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 - XML Profile

Active as of 2025-01-10

XML representation of the IMMZD1 logical model.

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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="IMMZD1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablestructuredefinition"/>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablestructuredefinition"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
    <valueCode value="shareable"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm">
    <valueCoding>
      <system value="http://hl7.org/fhir/version-algorithm"/>
      <code value="semver"/>
    </valueCoding>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/artifact-version-policy-codes"/>
        <code value="metadata"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <url value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
  <version value="0.2.0"/>
  <name value="IMMZ_D1_Capture_or_update_client_history"/>
  <title value="IMMZ.D1.Capture or update client history"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2025-01-10"/>
  <publisher value="WHO"/>
  <contact>
    <name value="WHO"/>
    <telecom>
      <system value="url"/>
      <value value="http://who.int"/>
    </telecom>
  </contact>
  <description
               value="Data elements for the IMMZ.D1.Capture or update client history Data Dictionary Activity."/>
  <fhirVersion value="4.0.1"/>
  <mapping>
    <identity value="IMMZD1.to.Observation"/>
    <uri
         value="http://smart.who.int/immunizations/StructureDefinition/IMMZObservation"/>
    <name value="Mapping from the IMMZ.D1 to the IMMZObservation profile"/>
  </mapping>
  <mapping>
    <identity value="IMMZD1.to.Immunization"/>
    <uri
         value="http://smart.who.int/immunizations/StructureDefinition/IMMZImmunization"/>
    <name value="Mapping from the IMMZ.D1 to the IMMZImmunization profile"/>
  </mapping>
  <kind value="logical"/>
  <abstract value="false"/>
  <type
        value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
  <derivation value="specialization"/>
  <snapshot>
    <extension
               url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
      <valueString value="4.0.1"/>
    </extension>
    <element id="IMMZD1">
      <path value="IMMZD1"/>
      <short value="IMMZ.D1.Capture or update client history"/>
      <definition
                  value="Data elements for the IMMZ.D1.Capture or update client history Data Dictionary Activity."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation"/>
      </mapping>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map value="Immunization"/>
      </mapping>
    </element>
    <element id="IMMZD1.patient">
      <path value="IMMZD1.patient"/>
      <short value="Patient"/>
      <definition value="The patient."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.patient"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
      </type>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.subject"/>
      </mapping>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map value="Immunization.patient"/>
      </mapping>
    </element>
    <element id="IMMZD1.birthDose">
      <path value="IMMZD1.birthDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE263"/>
      </code>
      <short value="Birth dose"/>
      <definition
                  value="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 value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.birthDose"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-1"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Hepatitis B-containing vaccines OR Poliovirus-containing vaccines."/>
        <expression
                    value="(%resource.vaccineType.value != 'DE6' and %resource.vaccineType.value != 'DE14') or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfDose">
      <path value="IMMZD1.typeOfDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE258"/>
      </code>
      <short value="Type of dose"/>
      <definition
                  value="The type of dose in a series that the client received"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.typeOfDose"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE258"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map value="Immunization.protocolApplied.series"/>
      </mapping>
    </element>
    <element id="IMMZD1.completedThePrimaryVaccinationSeries">
      <path value="IMMZD1.completedThePrimaryVaccinationSeries"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE203"/>
      </code>
      <short value="Completed the primary vaccination series"/>
      <definition
                  value="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 value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.completedThePrimaryVaccinationSeries"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.completedTheBoosterSeries">
      <path value="IMMZD1.completedTheBoosterSeries"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE257"/>
      </code>
      <short value="Completed the booster series"/>
      <definition
                  value="Indicates if the client has completed the booster series of a product/antigen"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.completedTheBoosterSeries"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.dateWhenPrimaryVaccinationSeriesWasCompleted">
      <path value="IMMZD1.dateWhenPrimaryVaccinationSeriesWasCompleted"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE242"/>
      </code>
      <short value="Date when primary vaccination series was completed"/>
      <definition
                  value="The date when the client completed the primary vaccination series (per product/antigen)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.dateWhenPrimaryVaccinationSeriesWasCompleted"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="date"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqPrimaryCompleted-1"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE203 Completed the primary vaccination series is Yes"/>
        <expression
                    value="%resource.completedTheBoosterSeries.value = false or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <constraint>
        <key value="IMMZ-D-dateOccurred-1"/>
        <severity value="error"/>
        <human value="Date ≤ current date"/>
        <expression value="not($this.exists()) or $this.value &lt;= today()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueDateTime"/>
      </mapping>
    </element>
    <element id="IMMZD1.hivStatus">
      <path value="IMMZD1.hivStatus"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE204"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="55277-8"/>
