvIps
Additional Bindings Purpose Documentation
Vaccines - SNOMED CT IPS Free Set candidate

Additional conformance binding to a vaccines value set from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
Vaccines WHO ATC - IPS candidate

Additional conformance binding to a vaccines value set from the WHO ATC code system for use in specific jurisdictional or other contexts where use of the ATC terminology is preferred.
http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips
from this IG
Immunization.sitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Immunization.routepreferredMedicineRouteOfAdministrationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration
from this IG
Immunization.protocolApplied.targetDiseasepreferredVaccineTargetDiseasesUvIps
Additional Bindings Purpose Documentation
Vaccine Target Diseases - SNOMED CT IPS Free Set candidate

Additional conformance binding to a target diseases value set from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
http://hl7.org/fhir/uv/ips/ValueSet/target-diseases-uv-ips
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 ?!SΣ 1..1 code completed | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.

... patient SΣ 1..1 Reference(Patient (IPS)) Who was immunized
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... occurrence[x] SΣ 1..1 Vaccine administration date
.... occurrence[x]All Types Content/Rules for all Types
..... Slices for extension Content/Rules for all slices
...... data-absent-reason S 0..1 code occurrence[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
.... occurrenceDateTime dateTime
.... occurrenceString string
... site 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (preferred)
... route 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Medicine Route of Administration - IPS (preferred)
... isSubpotent ?!Σ 0..1 boolean Dose potency

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Immunization.statusrequiredImmunizationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-status|4.0.1
from the FHIR Standard
Immunization.vaccineCodepreferredVaccinesUvIps
Additional Bindings Purpose Documentation
Vaccines - SNOMED CT IPS Free Set candidate

Additional conformance binding to a vaccines value set from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
Vaccines WHO ATC - IPS candidate

Additional conformance binding to a vaccines value set from the WHO ATC code system for use in specific jurisdictional or other contexts where use of the ATC terminology is preferred.
http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips
from this IG
Immunization.sitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Immunization.routepreferredMedicineRouteOfAdministrationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImmunizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationIf 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-4errorImmunizationIf 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-5errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImmunizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 BindingsPurpose
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 ?!SΣ 1..1 code completed | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.

... statusReason 0..1 CodeableConcept Reason not done
Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.

... vaccineCode S 1..1 CodeableConceptIPS Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product.
Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization.

Additional BindingsPurposeDocumentation
Vaccines - SNOMED CT IPS Free Set candidate
For when codes from the SNOMED CT IPS free set are preferred
Vaccines WHO ATC - IPS candidate
For when WHO ATC code system is preferred
... patient SΣ 1..1 Reference(Patient (IPS)) Who was immunized
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter 0..1 Reference(Encounter) Encounter immunization was part of
... occurrence[x] SΣ 1..1 Vaccine administration date
.... occurrence[x]All Types Content/Rules for all Types
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... data-absent-reason S 0..1 code occurrence[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
.... 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 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (preferred)
... route 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Medicine Route of Administration - IPS (preferred)
... 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 preventable disease being targeted
Binding: Vaccine Target Diseases - IPS (preferred): The particular disease or diseases against which the patient has been immunized.

Additional BindingsPurpose
Vaccine Target Diseases - SNOMED CT IPS Free Set candidate

.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Immunization.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Immunization.statusrequiredImmunizationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-status|4.0.1
from the FHIR Standard
Immunization.statusReasonexampleImmunizationStatusReasonCodes
http://hl7.org/fhir/ValueSet/immunization-status-reason
from the FHIR Standard
Immunization.vaccineCodepreferredVaccinesUvIps
Additional Bindings Purpose Documentation
Vaccines - SNOMED CT IPS Free Set candidate

Additional conformance binding to a vaccines value set from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
Vaccines WHO ATC - IPS candidate

