0.1.0 - ci-build

lhssFHIRIG, published by IntelliSOFT Consulting Kenya. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/LHSS-FHIR-IG/ and changes regularly. See the Directory of published versions

Resource Profile: Immunization Profile

Official URL: http://example.org/StructureDefinition/ImmunizationProfile Version: 0.1.0
Draft as of 2024-10-10 Computable Name: ImmunizationProfile

A profile for documenting immunization information, including manufacturer, vaccine code, and dosage.

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

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
... identifier S 1..* Identifier Business identifier
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
... status S 1..1 code completed | entered-in-error | not-done
... vaccineCode S 1..1 CodeableConcept Vaccine product administered
.... coding
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
.... text S 0..1 string Plain text representation of the concept
... encounter S 0..1 Reference(Encounter) Encounter immunization was part of
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
... Slices for occurrence[x] 1..1 dateTime Vaccine administration date
Slice: Unordered, Open by type:$this
.... occurrence[x]:occurrenceDateTime S 1..1 dateTime Vaccine administration date
... primarySource S 1..1 boolean Indicates context the data was recorded in
... location S 0..1 Reference(Location) Where immunization occurred
... manufacturer S 0..1 Reference(Organization) Vaccine manufacturer
... lotNumber S 0..1 string Vaccine lot number
... expirationDate S 0..1 date Vaccine expiration date
... site S 0..1 CodeableConcept Body site vaccine was administered
.... coding
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
... route S 0..1 CodeableConcept How vaccine entered body
.... coding
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
... doseQuantity S 0..1 SimpleQuantity Amount of vaccine administered
.... value S 0..1 decimal Numerical value (with implicit precision)
.... system S 0..1 uri System that defines coded unit form
.... code S 0..1 code Coded form of the unit
... note S 0..* Annotation Additional immunization notes
.... text S 1..1 markdown The annotation - text content (as markdown)
... isSubpotent S 0..1 boolean Dose potency
... reaction S 0..* BackboneElement Details of a reaction that follows immunization
.... date S 0..1 dateTime When reaction started
.... reported S 0..1 boolean Indicates self-reported reaction

doco Documentation for this format
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
... identifier S 1..* Identifier Business identifier
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... vaccineCode SΣ 1..1 CodeableConcept Vaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.

.... coding Σ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... patient SΣ 1..1 Reference(Patient) Who was immunized
... encounter S 0..1 Reference(Encounter) Encounter immunization was part of
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
... Slices for occurrence[x] Σ 1..1 dateTime Vaccine administration date
Slice: Unordered, Closed by type:$this
.... occurrence[x]:occurrenceDateTime SΣ 1..1 dateTime Vaccine administration date
... primarySource SΣ 1..1 boolean Indicates context the data was recorded in
... location S 0..1 Reference(Location) Where immunization occurred
... manufacturer S 0..1 Reference(Organization) Vaccine manufacturer
... lotNumber S 0..1 string Vaccine lot number
... expirationDate S 0..1 date Vaccine expiration date
... site S 0..1 CodeableConcept Body site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.

.... coding Σ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
... route S 0..1 CodeableConcept How vaccine entered body
Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.

.... coding Σ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
... doseQuantity S 0..1 SimpleQuantity Amount of vaccine administered
.... value SΣ 0..1 decimal Numerical value (with implicit precision)
.... system SΣC 0..1 uri System that defines coded unit form
.... code SΣ 0..1 code Coded form of the unit
... note SΣ 0..* Annotation Additional immunization notes
.... text SΣ 1..1 markdown The annotation - text content (as markdown)
... isSubpotent ?!SΣ 0..1 boolean Dose potency
... reaction S 0..* BackboneElement Details of a reaction that follows immunization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... date S 0..1 dateTime When reaction started
.... reported S 0..1 boolean Indicates self-reported reaction

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Immunization.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Immunization.statusrequiredImmunizationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-status|4.0.1
from the FHIR Standard
Immunization.vaccineCodeexampleVaccineAdministeredValueSet
http://hl7.org/fhir/ValueSet/vaccine-code
from the FHIR Standard
Immunization.siteexampleCodesForImmunizationSiteOfAdministration
http://hl7.org/fhir/ValueSet/immunization-site
from the FHIR Standard
Immunization.routeexampleImmunizationRouteCodes
http://hl7.org/fhir/ValueSet/immunization-route
from the FHIR Standard