        <display value="HIV Status"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="278977008"/>
        <display value="HIV status"/>
      </code>
      <short value="HIV status"/>
      <definition value="The current HIV status of the client"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.hivStatus"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE204"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.pretermBirth">
      <path value="IMMZD1.pretermBirth"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE208"/>
      </code>
      <code>
        <system value="http://id.who.int/icd/release/11/mms"/>
        <code value="KA21.4"/>
        <display value="Preterm newborn"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="76517-2"/>
        <display value="Premature infant"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="395507008"/>
        <display value="Premature infant (finding)"/>
      </code>
      <short value="Preterm birth"/>
      <definition
                  value="The infant was preterm; the mother gave birth to the infant when gestational age was less than 37 weeks"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.pretermBirth"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.immunocompromised">
      <path value="IMMZD1.immunocompromised"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE209"/>
      </code>
      <code>
        <system value="http://id.who.int/icd/release/11/mms"/>
        <code value="4B4Z"/>
        <display value="Diseases of the immune system, unspecified"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="96381-9"/>
        <display value="Immune status"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="370388006"/>
        <display value="Patient immunocompromised (finding)"/>
      </code>
      <short value="Immunocompromised"/>
      <definition
                  value="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 value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.immunocompromised"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.currentlyOnArt">
      <path value="IMMZD1.currentlyOnArt"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE210"/>
      </code>
      <short value="Currently on ART"/>
      <definition
                  value="The client is currently receiving antiretroviral therapy (ART)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.currentlyOnArt"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqHIVPositive-1"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE204 HIV status is HIV-positive"/>
        <expression
                    value="%resource.hivStatus.value != 'DE11' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfTbInfectionTestPerformed">
      <path value="IMMZD1.typeOfTbInfectionTestPerformed"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE243"/>
      </code>
      <short value="Type of TB infection test performed"/>
      <definition
                  value="The type of tuberculosis (TB) infection test performed"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.typeOfTbInfectionTestPerformed"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-2"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE1' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE243"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.tbInfectionTestResult">
      <path value="IMMZD1.tbInfectionTestResult"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE246"/>
      </code>
      <short value="TB infection test result"/>
      <definition value="Records the result of the TB infection test"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.tbInfectionTestResult"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqTBTest-1"/>
        <severity value="error"/>
        <human
               value="Required if  input in IMMZ.D.DE243 Type of TB infection test performed IS NOT NULL"/>
        <expression
                    value="not(%resource.typeOfTbInfectionTestPerformed.exists()) or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE246"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.immunologicallyStable">
      <path value="IMMZD1.immunologicallyStable"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE249"/>
      </code>
      <short value="Immunologically stable"/>
      <definition
                  value="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 value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.immunologicallyStable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-3"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines OR Typhoid vaccines"/>
        <expression
                    value="(%resource.vaccineType.value != 'DE1' and %resource.vaccineType.value != 'DE21') or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.clinicallyWell">
      <path value="IMMZD1.clinicallyWell"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE250"/>
      </code>
      <short value="Clinically well"/>
      <definition
                  value="The client is living with HIV and is clinically well, as defined in HIV guidelines and WHO clinical staging"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.clinicallyWell"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-2"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE1' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.birthWeightInGrams">
      <path value="IMMZD1.birthWeightInGrams"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE211"/>
      </code>
      <code>
        <system value="http://id.who.int/icd/release/11/mms"/>
        <code value="KA21"/>
        <display
                 value="Disorders of newborn related to short gestation or low birth weight, not elsewhere classified"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="8339-4"/>
        <display value="Birth weight measured"/>
      </code>
      <short value="Birth weight in grams"/>
      <definition
                  value="Represents the client's birth weight value measures in grams"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.birthWeightInGrams"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="decimal"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-4"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines OR Hepatitis B-containing vaccines"/>
        <expression
                    value="(%resource.vaccineType.value != 'DE1' and %resource.vaccineType.value != 'DE6') or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <constraint>
        <key value="IMMZ-D-reqGTEZero-1"/>
        <severity value="error"/>
        <human
               value="Must be positive decimal value greater than or equal to zero (≥0)"/>