Additional conformance binding to a vaccines value set from the WHO ATC code system for use in specific jurisdictional or other contexts where use of the ATC terminology is preferred.
http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips
from this IG
Immunization.patient.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Immunization.reportOriginexampleImmunizationOriginCodes
http://hl7.org/fhir/ValueSet/immunization-origin
from the FHIR Standard
Immunization.sitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Immunization.routepreferredMedicineRouteOfAdministrationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration
from this IG
Immunization.performer.functionextensibleImmunizationFunctionCodes
http://hl7.org/fhir/ValueSet/immunization-function
from the FHIR Standard
Immunization.reasonCodeexampleImmunizationReasonCodes
http://hl7.org/fhir/ValueSet/immunization-reason
from the FHIR Standard
Immunization.subpotentReasonexampleImmunizationSubpotentReason
http://hl7.org/fhir/ValueSet/immunization-subpotent-reason
from the FHIR Standard
Immunization.programEligibilityexampleImmunizationProgramEligibility
http://hl7.org/fhir/ValueSet/immunization-program-eligibility
from the FHIR Standard
Immunization.fundingSourceexampleImmunizationFundingSource
http://hl7.org/fhir/ValueSet/immunization-funding-source
from the FHIR Standard
Immunization.protocolApplied.targetDiseasepreferredVaccineTargetDiseasesUvIps
Additional Bindings Purpose Documentation
Vaccine Target Diseases - SNOMED CT IPS Free Set candidate

Additional conformance binding to a target diseases value set from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
http://hl7.org/fhir/uv/ips/ValueSet/target-diseases-uv-ips
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImmunizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationIf 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-4errorImmunizationIf 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-5errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImmunizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
imm-1errorImmunization.educationOne of documentType or reference SHALL be present
: documentType.exists() or reference.exists()

This structure is derived from Immunization

Summary

Mandatory: 1 element
Must-Support: 6 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Maturity: 2

Differential View

This structure is derived from Immunization

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..* Immunization Immunization event information
... status S 1..1 code completed | entered-in-error | not-done
... vaccineCode S 1..1 CodeableConceptIPS Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product.
Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization.

Additional BindingsPurposeDocumentation
Vaccines - SNOMED CT IPS Free Set candidate
For when codes from the SNOMED CT IPS free set are preferred
Vaccines WHO ATC - IPS candidate
For when WHO ATC code system is preferred
... patient S 1..1 Reference(Patient (IPS)) Who was immunized
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... Slices for extension Content/Rules for all slices
..... data-absent-reason S 0..1 code occurrence[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
... site 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (preferred)
... route 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Medicine Route of Administration - IPS (preferred)
... protocolApplied
.... targetDisease 0..* CodeableConcept Vaccine preventable disease being targeted
Binding: Vaccine Target Diseases - IPS (preferred): The particular disease or diseases against which the patient has been immunized.

Additional BindingsPurpose
Vaccine Target Diseases - SNOMED CT IPS Free Set candidate

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Immunization.vaccineCodepreferredVaccinesUvIps
Additional Bindings Purpose Documentation
Vaccines - SNOMED CT IPS Free Set candidate

Additional conformance binding to a vaccines value set from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
Vaccines WHO ATC - IPS candidate

Additional conformance binding to a vaccines value set from the WHO ATC code system for use in specific jurisdictional or other contexts where use of the ATC terminology is preferred.
http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips
from this IG
Immunization.sitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Immunization.routepreferredMedicineRouteOfAdministrationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration
from this IG
Immunization.protocolApplied.targetDiseasepreferredVaccineTargetDiseasesUvIps
Additional Bindings Purpose Documentation
Vaccine Target Diseases - SNOMED CT IPS Free Set candidate

Additional conformance binding to a target diseases value set from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
http://hl7.org/fhir/uv/ips/ValueSet/target-diseases-uv-ips
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 ?!SΣ 1..1 code completed | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.

... patient SΣ 1..1 Reference(Patient (IPS)) Who was immunized
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... occurrence[x] SΣ 1..1 Vaccine administration date
.... occurrence[x]All Types Content/Rules for all Types
..... Slices for extension Content/Rules for all slices
...... data-absent-reason S 0..1 code occurrence[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
.... occurrenceDateTime dateTime
.... occurrenceString string
... site 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (preferred)
... route 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Medicine Route of Administration - IPS (preferred)
... isSubpotent ?!Σ 0..1 boolean Dose potency

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Immunization.statusrequiredImmunizationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-status|4.0.1
from the FHIR Standard
Immunization.vaccineCodepreferredVaccinesUvIps
Additional Bindings Purpose Documentation
Vaccines - SNOMED CT IPS Free Set candidate

Additional conformance binding to a vaccines value set from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
Vaccines WHO ATC - IPS candidate

Additional conformance binding to a vaccines value set from the WHO ATC code system for use in specific jurisdictional or other contexts where use of the ATC terminology is preferred.
http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips
from this IG
Immunization.sitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Immunization.routepreferredMedicineRouteOfAdministrationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImmunizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationIf 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-4errorImmunizationIf 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-5errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImmunizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 BindingsPurpose
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 ?!SΣ 1..1 code completed | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.

