Implementation Guide CH VACD, published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 6.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-vacd/ and changes regularly. See the Directory of published versions

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Resource Profile: CH VACD Immunization Recommendations

Definition of the immunization recommendation part for all documents.

Usages:

• Use this Profile: CH VACD Message Immunization Recommendation Response
• Refer to this Profile: CH VACD Immunization Recommendation Response MessageHeader
• Examples for this Profile: ImmunizationRecommendation/10-1-ImmunizationRecommendation, ImmunizationRecommendation/10-2-ImmunizationRecommendation, ImmunizationRecommendation/10-3-ImmunizationRecommendation and ImmunizationRecommendation/10-4-ImmunizationRecommendation

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
ImmunizationRecommendation		0..*	CHCoreImmunizationRecommendation	CH VACD Immunization Recommendation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..1	Resource	ImmunizationRecommendation inline resource
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
patient	Σ	1..1	Reference(CH Core Patient)	Patient
date	Σ	1..1	dateTime	Date recommendation(s) created
recommendation	ΣC	1..*	BackboneElement	Vaccine administration recommendations Constraints: imr-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
vaccineCode	Σ	0..*	CodeableConcept	Immunization Recommendation Vaccine Code Binding: CH VACD Swiss Vaccination Plan Immunizations (extensible)
targetDisease	SΣ	1..1	CodeableConcept	Disease to be immunized against Binding: CH VACD Target disease and illnesses undergone for immunization (extensible)
forecastStatus	?!Σ	1..1	CodeableConcept	Vaccine recommendation status Binding: CH VACD Swiss Recommendation Forecast Status (preferred): The reason the forecast is done.
forecastReason	SΣ	1..*	CodeableConcept	Vaccine administration status reason Binding: CH VACD Recommendation Categories for Immunizations (extensible)
dateCriterion	S	1..*	BackboneElement	Dates governing proposed immunization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).
value		1..1	dateTime	Recommended date
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ImmunizationRecommendation.​recommendation.vaccineCode	Base	extensible	CH VACD Swiss Vaccination Plan Immunizations	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.targetDisease	Base	extensible	CH VACD Target disease and illnesses undergone for immunization	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.forecastStatus	Base	preferred	CH VACD Swiss Recommendation Forecast Status	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.forecastReason	Base	extensible	CH VACD Recommendation Categories for Immunizations	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.dateCriterion.​code	Base	example	Immunization Recommendation Date Criterion Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ImmunizationRecommendation	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	ImmunizationRecommendation	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	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ImmunizationRecommendation	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()
imr-1	error	ImmunizationRecommendation.recommendation	One of vaccineCode or targetDisease SHALL be present	vaccineCode.exists() or targetDisease.exists()

This structure is derived from CHCoreImmunizationRecommendation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImmunizationRecommendation		0..*	CHCoreImmunizationRecommendation	CH VACD Immunization Recommendation
contained		0..1	Resource	ImmunizationRecommendation inline resource
recommendation
vaccineCode		0..*	CodeableConcept	Immunization Recommendation Vaccine Code Binding: CH VACD Swiss Vaccination Plan Immunizations (extensible)
targetDisease	S	1..1	CodeableConcept	Disease to be immunized against Binding: CH VACD Target disease and illnesses undergone for immunization (extensible)
forecastReason	S	1..*	CodeableConcept	Vaccine administration status reason Binding: CH VACD Recommendation Categories for Immunizations (extensible)
dateCriterion	S	1..*	BackboneElement	Dates governing proposed immunization
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ImmunizationRecommendation.​recommendation.vaccineCode	Base	extensible	CH VACD Swiss Vaccination Plan Immunizations	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.targetDisease	Base	extensible	CH VACD Target disease and illnesses undergone for immunization	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.forecastReason	Base	extensible	CH VACD Recommendation Categories for Immunizations	📦3.3.0-ci-build	CH Term v3.3