        <expression value="not($this.exists()) or $this.value &gt;= 0"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueQuantity.value"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfPoliovirusDose">
      <path value="IMMZD1.typeOfPoliovirusDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE212"/>
      </code>
      <code>
        <system value="http://id.who.int/icd/release/11/mms"/>
        <code value="XM0N50"/>
        <display value="Poliomyelitis vaccines"/>
      </code>
      <short value="Type of poliovirus dose"/>
      <definition
                  value="The type of the poliovirus vaccine dose administered to the client"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.typeOfPoliovirusDose"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-5"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Poliovirus-containing vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE14' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE212"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map
             value="Immunization.extension[typeOfPolio].valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.artStartDate">
      <path value="IMMZD1.artStartDate"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE215"/>
      </code>
      <short value="ART start date"/>
      <definition
                  value="The date on which the client started or restarted ART"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.artStartDate"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="date"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-6"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Measles-containing vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE9' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <constraint>
        <key value="IMMZ-D-dateOccurred-1"/>
        <severity value="error"/>
        <human value="Date ≤ current date"/>
        <expression value="not($this.exists()) or $this.value &lt;= today()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueDateTime"/>
      </mapping>
    </element>
    <element id="IMMZD1.highRiskOfPneumococcalInfection">
      <path value="IMMZD1.highRiskOfPneumococcalInfection"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE251"/>
      </code>
      <short value="High risk of pneumococcal infection"/>
      <definition
                  value="The client is at high risk for pneumococcal infection because of underlying medical conditions (i.e. HIV infection or sickle-cell disease)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.highRiskOfPneumococcalInfection"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-7"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Pneumococcal vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE13' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfJeDose">
      <path value="IMMZD1.typeOfJeDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE216"/>
      </code>
      <short value="Type of JE dose"/>
      <definition
                  value="The type of Japanese encephalitis (JE) vaccine dose administered to the client"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.typeOfJeDose"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-8"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is JE vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE8' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE216"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map
             value="Immunization.extension[typeOfJe].valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfTbeDose">
      <path value="IMMZD1.typeOfTbeDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE220"/>
      </code>
      <short value="Type of TBE dose"/>
      <definition
                  value="The type of tick-borne encephalitis (TBE) vaccine dose administered"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.typeOfTbeDose"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-9"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is TBE vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE20' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE220"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map
             value="Immunization.extension[typeOfTbe].valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfTyphoidDose">
      <path value="IMMZD1.typeOfTyphoidDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE225"/>
      </code>
      <short value="Type of typhoid dose"/>
      <definition
                  value="The type of typhoid vaccine dose administered to the client"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.typeOfTyphoidDose"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-10"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Typhoid vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE21' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE225"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map
             value="Immunization.extension[typeOfTyphoid].valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfCholeraDose">
      <path value="IMMZD1.typeOfCholeraDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE229"/>
      </code>
      <short value="Type of cholera dose"/>
      <definition
                  value="The type of cholera vaccine dose administered to the client"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.typeOfCholeraDose"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-11"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Cholera vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE2' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE229"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map
             value="Immunization.extension[typeOfCholera].valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfMeningococcalDose">
      <path value="IMMZD1.typeOfMeningococcalDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE232"/>
      </code>
      <short value="Type of meningococcal dose"/>
      <definition
                  value="The type of meningococcal vaccine dose administered to the client"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.typeOfMeningococcalDose"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-12"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Meningococcal vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE10' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE232"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map
             value="Immunization.extension[typeOfMeningococcal].valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.ageInMonthsWhenClientReceivedFirstMeningococcalDose">
      <path
