HL7 Europe Base and Core FHIR IG, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/base/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
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• TTL

Resource Profile: Immunization (EU core)

This profile sets minimum expectations for the Immunization resource common to most of the use cases.

This profile constrains the Immunization resource for the purpose of this guide.

Usages:

• This Profile is not used by any profiles in this Implementation Guide

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..*	Immunization	Immunization event information
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:administeredProduct		0..1	(Complex)	Product that was administered URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.administeredProduct Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:concept		0..1	Extension	Reference to a concept (by class) Constraints: ext-1
url		1..1	uri	"concept"
extension:reference		0..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"reference"
value[x]		0..1	Reference(Medication (EU core))	Reference to a resource (by instance)
extension:_datatype		0..1	(Complex)	Data type name for Immunization.administeredProduct from FHIR R5 URL: http://hl7.org/fhir/StructureDefinition/_datatype Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/_datatype"
value[x]		1..1	string	Value of extension Fixed Value: CodeableReference
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.administeredProduct"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Immunization status. Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
statusReason		0..1	CodeableConcept	Reason for not performing. Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.
vaccineCode	Σ	1..1	CodeableConcept	Vaccine product administered Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization. Additional Bindings Purpose Documentation Vaccines WHO ATC - IPS candidate For when WHO ATC code system is preferred http://terminology.ehdsi.eu/ValueSet/eHDSIVaccine candidate For EU cross-border use
patient	Σ	1..1	Reference(Patient (EU core))	Who was immunized
occurrence[x]	Σ	1..1		Date of vaccination
occurrenceDateTime			dateTime
occurrenceString			string
location		0..1	Reference(Location (EU core))	Where immunization occurred
manufacturer		0..1	Reference(Organization)	Vaccine manufacturer/MAH
lotNumber		0..1	string	Batch/lot number
Slices for performer	Σ	0..*	BackboneElement	Who performed event Slice: Unordered, Open by value:$this.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:administeringCentreOrHp	Σ	0..*	BackboneElement	Administering centre
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. 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(Organization (EU core) | PractitionerRole (EU core) | Practitioner (EU core))	Individual or organization who was performing
reasonCode		0..*	CodeableConcept	Reasons for the administration. Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
isSubpotent	?!Σ	0..1	boolean	Dose potency
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Immunization.status	Base	required	Immunization Status Codes	📍4.0.1	FHIR Std.
Immunization.statusReason	Base	example	Immunization Status Reason Codes	📍4.0.1	FHIR Std.
Immunization.vaccineCode	Base	preferred	Vaccines - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0
Immunization.performer:administeringCentreOrHp.​function	Base	extensible	Immunization Function Codes	📍4.0.1	FHIR Std.
Immunization.reasonCode	Base	example	Immunization Reason Codes	📍4.0.1	FHIR Std.

