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
| Active as of 2025-01-13 |
JSON representation of the IMMZD17 logical model.
{
"resourceType" : "StructureDefinition",
"id" : "IMMZD17",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablestructuredefinition"🔗 ,
"http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablestructuredefinition"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition IMMZD17</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 & 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-IMMZD17-definitions.html#IMMZD17\" title=\"Data elements for the IMMZ.D17.Report AEFI Data Dictionary Activity.\">IMMZD17</a><a name=\"IMMZD17\"> </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.D17.Report AEFI</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD17-definitions.html#IMMZD17.patient\" title=\"The patient.\">patient</a><a name=\"IMMZD17.patient\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>()</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Patient</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD17-definitions.html#IMMZD17.reactionReported\" title=\"Indicates observation of an adverse event/reaction\">reactionReported</a><a name=\"IMMZD17.reactionReported\"> </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\">Reaction reported</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD17-definitions.html#IMMZD17.reactionDate\" title=\"When adverse event/reaction started\">reactionDate</a><a name=\"IMMZD17.reactionDate\"> </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-reqReaction-1, 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\">Reaction date<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Required if input in IMMZ.D.DE92 Reaction reported is Yes\" class=\"constraint\">IMMZ-D-reqReaction-1</span><span title=\"null\" class=\"constraint\">, </span><span style=\"font-weight:bold\" title=\"Date ≤ current date\" class=\"constraint\">IMMZ-D-dateOccurred-1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: 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-IMMZD17-definitions.html#IMMZD17.reactionManifestation\" title=\"The manifestation of the reaction (e.g. infected abscess, swelling, rash, hives, diarrhoea, etc.) observed after administering the vaccine\">reactionManifestation</a><a name=\"IMMZD17.reactionManifestation\"> </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-reqReaction-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\">Reaction manifestation<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-IMMZ.D.DE95.html\" title=\"http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE95\" class=\"binding\">IMMZ.D.DE95 ValueSet for Reaction manifestation</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.DE92 Reaction reported is Yes\" class=\"constraint\">IMMZ-D-reqReaction-1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD17-definitions.html#IMMZD17.typeOfReaction\" title=\"If the event resulted in a reaction, what is the type of reaction\">typeOfReaction</a><a name=\"IMMZD17.typeOfReaction\"> </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-reqReaction-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#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 reaction<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-IMMZ.D.DE107.html\" title=\"http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE107\" class=\"binding\">IMMZ.D.DE107 ValueSet for Type of reaction</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.DE92 Reaction reported is Yes\" class=\"constraint\">IMMZ-D-reqReaction-1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD17-definitions.html#IMMZD17.otherImportantMedicalEvent\" title=\"There was another important reaction or medical event \">otherImportantMedicalEvent</a><a name=\"IMMZD17.otherImportantMedicalEvent\"> </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#string\">string</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\">Other important medical event (specify)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZD17-definitions.html#IMMZD17.reactionOutcome\" title=\"The outcome of the reaction (e.g. death, recovered, recovering)\">reactionOutcome</a><a name=\"IMMZD17.reactionOutcome\"> </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-reqReaction-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#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\">Reaction outcome<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-IMMZ.D.DE115.html\" title=\"http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE115\" class=\"binding\">IMMZ.D.DE115 ValueSet for Reaction outcome</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.DE92 Reaction reported is Yes\" class=\"constraint\">IMMZ-D-reqReaction-1</span></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "shareable"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
"valueCoding" : {
"system" : "http://hl7.org/fhir/version-algorithm",
"code" : "semver"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/artifact-version-policy-codes",
"code" : "metadata"
}
]
}
}
],
"url" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD17",
"version" : "0.2.0",
"name" : "IMMZ_D17_Report_AEFI",
"title" : "IMMZ.D17.Report AEFI",
"status" : "active",
"experimental" : false,
"date" : "2025-01-13",
"publisher" : "WHO",
"contact" : [
{
"name" : "WHO",
"telecom" : [
{
"system" : "url",
"value" : "http://who.int"
}
]
}
],
"description" : "Data elements for the IMMZ.D17.Report AEFI Data Dictionary Activity.",
"fhirVersion" : "4.0.1",
"mapping" : [
{
"identity" : "IMMZD17.to.Observation",
"uri" : "http://smart.who.int/immunizations/StructureDefinition/IMMZAdverseEvent",
"name" : "Mapping from the IMMZ.D17 to the IMMZAdverseEvent profile"
}
],
"kind" : "logical",
"abstract" : false,
"type" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD17",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