            value="IMMZD1.ageInMonthsWhenClientReceivedFirstMeningococcalDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE236"/>
      </code>
      <short
             value="Age in months when client received first meningococcal dose"/>
      <definition
                  value="The age in months when client received their first meningococcal dose"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="IMMZD1.ageInMonthsWhenClientReceivedFirstMeningococcalDose"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="decimal"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-12"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Meningococcal vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE10' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <constraint>
        <key value="IMMZ-D-reqGTEZero-1"/>
        <severity value="error"/>
        <human
               value="Must be positive decimal value greater than or equal to zero (≥0)"/>
        <expression value="not($this.exists()) or $this.value &gt;= 0"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueQuantity.value"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfHepatitisADose">
      <path value="IMMZD1.typeOfHepatitisADose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE237"/>
      </code>
      <short value="Type of hepatitis A dose"/>
      <definition
                  value="The type of hepatitis A-containing vaccine dose administered to the client"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.typeOfHepatitisADose"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-13"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Hepatitis A-containing vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE5' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE237"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map
             value="Immunization.extension[typeOfHepatitisA].valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfHepatitisBDose">
      <path value="IMMZD1.typeOfHepatitisBDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE254"/>
      </code>
      <short value="Type of hepatitis B dose"/>
      <definition
                  value="The type of hepatitis B-containing vaccine dose administered to the client"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.typeOfHepatitisBDose"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-14"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE6 vaccine type is Hepatitis B-containing vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE6' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE254"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map
             value="Immunization.extension[typeOfHepatitisB].valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.vnaLevel">
      <path value="IMMZD1.vnaLevel"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE240"/>
      </code>
      <short value="VNA level"/>
      <definition
                  value="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 value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.vnaLevel"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="decimal"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-15"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Rabies vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE15' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueQuantity.value"/>
      </mapping>
    </element>
    <element id="IMMZD1.riskOfOccupationalExposureToRabiesVirus">
      <path value="IMMZD1.riskOfOccupationalExposureToRabiesVirus"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE253"/>
      </code>
      <short value="Risk of occupational exposure to rabies virus"/>
      <definition
                  value="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 value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.riskOfOccupationalExposureToRabiesVirus"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-15"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Rabies vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE15' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.dengueSerostatus">
      <path value="IMMZD1.dengueSerostatus"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE241"/>
      </code>
      <short value="Dengue serostatus"/>
      <definition
                  value="Indicates the result of a serological test determining whether the client has antibodies against the dengue virus"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.dengueSerostatus"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-16"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Dengue vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE25' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE241"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.vaccineType">
      <path value="IMMZD1.vaccineType"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE19"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="39236-5"/>
        <display
                 value="Vaccine code (CPT [Current Procedural Terminology]) CPHS (Children's Preventative Health System)"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="787859002"/>
        <display value="Vaccine product (medicinal product)"/>
      </code>
      <short value="Vaccine type"/>
      <definition
                  value="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 value="1"/>
      <max value="*"/>
      <base>
        <path value="IMMZD1.vaccineType"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.VS"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map value="Immunization.vaccineCode"/>
      </mapping>
    </element>
    <element id="IMMZD1.dateAndTimeOfVaccination">
      <path value="IMMZD1.dateAndTimeOfVaccination"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE20"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="30952-6"/>
        <display value="Date and time of vaccination"/>
      </code>
      <short value="Date and time of vaccination"/>
      <definition
                  value="Represents the visit/encounter date, which is the date and time when each vaccine was administered to the client"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.dateAndTimeOfVaccination"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map value="Immunization.occurrenceDateTime"/>
      </mapping>
    </element>
    <element id="IMMZD1.contactDate">
      <path value="IMMZD1.contactDate"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE201"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="21975-8"/>
        <display value="Date last contact"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="406543005"/>
