Smart Health Checks, published by AEHRC CSIRO. This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/aehrc/smart-forms-ig/ and changes regularly. See the Directory of published versions

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Resource Profile: Smart Health Checks Immunization

This profile sets the minimum expectations for an Immunization resource to record, search and save immunization information when used within Smart Health Checks.

Usages:

• Use this Profile: Smart Health Checks Extract Bundle
• CapabilityStatements using this Profile: SHC App and SHC Host FHIR Server

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	AUCoreImmunization	An immunisation statement in an Australian healthcare context
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:vaccineVialSerialNumber		0..1	string	Vaccine vial serial number URL: http://hl7.org.au/fhir/StructureDefinition/vaccine-serial-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SOΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate & SHALL:persist SHC Host FHIR Server SHALL:populate SHC App
vaccineCode	SOΣ	1..1	CodeableConcept	Vaccine product administered Binding: VaccineAdministeredValueSet (example) Additional Bindings Purpose Australian Medicines Terminology Vaccine Preferred Australian Immunisation Register Vaccine Preferred Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:amtVaccineCode	SOΣ	0..1	Coding	Code defined by a terminology system Binding: Australian Medicines Terminology Vaccine (required) Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
coding:airVaccineCode	SOΣ	0..1	Coding	Code defined by a terminology system Binding: Australian Immunisation Register Vaccine (required) Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization
text	SOΣ	0..1	string	Plain text representation of the concept Obligations Actor SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
patient	SOΣ	1..1	Reference(AU Core Patient)	Who was immunized Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate & SHALL:persist SHC Host FHIR Server SHALL:populate SHC App
Slices for occurrence[x]	SOΣ	1..1		Vaccine administration date Slice: Unordered, Open by type:$this Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization
occurrenceDateTime			dateTime S
occurrenceString			string
occurrence[x]:occurrenceDateTime	SOΣ	0..1	dateTime S	Vaccine administration date Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHOULD:populate & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
primarySource	SOΣ	0..1	boolean	Indicates context the data was recorded in Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization
lotNumber	SO	0..1	string	Vaccine lot number Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
Slices for performer	Σ	0..*	BackboneElement	Who performed event Slice: Unordered, Open by pattern:function
performer:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Individual or organization who was performing
performer:administeredBy	Σ	0..1	BackboneElement	Immunisation Administered By
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	1..1	CodeableConcept	Administering role Binding: hl7VS-providerRole - AU Extended (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AP
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Administering performer
performer:approvedBy	Σ	0..1	BackboneElement	Immunisation Approved By
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	1..1	CodeableConcept	Approver role Binding: hl7VS-providerRole - AU Extended (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: OP
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Approver
note	SOΣ	0..*	Annotation	Additional immunization notes Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization
text	SOΣ	1..1	markdown	The annotation - text content (as markdown) Obligations Actor SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
isSubpotent	?!Σ	0..1	boolean	Dose potency
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 From the FHIR Standard
Immunization.vaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code From the FHIR Standard
Immunization.vaccineCode.coding:amtVaccineCode	required	AustralianMedicinesTerminologyVaccine https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1 From this IG
Immunization.vaccineCode.coding:airVaccineCode	required	AustralianImmunisationRegisterVaccine (a valid code from https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats) https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1 From https://tx.ontoserver.csiro.au/fhir
Immunization.performer:administeredBy.function	extensible	Pattern Value: AP http://terminology.hl7.org.au/ValueSet/v2-0443-extended
Immunization.performer:approvedBy.function	extensible	Pattern Value: OP http://terminology.hl7.org.au/ValueSet/v2-0443-extended