"derivation" : "specialization",
"snapshot" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString" : "4.0.1"
}
],
"element" : [
{
"id" : "IMMZD17",
"path" : "IMMZD17",
"short" : "IMMZ.D17.Report AEFI",
"definition" : "Data elements for the IMMZ.D17.Report AEFI Data Dictionary Activity.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Base",
"min" : 0,
"max" : "*"
},
"isModifier" : false,
"mapping" : [
{
"identity" : "IMMZD17.to.Observation",
"map" : "AdverseEvent"
}
]
},
{
"id" : "IMMZD17.patient",
"path" : "IMMZD17.patient",
"short" : "Patient",
"definition" : "The patient.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "IMMZD17.patient",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Reference"
}
],
"mapping" : [
{
"identity" : "IMMZD17.to.Observation",
"map" : "AdverseEvent.subject"
}
]
},
{
"id" : "IMMZD17.reactionReported",
"path" : "IMMZD17.reactionReported",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE92"
},
{
"system" : "http://id.who.int/icd/release/11/mms",
"code" : "PK81.7",
"display" : "Injection or infusion for therapeutic or diagnostic purposes associated with injury or harm in therapeutic use"
},
{
"system" : "http://snomed.info/sct",
"code" : "418799008",
"display" : "Finding reported by subject or history provider (finding)"
}
],
"short" : "Reaction reported",
"definition" : "Indicates observation of an adverse event/reaction",
"min" : 0,
"max" : "1",
"base" : {
"path" : "IMMZD17.reactionReported",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "IMMZD17.reactionDate",
"path" : "IMMZD17.reactionDate",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE93"
},
{
"system" : "http://loinc.org",
"code" : "30953-4",
"display" : "Date and time of onset of vaccination adverse event"
}
],
"short" : "Reaction date",
"definition" : "When adverse event/reaction started",
"min" : 0,
"max" : "1",
"base" : {
"path" : "IMMZD17.reactionDate",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "date"
}
],
"constraint" : [
{
"key" : "IMMZ-D-reqReaction-1",
"severity" : "error",
"human" : "Required if input in IMMZ.D.DE92 Reaction reported is Yes",
"expression" : "not(%resource.reactionReport.exists()) or %resource.reactionReported.value != true or $this.exists()",
"source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
},
{
"key" : "IMMZ-D-dateOccurred-1",
"severity" : "error",
"human" : "Date ≤ current date",
"expression" : "not($this.exists()) or $this.value <= today()",
"source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
}
],
"mapping" : [
{
"identity" : "IMMZD17.to.Observation",
"map" : "AdverseEvent.date"
}
]
},
{
"id" : "IMMZD17.reactionManifestation",
"path" : "IMMZD17.reactionManifestation",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE95"
},
{
"system" : "http://id.who.int/icd/release/11/mms",
"code" : "NE80.3",
"display" : "Other serum reactions. This code includes 'Complications of vaccination, serum reaction'. A more specific code may be selected based on the documented reaction/manifestation"
}
],
"short" : "Reaction manifestation",
"definition" : "The manifestation of the reaction (e.g. infected abscess, swelling, rash, hives, diarrhoea, etc.) observed after administering the vaccine",
"min" : 0,
"max" : "1",
"base" : {
"path" : "IMMZD17.reactionManifestation",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Coding"
}
],
"constraint" : [
{
"key" : "IMMZ-D-reqReaction-1",
"severity" : "error",
"human" : "Required if input in IMMZ.D.DE92 Reaction reported is Yes",
"expression" : "not(%resource.reactionReport.exists()) or %resource.reactionReported.value != true or $this.exists()",
"source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE95"
},
"mapping" : [
{
"identity" : "IMMZD17.to.Observation",
"map" : "AdverseEvent.event"
}
]
},
{
"id" : "IMMZD17.typeOfReaction",
"path" : "IMMZD17.typeOfReaction",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE107"
}
],
"short" : "Type of reaction",
"definition" : "If the event resulted in a reaction, what is the type of reaction",
"min" : 0,
"max" : "1",
"base" : {
"path" : "IMMZD17.typeOfReaction",
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},
"type" : [
{
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}
],
"constraint" : [
{
"key" : "IMMZ-D-reqReaction-1",
"severity" : "error",
"human" : "Required if input in IMMZ.D.DE92 Reaction reported is Yes",
"expression" : "not(%resource.reactionReport.exists()) or %resource.reactionReported.value != true or $this.exists()",
"source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
}
],
"binding" : {
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"valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE107"
},
"mapping" : [
{
"identity" : "IMMZD17.to.Observation",
"map" : "AdverseEvent.seriousness"
}
]
},
{
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"path" : "IMMZD17.otherImportantMedicalEvent",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE113"
}
],
"short" : "Other important medical event (specify)",
"definition" : "There was another important reaction or medical event",
"min" : 0,
"max" : "1",
"base" : {
"path" : "IMMZD17.otherImportantMedicalEvent",
"min" : 0,
"max" : "1"
},
"type" : [
{
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}
],
"mapping" : [
{
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}
]
},
{
"id" : "IMMZD17.reactionOutcome",
"path" : "IMMZD17.reactionOutcome",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE115"
},
{
"system" : "http://snomed.info/sct",
"code" : "293104008",
"display" : "Adverse reaction to component of vaccine product (disorder)"
}
],
"short" : "Reaction outcome",
"definition" : "The outcome of the reaction (e.g. death, recovered, recovering)",
"min" : 0,
"max" : "1",
"base" : {
"path" : "IMMZD17.reactionOutcome",
"min" : 0,
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},
