WHO Digital Documentation of COVID-19 Certificates (DDCC), published by WHO. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/ddcc/ and changes regularly. See the Directory of published versions

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Resource Profile: DDCC Immunization Recommendation

A DDCC Immunization Recommendation contains the content corresponding to when a patient should return for a booster shot.

Usage:

• Use this Resource Profile: DDCC:VS Add Bundle and DDCC:VS Document
• Refer to this Resource Profile: DDCC:VS Composition
• Examples for this Resource Profile: ImmunizationRecommendation/DDCCImmunizationRecommendationArabic, ImmunizationRecommendation/DDCCImmunizationRecommendationChinese, ImmunizationRecommendation/DDCCImmunizationRecommendationEnglish, ImmunizationRecommendation/DDCCImmunizationRecommendationFrench... Show 2 more, ImmunizationRecommendation/DDCCImmunizationRecommendationRussian and ImmunizationRecommendation/DDCCImmunizationRecommendationSpanish

Formal Views of Profile Content

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

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

This structure is derived from ImmunizationRecommendation

Name	Flags	Card.	Type	Description & Constraints
ImmunizationRecommendation		0..*	ImmunizationRecommendation	Guidance or advice relating to an immunization
patient	S	1..1	Reference(DDCC Patient)	Who this profile is for
recommendation	S	1..1	BackboneElement	Vaccine administration recommendations
vaccineCode	S	1..1	CodeableConcept	Vaccine or vaccine group recommendation applies to
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by exists:system, exists:code
coding:ddccVaccine	S	1..1	Coding	Code defined by a terminology system Binding: WHO Vaccine List (COVID-19) (example)
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
targetDisease		0..1	CodeableConcept	Disease to be immunized against Binding: WHO Disease or Agent Targeted (COVID-19) (example)
forecastStatus		1..1	CodeableConcept	Vaccine recommendation status Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/immunization-recommendation-status
code		1..1	code	Symbol in syntax defined by the system Fixed Value: due
dateCriterion	S	1..1	BackboneElement	Dates governing proposed immunization
code		1..1	CodeableConcept	Type of date Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30980-7
value	S	1..1	dateTime	Recommended date
supportingImmunization	S	1..1	Reference(DDCC Immunization)	Past immunizations supporting recommendation
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ImmunizationRecommendation.recommendation.vaccineCode.coding:ddccVaccine	example	WHODDCCVaccinesCOVID19 http://smart.who.int/ddcc/ValueSet/WHODDCCVaccinesCOVID19 from this IG
ImmunizationRecommendation.recommendation.targetDisease	example	WHODDCCDiseaseTargetedCOVID19 http://smart.who.int/ddcc/ValueSet/WHODDCCDiseaseTargetedCOVID19 from this IG

Name	Flags	Card.	Type	Description & Constraints
ImmunizationRecommendation		0..*	ImmunizationRecommendation	Guidance or advice relating to an immunization
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
patient	SΣ	1..1	Reference(DDCC Patient)	Who this profile is for
date	Σ	1..1	dateTime	Date recommendation(s) created
recommendation	SΣC	1..1	BackboneElement	Vaccine administration recommendations imr-1: One of vaccineCode or targetDisease SHALL be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
vaccineCode	SΣ	1..1	CodeableConcept	Vaccine or vaccine group recommendation applies to Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by exists:system, exists:code
coding:ddccVaccine	SΣ	1..1	Coding	Code defined by a terminology system Binding: WHO Vaccine List (COVID-19) (example)
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
targetDisease	Σ	0..1	CodeableConcept	Disease to be immunized against Binding: WHO Disease or Agent Targeted (COVID-19) (example)
forecastStatus	?!Σ	1..1	CodeableConcept	Vaccine recommendation status Binding: ImmunizationRecommendationStatusCodes (example): The patient's status with respect to a vaccination protocol. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/immunization-recommendation-status
code		1..1	code	Symbol in syntax defined by the system Fixed Value: due
dateCriterion	S	1..1	BackboneElement	Dates governing proposed immunization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.). Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30980-7
value	S	1..1	dateTime	Recommended date
supportingImmunization	S	1..1	Reference(DDCC Immunization)	Past immunizations supporting recommendation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ImmunizationRecommendation.recommendation.vaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code from the FHIR Standard
ImmunizationRecommendation.recommendation.vaccineCode.coding:ddccVaccine	example	WHODDCCVaccinesCOVID19 http://smart.who.int/ddcc/ValueSet/WHODDCCVaccinesCOVID19 from this IG
ImmunizationRecommendation.recommendation.targetDisease	example	WHODDCCDiseaseTargetedCOVID19 http://smart.who.int/ddcc/ValueSet/WHODDCCDiseaseTargetedCOVID19 from this IG
ImmunizationRecommendation.recommendation.forecastStatus	example	Pattern: due http://hl7.org/fhir/ValueSet/immunization-recommendation-status from the FHIR Standard
ImmunizationRecommendation.recommendation.dateCriterion.code	example	Pattern: LOINC Code 30980-7 http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImmunizationRecommendation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
imr-1	error	ImmunizationRecommendation.recommendation	One of vaccineCode or targetDisease SHALL be present : vaccineCode.exists() or targetDisease.exists()