Constraints

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

This structure is derived from Immunization

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	Immunization	Immunization event information
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:administeredProduct		0..1	(Complex)	Product that was administered URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.administeredProduct
Slices for extension				Content/Rules for all slices
extension:reference		0..1	Extension	Extension
extension		0..0		Extension
value[x]		0..1	Reference(Medication (EU core))	Reference to a resource (by instance)
value[x]		0..0		Value of extension
status		1..1	code	Immunization status.
statusReason		0..1	CodeableConcept	Reason for not performing.
vaccineCode		1..1	CodeableConcept	Vaccine product administered Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization. Additional Bindings Purpose Documentation Vaccines WHO ATC - IPS candidate For when WHO ATC code system is preferred http://terminology.ehdsi.eu/ValueSet/eHDSIVaccine candidate For EU cross-border use
patient		1..1	Reference(Patient (EU core))	Who was immunized
occurrence[x]		1..1	dateTime, string	Date of vaccination
location		0..1	Reference(Location (EU core))	Where immunization occurred
manufacturer		0..1	Reference(Organization)	Vaccine manufacturer/MAH
lotNumber		0..1	string	Batch/lot number
Slices for performer		0..*	BackboneElement	Who performed event Slice: Unordered, Open by value:$this.function
performer:administeringCentreOrHp		0..*	BackboneElement	Administering centre
function		0..1	CodeableConcept	What type of performance was done Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AP
actor		1..1	Reference(Organization (EU core) | PractitionerRole (EU core) | Practitioner (EU core))	Individual or organization who was performing
reasonCode		0..*	CodeableConcept	Reasons for the administration.
protocolApplied
targetDisease		0..*	CodeableConcept	Vaccine preventatable disease being targetted Binding: Vaccine Target Diseases - IPS (preferred): The diseases against which the patient has been immunised Additional Bindings Purpose Documentation http://terminology.ehdsi.eu/ValueSet/eHDSIIllnessandDisorder candidate For when WHO ATC code system is preferred
doseNumber[x]		1..1	positiveInt, string	Dose Number
seriesDoses[x]		0..1	positiveInt, string	Number of doses
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Immunization.vaccineCode	Base	preferred	Vaccines - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0
Immunization.protocolApplied.​targetDisease	Base	preferred	Vaccine Target Diseases - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	Immunization	Immunization event information
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:administeredProduct		0..1	(Complex)	Product that was administered URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.administeredProduct Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Closed by value:url Constraints: ext-1
extension:concept		0..1	Extension	Reference to a concept (by class) Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"concept"
value[x]		0..1	CodeableConcept	Reference to a concept (by class)
extension:reference		0..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"reference"
value[x]		0..1	Reference(Medication (EU core))	Reference to a resource (by instance)
extension:_datatype		0..1	(Complex)	Data type name for Immunization.administeredProduct from FHIR R5 URL: http://hl7.org/fhir/StructureDefinition/_datatype Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/_datatype"
value[x]		1..1	string	Value of extension Fixed Value: CodeableReference
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.administeredProduct"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!Σ	1..1	code	Immunization status. Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
statusReason		0..1	CodeableConcept	Reason for not performing. Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.
vaccineCode	Σ	1..1	CodeableConcept	Vaccine product administered Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization. Additional Bindings Purpose Documentation Vaccines WHO ATC - IPS candidate For when WHO ATC code system is preferred http://terminology.ehdsi.eu/ValueSet/eHDSIVaccine candidate For EU cross-border use
patient	Σ	1..1	Reference(Patient (EU core))	Who was immunized
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
occurrence[x]	Σ	1..1		Date of vaccination
occurrenceDateTime			dateTime
occurrenceString			string
recorded		0..1	dateTime	When the immunization was first captured in the subject's record
primarySource	Σ	0..1	boolean	Indicates context the data was recorded in
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 (EU core))	Where immunization occurred
manufacturer		0..1	Reference(Organization)	Vaccine manufacturer/MAH
lotNumber		0..1	string	Batch/lot number
expirationDate		0..1	date	Vaccine expiration date
site		0..1	CodeableConcept	Body site vaccine was administered Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.
route		0..1	CodeableConcept	How vaccine entered body Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.
doseQuantity		0..1	SimpleQuantity(4.0.1)	Amount of vaccine administered
Slices for performer	Σ	0..*	BackboneElement	Who performed event Slice: Unordered, Open by value:$this.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: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Individual or organization who was performing
performer:administeringCentreOrHp	Σ	0..*	BackboneElement	Administering centre
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: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. 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(Organization (EU core) | PractitionerRole (EU core) | Practitioner (EU core))	Individual or organization who was performing
note	Σ	0..*	Annotation	Additional immunization notes
reasonCode		0..*	CodeableConcept	Reasons for the administration. Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
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: Vaccine Target Diseases - IPS (preferred): The diseases against which the patient has been immunised Additional Bindings Purpose Documentation http://terminology.ehdsi.eu/ValueSet/eHDSIIllnessandDisorder candidate For when WHO ATC code system is preferred
doseNumber[x]		1..1		Dose Number
doseNumberPositiveInt			positiveInt
doseNumberString			string
seriesDoses[x]		0..1		Number of doses
seriesDosesPositiveInt			positiveInt
seriesDosesString			string
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Immunization.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Immunization.status	Base	required	Immunization Status Codes	📍4.0.1	FHIR Std.
Immunization.statusReason	Base	example	Immunization Status Reason Codes	📍4.0.1	FHIR Std.
Immunization.vaccineCode	Base	preferred	Vaccines - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0
Immunization.reportOrigin	Base	example	Immunization Origin Codes	📍4.0.1	FHIR Std.
Immunization.site	Base	example	Codes for Immunization Site of Administration	📍4.0.1	FHIR Std.
Immunization.route	Base	example	Immunization Route Codes	📍4.0.1	FHIR Std.
Immunization.performer.​function	Base	extensible	Immunization Function Codes	📍4.0.1	FHIR Std.
Immunization.performer:administeringCentreOrHp.​function	Base	extensible	Immunization Function Codes	📍4.0.1	FHIR Std.
Immunization.reasonCode	Base	example	Immunization Reason Codes	📍4.0.1	FHIR Std.
Immunization.subpotentReason	Base	example	Immunization Subpotent Reason	📍4.0.1	FHIR Std.
Immunization.programEligibility	Base	example	Immunization Program Eligibility	📍4.0.1	FHIR Std.
Immunization.fundingSource	Base	example	Immunization Funding Source	📍4.0.1	FHIR Std.
Immunization.protocolApplied.​targetDisease	Base	preferred	Vaccine Target Diseases - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0

