WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build International flag

WHO Antenatal Care Guideline Implementation Guide, published by World Health Organization (WHO). This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-anc/ and changes regularly. See the Directory of published versions

Resource Profile: Reason malaria prophylaxis not provided

Official URL: http://smart.who.int/anc/StructureDefinition/anc-b10-de251 Version: 0.3.0
Draft as of 2026-10-16 Computable Name: Reasonmalariaprophylaxisnotprovided

Usage:Workflow Task: Deworming & malaria prophylaxis

Select the reason why the treatment was not given

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Immunization C 0..* ANCImmunizationNotDone Immunization event information
Constraints: ind-1
Immunization.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Immunization.Slices for extension Content/Rules for all slices
Immunization.Slices for extension.extension:instantiatesCaseFeature This element must be supported. 0..1 canonical(StructureDefinition) Definition of this case feature
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature
Immunization.Slices for extension.extension:caseFeatureType This element must be supported. 0..1 code asserted | inferred
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType
Binding: CPG Case Feature Type (required): Whether the case feature is asserted or inferred
Immunization.Slices for extension.extension:caseFeaturePertinence This element must be supported. 0..1 code weakly-positive | weakly-negative | strongly-positive | strongly-negative | pathognomonic
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence
Binding: CPG Case Feature Pertinence (required): Describes the pertinence of a case feature
Immunization.Slices for extension.extension:basedOn This element must be supported. 0..1 Reference(Resource) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
Immunization.Slices for extension.extension:pertinent This element must be supported. 0..* Reference() Pertinent information
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinent
Immunization.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Immunization.identifier This element must be supported. 1..* Identifier Business identifier
Immunization.identifier.use This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Immunization.identifier.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
Immunization.identifier.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Immunization.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code completed | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
Fixed Value: not-done (no extensions allowed)
Immunization.statusReason This element must be supported. 1..1 CodeableConcept Reason malaria prophylaxis not provided
Binding: Reason malaria prophylaxis not provided Choices (extensible)
Immunization.vaccineCode This element must be supported. This element is included in summaries. C 1..1 CodeableConcept Reason malaria prophylaxis not provided
Binding: Malaria Prophylaxis (extensible)
Immunization.vaccineCode.Slices for extension Content/Rules for all slices
Immunization.vaccineCode.Slices for extension.extension:notDoneValueSet This element must be supported. C 0..1 uri What wasn't administered
URL: http://hl7.org/fhir/StructureDefinition/valueset-reference
Immunization.patient This element must be supported. This element is included in summaries. 1..1 Reference(ANC Base Patient) Who was immunized
Immunization.encounter This element must be supported. 0..1 Reference(ANC Base Encounter) Encounter immunization was part of
Immunization.occurrence[x] This element is included in summaries. 1..1 Vaccine administration date
Immunization.occurrence[x].occurrenceDateTime dateTime
Immunization.occurrence[x].occurrenceString string
Immunization.recorded This element must be supported. 1..1 dateTime When the immunization was first captured in the subject's record
Immunization.reasonCode This element must be supported. 0..* CodeableConcept Why immunization occurred
Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
Immunization.reasonReference This element must be supported. 0..* Reference(Condition | Observation | DiagnosticReport) Why immunization occurred
Immunization.isSubpotent This element is a modifier element. This element is included in summaries. 0..1 boolean Dose potency

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Immunization.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Immunization.status Base required Immunization Status Codes 📍4.0.1 FHIR Std.
Immunization.statusReason Base extensible Reason malaria prophylaxis not provided Choices 📦0.3.0 This IG
Immunization.vaccineCode Base extensible Malaria Prophylaxis 📦0.3.0 This IG
Immunization.reasonCode Base example Immunization Reason Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Immunization If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Immunization 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 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-4 error Immunization 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 Immunization If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Immunization 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()
ind-1 error Immunization To indicate what immunization was not done, either at least one coding in the codeableconcept or a valueset-reference extension shall be provided vaccineCode.extension('http://hl7.org/fhir/StructureDefinition/valueset-reference').exists() xor vaccineCode.coding.exists()