"type" : [
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}
],
"constraint" : [
{
"key" : "IMMZ-D-reqReaction-1",
"severity" : "error",
"human" : "Required if input in IMMZ.D.DE92 Reaction reported is Yes",
"expression" : "not(%resource.reactionReport.exists()) or %resource.reactionReported.value != true or $this.exists()",
"source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
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],
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"mapping" : [
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}
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},
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"short" : "IMMZ.D17.Report AEFI",
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"map" : "AdverseEvent"
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{
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"short" : "Patient",
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"type" : [
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}
],
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{
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"code" : "DE92"
},
{
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"code" : "PK81.7",
"display" : "Injection or infusion for therapeutic or diagnostic purposes associated with injury or harm in therapeutic use"
},
{
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"code" : "418799008",
"display" : "Finding reported by subject or history provider (finding)"
}
],
"short" : "Reaction reported",
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"max" : "1",
"type" : [
{
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}
]
},
{
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"code" : "DE93"
},
{
"system" : "http://loinc.org",
"code" : "30953-4",
"display" : "Date and time of onset of vaccination adverse event"
}
],
"short" : "Reaction date",
"definition" : "When adverse event/reaction started",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "date"
}
],
"constraint" : [
{
"key" : "IMMZ-D-reqReaction-1",
"severity" : "error",
"human" : "Required if input in IMMZ.D.DE92 Reaction reported is Yes",
"expression" : "not(%resource.reactionReport.exists()) or %resource.reactionReported.value != true or $this.exists()",
"source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
},
{
"key" : "IMMZ-D-dateOccurred-1",
"severity" : "error",
"human" : "Date ≤ current date",
"expression" : "not($this.exists()) or $this.value <= today()",
"source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
}
],
"mapping" : [
{
"identity" : "IMMZD17.to.Observation",
"map" : "AdverseEvent.date"
}
]
},
{
"id" : "IMMZD17.reactionManifestation",
"path" : "IMMZD17.reactionManifestation",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE95"
},
{
"system" : "http://id.who.int/icd/release/11/mms",
"code" : "NE80.3",
"display" : "Other serum reactions. This code includes 'Complications of vaccination, serum reaction'. A more specific code may be selected based on the documented reaction/manifestation"
}
],
"short" : "Reaction manifestation",
"definition" : "The manifestation of the reaction (e.g. infected abscess, swelling, rash, hives, diarrhoea, etc.) observed after administering the vaccine",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Coding"
}
],
"constraint" : [
{
"key" : "IMMZ-D-reqReaction-1",
"severity" : "error",
"human" : "Required if input in IMMZ.D.DE92 Reaction reported is Yes",
"expression" : "not(%resource.reactionReport.exists()) or %resource.reactionReported.value != true or $this.exists()",
"source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE95"
},
"mapping" : [
{
"identity" : "IMMZD17.to.Observation",
"map" : "AdverseEvent.event"
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},
{
"id" : "IMMZD17.typeOfReaction",
"path" : "IMMZD17.typeOfReaction",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE107"
}
],
"short" : "Type of reaction",
"definition" : "If the event resulted in a reaction, what is the type of reaction",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Coding"
}
],
"constraint" : [
{
"key" : "IMMZ-D-reqReaction-1",
"severity" : "error",
"human" : "Required if input in IMMZ.D.DE92 Reaction reported is Yes",
"expression" : "not(%resource.reactionReport.exists()) or %resource.reactionReported.value != true or $this.exists()",
"source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE107"
},
"mapping" : [
{
"identity" : "IMMZD17.to.Observation",
"map" : "AdverseEvent.seriousness"
}
]
},
{
"id" : "IMMZD17.otherImportantMedicalEvent",
"path" : "IMMZD17.otherImportantMedicalEvent",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE113"
}
],
"short" : "Other important medical event (specify)",
"definition" : "There was another important reaction or medical event ",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "IMMZD17.to.Observation",
"map" : "AdverseEvent.extension[otherMedicalEvent].valueString"
}
]
},
{
"id" : "IMMZD17.reactionOutcome",
"path" : "IMMZD17.reactionOutcome",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE115"
},
{
"system" : "http://snomed.info/sct",
"code" : "293104008",
"display" : "Adverse reaction to component of vaccine product (disorder)"
}
],
"short" : "Reaction outcome",
"definition" : "The outcome of the reaction (e.g. death, recovered, recovering)",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Coding"
}
],
"constraint" : [
{
"key" : "IMMZ-D-reqReaction-1",
"severity" : "error",
"human" : "Required if input in IMMZ.D.DE92 Reaction reported is Yes",
"expression" : "not(%resource.reactionReport.exists()) or %resource.reactionReported.value != true or $this.exists()",
"source" : "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE115"
},
"mapping" : [
{
"identity" : "IMMZD17.to.Observation",
"map" : "AdverseEvent.outcome"
}
]
}
]
}
}