Name	Flags	Card.	Type	Description & Constraints
ImmunizationRecommendation		0..*	ImmunizationRecommendation	Guidance or advice relating to an immunization
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): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources dom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier
patient	SΣ	1..1	Reference(DDCC Patient)	Who this profile is for
date	Σ	1..1	dateTime	Date recommendation(s) created
authority		0..1	Reference(Organization)	Who is responsible for protocol
recommendation	SΣC	1..1	BackboneElement	Vaccine administration recommendations imr-1: One of vaccineCode or targetDisease 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
vaccineCode	SΣ	1..1	CodeableConcept	Vaccine or vaccine group recommendation applies to Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by exists:system, exists:code
coding:ddccVaccine	SΣ	1..1	Coding	Code defined by a terminology system Binding: WHO Vaccine List (COVID-19) (example)
id		0..1	id	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	Σ	0..1	string	Plain text representation of the concept
targetDisease	Σ	0..1	CodeableConcept	Disease to be immunized against Binding: WHO Disease or Agent Targeted (COVID-19) (example)
contraindicatedVaccineCode	Σ	0..*	CodeableConcept	Vaccine which is contraindicated to fulfill the recommendation Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.
forecastStatus	?!Σ	1..1	CodeableConcept	Vaccine recommendation status Binding: ImmunizationRecommendationStatusCodes (example): The patient's status with respect to a vaccination protocol. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/immunization-recommendation-status
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: due
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
forecastReason	Σ	0..*	CodeableConcept	Vaccine administration status reason Binding: ImmunizationRecommendationReasonCodes (example): The reason for the patient's status with respect to a vaccination protocol.
dateCriterion	S	1..1	BackboneElement	Dates governing proposed 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
code		1..1	CodeableConcept	Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.). Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30980-7
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value	S	1..1	dateTime	Recommended date
description		0..1	string	Protocol details
series		0..1	string	Name of vaccination series
doseNumber[x]	Σ	0..1		Recommended dose number within series
doseNumberPositiveInt			positiveInt
doseNumberString			string
seriesDoses[x]		0..1		Recommended number of doses for immunity
seriesDosesPositiveInt			positiveInt
seriesDosesString			string
supportingImmunization	S	1..1	Reference(DDCC Immunization)	Past immunizations supporting recommendation
supportingPatientInformation		0..*	Reference(Resource)	Patient observations supporting recommendation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ImmunizationRecommendation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
ImmunizationRecommendation.recommendation.vaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code from the FHIR Standard
ImmunizationRecommendation.recommendation.vaccineCode.coding:ddccVaccine	example	WHODDCCVaccinesCOVID19 http://smart.who.int/ddcc/ValueSet/WHODDCCVaccinesCOVID19 from this IG
ImmunizationRecommendation.recommendation.targetDisease	example	WHODDCCDiseaseTargetedCOVID19 http://smart.who.int/ddcc/ValueSet/WHODDCCDiseaseTargetedCOVID19 from this IG
ImmunizationRecommendation.recommendation.contraindicatedVaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code from the FHIR Standard
ImmunizationRecommendation.recommendation.forecastStatus	example	Pattern: due http://hl7.org/fhir/ValueSet/immunization-recommendation-status from the FHIR Standard
ImmunizationRecommendation.recommendation.forecastReason	example	ImmunizationRecommendationReasonCodes http://hl7.org/fhir/ValueSet/immunization-recommendation-reason from the FHIR Standard
ImmunizationRecommendation.recommendation.dateCriterion.code	example	Pattern: LOINC Code 30980-7 http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImmunizationRecommendation	A resource should have narrative for robust management : text.`div`.exists()
dom-r4b	warning	ImmunizationRecommendation.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems : ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
imr-1	error	ImmunizationRecommendation.recommendation	One of vaccineCode or targetDisease SHALL be present : vaccineCode.exists() or targetDisease.exists()