        <display value="Date of visit"/>
      </code>
      <short value="Contact date"/>
      <definition value="The date and time of the client's contact"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.contactDate"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <constraint>
        <key value="IMMZ-D-dateTimeOccurred-1"/>
        <severity value="error"/>
        <human value="DateTime ≤ current DateTime"/>
        <expression value="not($this.exists()) or $this.value &lt;= now()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueDateTime"/>
      </mapping>
    </element>
    <element id="IMMZD1.ancContactNumber">
      <path value="IMMZD1.ancContactNumber"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE202"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="75612-2"/>
        <display
                 value="Number of visits to this health-care entity in the last 12 months"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="3401000175105"/>
        <display value="Total number of prenatal care visits"/>
      </code>
      <short value="ANC contact number"/>
      <definition value="The antenatal care (ANC) contact or visit number"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.ancContactNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="integer"/>
      </type>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueInteger"/>
      </mapping>
    </element>
    <element id="IMMZD1.doseNumber">
      <path value="IMMZD1.doseNumber"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE124"/>
      </code>
      <short value="Dose number"/>
      <definition
                  value="Vaccine dose number including dose number within series"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1.doseNumber"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="integer"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqGTEZero-1"/>
        <severity value="error"/>
        <human
               value="Must be positive decimal value greater than or equal to zero (≥0)"/>
        <expression value="not($this.exists()) or $this.value &gt;= 0"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map value="Immunization.protocolApplied.doseNumberString"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="IMMZD1">
      <path value="IMMZD1"/>
      <short value="IMMZ.D1.Capture or update client history"/>
      <definition
                  value="Data elements for the IMMZ.D1.Capture or update client history Data Dictionary Activity."/>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation"/>
      </mapping>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map value="Immunization"/>
      </mapping>
    </element>
    <element id="IMMZD1.patient">
      <path value="IMMZD1.patient"/>
      <short value="Patient"/>
      <definition value="The patient."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
      </type>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.subject"/>
      </mapping>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map value="Immunization.patient"/>
      </mapping>
    </element>
    <element id="IMMZD1.birthDose">
      <path value="IMMZD1.birthDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE263"/>
      </code>
      <short value="Birth dose"/>
      <definition
                  value="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 value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-1"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Hepatitis B-containing vaccines OR Poliovirus-containing vaccines."/>
        <expression
                    value="(%resource.vaccineType.value != 'DE6' and %resource.vaccineType.value != 'DE14') or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfDose">
      <path value="IMMZD1.typeOfDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE258"/>
      </code>
      <short value="Type of dose"/>
      <definition
                  value="The type of dose in a series that the client received "/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE258"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map value="Immunization.protocolApplied.series"/>
      </mapping>
    </element>
    <element id="IMMZD1.completedThePrimaryVaccinationSeries">
      <path value="IMMZD1.completedThePrimaryVaccinationSeries"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE203"/>
      </code>
      <short value="Completed the primary vaccination series"/>
      <definition
                  value="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 value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.completedTheBoosterSeries">
      <path value="IMMZD1.completedTheBoosterSeries"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE257"/>
      </code>
      <short value="Completed the booster series"/>
      <definition
                  value="Indicates if the client has completed the booster series of a product/antigen"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.dateWhenPrimaryVaccinationSeriesWasCompleted">
      <path value="IMMZD1.dateWhenPrimaryVaccinationSeriesWasCompleted"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE242"/>
      </code>
      <short value="Date when primary vaccination series was completed"/>
      <definition
                  value="The date when the client completed the primary vaccination series (per product/antigen)"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqPrimaryCompleted-1"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE203 Completed the primary vaccination series is Yes"/>
        <expression
                    value="%resource.completedTheBoosterSeries.value = false or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <constraint>
        <key value="IMMZ-D-dateOccurred-1"/>
        <severity value="error"/>
        <human value="Date ≤ current date"/>
        <expression value="not($this.exists()) or $this.value &lt;= today()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueDateTime"/>
      </mapping>
    </element>
    <element id="IMMZD1.hivStatus">
      <path value="IMMZD1.hivStatus"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE204"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="55277-8"/>
        <display value="HIV Status"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="278977008"/>
        <display value="HIV status"/>
      </code>
      <short value="HIV status"/>
      <definition value="The current HIV status of the client"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE204"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.pretermBirth">
      <path value="IMMZD1.pretermBirth"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE208"/>