Constraints

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

This structure is derived from AUCoreImmunization

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization			AUCoreImmunization
status	O	1..1	code	completed | entered-in-error | not-done Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate & SHALL:persist SHC Host FHIR Server SHALL:populate SHC App
vaccineCode	O	1..1	CodeableConcept	Vaccine product administered Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
Slices for coding				Content/Rules for all slices
coding:amtVaccineCode	O	0..1	Coding	Code defined by a terminology system Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
text	SO	0..1	string	Plain text representation of the concept Obligations Actor SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
patient	O	1..1	Reference(AU Core Patient)	Who was immunized Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate & SHALL:persist SHC Host FHIR Server SHALL:populate SHC App
Slices for occurrence[x]		1..1	dateTime, string	Vaccine administration date Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceDateTime	SO	0..1	dateTime S	Vaccine administration date Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHOULD:populate & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
lotNumber	O	0..1	string	Vaccine lot number Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
note
text	SO	1..1	markdown	The annotation - text content (as markdown) Obligations Actor SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	AUCoreImmunization	An immunisation statement in an Australian healthcare context
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:vaccineVialSerialNumber		0..1	string	Vaccine vial serial number URL: http://hl7.org.au/fhir/StructureDefinition/vaccine-serial-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!SOΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate & SHALL:persist SHC Host FHIR Server SHALL:populate SHC App
statusReason		0..1	CodeableConcept	Reason not done Binding: Reason Vaccine Not Administered (preferred)
vaccineCode	SOΣ	1..1	CodeableConcept	Vaccine product administered Binding: VaccineAdministeredValueSet (example) Additional Bindings Purpose Australian Medicines Terminology Vaccine Preferred Australian Immunisation Register Vaccine Preferred Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:amtVaccineCode	SOΣ	0..1	Coding	Code defined by a terminology system Binding: Australian Medicines Terminology Vaccine (required) Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
coding:airVaccineCode	SOΣ	0..1	Coding	Code defined by a terminology system Binding: Australian Immunisation Register Vaccine (required) Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization
text	SOΣ	0..1	string	Plain text representation of the concept Obligations Actor SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
patient	SOΣ	1..1	Reference(AU Core Patient)	Who was immunized Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate & SHALL:persist SHC Host FHIR Server SHALL:populate SHC App
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
Slices for occurrence[x]	SOΣ	1..1		Vaccine administration date Slice: Unordered, Open by type:$this Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization
occurrenceDateTime			dateTime S
occurrenceString			string
occurrence[x]:occurrenceDateTime	SOΣ	0..1	dateTime S	Vaccine administration date Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHOULD:populate & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
recorded		0..1	dateTime	When the immunization was first captured in the subject's record
primarySource	SOΣ	0..1	boolean	Indicates context the data was recorded in Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization
reportOrigin		0..1	CodeableConcept	Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.
location		0..1	Reference(Location)	Where immunization occurred
manufacturer		0..1	Reference(Organization)	Vaccine manufacturer
lotNumber	SO	0..1	string	Vaccine lot number Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
expirationDate		0..1	date	Vaccine expiration date
site		0..1	CodeableConcept	Body site vaccine was administered Binding: Immunisation Anatomical Site (preferred)
route		0..1	CodeableConcept	How vaccine entered body Binding: Immunisation Route of Administration (preferred)
doseQuantity		0..1	SimpleQuantity	Amount of vaccine administered
Slices for performer	Σ	0..*	BackboneElement	Who performed event Slice: Unordered, Open by pattern:function
performer:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	What type of performance was done Binding: hl7VS-providerRole - AU Extended (extensible)
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Individual or organization who was performing
performer:administeredBy	Σ	0..1	BackboneElement	Immunisation Administered By
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	1..1	CodeableConcept	Administering role Binding: hl7VS-providerRole - AU Extended (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AP