This structure is derived from ImmunizationRecommendation

Summary

Mandatory: 7 elements
Must-Support: 9 elements

Structures

This structure refers to these other structures:

• DDCC Patient (http://smart.who.int/ddcc/StructureDefinition/DDCCPatient)
• DDCC Immunization (http://smart.who.int/ddcc/StructureDefinition/DDCCImmunization)

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of ImmunizationRecommendation.recommendation.vaccineCode.coding

Differential View

This structure is derived from ImmunizationRecommendation

Name	Flags	Card.	Type	Description & Constraints
ImmunizationRecommendation		0..*	ImmunizationRecommendation	Guidance or advice relating to an immunization
patient	S	1..1	Reference(DDCC Patient)	Who this profile is for
recommendation	S	1..1	BackboneElement	Vaccine administration recommendations
vaccineCode	S	1..1	CodeableConcept	Vaccine or vaccine group recommendation applies to
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by exists:system, exists:code
coding:ddccVaccine	S	1..1	Coding	Code defined by a terminology system Binding: WHO Vaccine List (COVID-19) (example)
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
targetDisease		0..1	CodeableConcept	Disease to be immunized against Binding: WHO Disease or Agent Targeted (COVID-19) (example)
forecastStatus		1..1	CodeableConcept	Vaccine recommendation status Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/immunization-recommendation-status
code		1..1	code	Symbol in syntax defined by the system Fixed Value: due
dateCriterion	S	1..1	BackboneElement	Dates governing proposed immunization
code		1..1	CodeableConcept	Type of date Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30980-7
value	S	1..1	dateTime	Recommended date
supportingImmunization	S	1..1	Reference(DDCC Immunization)	Past immunizations supporting recommendation
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ImmunizationRecommendation.recommendation.vaccineCode.coding:ddccVaccine	example	WHODDCCVaccinesCOVID19 http://smart.who.int/ddcc/ValueSet/WHODDCCVaccinesCOVID19 from this IG
ImmunizationRecommendation.recommendation.targetDisease	example	WHODDCCDiseaseTargetedCOVID19 http://smart.who.int/ddcc/ValueSet/WHODDCCDiseaseTargetedCOVID19 from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ImmunizationRecommendation		0..*	ImmunizationRecommendation	Guidance or advice relating to an immunization
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
patient	SΣ	1..1	Reference(DDCC Patient)	Who this profile is for
date	Σ	1..1	dateTime	Date recommendation(s) created
recommendation	SΣC	1..1	BackboneElement	Vaccine administration recommendations imr-1: One of vaccineCode or targetDisease SHALL be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
vaccineCode	SΣ	1..1	CodeableConcept	Vaccine or vaccine group recommendation applies to Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by exists:system, exists:code
coding:ddccVaccine	SΣ	1..1	Coding	Code defined by a terminology system Binding: WHO Vaccine List (COVID-19) (example)
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
targetDisease	Σ	0..1	CodeableConcept	Disease to be immunized against Binding: WHO Disease or Agent Targeted (COVID-19) (example)
forecastStatus	?!Σ	1..1	CodeableConcept	Vaccine recommendation status Binding: ImmunizationRecommendationStatusCodes (example): The patient's status with respect to a vaccination protocol. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/immunization-recommendation-status
code		1..1	code	Symbol in syntax defined by the system Fixed Value: due
dateCriterion	S	1..1	BackboneElement	Dates governing proposed immunization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.). Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30980-7
value	S	1..1	dateTime	Recommended date
supportingImmunization	S	1..1	Reference(DDCC Immunization)	Past immunizations supporting recommendation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ImmunizationRecommendation.recommendation.vaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code from the FHIR Standard
ImmunizationRecommendation.recommendation.vaccineCode.coding:ddccVaccine	example	WHODDCCVaccinesCOVID19 http://smart.who.int/ddcc/ValueSet/WHODDCCVaccinesCOVID19 from this IG
ImmunizationRecommendation.recommendation.targetDisease	example	WHODDCCDiseaseTargetedCOVID19 http://smart.who.int/ddcc/ValueSet/WHODDCCDiseaseTargetedCOVID19 from this IG
ImmunizationRecommendation.recommendation.forecastStatus	example	Pattern: due http://hl7.org/fhir/ValueSet/immunization-recommendation-status from the FHIR Standard
ImmunizationRecommendation.recommendation.dateCriterion.code	example	Pattern: LOINC Code 30980-7 http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImmunizationRecommendation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
imr-1	error	ImmunizationRecommendation.recommendation	One of vaccineCode or targetDisease SHALL be present : vaccineCode.exists() or targetDisease.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ImmunizationRecommendation		0..*	ImmunizationRecommendation	Guidance or advice relating to an immunization