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 S 1..* Identifier Business identifier
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... 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 SΣ 1..1 CodeableConcept Vaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... patient SΣ 1..1 Reference(Patient) Who was immunized
... encounter S 0..1 Reference(Encounter) Encounter immunization was part of
.... 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 0..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
... Slices for occurrence[x] Σ 1..1 dateTime Vaccine administration date
Slice: Unordered, Closed by type:$this
.... occurrence[x]:occurrenceDateTime SΣ 1..1 dateTime Vaccine administration date
... recorded 0..1 dateTime When the immunization was first captured in the subject's record
... primarySource SΣ 1..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 S 0..1 Reference(Location) Where immunization occurred
... manufacturer S 0..1 Reference(Organization) Vaccine manufacturer
... lotNumber S 0..1 string Vaccine lot number
... expirationDate S 0..1 date Vaccine expiration date
... site S 0..1 CodeableConcept Body site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... route S 0..1 CodeableConcept How vaccine entered body
Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... doseQuantity S 0..1 SimpleQuantity Amount of vaccine administered
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... value SΣ 0..1 decimal Numerical value (with implicit precision)
.... unit Σ 0..1 string Unit representation
.... system SΣC 0..1 uri System that defines coded unit form
.... code SΣ 0..1 code Coded form of the unit
... 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 SΣ 0..* Annotation Additional immunization notes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text SΣ 1..1 markdown The annotation - text content (as markdown)
... 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 ?!SΣ 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 S 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 S 0..1 dateTime When reaction started
.... detail 0..1 Reference(Observation) Additional information on reaction
.... reported S 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

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.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Immunization.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
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.vaccineCodeexampleVaccineAdministeredValueSet
http://hl7.org/fhir/ValueSet/vaccine-code
from the FHIR Standard
Immunization.encounter.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.siteexampleCodesForImmunizationSiteOfAdministration
http://hl7.org/fhir/ValueSet/immunization-site
from the FHIR Standard
Immunization.routeexampleImmunizationRouteCodes
http://hl7.org/fhir/ValueSet/immunization-route
from the FHIR Standard
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.targetDiseaseexampleImmunizationTargetDiseaseCodes
http://hl7.org/fhir/ValueSet/immunization-target-disease
from the FHIR Standard

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: 5 elements(6 nested mandatory elements)
Must-Support: 35 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Immunization.occurrence[x]

Differential View

This structure is derived from Immunization

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..* Immunization Immunization event information
... identifier S 1..* Identifier Business identifier
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
... status S 1..1 code completed | entered-in-error | not-done
... vaccineCode S 1..1 CodeableConcept Vaccine product administered
.... coding
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
.... text S 0..1 string Plain text representation of the concept
... encounter S 0..1 Reference(Encounter) Encounter immunization was part of
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
... Slices for occurrence[x] 1..1 dateTime Vaccine administration date
Slice: Unordered, Open by type:$this
.... occurrence[x]:occurrenceDateTime S 1..1 dateTime Vaccine administration date
... primarySource S 1..1 boolean Indicates context the data was recorded in
... location S 0..1 Reference(Location) Where immunization occurred
... manufacturer S 0..1 Reference(Organization) Vaccine manufacturer
... lotNumber S 0..1 string Vaccine lot number
... expirationDate S 0..1 date Vaccine expiration date
... site S 0..1 CodeableConcept Body site vaccine was administered
.... coding
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
... route S 0..1 CodeableConcept How vaccine entered body
.... coding
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
... doseQuantity S 0..1 SimpleQuantity Amount of vaccine administered
.... value S 0..1 decimal Numerical value (with implicit precision)
.... system S 0..1 uri System that defines coded unit form
.... code S 0..1 code Coded form of the unit
... note S 0..* Annotation Additional immunization notes
.... text S 1..1 markdown The annotation - text content (as markdown)
... isSubpotent S 0..1 boolean Dose potency
... reaction S 0..* BackboneElement Details of a reaction that follows immunization
.... date S 0..1 dateTime When reaction started
.... reported S 0..1 boolean Indicates self-reported reaction

doco Documentation for this format

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
... identifier S 1..* Identifier Business identifier
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... vaccineCode SΣ 1..1 CodeableConcept Vaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.