      </code>
      <code>
        <system value="http://id.who.int/icd/release/11/mms"/>
        <code value="KA21.4"/>
        <display value="Preterm newborn"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="76517-2"/>
        <display value="Premature infant"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="395507008"/>
        <display value="Premature infant (finding)"/>
      </code>
      <short value="Preterm birth"/>
      <definition
                  value="The infant was preterm; the mother gave birth to the infant when gestational age was less than 37 weeks"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.immunocompromised">
      <path value="IMMZD1.immunocompromised"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE209"/>
      </code>
      <code>
        <system value="http://id.who.int/icd/release/11/mms"/>
        <code value="4B4Z"/>
        <display value="Diseases of the immune system, unspecified"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="96381-9"/>
        <display value="Immune status"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="370388006"/>
        <display value="Patient immunocompromised (finding)"/>
      </code>
      <short value="Immunocompromised"/>
      <definition
                  value="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 value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.currentlyOnArt">
      <path value="IMMZD1.currentlyOnArt"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE210"/>
      </code>
      <short value="Currently on ART"/>
      <definition
                  value="The client is currently receiving antiretroviral therapy (ART)"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqHIVPositive-1"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE204 HIV status is HIV-positive"/>
        <expression
                    value="%resource.hivStatus.value != 'DE11' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfTbInfectionTestPerformed">
      <path value="IMMZD1.typeOfTbInfectionTestPerformed"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE243"/>
      </code>
      <short value="Type of TB infection test performed"/>
      <definition
                  value="The type of tuberculosis (TB) infection test performed"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-2"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE1' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE243"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.tbInfectionTestResult">
      <path value="IMMZD1.tbInfectionTestResult"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE246"/>
      </code>
      <short value="TB infection test result"/>
      <definition value="Records the result of the TB infection test"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqTBTest-1"/>
        <severity value="error"/>
        <human
               value="Required if  input in IMMZ.D.DE243 Type of TB infection test performed IS NOT NULL"/>
        <expression
                    value="not(%resource.typeOfTbInfectionTestPerformed.exists()) or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE246"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.immunologicallyStable">
      <path value="IMMZD1.immunologicallyStable"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE249"/>
      </code>
      <short value="Immunologically stable"/>
      <definition
                  value="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 value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-3"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines OR Typhoid vaccines"/>
        <expression
                    value="(%resource.vaccineType.value != 'DE1' and %resource.vaccineType.value != 'DE21') or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.clinicallyWell">
      <path value="IMMZD1.clinicallyWell"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE250"/>
      </code>
      <short value="Clinically well"/>
      <definition
                  value="The client is living with HIV and is clinically well, as defined in HIV guidelines and WHO clinical staging"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-2"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE1' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.birthWeightInGrams">
      <path value="IMMZD1.birthWeightInGrams"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE211"/>
      </code>
      <code>
        <system value="http://id.who.int/icd/release/11/mms"/>
        <code value="KA21"/>
        <display
                 value="Disorders of newborn related to short gestation or low birth weight, not elsewhere classified"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="8339-4"/>
        <display value="Birth weight measured"/>
      </code>
      <short value="Birth weight in grams"/>
      <definition
                  value="Represents the client's birth weight value measures in grams"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-4"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines OR Hepatitis B-containing vaccines"/>
        <expression
                    value="(%resource.vaccineType.value != 'DE1' and %resource.vaccineType.value != 'DE6') or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <constraint>
        <key value="IMMZ-D-reqGTEZero-1"/>
        <severity value="error"/>
        <human
               value="Must be positive decimal value greater than or equal to zero (≥0)"/>
        <expression value="not($this.exists()) or $this.value &gt;= 0"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueQuantity.value"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfPoliovirusDose">
      <path value="IMMZD1.typeOfPoliovirusDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE212"/>
      </code>
      <code>
        <system value="http://id.who.int/icd/release/11/mms"/>
        <code value="XM0N50"/>
        <display value="Poliomyelitis vaccines"/>
      </code>
      <short value="Type of poliovirus dose"/>
      <definition
                  value="The type of the poliovirus vaccine dose administered to the client"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-5"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Poliovirus-containing vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE14' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE212"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map
             value="Immunization.extension[typeOfPolio].valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.artStartDate">
      <path value="IMMZD1.artStartDate"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE215"/>
      </code>
