WHO Immunization Implementation Guide
0.2.0 - ci-build

WHO Immunization Implementation Guide, published by WHO. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations/ and changes regularly. See the Directory of published versions

Logical Model: IMMZ_D1_Capture_or_update_client_history - JSON Profile

Active as of 2025-01-10

JSON representation of the IMMZD1 logical model.

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{
  "resourceType" : "StructureDefinition",
  "id" : "IMMZD1",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablestructuredefinition"🔗 ,
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablestructuredefinition"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition IMMZD1</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profiles: <a href=\"http://hl7.org/fhir/uv/crmi/STU1/StructureDefinition-crmi-shareablestructuredefinition.html\">CRMI Shareable StructureDefinition</a>, <a href=\"http://hl7.org/fhir/uv/crmi/STU1/StructureDefinition-crmi-publishablestructuredefinition.html\">CRMI Publishable StructureDefinition</a></p></div><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1\" title=\"Data elements for the IMMZ.D1.Capture or update client history Data Dictionary Activity.\">IMMZD1</a><a name=\"IMMZD1\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/types.html#Base\">Base</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">IMMZ.D1.Capture or update client history</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.patient\" title=\"The patient.\">patient</a><a name=\"IMMZD1.patient\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>()</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Patient</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.birthDose\" title=\"Indicates if the client received a dose within 24 hours of birth. Whether a birth dose is counted as part of the primary series will depend on the antigen\">birthDose</a><a name=\"IMMZD1.birthDose\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-1 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Birth dose<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE19 vaccine type is Hepatitis B-containing vaccines OR Poliovirus-containing vaccines.\" class=\"constraint\">IMMZ-D-reqVType-1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.typeOfDose\" title=\"The type of dose in a series that the client received \">typeOfDose</a><a name=\"IMMZD1.typeOfDose\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Type of dose<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-IMMZ.D.DE258.html\" title=\"http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE258\" class=\"binding\">IMMZ.D.DE258 ValueSet for Type of dose</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" class=\"binding\">required</a><span title=\"null\" class=\"binding\">)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.completedThePrimaryVaccinationSeries\" title=\"Indicates if the client has completed the primary vaccination series of a product/antigen. If the client has not yet completed their primary series, it means they may be expected to receive more doses to complete their vaccination regimen for the respective product/antigen\">completedThePrimaryVaccinationSeries</a><a name=\"IMMZD1.completedThePrimaryVaccinationSeries\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Completed the primary vaccination series</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.completedTheBoosterSeries\" title=\"Indicates if the client has completed the booster series of a product/antigen\">completedTheBoosterSeries</a><a name=\"IMMZD1.completedTheBoosterSeries\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Completed the booster series</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.dateWhenPrimaryVaccinationSeriesWasCompleted\" title=\"The date when the client completed the primary vaccination series (per product/antigen)\">dateWhenPrimaryVaccinationSeriesWasCompleted</a><a name=\"IMMZD1.dateWhenPrimaryVaccinationSeriesWasCompleted\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqPrimaryCompleted-1, IMMZ-D-dateOccurred-1 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date when primary vaccination series was completed<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE203 Completed the primary vaccination series is Yes\" class=\"constraint\">IMMZ-D-reqPrimaryCompleted-1</span><span title=\"null\" class=\"constraint\">, </span><span style=\"font-weight:bold\" title=\"Date ≤ current date\" class=\"constraint\">IMMZ-D-dateOccurred-1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.hivStatus\" title=\"The current HIV status of the client\">hivStatus</a><a name=\"IMMZD1.hivStatus\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">HIV status<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-IMMZ.D.DE204.html\" title=\"http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE204\" class=\"binding\">IMMZ.D.DE204 ValueSet for HIV status</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" class=\"binding\">required</a><span title=\"null\" class=\"binding\">)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.pretermBirth\" title=\"The infant was preterm; the mother gave birth to the infant when gestational age was less than 37 weeks\">pretermBirth</a><a name=\"IMMZD1.pretermBirth\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Preterm birth</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.immunocompromised\" title=\"The client is known to be immunocompromised. This means the client has a weakened immune system and having a reduced ability to fight infections and other diseases\">immunocompromised</a><a name=\"IMMZD1.immunocompromised\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Immunocompromised</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.currentlyOnArt\" title=\"The client is currently receiving antiretroviral therapy (ART)\">currentlyOnArt</a><a name=\"IMMZD1.currentlyOnArt\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqHIVPositive-1 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Currently on ART<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE204 HIV status is HIV-positive\" class=\"constraint\">IMMZ-D-reqHIVPositive-1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.typeOfTbInfectionTestPerformed\" title=\"The type of tuberculosis (TB) infection test performed\">typeOfTbInfectionTestPerformed</a><a name=\"IMMZD1.typeOfTbInfectionTestPerformed\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-2 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Type of TB infection test performed<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-IMMZ.D.DE243.html\" title=\"http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE243\" class=\"binding\">IMMZ.D.DE243 ValueSet for Type of TB infection test performed</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" class=\"binding\">required</a><span title=\"null\" class=\"binding\">)</span><br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines\" class=\"constraint\">IMMZ-D-reqVType-2</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.tbInfectionTestResult\" title=\"Records the result of the TB infection test\">tbInfectionTestResult</a><a name=\"IMMZD1.tbInfectionTestResult\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqTBTest-1 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">TB infection test result<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-IMMZ.D.DE246.html\" title=\"http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE246\" class=\"binding\">IMMZ.D.DE246 ValueSet for TB infection test result</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" class=\"binding\">required</a><span title=\"null\" class=\"binding\">)</span><br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if  input in IMMZ.D.DE243 Type of TB infection test performed IS NOT NULL\" class=\"constraint\">IMMZ-D-reqTBTest-1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.immunologicallyStable\" title=\"The client is living with HIV and is immunologically stable with CD4 count or percentage above a minimum as defined in the HIV guidelines\">immunologicallyStable</a><a name=\"IMMZD1.immunologicallyStable\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-3 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Immunologically stable<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines OR Typhoid vaccines\" class=\"constraint\">IMMZ-D-reqVType-3</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.clinicallyWell\" title=\"The client is living with HIV and is clinically well, as defined in HIV guidelines and WHO clinical staging\">clinicallyWell</a><a name=\"IMMZD1.clinicallyWell\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-2 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Clinically well<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines\" class=\"constraint\">IMMZ-D-reqVType-2</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.birthWeightInGrams\" title=\"Represents the client's birth weight value measures in grams\">birthWeightInGrams</a><a name=\"IMMZD1.birthWeightInGrams\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-4, IMMZ-D-reqGTEZero-1 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Birth weight in grams<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines OR Hepatitis B-containing vaccines\" class=\"constraint\">IMMZ-D-reqVType-4</span><span title=\"null\" class=\"constraint\">, </span><span style=\"font-weight:bold\" title=\"Must be positive decimal value greater than or equal to zero (≥0)\" class=\"constraint\">IMMZ-D-reqGTEZero-1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.typeOfPoliovirusDose\" title=\"The