.... coding Σ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... patient SΣ 1..1 Reference(Patient) Who was immunized
... encounter S 0..1 Reference(Encounter) Encounter immunization was part of
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
... Slices for occurrence[x] Σ 1..1 dateTime Vaccine administration date
Slice: Unordered, Closed by type:$this
.... occurrence[x]:occurrenceDateTime SΣ 1..1 dateTime Vaccine administration date
... primarySource SΣ 1..1 boolean Indicates context the data was recorded in
... location S 0..1 Reference(Location) Where immunization occurred
... manufacturer S 0..1 Reference(Organization) Vaccine manufacturer
... lotNumber S 0..1 string Vaccine lot number
... expirationDate S 0..1 date Vaccine expiration date
... site S 0..1 CodeableConcept Body site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.

.... coding Σ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
... route S 0..1 CodeableConcept How vaccine entered body
Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.

.... coding Σ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
... doseQuantity S 0..1 SimpleQuantity Amount of vaccine administered
.... value SΣ 0..1 decimal Numerical value (with implicit precision)
.... system SΣC 0..1 uri System that defines coded unit form
.... code SΣ 0..1 code Coded form of the unit
... note SΣ 0..* Annotation Additional immunization notes
.... text SΣ 1..1 markdown The annotation - text content (as markdown)
... isSubpotent ?!SΣ 0..1 boolean Dose potency
... reaction S 0..* BackboneElement Details of a reaction that follows immunization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... date S 0..1 dateTime When reaction started
.... reported S 0..1 boolean Indicates self-reported reaction

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Immunization.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Immunization.statusrequiredImmunizationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-status|4.0.1
from the FHIR Standard
Immunization.vaccineCodeexampleVaccineAdministeredValueSet
http://hl7.org/fhir/ValueSet/vaccine-code
from the FHIR Standard
Immunization.siteexampleCodesForImmunizationSiteOfAdministration
http://hl7.org/fhir/ValueSet/immunization-site
from the FHIR Standard
Immunization.routeexampleImmunizationRouteCodes
http://hl7.org/fhir/ValueSet/immunization-route
from the FHIR Standard

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 S 1..* Identifier Business identifier
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... 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 SΣ 1..1 CodeableConcept Vaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... patient SΣ 1..1 Reference(Patient) Who was immunized
... encounter S 0..1 Reference(Encounter) Encounter immunization was part of
.... 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 0..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
... Slices for occurrence[x] Σ 1..1 dateTime Vaccine administration date
Slice: Unordered, Closed by type:$this
.... occurrence[x]:occurrenceDateTime SΣ 1..1 dateTime Vaccine administration date
... recorded 0..1 dateTime When the immunization was first captured in the subject's record
... primarySource SΣ 1..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 S 0..1 Reference(Location) Where immunization occurred
... manufacturer S 0..1 Reference(Organization) Vaccine manufacturer
... lotNumber S 0..1 string Vaccine lot number
... expirationDate S 0..1 date Vaccine expiration date
... site S 0..1 CodeableConcept Body site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... route S 0..1 CodeableConcept How vaccine entered body
Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... doseQuantity S 0..1 SimpleQuantity Amount of vaccine administered
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... value SΣ 0..1 decimal Numerical value (with implicit precision)
.... unit Σ 0..1 string Unit representation
.... system SΣC 0..1 uri System that defines coded unit form
.... code SΣ 0..1 code Coded form of the unit
... 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 SΣ 0..* Annotation Additional immunization notes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text SΣ 1..1 markdown The annotation - text content (as markdown)
... 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 ?!SΣ 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 S 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 S 0..1 dateTime When reaction started
.... detail 0..1 Reference(Observation) Additional information on reaction
.... reported S 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

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.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Immunization.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
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.vaccineCodeexampleVaccineAdministeredValueSet
http://hl7.org/fhir/ValueSet/vaccine-code
from the FHIR Standard
Immunization.encounter.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.siteexampleCodesForImmunizationSiteOfAdministration
http://hl7.org/fhir/ValueSet/immunization-site
from the FHIR Standard
Immunization.routeexampleImmunizationRouteCodes
http://hl7.org/fhir/ValueSet/immunization-route
from the FHIR Standard
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.targetDiseaseexampleImmunizationTargetDiseaseCodes
http://hl7.org/fhir/ValueSet/immunization-target-disease
from the FHIR Standard

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: 5 elements(6 nested mandatory elements)
Must-Support: 35 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Immunization.occurrence[x]

 

Other representations of profile: CSV, Excel, Schematron