      <short value="ART start date"/>
      <definition
                  value="The date on which the client started or restarted ART"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-6"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Measles-containing vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE9' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <constraint>
        <key value="IMMZ-D-dateOccurred-1"/>
        <severity value="error"/>
        <human value="Date ≤ current date"/>
        <expression value="not($this.exists()) or $this.value &lt;= today()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueDateTime"/>
      </mapping>
    </element>
    <element id="IMMZD1.highRiskOfPneumococcalInfection">
      <path value="IMMZD1.highRiskOfPneumococcalInfection"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE251"/>
      </code>
      <short value="High risk of pneumococcal infection"/>
      <definition
                  value="The client is at high risk for pneumococcal infection because of underlying medical conditions (i.e. HIV infection or sickle-cell disease)"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-7"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Pneumococcal vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE13' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfJeDose">
      <path value="IMMZD1.typeOfJeDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE216"/>
      </code>
      <short value="Type of JE dose"/>
      <definition
                  value="The type of Japanese encephalitis (JE) vaccine dose administered to the client"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-8"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is JE vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE8' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE216"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map
             value="Immunization.extension[typeOfJe].valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfTbeDose">
      <path value="IMMZD1.typeOfTbeDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE220"/>
      </code>
      <short value="Type of TBE dose"/>
      <definition
                  value="The type of tick-borne encephalitis (TBE) vaccine dose administered"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-9"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is TBE vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE20' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE220"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map
             value="Immunization.extension[typeOfTbe].valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfTyphoidDose">
      <path value="IMMZD1.typeOfTyphoidDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE225"/>
      </code>
      <short value="Type of typhoid dose"/>
      <definition
                  value="The type of typhoid vaccine dose administered to the client"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-10"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Typhoid vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE21' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE225"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map
             value="Immunization.extension[typeOfTyphoid].valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfCholeraDose">
      <path value="IMMZD1.typeOfCholeraDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE229"/>
      </code>
      <short value="Type of cholera dose"/>
      <definition
                  value="The type of cholera vaccine dose administered to the client"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-11"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Cholera vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE2' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE229"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map
             value="Immunization.extension[typeOfCholera].valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfMeningococcalDose">
      <path value="IMMZD1.typeOfMeningococcalDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE232"/>
      </code>
      <short value="Type of meningococcal dose"/>
      <definition
                  value="The type of meningococcal vaccine dose administered to the client"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-12"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Meningococcal vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE10' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE232"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map
             value="Immunization.extension[typeOfMeningococcal].valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.ageInMonthsWhenClientReceivedFirstMeningococcalDose">
      <path
            value="IMMZD1.ageInMonthsWhenClientReceivedFirstMeningococcalDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE236"/>
      </code>
      <short
             value="Age in months when client received first meningococcal dose"/>
      <definition
                  value="The age in months when client received their first meningococcal dose"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-12"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Meningococcal vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE10' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <constraint>
        <key value="IMMZ-D-reqGTEZero-1"/>
        <severity value="error"/>
        <human
               value="Must be positive decimal value greater than or equal to zero (≥0)"/>
        <expression value="not($this.exists()) or $this.value &gt;= 0"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueQuantity.value"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfHepatitisADose">
      <path value="IMMZD1.typeOfHepatitisADose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE237"/>
      </code>
      <short value="Type of hepatitis A dose"/>
      <definition
                  value="The type of hepatitis A-containing vaccine dose administered to the client"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-13"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Hepatitis A-containing vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE5' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE237"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map
             value="Immunization.extension[typeOfHepatitisA].valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.typeOfHepatitisBDose">
      <path value="IMMZD1.typeOfHepatitisBDose"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE254"/>
      </code>