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): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources dom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier
patient	SΣ	1..1	Reference(DDCC Patient)	Who this profile is for
date	Σ	1..1	dateTime	Date recommendation(s) created
authority		0..1	Reference(Organization)	Who is responsible for protocol
recommendation	SΣC	1..1	BackboneElement	Vaccine administration recommendations imr-1: One of vaccineCode or targetDisease 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
vaccineCode	SΣ	1..1	CodeableConcept	Vaccine or vaccine group recommendation applies to Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by exists:system, exists:code
coding:ddccVaccine	SΣ	1..1	Coding	Code defined by a terminology system Binding: WHO Vaccine List (COVID-19) (example)
id		0..1	id	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	Σ	0..1	string	Plain text representation of the concept
targetDisease	Σ	0..1	CodeableConcept	Disease to be immunized against Binding: WHO Disease or Agent Targeted (COVID-19) (example)
contraindicatedVaccineCode	Σ	0..*	CodeableConcept	Vaccine which is contraindicated to fulfill the recommendation Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.
forecastStatus	?!Σ	1..1	CodeableConcept	Vaccine recommendation status Binding: ImmunizationRecommendationStatusCodes (example): The patient's status with respect to a vaccination protocol. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/immunization-recommendation-status
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: due
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
forecastReason	Σ	0..*	CodeableConcept	Vaccine administration status reason Binding: ImmunizationRecommendationReasonCodes (example): The reason for the patient's status with respect to a vaccination protocol.
dateCriterion	S	1..1	BackboneElement	Dates governing proposed 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
code		1..1	CodeableConcept	Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.). Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30980-7
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value	S	1..1	dateTime	Recommended date
description		0..1	string	Protocol details
series		0..1	string	Name of vaccination series
doseNumber[x]	Σ	0..1		Recommended dose number within series
doseNumberPositiveInt			positiveInt
doseNumberString			string
seriesDoses[x]		0..1		Recommended number of doses for immunity
seriesDosesPositiveInt			positiveInt
seriesDosesString			string
supportingImmunization	S	1..1	Reference(DDCC Immunization)	Past immunizations supporting recommendation
supportingPatientInformation		0..*	Reference(Resource)	Patient observations supporting recommendation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ImmunizationRecommendation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
ImmunizationRecommendation.recommendation.vaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code from the FHIR Standard
ImmunizationRecommendation.recommendation.vaccineCode.coding:ddccVaccine	example	WHODDCCVaccinesCOVID19 http://smart.who.int/ddcc/ValueSet/WHODDCCVaccinesCOVID19 from this IG
ImmunizationRecommendation.recommendation.targetDisease	example	WHODDCCDiseaseTargetedCOVID19 http://smart.who.int/ddcc/ValueSet/WHODDCCDiseaseTargetedCOVID19 from this IG
ImmunizationRecommendation.recommendation.contraindicatedVaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code from the FHIR Standard
ImmunizationRecommendation.recommendation.forecastStatus	example	Pattern: due http://hl7.org/fhir/ValueSet/immunization-recommendation-status from the FHIR Standard
ImmunizationRecommendation.recommendation.forecastReason	example	ImmunizationRecommendationReasonCodes http://hl7.org/fhir/ValueSet/immunization-recommendation-reason from the FHIR Standard
ImmunizationRecommendation.recommendation.dateCriterion.code	example	Pattern: LOINC Code 30980-7 http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImmunizationRecommendation	A resource should have narrative for robust management : text.`div`.exists()
dom-r4b	warning	ImmunizationRecommendation.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems : ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
imr-1	error	ImmunizationRecommendation.recommendation	One of vaccineCode or targetDisease SHALL be present : vaccineCode.exists() or targetDisease.exists()

This structure is derived from ImmunizationRecommendation

Summary

Mandatory: 7 elements
Must-Support: 9 elements

Structures

This structure refers to these other structures:

• DDCC Patient (http://smart.who.int/ddcc/StructureDefinition/DDCCPatient)
• DDCC Immunization (http://smart.who.int/ddcc/StructureDefinition/DDCCImmunization)

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of ImmunizationRecommendation.recommendation.vaccineCode.coding

Other representations of profile: CSV, Excel, Schematron