This structure is derived from ANCImmunizationNotDone

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Immunization 0..* ANCImmunizationNotDone Immunization event information
Immunization.statusReason This element must be supported. 1..1 CodeableConcept Reason malaria prophylaxis not provided
Binding: Reason malaria prophylaxis not provided Choices (extensible)
Immunization.vaccineCode This element must be supported. 1..1 CodeableConcept Reason malaria prophylaxis not provided
Binding: Malaria Prophylaxis (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Immunization.statusReason Base extensible Reason malaria prophylaxis not provided Choices 📦0.3.0 This IG
Immunization.vaccineCode Base extensible Malaria Prophylaxis 📦0.3.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Immunization C 0..* ANCImmunizationNotDone Immunization event information
Constraints: ind-1
Immunization.id This element is included in summaries. 0..1 id Logical id of this artifact
Immunization.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Immunization.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Immunization.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Immunization.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Immunization.contained 0..* Resource Contained, inline Resources
Immunization.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Immunization.Slices for extension.extension:instantiatesCaseFeature This element must be supported. 0..1 canonical(StructureDefinition) Definition of this case feature
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature
Immunization.Slices for extension.extension:caseFeatureType This element must be supported. 0..1 code asserted | inferred
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType
Binding: CPG Case Feature Type (required): Whether the case feature is asserted or inferred
Immunization.Slices for extension.extension:caseFeaturePertinence This element must be supported. 0..1 code weakly-positive | weakly-negative | strongly-positive | strongly-negative | pathognomonic
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence
Binding: CPG Case Feature Pertinence (required): Describes the pertinence of a case feature
Immunization.Slices for extension.extension:basedOn This element must be supported. 0..1 Reference(Resource) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
Immunization.Slices for extension.extension:pertinent This element must be supported. 0..* Reference() Pertinent information
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinent
Immunization.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Immunization.identifier This element must be supported. 1..* Identifier Business identifier
Immunization.identifier.id 0..1 string Unique id for inter-element referencing
Immunization.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Immunization.identifier.use This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Immunization.identifier.type This element is included in summaries. 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.
Immunization.identifier.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
Immunization.identifier.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Immunization.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Immunization.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Immunization.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code completed | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
Fixed Value: not-done (no extensions allowed)
Immunization.statusReason This element must be supported. 1..1 CodeableConcept Reason malaria prophylaxis not provided
Binding: Reason malaria prophylaxis not provided Choices (extensible)
Immunization.vaccineCode This element must be supported. This element is included in summaries. C 1..1 CodeableConcept Reason malaria prophylaxis not provided
Binding: Malaria Prophylaxis (extensible)
Immunization.vaccineCode.id 0..1 string Unique id for inter-element referencing
Immunization.vaccineCode.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Immunization.vaccineCode.Slices for extension.extension:notDoneValueSet This element must be supported. C 0..1 uri What wasn't administered
URL: http://hl7.org/fhir/StructureDefinition/valueset-reference
Immunization.vaccineCode.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Immunization.vaccineCode.text This element is included in summaries. 0..1 string Plain text representation of the concept
Immunization.patient This element must be supported. This element is included in summaries. 1..1 Reference(ANC Base Patient) Who was immunized
Immunization.encounter This element must be supported. 0..1 Reference(ANC Base Encounter) Encounter immunization was part of
Immunization.occurrence[x] This element is included in summaries. 1..1 Vaccine administration date
Immunization.occurrence[x].occurrenceDateTime dateTime
Immunization.occurrence[x].occurrenceString string
Immunization.recorded This element must be supported. 1..1 dateTime When the immunization was first captured in the subject's record
Immunization.primarySource This element is included in summaries. 0..1 boolean Indicates context the data was recorded in
Immunization.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.
Immunization.location 0..1 Reference(Location) Where immunization occurred
Immunization.manufacturer 0..1 Reference(Organization) Vaccine manufacturer
Immunization.lotNumber 0..1 string Vaccine lot number
Immunization.expirationDate 0..1 date Vaccine expiration date
Immunization.site 0..1 CodeableConcept Body site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.
Immunization.route 0..1 CodeableConcept How vaccine entered body
Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.
Immunization.doseQuantity C 0..1 SimpleQuantity Amount of vaccine administered
Constraints: sqty-1
Immunization.performer This element is included in summaries. 0..* BackboneElement Who performed event
Immunization.performer.id 0..1 string Unique id for inter-element referencing
Immunization.performer.extension 0..* Extension Additional content defined by implementations
Immunization.performer.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Immunization.performer.function This element is included in summaries. 0..1 CodeableConcept What type of performance was done
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
Immunization.performer.actor This element is included in summaries. 1..1 Reference(Practitioner | PractitionerRole | Organization) Individual or organization who was performing
Immunization.note This element is included in summaries. 0..* Annotation Additional immunization notes
Immunization.reasonCode This element must be supported. 0..* CodeableConcept Why immunization occurred
Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
Immunization.reasonReference This element must be supported. 0..* Reference(Condition | Observation | DiagnosticReport) Why immunization occurred
Immunization.isSubpotent This element is a modifier element. This element is included in summaries. 0..1 boolean Dose potency
Immunization.subpotentReason 0..* CodeableConcept Reason for being subpotent
Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.
Immunization.education C 0..* BackboneElement Educational material presented to patient
Constraints: imm-1
Immunization.education.id 0..1 string Unique id for inter-element referencing
Immunization.education.extension 0..* Extension Additional content defined by implementations
Immunization.education.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Immunization.education.documentType 0..1 string Educational material document identifier
Immunization.education.reference 0..1 uri Educational material reference pointer
Immunization.education.publicationDate 0..1 dateTime Educational material publication date
Immunization.education.presentationDate 0..1 dateTime Educational material presentation date
Immunization.programEligibility 0..* CodeableConcept Patient eligibility for a vaccination program
Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.
Immunization.fundingSource 0..1 CodeableConcept Funding source for the vaccine
Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
Immunization.reaction 0..* BackboneElement Details of a reaction that follows immunization
Immunization.reaction.id 0..1 string Unique id for inter-element referencing
Immunization.reaction.extension 0..* Extension Additional content defined by implementations
Immunization.reaction.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Immunization.reaction.date 0..1 dateTime When reaction started
Immunization.reaction.detail 0..1 Reference(Observation) Additional information on reaction
Immunization.reaction.reported 0..1 boolean Indicates self-reported reaction
Immunization.protocolApplied 0..* BackboneElement Protocol followed by the provider
Immunization.protocolApplied.id 0..1 string Unique id for inter-element referencing
Immunization.protocolApplied.extension 0..* Extension Additional content defined by implementations
Immunization.protocolApplied.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Immunization.protocolApplied.series 0..1 string Name of vaccine series
Immunization.protocolApplied.authority 0..1 Reference(Organization) Who is responsible for publishing the recommendations
Immunization.protocolApplied.targetDisease 0..* CodeableConcept Vaccine preventatable disease being targetted
Binding: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.
Immunization.protocolApplied.doseNumber[x] 1..1 Dose number within series
Immunization.protocolApplied.doseNumber[x].doseNumberPositiveInt positiveInt
Immunization.protocolApplied.doseNumber[x].doseNumberString string
Immunization.protocolApplied.seriesDoses[x] 0..1 Recommended number of doses for immunity
Immunization.protocolApplied.seriesDoses[x].seriesDosesPositiveInt positiveInt
Immunization.protocolApplied.seriesDoses[x].seriesDosesString string