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImmunizationRecommendation		0..*	CHCoreImmunizationRecommendation	CH VACD Immunization Recommendation
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..1	Resource	ImmunizationRecommendation inline resource
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier
patient	Σ	1..1	Reference(CH Core Patient)	Patient
date	Σ	1..1	dateTime	Date recommendation(s) created
authority		0..1	Reference(CH Core Organization)	Who is responsible for protocol
recommendation	ΣC	1..*	BackboneElement	Vaccine administration recommendations Constraints: imr-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
vaccineCode	Σ	0..*	CodeableConcept	Immunization Recommendation Vaccine Code Binding: CH VACD Swiss Vaccination Plan Immunizations (extensible)
targetDisease	SΣ	1..1	CodeableConcept	Disease to be immunized against Binding: CH VACD Target disease and illnesses undergone for immunization (extensible)
contraindicatedVaccineCode	Σ	0..*	CodeableConcept	Vaccine which is contraindicated to fulfill the recommendation Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.
forecastStatus	?!Σ	1..1	CodeableConcept	Vaccine recommendation status Binding: CH VACD Swiss Recommendation Forecast Status (preferred): The reason the forecast is done.
forecastReason	SΣ	1..*	CodeableConcept	Vaccine administration status reason Binding: CH VACD Recommendation Categories for Immunizations (extensible)
dateCriterion	S	1..*	BackboneElement	Dates governing proposed 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
code		1..1	CodeableConcept	Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).
value		1..1	dateTime	Recommended date
description		0..1	string	Protocol details
series		0..1	string	Name of vaccination series
doseNumber[x]	Σ	0..1		Recommended dose number within series
doseNumberPositiveInt			positiveInt
doseNumberString			string
seriesDoses[x]		0..1		Recommended number of doses for immunity
seriesDosesPositiveInt			positiveInt
seriesDosesString			string
supportingImmunization		0..*	Reference(CH Core Immunization | ImmunizationEvaluation)	Past immunizations supporting recommendation
supportingPatientInformation		0..*	Reference(Resource)	Patient observations supporting recommendation
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ImmunizationRecommendation.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
ImmunizationRecommendation.​recommendation.vaccineCode	Base	extensible	CH VACD Swiss Vaccination Plan Immunizations	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.targetDisease	Base	extensible	CH VACD Target disease and illnesses undergone for immunization	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.contraindicatedVaccineCode	Base	example	Vaccine Administered Value Set	📍4.0.1	FHIR Std.
ImmunizationRecommendation.​recommendation.forecastStatus	Base	preferred	CH VACD Swiss Recommendation Forecast Status	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.forecastReason	Base	extensible	CH VACD Recommendation Categories for Immunizations	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.dateCriterion.​code	Base	example	Immunization Recommendation Date Criterion Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ImmunizationRecommendation	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	ImmunizationRecommendation	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	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ImmunizationRecommendation	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()
imr-1	error	ImmunizationRecommendation.recommendation	One of vaccineCode or targetDisease SHALL be present	vaccineCode.exists() or targetDisease.exists()

This structure is derived from CHCoreImmunizationRecommendation

Summary

Mandatory: 3 elements
Must-Support: 3 elements

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImmunizationRecommendation		0..*	CHCoreImmunizationRecommendation	CH VACD Immunization Recommendation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..1	Resource	ImmunizationRecommendation inline resource
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
patient	Σ	1..1	Reference(CH Core Patient)	Patient
date	Σ	1..1	dateTime	Date recommendation(s) created
recommendation	ΣC	1..*	BackboneElement	Vaccine administration recommendations Constraints: imr-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
vaccineCode	Σ	0..*	CodeableConcept	Immunization Recommendation Vaccine Code Binding: CH VACD Swiss Vaccination Plan Immunizations (extensible)
targetDisease	SΣ	1..1	CodeableConcept	Disease to be immunized against Binding: CH VACD Target disease and illnesses undergone for immunization (extensible)
forecastStatus	?!Σ	1..1	CodeableConcept	Vaccine recommendation status Binding: CH VACD Swiss Recommendation Forecast Status (preferred): The reason the forecast is done.
forecastReason	SΣ	1..*	CodeableConcept	Vaccine administration status reason Binding: CH VACD Recommendation Categories for Immunizations (extensible)
dateCriterion	S	1..*	BackboneElement	Dates governing proposed immunization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).
value		1..1	dateTime	Recommended date
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ImmunizationRecommendation.​recommendation.vaccineCode	Base	extensible	CH VACD Swiss Vaccination Plan Immunizations	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.targetDisease	Base	extensible	CH VACD Target disease and illnesses undergone for immunization	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.forecastStatus	Base	preferred	CH VACD Swiss Recommendation Forecast Status	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.forecastReason	Base	extensible	CH VACD Recommendation Categories for Immunizations	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.dateCriterion.​code	Base	example	Immunization Recommendation Date Criterion Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ImmunizationRecommendation	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	ImmunizationRecommendation	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	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ImmunizationRecommendation	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()
imr-1	error	ImmunizationRecommendation.recommendation	One of vaccineCode or targetDisease SHALL be present	vaccineCode.exists() or targetDisease.exists()