type of the poliovirus vaccine dose administered to the client\">typeOfPoliovirusDose</a><a name=\"IMMZD1.typeOfPoliovirusDose\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-5 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Type of poliovirus dose<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-IMMZ.D.DE212.html\" title=\"http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE212\" class=\"binding\">IMMZ.D.DE212 ValueSet for Type of poliovirus dose</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" class=\"binding\">required</a><span title=\"null\" class=\"binding\">)</span><br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE19 vaccine type is Poliovirus-containing vaccines\" class=\"constraint\">IMMZ-D-reqVType-5</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.artStartDate\" title=\"The date on which the client started or restarted ART\">artStartDate</a><a name=\"IMMZD1.artStartDate\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-6, IMMZ-D-dateOccurred-1 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">ART start date<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE19 vaccine type is Measles-containing vaccines\" class=\"constraint\">IMMZ-D-reqVType-6</span><span title=\"null\" class=\"constraint\">, </span><span style=\"font-weight:bold\" title=\"Date ≤ current date\" class=\"constraint\">IMMZ-D-dateOccurred-1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.highRiskOfPneumococcalInfection\" title=\"The client is at high risk for pneumococcal infection because of underlying medical conditions (i.e. HIV infection or sickle-cell disease)\">highRiskOfPneumococcalInfection</a><a name=\"IMMZD1.highRiskOfPneumococcalInfection\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-7 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">High risk of pneumococcal infection<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE19 vaccine type is Pneumococcal vaccines\" class=\"constraint\">IMMZ-D-reqVType-7</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.typeOfJeDose\" title=\"The type of Japanese encephalitis (JE) vaccine dose administered to the client\">typeOfJeDose</a><a name=\"IMMZD1.typeOfJeDose\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-8 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Type of JE dose<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-IMMZ.D.DE216.html\" title=\"http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE216\" class=\"binding\">IMMZ.D.DE216 ValueSet for Type of JE dose</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" class=\"binding\">required</a><span title=\"null\" class=\"binding\">)</span><br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE19 vaccine type is JE vaccines\" class=\"constraint\">IMMZ-D-reqVType-8</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.typeOfTbeDose\" title=\"The type of tick-borne encephalitis (TBE) vaccine dose administered\">typeOfTbeDose</a><a name=\"IMMZD1.typeOfTbeDose\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-9 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Type of TBE dose<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-IMMZ.D.DE220.html\" title=\"http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE220\" class=\"binding\">IMMZ.D.DE220 ValueSet for Type of TBE dose</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" class=\"binding\">required</a><span title=\"null\" class=\"binding\">)</span><br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE19 vaccine type is TBE vaccines\" class=\"constraint\">IMMZ-D-reqVType-9</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.typeOfTyphoidDose\" title=\"The type of typhoid vaccine dose administered to the client\">typeOfTyphoidDose</a><a name=\"IMMZD1.typeOfTyphoidDose\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-10 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Type of typhoid dose<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-IMMZ.D.DE225.html\" title=\"http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE225\" class=\"binding\">IMMZ.D.DE225 ValueSet for Type of typhoid dose</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" class=\"binding\">required</a><span title=\"null\" class=\"binding\">)</span><br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE19 vaccine type is Typhoid vaccines\" class=\"constraint\">IMMZ-D-reqVType-10</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.typeOfCholeraDose\" title=\"The type of cholera vaccine dose administered to the client\">typeOfCholeraDose</a><a name=\"IMMZD1.typeOfCholeraDose\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-11 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Type of cholera dose<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-IMMZ.D.DE229.html\" title=\"http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE229\" class=\"binding\">IMMZ.D.DE229 ValueSet for Type of cholera dose</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" class=\"binding\">required</a><span title=\"null\" class=\"binding\">)</span><br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE19 vaccine type is Cholera vaccines\" class=\"constraint\">IMMZ-D-reqVType-11</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.typeOfMeningococcalDose\" title=\"The type of meningococcal vaccine dose administered to the client\">typeOfMeningococcalDose</a><a name=\"IMMZD1.typeOfMeningococcalDose\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-12 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Type of meningococcal dose<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-IMMZ.D.DE232.html\" title=\"http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE232\" class=\"binding\">IMMZ.D.DE232 ValueSet for Type of meningococcal dose</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" class=\"binding\">required</a><span title=\"null\" class=\"binding\">)</span><br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE19 vaccine type is Meningococcal vaccines\" class=\"constraint\">IMMZ-D-reqVType-12</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.ageInMonthsWhenClientReceivedFirstMeningococcalDose\" title=\"The age in months when client received their first meningococcal dose\">ageInMonthsWhenClientReceivedFirstMeningococcalDose</a><a name=\"IMMZD1.ageInMonthsWhenClientReceivedFirstMeningococcalDose\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-12, IMMZ-D-reqGTEZero-1 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Age in months when client received first meningococcal dose<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE19 vaccine type is Meningococcal vaccines\" class=\"constraint\">IMMZ-D-reqVType-12</span><span title=\"null\" class=\"constraint\">, </span><span style=\"font-weight:bold\" title=\"Must be positive decimal value greater than or equal to zero (≥0)\" class=\"constraint\">IMMZ-D-reqGTEZero-1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.typeOfHepatitisADose\" title=\"The type of hepatitis A-containing vaccine dose administered to the client\">typeOfHepatitisADose</a><a name=\"IMMZD1.typeOfHepatitisADose\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-13 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Type of hepatitis A dose<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-IMMZ.D.DE237.html\" title=\"http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE237\" class=\"binding\">IMMZ.D.DE237 ValueSet for Type of hepatitis A dose</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" class=\"binding\">required</a><span title=\"null\" class=\"binding\">)</span><br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE19 vaccine type is Hepatitis A-containing vaccines\" class=\"constraint\">IMMZ-D-reqVType-13</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.typeOfHepatitisBDose\" title=\"The type of hepatitis B-containing vaccine dose administered to the client\">typeOfHepatitisBDose</a><a name=\"IMMZD1.typeOfHepatitisBDose\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-14 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Type of hepatitis B dose<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-IMMZ.D.DE254.html\" title=\"http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE254\" class=\"binding\">IMMZ.D.DE254 ValueSet for Type of hepatitis B dose</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" class=\"binding\">required</a><span title=\"null\" class=\"binding\">)</span><br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE6 vaccine type is Hepatitis B-containing vaccines\" class=\"constraint\">IMMZ-D-reqVType-14</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.vnaLevel\" title=\"Vaccine-induced neutralizing antibody (VNA) level, measured as a serum antibody concentration from the result of the concentrated, purified cell culture-derived and embryonated egg-based rabies vaccines (CCEEV)\">vnaLevel</a><a name=\"IMMZD1.vnaLevel\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-15 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">VNA level<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE19 vaccine type is Rabies vaccines\" class=\"constraint\">IMMZ-D-reqVType-15</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.riskOfOccupationalExposureToRabiesVirus\" title=\"Professional at risk of occupational exposure to rabies virus, particularly animal health workers. Also considered for medical professionals who regularly provide care to persons with rabies\">riskOfOccupationalExposureToRabiesVirus</a><a name=\"IMMZD1.riskOfOccupationalExposureToRabiesVirus\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-15 