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Immunization.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Immunization.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Immunization.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Immunization.status Base required Immunization Status Codes 📍4.0.1 FHIR Std.
Immunization.statusReason Base extensible Reason malaria prophylaxis not provided Choices 📦0.3.0 This IG
Immunization.vaccineCode Base extensible Malaria Prophylaxis 📦0.3.0 This IG
Immunization.reportOrigin Base example Immunization Origin Codes 📦4.0.1 FHIR Std.
Immunization.site Base example Codes for Immunization Site of Administration 📦4.0.1 FHIR Std.
Immunization.route Base example Immunization Route Codes 📦4.0.1 FHIR Std.
Immunization.performer.​function Base extensible Immunization Function Codes 📦4.0.1 FHIR Std.
Immunization.reasonCode Base example Immunization Reason Codes 📦4.0.1 FHIR Std.
Immunization.subpotentReason Base example Immunization Subpotent Reason 📦4.0.1 FHIR Std.
Immunization.programEligibility Base example Immunization Program Eligibility 📦4.0.1 FHIR Std.
Immunization.fundingSource Base example Immunization Funding Source 📦4.0.1 FHIR Std.
Immunization.protocolApplied.​targetDisease Base example Immunization Target Disease Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Immunization If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Immunization 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 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-4 error Immunization 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 Immunization If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Immunization 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()
imm-1 error Immunization.education One of documentType or reference SHALL be present documentType.exists() or reference.exists()
ind-1 error Immunization To indicate what immunization was not done, either at least one coding in the codeableconcept or a valueset-reference extension shall be provided vaccineCode.extension('http://hl7.org/fhir/StructureDefinition/valueset-reference').exists() xor vaccineCode.coding.exists()
sqty-1 error Immunization.doseQuantity The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from ANCImmunizationNotDone