      <short value="Type of hepatitis B dose"/>
      <definition
                  value="The type of hepatitis B-containing vaccine dose administered to the client"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-14"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE6 vaccine type is Hepatitis B-containing vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE6' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE254"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map
             value="Immunization.extension[typeOfHepatitisB].valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.vnaLevel">
      <path value="IMMZD1.vnaLevel"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE240"/>
      </code>
      <short value="VNA level"/>
      <definition
                  value="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 value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-15"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Rabies vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE15' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueQuantity.value"/>
      </mapping>
    </element>
    <element id="IMMZD1.riskOfOccupationalExposureToRabiesVirus">
      <path value="IMMZD1.riskOfOccupationalExposureToRabiesVirus"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE253"/>
      </code>
      <short value="Risk of occupational exposure to rabies virus"/>
      <definition
                  value="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 value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-15"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Rabies vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE15' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueBoolean"/>
      </mapping>
    </element>
    <element id="IMMZD1.dengueSerostatus">
      <path value="IMMZD1.dengueSerostatus"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE241"/>
      </code>
      <short value="Dengue serostatus"/>
      <definition
                  value="Indicates the result of a serological test determining whether the client has antibodies against the dengue virus"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqVType-16"/>
        <severity value="error"/>
        <human
               value="Required if input in IMMZ.D.DE19 vaccine type is Dengue vaccines"/>
        <expression
                    value="%resource.vaccineType.value != 'DE25' or $this.exists()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE241"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueCodeableConcept.coding"/>
      </mapping>
    </element>
    <element id="IMMZD1.vaccineType">
      <path value="IMMZD1.vaccineType"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE19"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="39236-5"/>
        <display
                 value="Vaccine code (CPT [Current Procedural Terminology]) CPHS (Children's Preventative Health System)"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="787859002"/>
        <display value="Vaccine product (medicinal product)"/>
      </code>
      <short value="Vaccine type"/>
      <definition
                  value="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 value="1"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.VS"/>
      </binding>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map value="Immunization.vaccineCode"/>
      </mapping>
    </element>
    <element id="IMMZD1.dateAndTimeOfVaccination">
      <path value="IMMZD1.dateAndTimeOfVaccination"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE20"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="30952-6"/>
        <display value="Date and time of vaccination"/>
      </code>
      <short value="Date and time of vaccination"/>
      <definition
                  value="Represents the visit/encounter date, which is the date and time when each vaccine was administered to the client"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map value="Immunization.occurrenceDateTime"/>
      </mapping>
    </element>
    <element id="IMMZD1.contactDate">
      <path value="IMMZD1.contactDate"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE201"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="21975-8"/>
        <display value="Date last contact"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="406543005"/>
        <display value="Date of visit"/>
      </code>
      <short value="Contact date"/>
      <definition value="The date and time of the client's contact"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <constraint>
        <key value="IMMZ-D-dateTimeOccurred-1"/>
        <severity value="error"/>
        <human value="DateTime ≤ current DateTime"/>
        <expression value="not($this.exists()) or $this.value &lt;= now()"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueDateTime"/>
      </mapping>
    </element>
    <element id="IMMZD1.ancContactNumber">
      <path value="IMMZD1.ancContactNumber"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE202"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="75612-2"/>
        <display
                 value="Number of visits to this health-care entity in the last 12 months"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="3401000175105"/>
        <display value="Total number of prenatal care visits"/>
      </code>
      <short value="ANC contact number"/>
      <definition value="The antenatal care (ANC) contact or visit number "/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="integer"/>
      </type>
      <mapping>
        <identity value="IMMZD1.to.Observation"/>
        <map value="Observation.valueInteger"/>
      </mapping>
    </element>
    <element id="IMMZD1.doseNumber">
      <path value="IMMZD1.doseNumber"/>
      <code>
        <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE124"/>
      </code>
      <short value="Dose number"/>
      <definition
                  value="Vaccine dose number including dose number within series"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="integer"/>
      </type>
      <constraint>
        <key value="IMMZ-D-reqGTEZero-1"/>
        <severity value="error"/>
        <human
               value="Must be positive decimal value greater than or equal to zero (≥0)"/>
        <expression value="not($this.exists()) or $this.value &gt;= 0"/>
        <source
                value="http://smart.who.int/immunizations/StructureDefinition/IMMZD1"/>
      </constraint>
      <mapping>
        <identity value="IMMZD1.to.Immunization"/>
        <map value="Immunization.protocolApplied.doseNumberString"/>
      </mapping>
    </element>
  </differential>
</StructureDefinition>