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Risk of occupational exposure to rabies virus<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE19 vaccine type is Rabies vaccines\" class=\"constraint\">IMMZ-D-reqVType-15</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.dengueSerostatus\" title=\"Indicates the result of a serological test determining whether the client has antibodies against the dengue virus\">dengueSerostatus</a><a name=\"IMMZD1.dengueSerostatus\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqVType-16 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Dengue serostatus<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-IMMZ.D.DE241.html\" title=\"http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE241\" class=\"binding\">IMMZ.D.DE241 ValueSet for Dengue serostatus</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" class=\"binding\">required</a><span title=\"null\" class=\"binding\">)</span><br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE19 vaccine type is Dengue vaccines\" class=\"constraint\">IMMZ-D-reqVType-16</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.vaccineType\" title=\"Vaccine type/category that was administered or was to be administered. Any vaccine code available in the IMMZ.Z Vaccine library list of codes applies in this data element\">vaccineType</a><a name=\"IMMZD1.vaccineType\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Vaccine type<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-IMMZ.Z.VS.html\" title=\"http://smart.who.int/immunizations/ValueSet/IMMZ.Z.VS\" class=\"binding\">IMMZ.Z.VS ValueSet for vaccine types</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" class=\"binding\">required</a><span title=\"null\" class=\"binding\">)</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.dateAndTimeOfVaccination\" title=\"Represents the visit/encounter date, which is the date and time when each vaccine was administered to the client\">dateAndTimeOfVaccination</a><a name=\"IMMZD1.dateAndTimeOfVaccination\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date and time of vaccination</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.contactDate\" title=\"The date and time of the client's contact\">contactDate</a><a name=\"IMMZD1.contactDate\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-dateTimeOccurred-1 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Contact date<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"DateTime ≤ current DateTime\" class=\"constraint\">IMMZ-D-dateTimeOccurred-1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.ancContactNumber\" title=\"The antenatal care (ANC) contact or visit number \">ancContactNumber</a><a name=\"IMMZD1.ancContactNumber\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">ANC contact number</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD1-definitions.html#IMMZD1.doseNumber\" title=\"Vaccine dose number including dose number within series\">doseNumber</a><a name=\"IMMZD1.doseNumber\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( IMMZ-D-reqGTEZero-1 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Dose number<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Must be positive decimal value greater than or equal to zero (≥0)\" class=\"constraint\">IMMZ-D-reqGTEZero-1</span></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
      "valueCode" : "shareable"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
      "valueCoding" : {
        "system" : "http://hl7.org/fhir/version-algorithm",
        "code" : "semver"
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/artifact-version-policy-codes",
            "code" : "metadata"
          }
        ]
      }
    }
  ],
  "url" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1",
  "version" : "0.2.0",
  "name" : "IMMZ_D1_Capture_or_update_client_history",
  "title" : "IMMZ.D1.Capture or update client history",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-01-10",
  "publisher" : "WHO",
  "contact" : [
    {
      "name" : "WHO",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://who.int"
        }
      ]
    }
  ],
  "description" : "Data elements for the IMMZ.D1.Capture or update client history Data Dictionary Activity.",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "IMMZD1.to.Observation",
      "uri" : "http://smart.who.int/immunizations/StructureDefinition/IMMZObservation",
      "name" : "Mapping from the IMMZ.D1 to the IMMZObservation profile"
    },
    {
      "identity" : "IMMZD1.to.Immunization",
      "uri" : "http://smart.who.int/immunizations/StructureDefinition/IMMZImmunization",
      "name" : "Mapping from the IMMZ.D1 to the IMMZImmunization profile"
    }
  ],
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
  "derivation" : "specialization",
  "snapshot" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString" : "4.0.1"
      }
    ],
    "element" : [
      {
        "id" : "IMMZD1",
        "path" : "IMMZD1",
        "short" : "IMMZ.D1.Capture or update client history",
        "definition" : "Data elements for the IMMZ.D1.Capture or update client history Data Dictionary Activity.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Base",
          "min" : 0,
          "max" : "*"
        },
        "isModifier" : false,
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation"
          },
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization"
          }
        ]
      },
      {
        "id" : "IMMZD1.patient",
        "path" : "IMMZD1.patient",
        "short" : "Patient",
        "definition" : "The patient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.patient",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.subject"
          },
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.patient"
          }
        ]
      },
      {
        "id" : "IMMZD1.birthDose",
        "path" : "IMMZD1.birthDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE263"
          }
        ],
        "short" : "Birth dose",
        "definition" : "Indicates if the client received a dose within 24 hours of birth. Whether a birth dose is counted as part of the primary series will depend on the antigen",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.birthDose",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-1",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Hepatitis B-containing vaccines OR Poliovirus-containing vaccines.",
            "expression" : "(%resource.vaccineType.value != 'DE6' and %resource.vaccineType.value != 'DE14') or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfDose",
        "path" : "IMMZD1.typeOfDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE258"
          }
        ],
        "short" : "Type of dose",
        "definition" : "The type of dose in a series that the client received",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.typeOfDose",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE258"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.protocolApplied.series"
          }
        ]
      },
      {
        "id" : "IMMZD1.completedThePrimaryVaccinationSeries",
        "path" : "IMMZD1.completedThePrimaryVaccinationSeries",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE203"
          }
        ],
        "short" : "Completed the primary vaccination series",
        "definition" : "Indicates if the client has completed the primary vaccination series of a product/antigen. If the client has not yet completed their primary series, it means they may be expected to receive more doses to complete their vaccination regimen for the respective product/antigen",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.completedThePrimaryVaccinationSeries",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.completedTheBoosterSeries",
        "path" : "IMMZD1.completedTheBoosterSeries",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE257"
          }
        ],
        "short" : "Completed the booster series",
        "definition" : "Indicates if the client has completed the booster series of a product/antigen",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.completedTheBoosterSeries",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.dateWhenPrimaryVaccinationSeriesWasCompleted",
        "path" : "IMMZD1.dateWhenPrimaryVaccinationSeriesWasCompleted",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE242"
          }
        ],
        "short" : "Date when primary vaccination series was completed",
        "definition" : "The date when the client completed the primary vaccination series (per product/antigen)",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.dateWhenPrimaryVaccinationSeriesWasCompleted",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "date"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqPrimaryCompleted-1",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE203 Completed the primary vaccination series is Yes",
            "expression" : "%resource.completedTheBoosterSeries.value = false or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          },
          {
            "key" : "IMMZ-D-dateOccurred-1",
            "severity" : "error",
            "human" : "Date ≤ current date",
            "expression" : "not($this.exists()) or $this.value <= today()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueDateTime"
          }
        ]
      },
      {
        "id" : "IMMZD1.hivStatus",
        "path" : "IMMZD1.hivStatus",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE204"
          },
          {
            "system" : "http://loinc.org",
            "code" : "55277-8",