Summary

Mandatory: 2 elements
Must-Support: 2 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Immunization C 0..* ANCImmunizationNotDone Immunization event information
Constraints: ind-1
Immunization.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Immunization.Slices for extension Content/Rules for all slices
Immunization.Slices for extension.extension:instantiatesCaseFeature This element must be supported. 0..1 canonical(StructureDefinition) Definition of this case feature
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature
Immunization.Slices for extension.extension:caseFeatureType This element must be supported. 0..1 code asserted | inferred
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType
Binding: CPG Case Feature Type (required): Whether the case feature is asserted or inferred
Immunization.Slices for extension.extension:caseFeaturePertinence This element must be supported. 0..1 code weakly-positive | weakly-negative | strongly-positive | strongly-negative | pathognomonic
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence
Binding: CPG Case Feature Pertinence (required): Describes the pertinence of a case feature
Immunization.Slices for extension.extension:basedOn This element must be supported. 0..1 Reference(Resource) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
Immunization.Slices for extension.extension:pertinent This element must be supported. 0..* Reference() Pertinent information
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinent
Immunization.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Immunization.identifier This element must be supported. 1..* Identifier Business identifier
Immunization.identifier.use This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Immunization.identifier.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
Immunization.identifier.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Immunization.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code completed | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
Fixed Value: not-done (no extensions allowed)
Immunization.statusReason This element must be supported. 1..1 CodeableConcept Reason malaria prophylaxis not provided
Binding: Reason malaria prophylaxis not provided Choices (extensible)
Immunization.vaccineCode This element must be supported. This element is included in summaries. C 1..1 CodeableConcept Reason malaria prophylaxis not provided
Binding: Malaria Prophylaxis (extensible)
Immunization.vaccineCode.Slices for extension Content/Rules for all slices
Immunization.vaccineCode.Slices for extension.extension:notDoneValueSet This element must be supported. C 0..1 uri What wasn't administered
URL: http://hl7.org/fhir/StructureDefinition/valueset-reference
Immunization.patient This element must be supported. This element is included in summaries. 1..1 Reference(ANC Base Patient) Who was immunized
Immunization.encounter This element must be supported. 0..1 Reference(ANC Base Encounter) Encounter immunization was part of
Immunization.occurrence[x] This element is included in summaries. 1..1 Vaccine administration date
Immunization.occurrence[x].occurrenceDateTime dateTime
Immunization.occurrence[x].occurrenceString string
Immunization.recorded This element must be supported. 1..1 dateTime When the immunization was first captured in the subject's record
Immunization.reasonCode This element must be supported. 0..* CodeableConcept Why immunization occurred
Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
Immunization.reasonReference This element must be supported. 0..* Reference(Condition | Observation | DiagnosticReport) Why immunization occurred
Immunization.isSubpotent This element is a modifier element. This element is included in summaries. 0..1 boolean Dose potency

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Immunization.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Immunization.status Base required Immunization Status Codes 📍4.0.1 FHIR Std.
Immunization.statusReason Base extensible Reason malaria prophylaxis not provided Choices 📦0.3.0 This IG
Immunization.vaccineCode Base extensible Malaria Prophylaxis 📦0.3.0 This IG
Immunization.reasonCode Base example Immunization Reason Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Immunization If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Immunization 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 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-4 error Immunization 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 Immunization If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Immunization 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()
ind-1 error Immunization To indicate what immunization was not done, either at least one coding in the codeableconcept or a valueset-reference extension shall be provided vaccineCode.extension('http://hl7.org/fhir/StructureDefinition/valueset-reference').exists() xor vaccineCode.coding.exists()