... statusReason 0..1 CodeableConcept Reason not done
Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.

... vaccineCode S 1..1 CodeableConceptIPS Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product.
Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization.

Additional BindingsPurposeDocumentation
Vaccines - SNOMED CT IPS Free Set candidate
For when codes from the SNOMED CT IPS free set are preferred
Vaccines WHO ATC - IPS candidate
For when WHO ATC code system is preferred
... patient SΣ 1..1 Reference(Patient (IPS)) Who was immunized
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter 0..1 Reference(Encounter) Encounter immunization was part of
... occurrence[x] SΣ 1..1 Vaccine administration date
.... occurrence[x]All Types Content/Rules for all Types
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... data-absent-reason S 0..1 code occurrence[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
.... 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 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (preferred)
... route 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Medicine Route of Administration - IPS (preferred)
... 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 preventable disease being targeted
Binding: Vaccine Target Diseases - IPS (preferred): The particular disease or diseases against which the patient has been immunized.

Additional BindingsPurpose
Vaccine Target Diseases - SNOMED CT IPS Free Set candidate

.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Immunization.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Immunization.statusrequiredImmunizationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-status|4.0.1
from the FHIR Standard
Immunization.statusReasonexampleImmunizationStatusReasonCodes
http://hl7.org/fhir/ValueSet/immunization-status-reason
from the FHIR Standard
Immunization.vaccineCodepreferredVaccinesUvIps
Additional Bindings Purpose Documentation
Vaccines - SNOMED CT IPS Free Set candidate

Additional conformance binding to a vaccines value set from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
Vaccines WHO ATC - IPS candidate

Additional conformance binding to a vaccines value set from the WHO ATC code system for use in specific jurisdictional or other contexts where use of the ATC terminology is preferred.
http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips
from this IG
Immunization.patient.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Immunization.reportOriginexampleImmunizationOriginCodes
http://hl7.org/fhir/ValueSet/immunization-origin
from the FHIR Standard
Immunization.sitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Immunization.routepreferredMedicineRouteOfAdministrationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration
from this IG
Immunization.performer.functionextensibleImmunizationFunctionCodes
http://hl7.org/fhir/ValueSet/immunization-function
from the FHIR Standard
Immunization.reasonCodeexampleImmunizationReasonCodes
http://hl7.org/fhir/ValueSet/immunization-reason
from the FHIR Standard
Immunization.subpotentReasonexampleImmunizationSubpotentReason
http://hl7.org/fhir/ValueSet/immunization-subpotent-reason
from the FHIR Standard
Immunization.programEligibilityexampleImmunizationProgramEligibility
http://hl7.org/fhir/ValueSet/immunization-program-eligibility
from the FHIR Standard
Immunization.fundingSourceexampleImmunizationFundingSource
http://hl7.org/fhir/ValueSet/immunization-funding-source
from the FHIR Standard
Immunization.protocolApplied.targetDiseasepreferredVaccineTargetDiseasesUvIps
Additional Bindings Purpose Documentation
Vaccine Target Diseases - SNOMED CT IPS Free Set candidate

Additional conformance binding to a target diseases value set from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
http://hl7.org/fhir/uv/ips/ValueSet/target-diseases-uv-ips
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImmunizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationIf 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-4errorImmunizationIf 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-5errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImmunizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
imm-1errorImmunization.educationOne of documentType or reference SHALL be present
: documentType.exists() or reference.exists()

This structure is derived from Immunization

Summary

Mandatory: 1 element
Must-Support: 6 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Maturity: 2

 

Other representations of profile: CSV, Excel, Schematron