            "display" : "HIV Status"
          },
          {
            "system" : "http://snomed.info/sct",
            "code" : "278977008",
            "display" : "HIV status"
          }
        ],
        "short" : "HIV status",
        "definition" : "The current HIV status of the client",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.hivStatus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE204"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.pretermBirth",
        "path" : "IMMZD1.pretermBirth",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE208"
          },
          {
            "system" : "http://id.who.int/icd/release/11/mms",
            "code" : "KA21.4",
            "display" : "Preterm newborn"
          },
          {
            "system" : "http://loinc.org",
            "code" : "76517-2",
            "display" : "Premature infant"
          },
          {
            "system" : "http://snomed.info/sct",
            "code" : "395507008",
            "display" : "Premature infant (finding)"
          }
        ],
        "short" : "Preterm birth",
        "definition" : "The infant was preterm; the mother gave birth to the infant when gestational age was less than 37 weeks",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.pretermBirth",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.immunocompromised",
        "path" : "IMMZD1.immunocompromised",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE209"
          },
          {
            "system" : "http://id.who.int/icd/release/11/mms",
            "code" : "4B4Z",
            "display" : "Diseases of the immune system, unspecified"
          },
          {
            "system" : "http://loinc.org",
            "code" : "96381-9",
            "display" : "Immune status"
          },
          {
            "system" : "http://snomed.info/sct",
            "code" : "370388006",
            "display" : "Patient immunocompromised (finding)"
          }
        ],
        "short" : "Immunocompromised",
        "definition" : "The client is known to be immunocompromised. This means the client has a weakened immune system and having a reduced ability to fight infections and other diseases",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.immunocompromised",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.currentlyOnArt",
        "path" : "IMMZD1.currentlyOnArt",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE210"
          }
        ],
        "short" : "Currently on ART",
        "definition" : "The client is currently receiving antiretroviral therapy (ART)",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.currentlyOnArt",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqHIVPositive-1",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE204 HIV status is HIV-positive",
            "expression" : "%resource.hivStatus.value != 'DE11' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfTbInfectionTestPerformed",
        "path" : "IMMZD1.typeOfTbInfectionTestPerformed",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE243"
          }
        ],
        "short" : "Type of TB infection test performed",
        "definition" : "The type of tuberculosis (TB) infection test performed",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.typeOfTbInfectionTestPerformed",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-2",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines",
            "expression" : "%resource.vaccineType.value != 'DE1' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE243"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.tbInfectionTestResult",
        "path" : "IMMZD1.tbInfectionTestResult",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE246"
          }
        ],
        "short" : "TB infection test result",
        "definition" : "Records the result of the TB infection test",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.tbInfectionTestResult",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqTBTest-1",
            "severity" : "error",
            "human" : "Required if  input in IMMZ.D.DE243 Type of TB infection test performed IS NOT NULL",
            "expression" : "not(%resource.typeOfTbInfectionTestPerformed.exists()) or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE246"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.immunologicallyStable",
        "path" : "IMMZD1.immunologicallyStable",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE249"
          }
        ],
        "short" : "Immunologically stable",
        "definition" : "The client is living with HIV and is immunologically stable with CD4 count or percentage above a minimum as defined in the HIV guidelines",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.immunologicallyStable",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-3",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines OR Typhoid vaccines",
            "expression" : "(%resource.vaccineType.value != 'DE1' and %resource.vaccineType.value != 'DE21') or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.clinicallyWell",
        "path" : "IMMZD1.clinicallyWell",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE250"
          }
        ],
        "short" : "Clinically well",
        "definition" : "The client is living with HIV and is clinically well, as defined in HIV guidelines and WHO clinical staging",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.clinicallyWell",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-2",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines",
            "expression" : "%resource.vaccineType.value != 'DE1' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.birthWeightInGrams",
        "path" : "IMMZD1.birthWeightInGrams",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE211"
          },
          {
            "system" : "http://id.who.int/icd/release/11/mms",
            "code" : "KA21",
            "display" : "Disorders of newborn related to short gestation or low birth weight, not elsewhere classified"
          },
          {
            "system" : "http://loinc.org",
            "code" : "8339-4",
            "display" : "Birth weight measured"
          }
        ],
        "short" : "Birth weight in grams",
        "definition" : "Represents the client's birth weight value measures in grams",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.birthWeightInGrams",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "decimal"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-4",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines OR Hepatitis B-containing vaccines",
            "expression" : "(%resource.vaccineType.value != 'DE1' and %resource.vaccineType.value != 'DE6') or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          },
          {
            "key" : "IMMZ-D-reqGTEZero-1",
            "severity" : "error",
            "human" : "Must be positive decimal value greater than or equal to zero (≥0)",
            "expression" : "not($this.exists()) or $this.value >= 0",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueQuantity.value"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfPoliovirusDose",
        "path" : "IMMZD1.typeOfPoliovirusDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE212"
          },
          {
            "system" : "http://id.who.int/icd/release/11/mms",
            "code" : "XM0N50",
            "display" : "Poliomyelitis vaccines"
          }
        ],
        "short" : "Type of poliovirus dose",
        "definition" : "The type of the poliovirus vaccine dose administered to the client",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.typeOfPoliovirusDose",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-5",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Poliovirus-containing vaccines",
            "expression" : "%resource.vaccineType.value != 'DE14' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE212"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.extension[typeOfPolio].valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.artStartDate",
        "path" : "IMMZD1.artStartDate",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE215"
          }
        ],
        "short" : "ART start date",
        "definition" : "The date on which the client started or restarted ART",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.artStartDate",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "date"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-6",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Measles-containing vaccines",
            "expression" : "%resource.vaccineType.value != 'DE9' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          },
          {
            "key" : "IMMZ-D-dateOccurred-1",
            "severity" : "error",
            "human" : "Date ≤ current date",
            "expression" : "not($this.exists()) or $this.value <= today()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueDateTime"
          }
        ]
      },
      {
        "id" : "IMMZD1.highRiskOfPneumococcalInfection",
        "path" : "IMMZD1.highRiskOfPneumococcalInfection",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE251"
          }
        ],
        "short" : "High risk of pneumococcal infection",
        "definition" : "The client is at high risk for pneumococcal infection because of underlying medical conditions (i.e. HIV infection or sickle-cell disease)",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.highRiskOfPneumococcalInfection",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-7",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Pneumococcal vaccines",