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Administering performer
performer:approvedBy	Σ	0..1	BackboneElement	Immunisation Approved By
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	1..1	CodeableConcept	Approver role Binding: hl7VS-providerRole - AU Extended (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: OP
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Approver
note	SOΣ	0..*	Annotation	Additional immunization notes Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SOΣ	1..1	markdown	The annotation - text content (as markdown) Obligations Actor SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
reasonCode		0..*	CodeableConcept	Why immunization occurred Binding: Reason Vaccine Administered (preferred)
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Why immunization occurred
isSubpotent	?!Σ	0..1	boolean	Dose potency
subpotentReason		0..*	CodeableConcept	Reason for being subpotent Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.
education	C	0..*	BackboneElement	Educational material presented to patient Constraints: imm-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
documentType		0..1	string	Educational material document identifier
reference		0..1	uri	Educational material reference pointer
publicationDate		0..1	dateTime	Educational material publication date
presentationDate		0..1	dateTime	Educational material presentation date
programEligibility		0..*	CodeableConcept	Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.
fundingSource		0..1	CodeableConcept	Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
reaction		0..*	BackboneElement	Details of a reaction that follows immunization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date		0..1	dateTime	When reaction started
detail		0..1	Reference(Observation)	Additional information on reaction
reported		0..1	boolean	Indicates self-reported reaction
protocolApplied		0..*	BackboneElement	Protocol followed by the provider
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
series		0..1	string	Name of vaccine series
authority		0..1	Reference(Organization)	Who is responsible for publishing the recommendations
targetDisease		0..*	CodeableConcept	Vaccine preventatable disease being targetted Binding: Vaccination Target Disease (preferred)
doseNumber[x]		1..1		Dose number within series
doseNumberPositiveInt			positiveInt
doseNumberString			string
seriesDoses[x]		0..1		Recommended number of doses for immunity
seriesDosesPositiveInt			positiveInt
seriesDosesString			string
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Immunization.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 From the FHIR Standard
Immunization.statusReason	preferred	ReasonVaccineNotAdministered https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-not-administered-3 From https://tx.ontoserver.csiro.au/fhir
Immunization.vaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code From the FHIR Standard
Immunization.vaccineCode.coding:amtVaccineCode	required	AustralianMedicinesTerminologyVaccine https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1 From this IG
Immunization.vaccineCode.coding:airVaccineCode	required	AustralianImmunisationRegisterVaccine (a valid code from https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats) https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1 From https://tx.ontoserver.csiro.au/fhir
Immunization.reportOrigin	example	ImmunizationOriginCodes http://hl7.org/fhir/ValueSet/immunization-origin From the FHIR Standard
Immunization.site	preferred	ImmunisationAnatomicalSite https://healthterminologies.gov.au/fhir/ValueSet/immunisation-anatomical-site-1 From https://tx.ontoserver.csiro.au/fhir
Immunization.route	preferred	ImmunisationRouteOfAdministration https://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1 From https://tx.ontoserver.csiro.au/fhir
Immunization.performer.function	extensible	Hl7VSProviderRoleAUExtended http://terminology.hl7.org.au/ValueSet/v2-0443-extended
Immunization.performer:administeredBy.function	extensible	Pattern Value: AP http://terminology.hl7.org.au/ValueSet/v2-0443-extended
Immunization.performer:approvedBy.function	extensible	Pattern Value: OP http://terminology.hl7.org.au/ValueSet/v2-0443-extended
Immunization.reasonCode	preferred	ReasonVaccineAdministered https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1 From https://tx.ontoserver.csiro.au/fhir
Immunization.subpotentReason	example	ImmunizationSubpotentReason http://hl7.org/fhir/ValueSet/immunization-subpotent-reason From the FHIR Standard
Immunization.programEligibility	example	ImmunizationProgramEligibility http://hl7.org/fhir/ValueSet/immunization-program-eligibility From the FHIR Standard
Immunization.fundingSource	example	ImmunizationFundingSource http://hl7.org/fhir/ValueSet/immunization-funding-source From the FHIR Standard
Immunization.protocolApplied.targetDisease	preferred	VaccinationTargetDisease https://healthterminologies.gov.au/fhir/ValueSet/vaccination-target-disease-1 From https://tx.ontoserver.csiro.au/fhir