Differential View

This structure is derived from ANCImmunizationNotDone

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Immunization 0..* ANCImmunizationNotDone Immunization event information
Immunization.statusReason This element must be supported. 1..1 CodeableConcept Reason malaria prophylaxis not provided
Binding: Reason malaria prophylaxis not provided Choices (extensible)
Immunization.vaccineCode This element must be supported. 1..1 CodeableConcept Reason malaria prophylaxis not provided
Binding: Malaria Prophylaxis (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Immunization.statusReason Base extensible Reason malaria prophylaxis not provided Choices 📦0.3.0 This IG
Immunization.vaccineCode Base extensible Malaria Prophylaxis 📦0.3.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Immunization C 0..* ANCImmunizationNotDone Immunization event information
Constraints: ind-1
Immunization.id This element is included in summaries. 0..1 id Logical id of this artifact
Immunization.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Immunization.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Immunization.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Immunization.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Immunization.contained 0..* Resource Contained, inline Resources
Immunization.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Immunization.Slices for extension.extension:instantiatesCaseFeature This element must be supported. 0..1 canonical(StructureDefinition) Definition of this case feature
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature
Immunization.Slices for extension.extension:caseFeatureType This element must be supported. 0..1 code asserted | inferred
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType
Binding: CPG Case Feature Type (required): Whether the case feature is asserted or inferred
Immunization.Slices for extension.extension:caseFeaturePertinence This element must be supported. 0..1 code weakly-positive | weakly-negative | strongly-positive | strongly-negative | pathognomonic
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence
Binding: CPG Case Feature Pertinence (required): Describes the pertinence of a case feature
Immunization.Slices for extension.extension:basedOn This element must be supported. 0..1 Reference(Resource) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
Immunization.Slices for extension.extension:pertinent This element must be supported. 0..* Reference() Pertinent information
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinent
Immunization.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Immunization.identifier This element must be supported. 1..* Identifier Business identifier
Immunization.identifier.id 0..1 string Unique id for inter-element referencing
Immunization.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Immunization.identifier.use This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Immunization.identifier.type This element is included in summaries. 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.
Immunization.identifier.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
Immunization.identifier.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Immunization.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Immunization.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Immunization.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code completed | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
Fixed Value: not-done (no extensions allowed)
Immunization.statusReason This element must be supported. 1..1 CodeableConcept Reason malaria prophylaxis not provided
Binding: Reason malaria prophylaxis not provided Choices (extensible)
Immunization.vaccineCode This element must be supported. This element is included in summaries. C 1..1 CodeableConcept Reason malaria prophylaxis not provided
Binding: Malaria Prophylaxis (extensible)
Immunization.vaccineCode.id 0..1 string Unique id for inter-element referencing
Immunization.vaccineCode.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Immunization.vaccineCode.Slices for extension.extension:notDoneValueSet This element must be supported. C 0..1 uri What wasn't administered
URL: http://hl7.org/fhir/StructureDefinition/valueset-reference
Immunization.vaccineCode.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Immunization.vaccineCode.text This element is included in summaries. 0..1 string Plain text representation of the concept
Immunization.patient This element must be supported. This element is included in summaries. 1..1 Reference(ANC Base Patient) Who was immunized
Immunization.encounter This element must be supported. 0..1 Reference(ANC Base Encounter) Encounter immunization was part of
Immunization.occurrence[x] This element is included in summaries. 1..1 Vaccine administration date
Immunization.occurrence[x].occurrenceDateTime dateTime
Immunization.occurrence[x].occurrenceString string
Immunization.recorded This element must be supported. 1..1 dateTime When the immunization was first captured in the subject's record
Immunization.primarySource This element is included in summaries. 0..1 boolean Indicates context the data was recorded in
Immunization.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.
Immunization.location 0..1 Reference(Location) Where immunization occurred
Immunization.manufacturer 0..1 Reference(Organization) Vaccine manufacturer
Immunization.lotNumber 0..1 string Vaccine lot number
Immunization.expirationDate 0..1 date Vaccine expiration date
Immunization.site 0..1 CodeableConcept Body site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.
Immunization.route 0..1 CodeableConcept How vaccine entered body
Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.
Immunization.doseQuantity C 0..1 SimpleQuantity Amount of vaccine administered
Constraints: sqty-1
Immunization.performer This element is included in summaries. 0..* BackboneElement Who performed event
Immunization.performer.id 0..1 string Unique id for inter-element referencing
Immunization.performer.extension 0..* Extension Additional content defined by implementations
Immunization.performer.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Immunization.performer.function This element is included in summaries. 0..1 CodeableConcept What type of performance was done
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
Immunization.performer.actor This element is included in summaries. 1..1 Reference(Practitioner | PractitionerRole | Organization) Individual or organization who was performing
Immunization.note This element is included in summaries. 0..* Annotation Additional immunization notes
Immunization.reasonCode This element must be supported. 0..* CodeableConcept Why immunization occurred
Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
Immunization.reasonReference This element must be supported. 0..* Reference(Condition | Observation | DiagnosticReport) Why immunization occurred
Immunization.isSubpotent This element is a modifier element. This element is included in summaries. 0..1 boolean Dose potency
Immunization.subpotentReason 0..* CodeableConcept Reason for being subpotent
Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.
Immunization.education C 0..* BackboneElement Educational material presented to patient
Constraints: imm-1
Immunization.education.id 0..1 string Unique id for inter-element referencing
Immunization.education.extension 0..* Extension Additional content defined by implementations
Immunization.education.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Immunization.education.documentType 0..1 string Educational material document identifier
Immunization.education.reference 0..1 uri Educational material reference pointer
Immunization.education.publicationDate 0..1 dateTime Educational material publication date
Immunization.education.presentationDate 0..1 dateTime Educational material presentation date
Immunization.programEligibility 0..* CodeableConcept Patient eligibility for a vaccination program
Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.
Immunization.fundingSource 0..1 CodeableConcept Funding source for the vaccine
Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
Immunization.reaction 0..* BackboneElement Details of a reaction that follows immunization
Immunization.reaction.id 0..1 string Unique id for inter-element referencing
Immunization.reaction.extension 0..* Extension Additional content defined by implementations
Immunization.reaction.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Immunization.reaction.date 0..1 dateTime When reaction started
Immunization.reaction.detail 0..1 Reference(Observation) Additional information on reaction
Immunization.reaction.reported 0..1 boolean Indicates self-reported reaction
Immunization.protocolApplied 0..* BackboneElement Protocol followed by the provider
Immunization.protocolApplied.id 0..1 string Unique id for inter-element referencing
Immunization.protocolApplied.extension 0..* Extension Additional content defined by implementations
Immunization.protocolApplied.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Immunization.protocolApplied.series 0..1 string Name of vaccine series
Immunization.protocolApplied.authority 0..1 Reference(Organization) Who is responsible for publishing the recommendations
Immunization.protocolApplied.targetDisease 0..* CodeableConcept Vaccine preventatable disease being targetted
Binding: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.
Immunization.protocolApplied.doseNumber[x] 1..1 Dose number within series
Immunization.protocolApplied.doseNumber[x].doseNumberPositiveInt positiveInt
Immunization.protocolApplied.doseNumber[x].doseNumberString string
Immunization.protocolApplied.seriesDoses[x] 0..1 Recommended number of doses for immunity
Immunization.protocolApplied.seriesDoses[x].seriesDosesPositiveInt positiveInt
Immunization.protocolApplied.seriesDoses[x].seriesDosesString string