            "expression" : "%resource.vaccineType.value != 'DE13' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfJeDose",
        "path" : "IMMZD1.typeOfJeDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE216"
          }
        ],
        "short" : "Type of JE dose",
        "definition" : "The type of Japanese encephalitis (JE) vaccine dose administered to the client",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.typeOfJeDose",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-8",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is JE vaccines",
            "expression" : "%resource.vaccineType.value != 'DE8' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE216"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.extension[typeOfJe].valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfTbeDose",
        "path" : "IMMZD1.typeOfTbeDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE220"
          }
        ],
        "short" : "Type of TBE dose",
        "definition" : "The type of tick-borne encephalitis (TBE) vaccine dose administered",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.typeOfTbeDose",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-9",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is TBE vaccines",
            "expression" : "%resource.vaccineType.value != 'DE20' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE220"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.extension[typeOfTbe].valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfTyphoidDose",
        "path" : "IMMZD1.typeOfTyphoidDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE225"
          }
        ],
        "short" : "Type of typhoid dose",
        "definition" : "The type of typhoid vaccine dose administered to the client",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.typeOfTyphoidDose",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-10",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Typhoid vaccines",
            "expression" : "%resource.vaccineType.value != 'DE21' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE225"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.extension[typeOfTyphoid].valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfCholeraDose",
        "path" : "IMMZD1.typeOfCholeraDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE229"
          }
        ],
        "short" : "Type of cholera dose",
        "definition" : "The type of cholera vaccine dose administered to the client",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.typeOfCholeraDose",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-11",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Cholera vaccines",
            "expression" : "%resource.vaccineType.value != 'DE2' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE229"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.extension[typeOfCholera].valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfMeningococcalDose",
        "path" : "IMMZD1.typeOfMeningococcalDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE232"
          }
        ],
        "short" : "Type of meningococcal dose",
        "definition" : "The type of meningococcal vaccine dose administered to the client",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.typeOfMeningococcalDose",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-12",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Meningococcal vaccines",
            "expression" : "%resource.vaccineType.value != 'DE10' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE232"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.extension[typeOfMeningococcal].valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.ageInMonthsWhenClientReceivedFirstMeningococcalDose",
        "path" : "IMMZD1.ageInMonthsWhenClientReceivedFirstMeningococcalDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE236"
          }
        ],
        "short" : "Age in months when client received first meningococcal dose",
        "definition" : "The age in months when client received their first meningococcal dose",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.ageInMonthsWhenClientReceivedFirstMeningococcalDose",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "decimal"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-12",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Meningococcal vaccines",
            "expression" : "%resource.vaccineType.value != 'DE10' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          },
          {
            "key" : "IMMZ-D-reqGTEZero-1",
            "severity" : "error",
            "human" : "Must be positive decimal value greater than or equal to zero (≥0)",
            "expression" : "not($this.exists()) or $this.value >= 0",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueQuantity.value"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfHepatitisADose",
        "path" : "IMMZD1.typeOfHepatitisADose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE237"
          }
        ],
        "short" : "Type of hepatitis A dose",
        "definition" : "The type of hepatitis A-containing vaccine dose administered to the client",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.typeOfHepatitisADose",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-13",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Hepatitis A-containing vaccines",
            "expression" : "%resource.vaccineType.value != 'DE5' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE237"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.extension[typeOfHepatitisA].valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfHepatitisBDose",
        "path" : "IMMZD1.typeOfHepatitisBDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE254"
          }
        ],
        "short" : "Type of hepatitis B dose",
        "definition" : "The type of hepatitis B-containing vaccine dose administered to the client",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.typeOfHepatitisBDose",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-14",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE6 vaccine type is Hepatitis B-containing vaccines",
            "expression" : "%resource.vaccineType.value != 'DE6' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE254"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.extension[typeOfHepatitisB].valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.vnaLevel",
        "path" : "IMMZD1.vnaLevel",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE240"
          }
        ],
        "short" : "VNA level",
        "definition" : "Vaccine-induced neutralizing antibody (VNA) level, measured as a serum antibody concentration from the result of the concentrated, purified cell culture-derived and embryonated egg-based rabies vaccines (CCEEV)",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.vnaLevel",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "decimal"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-15",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Rabies vaccines",
            "expression" : "%resource.vaccineType.value != 'DE15' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueQuantity.value"
          }
        ]
      },
      {
        "id" : "IMMZD1.riskOfOccupationalExposureToRabiesVirus",
        "path" : "IMMZD1.riskOfOccupationalExposureToRabiesVirus",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE253"
          }
        ],
        "short" : "Risk of occupational exposure to rabies virus",
        "definition" : "Professional at risk of occupational exposure to rabies virus, particularly animal health workers. Also considered for medical professionals who regularly provide care to persons with rabies",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.riskOfOccupationalExposureToRabiesVirus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-15",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Rabies vaccines",
            "expression" : "%resource.vaccineType.value != 'DE15' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.dengueSerostatus",
        "path" : "IMMZD1.dengueSerostatus",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE241"
          }
        ],
        "short" : "Dengue serostatus",
        "definition" : "Indicates the result of a serological test determining whether the client has antibodies against the dengue virus",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.dengueSerostatus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-16",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Dengue vaccines",
            "expression" : "%resource.vaccineType.value != 'DE25' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE241"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.vaccineType",
        "path" : "IMMZD1.vaccineType",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE19"
          },
          {
            "system" : "http://loinc.org",
            "code" : "39236-5",
            "display" : "Vaccine code (CPT [Current Procedural Terminology]) CPHS (Children's Preventative Health System)"
          },
          {
            "system" : "http://snomed.info/sct",
            "code" : "787859002",
            "display" : "Vaccine product (medicinal product)"
          }
        ],
        "short" : "Vaccine type",
        "definition" : "Vaccine type/category that was administered or was to be administered. Any vaccine code available in the IMMZ.Z Vaccine library list of codes applies in this data element",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "IMMZD1.vaccineType",