Constraints

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

This structure is derived from AUCoreImmunization

Summary

Must-Support: 3 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Immunization.occurrence[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	AUCoreImmunization	An immunisation statement in an Australian healthcare context
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:vaccineVialSerialNumber		0..1	string	Vaccine vial serial number URL: http://hl7.org.au/fhir/StructureDefinition/vaccine-serial-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SOΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate & SHALL:persist SHC Host FHIR Server SHALL:populate SHC App
vaccineCode	SOΣ	1..1	CodeableConcept	Vaccine product administered Binding: VaccineAdministeredValueSet (example) Additional Bindings Purpose Australian Medicines Terminology Vaccine Preferred Australian Immunisation Register Vaccine Preferred Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:amtVaccineCode	SOΣ	0..1	Coding	Code defined by a terminology system Binding: Australian Medicines Terminology Vaccine (required) Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
coding:airVaccineCode	SOΣ	0..1	Coding	Code defined by a terminology system Binding: Australian Immunisation Register Vaccine (required) Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization
text	SOΣ	0..1	string	Plain text representation of the concept Obligations Actor SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
patient	SOΣ	1..1	Reference(AU Core Patient)	Who was immunized Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate & SHALL:persist SHC Host FHIR Server SHALL:populate SHC App
Slices for occurrence[x]	SOΣ	1..1		Vaccine administration date Slice: Unordered, Open by type:$this Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization
occurrenceDateTime			dateTime S
occurrenceString			string
occurrence[x]:occurrenceDateTime	SOΣ	0..1	dateTime S	Vaccine administration date Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHOULD:populate & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
primarySource	SOΣ	0..1	boolean	Indicates context the data was recorded in Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization
lotNumber	SO	0..1	string	Vaccine lot number Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
Slices for performer	Σ	0..*	BackboneElement	Who performed event Slice: Unordered, Open by pattern:function
performer:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Individual or organization who was performing
performer:administeredBy	Σ	0..1	BackboneElement	Immunisation Administered By
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	1..1	CodeableConcept	Administering role Binding: hl7VS-providerRole - AU Extended (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AP
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Administering performer
performer:approvedBy	Σ	0..1	BackboneElement	Immunisation Approved By
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	1..1	CodeableConcept	Approver role Binding: hl7VS-providerRole - AU Extended (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: OP
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Approver
note	SOΣ	0..*	Annotation	Additional immunization notes Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization
text	SOΣ	1..1	markdown	The annotation - text content (as markdown) Obligations Actor SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
isSubpotent	?!Σ	0..1	boolean	Dose potency
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 From the FHIR Standard
Immunization.vaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code From the FHIR Standard
Immunization.vaccineCode.coding:amtVaccineCode	required	AustralianMedicinesTerminologyVaccine https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1 From this IG
Immunization.vaccineCode.coding:airVaccineCode	required	AustralianImmunisationRegisterVaccine (a valid code from https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats) https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1 From https://tx.ontoserver.csiro.au/fhir
Immunization.performer:administeredBy.function	extensible	Pattern Value: AP http://terminology.hl7.org.au/ValueSet/v2-0443-extended
Immunization.performer:approvedBy.function	extensible	Pattern Value: OP http://terminology.hl7.org.au/ValueSet/v2-0443-extended