Constraints

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

This structure is derived from Immunization

Summary

Prohibited: 2 elements

Structures

This structure refers to these other structures:

• Medication (EU core) (http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core)
• Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)
• Location (EU core) (http://hl7.eu/fhir/base/StructureDefinition/location-eu-core)
• Organization (EU core) (http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core)
• PractitionerRole (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core)
• Practitioner (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.administeredProduct

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Immunization.performer

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	Immunization	Immunization event information
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:administeredProduct		0..1	(Complex)	Product that was administered URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.administeredProduct Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:concept		0..1	Extension	Reference to a concept (by class) Constraints: ext-1
url		1..1	uri	"concept"
extension:reference		0..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"reference"
value[x]		0..1	Reference(Medication (EU core))	Reference to a resource (by instance)
extension:_datatype		0..1	(Complex)	Data type name for Immunization.administeredProduct from FHIR R5 URL: http://hl7.org/fhir/StructureDefinition/_datatype Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/_datatype"
value[x]		1..1	string	Value of extension Fixed Value: CodeableReference
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.administeredProduct"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Immunization status. Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
statusReason		0..1	CodeableConcept	Reason for not performing. Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.
vaccineCode	Σ	1..1	CodeableConcept	Vaccine product administered Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization. Additional Bindings Purpose Documentation Vaccines WHO ATC - IPS candidate For when WHO ATC code system is preferred http://terminology.ehdsi.eu/ValueSet/eHDSIVaccine candidate For EU cross-border use
patient	Σ	1..1	Reference(Patient (EU core))	Who was immunized
occurrence[x]	Σ	1..1		Date of vaccination
occurrenceDateTime			dateTime
occurrenceString			string
location		0..1	Reference(Location (EU core))	Where immunization occurred
manufacturer		0..1	Reference(Organization)	Vaccine manufacturer/MAH
lotNumber		0..1	string	Batch/lot number
Slices for performer	Σ	0..*	BackboneElement	Who performed event Slice: Unordered, Open by value:$this.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:administeringCentreOrHp	Σ	0..*	BackboneElement	Administering centre
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. 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(Organization (EU core) | PractitionerRole (EU core) | Practitioner (EU core))	Individual or organization who was performing
reasonCode		0..*	CodeableConcept	Reasons for the administration. Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
isSubpotent	?!Σ	0..1	boolean	Dose potency
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Immunization.status	Base	required	Immunization Status Codes	📍4.0.1	FHIR Std.
Immunization.statusReason	Base	example	Immunization Status Reason Codes	📍4.0.1	FHIR Std.
Immunization.vaccineCode	Base	preferred	Vaccines - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0
Immunization.performer:administeringCentreOrHp.​function	Base	extensible	Immunization Function Codes	📍4.0.1	FHIR Std.
Immunization.reasonCode	Base	example	Immunization Reason Codes	📍4.0.1	FHIR Std.