          "min" : 1,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.VS"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.vaccineCode"
          }
        ]
      },
      {
        "id" : "IMMZD1.dateAndTimeOfVaccination",
        "path" : "IMMZD1.dateAndTimeOfVaccination",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE20"
          },
          {
            "system" : "http://loinc.org",
            "code" : "30952-6",
            "display" : "Date and time of vaccination"
          }
        ],
        "short" : "Date and time of vaccination",
        "definition" : "Represents the visit/encounter date, which is the date and time when each vaccine was administered to the client",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.dateAndTimeOfVaccination",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.occurrenceDateTime"
          }
        ]
      },
      {
        "id" : "IMMZD1.contactDate",
        "path" : "IMMZD1.contactDate",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE201"
          },
          {
            "system" : "http://loinc.org",
            "code" : "21975-8",
            "display" : "Date last contact"
          },
          {
            "system" : "http://snomed.info/sct",
            "code" : "406543005",
            "display" : "Date of visit"
          }
        ],
        "short" : "Contact date",
        "definition" : "The date and time of the client's contact",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.contactDate",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-dateTimeOccurred-1",
            "severity" : "error",
            "human" : "DateTime ≤ current DateTime",
            "expression" : "not($this.exists()) or $this.value <= now()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueDateTime"
          }
        ]
      },
      {
        "id" : "IMMZD1.ancContactNumber",
        "path" : "IMMZD1.ancContactNumber",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE202"
          },
          {
            "system" : "http://loinc.org",
            "code" : "75612-2",
            "display" : "Number of visits to this health-care entity in the last 12 months"
          },
          {
            "system" : "http://snomed.info/sct",
            "code" : "3401000175105",
            "display" : "Total number of prenatal care visits"
          }
        ],
        "short" : "ANC contact number",
        "definition" : "The antenatal care (ANC) contact or visit number",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.ancContactNumber",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueInteger"
          }
        ]
      },
      {
        "id" : "IMMZD1.doseNumber",
        "path" : "IMMZD1.doseNumber",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE124"
          }
        ],
        "short" : "Dose number",
        "definition" : "Vaccine dose number including dose number within series",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "IMMZD1.doseNumber",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqGTEZero-1",
            "severity" : "error",
            "human" : "Must be positive decimal value greater than or equal to zero (≥0)",
            "expression" : "not($this.exists()) or $this.value >= 0",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.protocolApplied.doseNumberString"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "IMMZD1",
        "path" : "IMMZD1",
        "short" : "IMMZ.D1.Capture or update client history",
        "definition" : "Data elements for the IMMZ.D1.Capture or update client history Data Dictionary Activity.",
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation"
          },
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization"
          }
        ]
      },
      {
        "id" : "IMMZD1.patient",
        "path" : "IMMZD1.patient",
        "short" : "Patient",
        "definition" : "The patient.",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Reference"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.subject"
          },
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.patient"
          }
        ]
      },
      {
        "id" : "IMMZD1.birthDose",
        "path" : "IMMZD1.birthDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE263"
          }
        ],
        "short" : "Birth dose",
        "definition" : "Indicates if the client received a dose within 24 hours of birth. Whether a birth dose is counted as part of the primary series will depend on the antigen",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-1",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Hepatitis B-containing vaccines OR Poliovirus-containing vaccines.",
            "expression" : "(%resource.vaccineType.value != 'DE6' and %resource.vaccineType.value != 'DE14') or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfDose",
        "path" : "IMMZD1.typeOfDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE258"
          }
        ],
        "short" : "Type of dose",
        "definition" : "The type of dose in a series that the client received ",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE258"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.protocolApplied.series"
          }
        ]
      },
      {
        "id" : "IMMZD1.completedThePrimaryVaccinationSeries",
        "path" : "IMMZD1.completedThePrimaryVaccinationSeries",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE203"
          }
        ],
        "short" : "Completed the primary vaccination series",
        "definition" : "Indicates if the client has completed the primary vaccination series of a product/antigen. If the client has not yet completed their primary series, it means they may be expected to receive more doses to complete their vaccination regimen for the respective product/antigen",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.completedTheBoosterSeries",
        "path" : "IMMZD1.completedTheBoosterSeries",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE257"
          }
        ],
        "short" : "Completed the booster series",
        "definition" : "Indicates if the client has completed the booster series of a product/antigen",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.dateWhenPrimaryVaccinationSeriesWasCompleted",
        "path" : "IMMZD1.dateWhenPrimaryVaccinationSeriesWasCompleted",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE242"
          }
        ],
        "short" : "Date when primary vaccination series was completed",
        "definition" : "The date when the client completed the primary vaccination series (per product/antigen)",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "date"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqPrimaryCompleted-1",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE203 Completed the primary vaccination series is Yes",
            "expression" : "%resource.completedTheBoosterSeries.value = false or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          },
          {
            "key" : "IMMZ-D-dateOccurred-1",
            "severity" : "error",
            "human" : "Date ≤ current date",
            "expression" : "not($this.exists()) or $this.value <= today()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueDateTime"
          }
        ]
      },
      {
        "id" : "IMMZD1.hivStatus",
        "path" : "IMMZD1.hivStatus",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE204"
          },
          {
            "system" : "http://loinc.org",
            "code" : "55277-8",
            "display" : "HIV Status"
          },
          {
            "system" : "http://snomed.info/sct",
            "code" : "278977008",
            "display" : "HIV status"
          }
        ],
        "short" : "HIV status",
        "definition" : "The current HIV status of the client",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE204"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.pretermBirth",
        "path" : "IMMZD1.pretermBirth",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE208"
          },
          {
            "system" : "http://id.who.int/icd/release/11/mms",
            "code" : "KA21.4",
            "display" : "Preterm newborn"
          },
          {
            "system" : "http://loinc.org",
            "code" : "76517-2",
            "display" : "Premature infant"
          },
          {
            "system" : "http://snomed.info/sct",
            "code" : "395507008",
            "display" : "Premature infant (finding)"
          }
        ],
        "short" : "Preterm birth",
        "definition" : "The infant was preterm; the mother gave birth to the infant when gestational age was less than 37 weeks",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.immunocompromised",
        "path" : "IMMZD1.immunocompromised",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE209"
          },
          {
            "system" : "http://id.who.int/icd/release/11/mms",
            "code" : "4B4Z",
            "display" : "Diseases of the immune system, unspecified"
          },
          {
            "system" : "http://loinc.org",
            "code" : "96381-9",
            "display" : "Immune status"
          },
          {
            "system" : "http://snomed.info/sct",
            "code" : "370388006",
            "display" : "Patient immunocompromised (finding)"
          }
        ],
        "short" : "Immunocompromised",