Constraints

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

Differential View

This structure is derived from AUCoreImmunization

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization			AUCoreImmunization
status	O	1..1	code	completed | entered-in-error | not-done Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate & SHALL:persist SHC Host FHIR Server SHALL:populate SHC App
vaccineCode	O	1..1	CodeableConcept	Vaccine product administered Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
Slices for coding				Content/Rules for all slices
coding:amtVaccineCode	O	0..1	Coding	Code defined by a terminology system Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
text	SO	0..1	string	Plain text representation of the concept Obligations Actor SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
patient	O	1..1	Reference(AU Core Patient)	Who was immunized Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate & SHALL:persist SHC Host FHIR Server SHALL:populate SHC App
Slices for occurrence[x]		1..1	dateTime, string	Vaccine administration date Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceDateTime	SO	0..1	dateTime S	Vaccine administration date Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHOULD:populate & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
lotNumber	O	0..1	string	Vaccine lot number Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
note
text	SO	1..1	markdown	The annotation - text content (as markdown) Obligations Actor SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	AUCoreImmunization	An immunisation statement in an Australian healthcare context
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:vaccineVialSerialNumber		0..1	string	Vaccine vial serial number URL: http://hl7.org.au/fhir/StructureDefinition/vaccine-serial-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!SOΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate & SHALL:persist SHC Host FHIR Server SHALL:populate SHC App
statusReason		0..1	CodeableConcept	Reason not done Binding: Reason Vaccine Not Administered (preferred)
vaccineCode	SOΣ	1..1	CodeableConcept	Vaccine product administered Binding: VaccineAdministeredValueSet (example) Additional Bindings Purpose Australian Medicines Terminology Vaccine Preferred Australian Immunisation Register Vaccine Preferred Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:amtVaccineCode	SOΣ	0..1	Coding	Code defined by a terminology system Binding: Australian Medicines Terminology Vaccine (required) Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
coding:airVaccineCode	SOΣ	0..1	Coding	Code defined by a terminology system Binding: Australian Immunisation Register Vaccine (required) Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization
text	SOΣ	0..1	string	Plain text representation of the concept Obligations Actor SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
patient	SOΣ	1..1	Reference(AU Core Patient)	Who was immunized Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate & SHALL:persist SHC Host FHIR Server SHALL:populate SHC App
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
Slices for occurrence[x]	SOΣ	1..1		Vaccine administration date Slice: Unordered, Open by type:$this Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization
occurrenceDateTime			dateTime S
occurrenceString			string
occurrence[x]:occurrenceDateTime	SOΣ	0..1	dateTime S	Vaccine administration date Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHOULD:populate & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
recorded		0..1	dateTime	When the immunization was first captured in the subject's record
primarySource	SOΣ	0..1	boolean	Indicates context the data was recorded in Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization
reportOrigin		0..1	CodeableConcept	Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.
location		0..1	Reference(Location)	Where immunization occurred
manufacturer		0..1	Reference(Organization)	Vaccine manufacturer
lotNumber	SO	0..1	string	Vaccine lot number Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
expirationDate		0..1	date	Vaccine expiration date
site		0..1	CodeableConcept	Body site vaccine was administered Binding: Immunisation Anatomical Site (preferred)
route		0..1	CodeableConcept	How vaccine entered body Binding: Immunisation Route of Administration (preferred)
doseQuantity		0..1	SimpleQuantity	Amount of vaccine administered
Slices for performer	Σ	0..*	BackboneElement	Who performed event Slice: Unordered, Open by pattern:function
performer:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	What type of performance was done Binding: hl7VS-providerRole - AU Extended (extensible)
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Individual or organization who was performing
performer:administeredBy	Σ	0..1	BackboneElement	Immunisation Administered By
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	1..1	CodeableConcept	Administering role Binding: hl7VS-providerRole - AU Extended (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AP
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Administering performer
performer:approvedBy	Σ	0..1	BackboneElement	Immunisation Approved By