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Immunization.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Immunization.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Immunization.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Immunization.status Base required Immunization Status Codes 📍4.0.1 FHIR Std.
Immunization.statusReason Base extensible Reason malaria prophylaxis not provided Choices 📦0.3.0 This IG
Immunization.vaccineCode Base extensible Malaria Prophylaxis 📦0.3.0 This IG
Immunization.reportOrigin Base example Immunization Origin Codes 📦4.0.1 FHIR Std.
Immunization.site Base example Codes for Immunization Site of Administration 📦4.0.1 FHIR Std.
Immunization.route Base example Immunization Route Codes 📦4.0.1 FHIR Std.
Immunization.performer.​function Base extensible Immunization Function Codes 📦4.0.1 FHIR Std.
Immunization.reasonCode Base example Immunization Reason Codes 📦4.0.1 FHIR Std.
Immunization.subpotentReason Base example Immunization Subpotent Reason 📦4.0.1 FHIR Std.
Immunization.programEligibility Base example Immunization Program Eligibility 📦4.0.1 FHIR Std.
Immunization.fundingSource Base example Immunization Funding Source 📦4.0.1 FHIR Std.
Immunization.protocolApplied.​targetDisease Base example Immunization Target Disease Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Immunization If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Immunization 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 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-4 error Immunization 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 Immunization If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Immunization 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()
imm-1 error Immunization.education One of documentType or reference SHALL be present documentType.exists() or reference.exists()
ind-1 error Immunization To indicate what immunization was not done, either at least one coding in the codeableconcept or a valueset-reference extension shall be provided vaccineCode.extension('http://hl7.org/fhir/StructureDefinition/valueset-reference').exists() xor vaccineCode.coding.exists()
sqty-1 error Immunization.doseQuantity The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from ANCImmunizationNotDone

Summary

Mandatory: 2 elements
Must-Support: 2 elements

 

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