        "definition" : "The client is known to be immunocompromised. This means the client has a weakened immune system and having a reduced ability to fight infections and other diseases",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.currentlyOnArt",
        "path" : "IMMZD1.currentlyOnArt",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE210"
          }
        ],
        "short" : "Currently on ART",
        "definition" : "The client is currently receiving antiretroviral therapy (ART)",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqHIVPositive-1",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE204 HIV status is HIV-positive",
            "expression" : "%resource.hivStatus.value != 'DE11' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfTbInfectionTestPerformed",
        "path" : "IMMZD1.typeOfTbInfectionTestPerformed",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE243"
          }
        ],
        "short" : "Type of TB infection test performed",
        "definition" : "The type of tuberculosis (TB) infection test performed",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-2",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines",
            "expression" : "%resource.vaccineType.value != 'DE1' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE243"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.tbInfectionTestResult",
        "path" : "IMMZD1.tbInfectionTestResult",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE246"
          }
        ],
        "short" : "TB infection test result",
        "definition" : "Records the result of the TB infection test",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqTBTest-1",
            "severity" : "error",
            "human" : "Required if  input in IMMZ.D.DE243 Type of TB infection test performed IS NOT NULL",
            "expression" : "not(%resource.typeOfTbInfectionTestPerformed.exists()) or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE246"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.immunologicallyStable",
        "path" : "IMMZD1.immunologicallyStable",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE249"
          }
        ],
        "short" : "Immunologically stable",
        "definition" : "The client is living with HIV and is immunologically stable with CD4 count or percentage above a minimum as defined in the HIV guidelines",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-3",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines OR Typhoid vaccines",
            "expression" : "(%resource.vaccineType.value != 'DE1' and %resource.vaccineType.value != 'DE21') or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.clinicallyWell",
        "path" : "IMMZD1.clinicallyWell",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE250"
          }
        ],
        "short" : "Clinically well",
        "definition" : "The client is living with HIV and is clinically well, as defined in HIV guidelines and WHO clinical staging",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-2",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines",
            "expression" : "%resource.vaccineType.value != 'DE1' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.birthWeightInGrams",
        "path" : "IMMZD1.birthWeightInGrams",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE211"
          },
          {
            "system" : "http://id.who.int/icd/release/11/mms",
            "code" : "KA21",
            "display" : "Disorders of newborn related to short gestation or low birth weight, not elsewhere classified"
          },
          {
            "system" : "http://loinc.org",
            "code" : "8339-4",
            "display" : "Birth weight measured"
          }
        ],
        "short" : "Birth weight in grams",
        "definition" : "Represents the client's birth weight value measures in grams",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "decimal"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-4",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines OR Hepatitis B-containing vaccines",
            "expression" : "(%resource.vaccineType.value != 'DE1' and %resource.vaccineType.value != 'DE6') or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          },
          {
            "key" : "IMMZ-D-reqGTEZero-1",
            "severity" : "error",
            "human" : "Must be positive decimal value greater than or equal to zero (≥0)",
            "expression" : "not($this.exists()) or $this.value >= 0",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueQuantity.value"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfPoliovirusDose",
        "path" : "IMMZD1.typeOfPoliovirusDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE212"
          },
          {
            "system" : "http://id.who.int/icd/release/11/mms",
            "code" : "XM0N50",
            "display" : "Poliomyelitis vaccines"
          }
        ],
        "short" : "Type of poliovirus dose",
        "definition" : "The type of the poliovirus vaccine dose administered to the client",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-5",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Poliovirus-containing vaccines",
            "expression" : "%resource.vaccineType.value != 'DE14' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE212"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.extension[typeOfPolio].valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.artStartDate",
        "path" : "IMMZD1.artStartDate",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE215"
          }
        ],
        "short" : "ART start date",
        "definition" : "The date on which the client started or restarted ART",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "date"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-6",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Measles-containing vaccines",
            "expression" : "%resource.vaccineType.value != 'DE9' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          },
          {
            "key" : "IMMZ-D-dateOccurred-1",
            "severity" : "error",
            "human" : "Date ≤ current date",
            "expression" : "not($this.exists()) or $this.value <= today()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueDateTime"
          }
        ]
      },
      {
        "id" : "IMMZD1.highRiskOfPneumococcalInfection",
        "path" : "IMMZD1.highRiskOfPneumococcalInfection",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE251"
          }
        ],
        "short" : "High risk of pneumococcal infection",
        "definition" : "The client is at high risk for pneumococcal infection because of underlying medical conditions (i.e. HIV infection or sickle-cell disease)",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-7",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Pneumococcal vaccines",
            "expression" : "%resource.vaccineType.value != 'DE13' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfJeDose",
        "path" : "IMMZD1.typeOfJeDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE216"
          }
        ],
        "short" : "Type of JE dose",
        "definition" : "The type of Japanese encephalitis (JE) vaccine dose administered to the client",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-8",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is JE vaccines",
            "expression" : "%resource.vaccineType.value != 'DE8' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE216"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.extension[typeOfJe].valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfTbeDose",
        "path" : "IMMZD1.typeOfTbeDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE220"
          }
        ],
        "short" : "Type of TBE dose",
        "definition" : "The type of tick-borne encephalitis (TBE) vaccine dose administered",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-9",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is TBE vaccines",
            "expression" : "%resource.vaccineType.value != 'DE20' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE220"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.extension[typeOfTbe].valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfTyphoidDose",
        "path" : "IMMZD1.typeOfTyphoidDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE225"
          }
        ],
        "short" : "Type of typhoid dose",
        "definition" : "The type of typhoid vaccine dose administered to the client",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-10",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Typhoid vaccines",
            "expression" : "%resource.vaccineType.value != 'DE21' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE225"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.extension[typeOfTyphoid].valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfCholeraDose",
        "path" : "IMMZD1.typeOfCholeraDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE229"
          }
        ],
        "short" : "Type of cholera dose",
        "definition" : "The type of cholera vaccine dose administered to the client",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-11",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Cholera vaccines",
            "expression" : "%resource.vaccineType.value != 'DE2' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE229"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.extension[typeOfCholera].valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfMeningococcalDose",
        "path" : "IMMZD1.typeOfMeningococcalDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE232"