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	1..1	CodeableConcept	Approver role Binding: hl7VS-providerRole - AU Extended (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: OP
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Approver
note	SOΣ	0..*	Annotation	Additional immunization notes Obligations Actor Source SHALL:populate-if-known AU Core Responder from AU Core Immunization SHALL:no-error AU Core Requester from AU Core Immunization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SOΣ	1..1	markdown	The annotation - text content (as markdown) Obligations Actor SHALL:populate-if-known & SHALL:persist SHC Host FHIR Server SHALL:populate-if-known & SHALL:process SHC App
reasonCode		0..*	CodeableConcept	Why immunization occurred Binding: Reason Vaccine Administered (preferred)
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Why immunization occurred
isSubpotent	?!Σ	0..1	boolean	Dose potency
subpotentReason		0..*	CodeableConcept	Reason for being subpotent Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.
education	C	0..*	BackboneElement	Educational material presented to patient Constraints: imm-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
documentType		0..1	string	Educational material document identifier
reference		0..1	uri	Educational material reference pointer
publicationDate		0..1	dateTime	Educational material publication date
presentationDate		0..1	dateTime	Educational material presentation date
programEligibility		0..*	CodeableConcept	Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.
fundingSource		0..1	CodeableConcept	Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
reaction		0..*	BackboneElement	Details of a reaction that follows immunization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date		0..1	dateTime	When reaction started
detail		0..1	Reference(Observation)	Additional information on reaction
reported		0..1	boolean	Indicates self-reported reaction
protocolApplied		0..*	BackboneElement	Protocol followed by the provider
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
series		0..1	string	Name of vaccine series
authority		0..1	Reference(Organization)	Who is responsible for publishing the recommendations
targetDisease		0..*	CodeableConcept	Vaccine preventatable disease being targetted Binding: Vaccination Target Disease (preferred)
doseNumber[x]		1..1		Dose number within series
doseNumberPositiveInt			positiveInt
doseNumberString			string
seriesDoses[x]		0..1		Recommended number of doses for immunity
seriesDosesPositiveInt			positiveInt
seriesDosesString			string
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Immunization.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 From the FHIR Standard
Immunization.statusReason	preferred	ReasonVaccineNotAdministered https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-not-administered-3 From https://tx.ontoserver.csiro.au/fhir
Immunization.vaccineCode	example	VaccineAdministeredValueSet http://hl7.org/fhir/ValueSet/vaccine-code From the FHIR Standard
Immunization.vaccineCode.coding:amtVaccineCode	required	AustralianMedicinesTerminologyVaccine https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1 From this IG
Immunization.vaccineCode.coding:airVaccineCode	required	AustralianImmunisationRegisterVaccine (a valid code from https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats) https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1 From https://tx.ontoserver.csiro.au/fhir
Immunization.reportOrigin	example	ImmunizationOriginCodes http://hl7.org/fhir/ValueSet/immunization-origin From the FHIR Standard
Immunization.site	preferred	ImmunisationAnatomicalSite https://healthterminologies.gov.au/fhir/ValueSet/immunisation-anatomical-site-1 From https://tx.ontoserver.csiro.au/fhir
Immunization.route	preferred	ImmunisationRouteOfAdministration https://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1 From https://tx.ontoserver.csiro.au/fhir
Immunization.performer.function	extensible	Hl7VSProviderRoleAUExtended http://terminology.hl7.org.au/ValueSet/v2-0443-extended
Immunization.performer:administeredBy.function	extensible	Pattern Value: AP http://terminology.hl7.org.au/ValueSet/v2-0443-extended
Immunization.performer:approvedBy.function	extensible	Pattern Value: OP http://terminology.hl7.org.au/ValueSet/v2-0443-extended
Immunization.reasonCode	preferred	ReasonVaccineAdministered https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1 From https://tx.ontoserver.csiro.au/fhir
Immunization.subpotentReason	example	ImmunizationSubpotentReason http://hl7.org/fhir/ValueSet/immunization-subpotent-reason From the FHIR Standard
Immunization.programEligibility	example	ImmunizationProgramEligibility http://hl7.org/fhir/ValueSet/immunization-program-eligibility From the FHIR Standard
Immunization.fundingSource	example	ImmunizationFundingSource http://hl7.org/fhir/ValueSet/immunization-funding-source From the FHIR Standard
Immunization.protocolApplied.targetDisease	preferred	VaccinationTargetDisease https://healthterminologies.gov.au/fhir/ValueSet/vaccination-target-disease-1 From https://tx.ontoserver.csiro.au/fhir

Constraints

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

This structure is derived from AUCoreImmunization

Summary

Must-Support: 3 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Immunization.occurrence[x]