Constraints

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

Differential View

This structure is derived from Immunization

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	Immunization	Immunization event information
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:administeredProduct		0..1	(Complex)	Product that was administered URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.administeredProduct
Slices for extension				Content/Rules for all slices
extension:reference		0..1	Extension	Extension
extension		0..0		Extension
value[x]		0..1	Reference(Medication (EU core))	Reference to a resource (by instance)
value[x]		0..0		Value of extension
status		1..1	code	Immunization status.
statusReason		0..1	CodeableConcept	Reason for not performing.
vaccineCode		1..1	CodeableConcept	Vaccine product administered Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization. Additional Bindings Purpose Documentation Vaccines WHO ATC - IPS candidate For when WHO ATC code system is preferred http://terminology.ehdsi.eu/ValueSet/eHDSIVaccine candidate For EU cross-border use
patient		1..1	Reference(Patient (EU core))	Who was immunized
occurrence[x]		1..1	dateTime, string	Date of vaccination
location		0..1	Reference(Location (EU core))	Where immunization occurred
manufacturer		0..1	Reference(Organization)	Vaccine manufacturer/MAH
lotNumber		0..1	string	Batch/lot number
Slices for performer		0..*	BackboneElement	Who performed event Slice: Unordered, Open by value:$this.function
performer:administeringCentreOrHp		0..*	BackboneElement	Administering centre
function		0..1	CodeableConcept	What type of performance was done Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AP
actor		1..1	Reference(Organization (EU core) | PractitionerRole (EU core) | Practitioner (EU core))	Individual or organization who was performing
reasonCode		0..*	CodeableConcept	Reasons for the administration.
protocolApplied
targetDisease		0..*	CodeableConcept	Vaccine preventatable disease being targetted Binding: Vaccine Target Diseases - IPS (preferred): The diseases against which the patient has been immunised Additional Bindings Purpose Documentation http://terminology.ehdsi.eu/ValueSet/eHDSIIllnessandDisorder candidate For when WHO ATC code system is preferred
doseNumber[x]		1..1	positiveInt, string	Dose Number
seriesDoses[x]		0..1	positiveInt, string	Number of doses
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Immunization.vaccineCode	Base	preferred	Vaccines - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0
Immunization.protocolApplied.​targetDisease	Base	preferred	Vaccine Target Diseases - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	Immunization	Immunization event information
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:administeredProduct		0..1	(Complex)	Product that was administered URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.administeredProduct Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Closed by value:url Constraints: ext-1
extension:concept		0..1	Extension	Reference to a concept (by class) Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"concept"
value[x]		0..1	CodeableConcept	Reference to a concept (by class)
extension:reference		0..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"reference"
value[x]		0..1	Reference(Medication (EU core))	Reference to a resource (by instance)
extension:_datatype		0..1	(Complex)	Data type name for Immunization.administeredProduct from FHIR R5 URL: http://hl7.org/fhir/StructureDefinition/_datatype Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/_datatype"
value[x]		1..1	string	Value of extension Fixed Value: CodeableReference
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.administeredProduct"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!Σ	1..1	code	Immunization status. Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
statusReason		0..1	CodeableConcept	Reason for not performing. Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.
vaccineCode	Σ	1..1	CodeableConcept	Vaccine product administered Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization. Additional Bindings Purpose Documentation Vaccines WHO ATC - IPS candidate For when WHO ATC code system is preferred http://terminology.ehdsi.eu/ValueSet/eHDSIVaccine candidate For EU cross-border use
patient	Σ	1..1	Reference(Patient (EU core))	Who was immunized