          }
        ],
        "short" : "Type of meningococcal dose",
        "definition" : "The type of meningococcal vaccine dose administered to the client",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-12",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Meningococcal vaccines",
            "expression" : "%resource.vaccineType.value != 'DE10' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE232"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.extension[typeOfMeningococcal].valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.ageInMonthsWhenClientReceivedFirstMeningococcalDose",
        "path" : "IMMZD1.ageInMonthsWhenClientReceivedFirstMeningococcalDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE236"
          }
        ],
        "short" : "Age in months when client received first meningococcal dose",
        "definition" : "The age in months when client received their first meningococcal dose",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "decimal"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-12",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Meningococcal vaccines",
            "expression" : "%resource.vaccineType.value != 'DE10' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          },
          {
            "key" : "IMMZ-D-reqGTEZero-1",
            "severity" : "error",
            "human" : "Must be positive decimal value greater than or equal to zero (≥0)",
            "expression" : "not($this.exists()) or $this.value >= 0",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueQuantity.value"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfHepatitisADose",
        "path" : "IMMZD1.typeOfHepatitisADose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE237"
          }
        ],
        "short" : "Type of hepatitis A dose",
        "definition" : "The type of hepatitis A-containing vaccine dose administered to the client",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-13",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Hepatitis A-containing vaccines",
            "expression" : "%resource.vaccineType.value != 'DE5' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE237"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.extension[typeOfHepatitisA].valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.typeOfHepatitisBDose",
        "path" : "IMMZD1.typeOfHepatitisBDose",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE254"
          }
        ],
        "short" : "Type of hepatitis B dose",
        "definition" : "The type of hepatitis B-containing vaccine dose administered to the client",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-14",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE6 vaccine type is Hepatitis B-containing vaccines",
            "expression" : "%resource.vaccineType.value != 'DE6' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE254"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.extension[typeOfHepatitisB].valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.vnaLevel",
        "path" : "IMMZD1.vnaLevel",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE240"
          }
        ],
        "short" : "VNA level",
        "definition" : "Vaccine-induced neutralizing antibody (VNA) level, measured as a serum antibody concentration from the result of the concentrated, purified cell culture-derived and embryonated egg-based rabies vaccines (CCEEV)",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "decimal"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-15",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Rabies vaccines",
            "expression" : "%resource.vaccineType.value != 'DE15' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueQuantity.value"
          }
        ]
      },
      {
        "id" : "IMMZD1.riskOfOccupationalExposureToRabiesVirus",
        "path" : "IMMZD1.riskOfOccupationalExposureToRabiesVirus",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE253"
          }
        ],
        "short" : "Risk of occupational exposure to rabies virus",
        "definition" : "Professional at risk of occupational exposure to rabies virus, particularly animal health workers. Also considered for medical professionals who regularly provide care to persons with rabies",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-15",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Rabies vaccines",
            "expression" : "%resource.vaccineType.value != 'DE15' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueBoolean"
          }
        ]
      },
      {
        "id" : "IMMZD1.dengueSerostatus",
        "path" : "IMMZD1.dengueSerostatus",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE241"
          }
        ],
        "short" : "Dengue serostatus",
        "definition" : "Indicates the result of a serological test determining whether the client has antibodies against the dengue virus",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqVType-16",
            "severity" : "error",
            "human" : "Required if input in IMMZ.D.DE19 vaccine type is Dengue vaccines",
            "expression" : "%resource.vaccineType.value != 'DE25' or $this.exists()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE241"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueCodeableConcept.coding"
          }
        ]
      },
      {
        "id" : "IMMZD1.vaccineType",
        "path" : "IMMZD1.vaccineType",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE19"
          },
          {
            "system" : "http://loinc.org",
            "code" : "39236-5",
            "display" : "Vaccine code (CPT [Current Procedural Terminology]) CPHS (Children's Preventative Health System)"
          },
          {
            "system" : "http://snomed.info/sct",
            "code" : "787859002",
            "display" : "Vaccine product (medicinal product)"
          }
        ],
        "short" : "Vaccine type",
        "definition" : "Vaccine type/category that was administered or was to be administered. Any vaccine code available in the IMMZ.Z Vaccine library list of codes applies in this data element",
        "min" : 1,
        "max" : "*",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.VS"
        },
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.vaccineCode"
          }
        ]
      },
      {
        "id" : "IMMZD1.dateAndTimeOfVaccination",
        "path" : "IMMZD1.dateAndTimeOfVaccination",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE20"
          },
          {
            "system" : "http://loinc.org",
            "code" : "30952-6",
            "display" : "Date and time of vaccination"
          }
        ],
        "short" : "Date and time of vaccination",
        "definition" : "Represents the visit/encounter date, which is the date and time when each vaccine was administered to the client",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.occurrenceDateTime"
          }
        ]
      },
      {
        "id" : "IMMZD1.contactDate",
        "path" : "IMMZD1.contactDate",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE201"
          },
          {
            "system" : "http://loinc.org",
            "code" : "21975-8",
            "display" : "Date last contact"
          },
          {
            "system" : "http://snomed.info/sct",
            "code" : "406543005",
            "display" : "Date of visit"
          }
        ],
        "short" : "Contact date",
        "definition" : "The date and time of the client's contact",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-dateTimeOccurred-1",
            "severity" : "error",
            "human" : "DateTime ≤ current DateTime",
            "expression" : "not($this.exists()) or $this.value <= now()",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueDateTime"
          }
        ]
      },
      {
        "id" : "IMMZD1.ancContactNumber",
        "path" : "IMMZD1.ancContactNumber",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE202"
          },
          {
            "system" : "http://loinc.org",
            "code" : "75612-2",
            "display" : "Number of visits to this health-care entity in the last 12 months"
          },
          {
            "system" : "http://snomed.info/sct",
            "code" : "3401000175105",
            "display" : "Total number of prenatal care visits"
          }
        ],
        "short" : "ANC contact number",
        "definition" : "The antenatal care (ANC) contact or visit number ",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Observation",
            "map" : "Observation.valueInteger"
          }
        ]
      },
      {
        "id" : "IMMZD1.doseNumber",
        "path" : "IMMZD1.doseNumber",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
            "code" : "DE124"
          }
        ],
        "short" : "Dose number",
        "definition" : "Vaccine dose number including dose number within series",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "constraint" : [
          {
            "key" : "IMMZ-D-reqGTEZero-1",
            "severity" : "error",
            "human" : "Must be positive decimal value greater than or equal to zero (≥0)",
            "expression" : "not($this.exists()) or $this.value >= 0",
            "source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
          }
        ],
        "mapping" : [
          {
            "identity" : "IMMZD1.to.Immunization",
            "map" : "Immunization.protocolApplied.doseNumberString"
          }
        ]
      }
    ]
  }
}