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
occurrence[x]	Σ	1..1		Date of vaccination
occurrenceDateTime			dateTime
occurrenceString			string
recorded		0..1	dateTime	When the immunization was first captured in the subject's record
primarySource	Σ	0..1	boolean	Indicates context the data was recorded in
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 (EU core))	Where immunization occurred
manufacturer		0..1	Reference(Organization)	Vaccine manufacturer/MAH
lotNumber		0..1	string	Batch/lot number
expirationDate		0..1	date	Vaccine expiration date
site		0..1	CodeableConcept	Body site vaccine was administered Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.
route		0..1	CodeableConcept	How vaccine entered body Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.
doseQuantity		0..1	SimpleQuantity(4.0.1)	Amount of vaccine administered
Slices for performer	Σ	0..*	BackboneElement	Who performed event Slice: Unordered, Open by value:$this.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: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Individual or organization who was performing
performer:administeringCentreOrHp	Σ	0..*	BackboneElement	Administering centre
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: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. 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(Organization (EU core) | PractitionerRole (EU core) | Practitioner (EU core))	Individual or organization who was performing
note	Σ	0..*	Annotation	Additional immunization notes
reasonCode		0..*	CodeableConcept	Reasons for the administration. Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
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: Vaccine Target Diseases - IPS (preferred): The diseases against which the patient has been immunised Additional Bindings Purpose Documentation http://terminology.ehdsi.eu/ValueSet/eHDSIIllnessandDisorder candidate For when WHO ATC code system is preferred
doseNumber[x]		1..1		Dose Number
doseNumberPositiveInt			positiveInt
doseNumberString			string
seriesDoses[x]		0..1		Number of doses
seriesDosesPositiveInt			positiveInt
seriesDosesString			string
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Immunization.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Immunization.status	Base	required	Immunization Status Codes	📍4.0.1	FHIR Std.
Immunization.statusReason	Base	example	Immunization Status Reason Codes	📍4.0.1	FHIR Std.
Immunization.vaccineCode	Base	preferred	Vaccines - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0
Immunization.reportOrigin	Base	example	Immunization Origin Codes	📍4.0.1	FHIR Std.
Immunization.site	Base	example	Codes for Immunization Site of Administration	📍4.0.1	FHIR Std.
Immunization.route	Base	example	Immunization Route Codes	📍4.0.1	FHIR Std.
Immunization.performer.​function	Base	extensible	Immunization Function Codes	📍4.0.1	FHIR Std.
Immunization.performer:administeringCentreOrHp.​function	Base	extensible	Immunization Function Codes	📍4.0.1	FHIR Std.
Immunization.reasonCode	Base	example	Immunization Reason Codes	📍4.0.1	FHIR Std.
Immunization.subpotentReason	Base	example	Immunization Subpotent Reason	📍4.0.1	FHIR Std.
Immunization.programEligibility	Base	example	Immunization Program Eligibility	📍4.0.1	FHIR Std.
Immunization.fundingSource	Base	example	Immunization Funding Source	📍4.0.1	FHIR Std.
Immunization.protocolApplied.​targetDisease	Base	preferred	Vaccine Target Diseases - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0

Constraints

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

This structure is derived from Immunization

Summary

Prohibited: 2 elements

Structures

This structure refers to these other structures:

• Medication (EU core) (http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core)
• Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)
• Location (EU core) (http://hl7.eu/fhir/base/StructureDefinition/location-eu-core)
• Organization (EU core) (http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core)
• PractitionerRole (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core)
• Practitioner (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.administeredProduct

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Immunization.performer

Maturity: 1

Other representations of profile: CSV, Excel, Schematron