Differential View

This structure is derived from CHCoreImmunizationRecommendation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImmunizationRecommendation		0..*	CHCoreImmunizationRecommendation	CH VACD Immunization Recommendation
contained		0..1	Resource	ImmunizationRecommendation inline resource
recommendation
vaccineCode		0..*	CodeableConcept	Immunization Recommendation Vaccine Code Binding: CH VACD Swiss Vaccination Plan Immunizations (extensible)
targetDisease	S	1..1	CodeableConcept	Disease to be immunized against Binding: CH VACD Target disease and illnesses undergone for immunization (extensible)
forecastReason	S	1..*	CodeableConcept	Vaccine administration status reason Binding: CH VACD Recommendation Categories for Immunizations (extensible)
dateCriterion	S	1..*	BackboneElement	Dates governing proposed immunization
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ImmunizationRecommendation.​recommendation.vaccineCode	Base	extensible	CH VACD Swiss Vaccination Plan Immunizations	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.targetDisease	Base	extensible	CH VACD Target disease and illnesses undergone for immunization	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.forecastReason	Base	extensible	CH VACD Recommendation Categories for Immunizations	📦3.3.0-ci-build	CH Term v3.3

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImmunizationRecommendation		0..*	CHCoreImmunizationRecommendation	CH VACD Immunization Recommendation
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..1	Resource	ImmunizationRecommendation inline resource
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier
patient	Σ	1..1	Reference(CH Core Patient)	Patient
date	Σ	1..1	dateTime	Date recommendation(s) created
authority		0..1	Reference(CH Core Organization)	Who is responsible for protocol
recommendation	ΣC	1..*	BackboneElement	Vaccine administration recommendations Constraints: imr-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
vaccineCode	Σ	0..*	CodeableConcept	Immunization Recommendation Vaccine Code Binding: CH VACD Swiss Vaccination Plan Immunizations (extensible)
targetDisease	SΣ	1..1	CodeableConcept	Disease to be immunized against Binding: CH VACD Target disease and illnesses undergone for immunization (extensible)
contraindicatedVaccineCode	Σ	0..*	CodeableConcept	Vaccine which is contraindicated to fulfill the recommendation Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.
forecastStatus	?!Σ	1..1	CodeableConcept	Vaccine recommendation status Binding: CH VACD Swiss Recommendation Forecast Status (preferred): The reason the forecast is done.
forecastReason	SΣ	1..*	CodeableConcept	Vaccine administration status reason Binding: CH VACD Recommendation Categories for Immunizations (extensible)
dateCriterion	S	1..*	BackboneElement	Dates governing proposed 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
code		1..1	CodeableConcept	Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).
value		1..1	dateTime	Recommended date
description		0..1	string	Protocol details
series		0..1	string	Name of vaccination series
doseNumber[x]	Σ	0..1		Recommended dose number within series
doseNumberPositiveInt			positiveInt
doseNumberString			string
seriesDoses[x]		0..1		Recommended number of doses for immunity
seriesDosesPositiveInt			positiveInt
seriesDosesString			string
supportingImmunization		0..*	Reference(CH Core Immunization | ImmunizationEvaluation)	Past immunizations supporting recommendation
supportingPatientInformation		0..*	Reference(Resource)	Patient observations supporting recommendation
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ImmunizationRecommendation.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
ImmunizationRecommendation.​recommendation.vaccineCode	Base	extensible	CH VACD Swiss Vaccination Plan Immunizations	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.targetDisease	Base	extensible	CH VACD Target disease and illnesses undergone for immunization	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.contraindicatedVaccineCode	Base	example	Vaccine Administered Value Set	📍4.0.1	FHIR Std.
ImmunizationRecommendation.​recommendation.forecastStatus	Base	preferred	CH VACD Swiss Recommendation Forecast Status	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.forecastReason	Base	extensible	CH VACD Recommendation Categories for Immunizations	📦3.3.0-ci-build	CH Term v3.3
ImmunizationRecommendation.​recommendation.dateCriterion.​code	Base	example	Immunization Recommendation Date Criterion Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ImmunizationRecommendation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ImmunizationRecommendation	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	ImmunizationRecommendation	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	ImmunizationRecommendation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ImmunizationRecommendation	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()
imr-1	error	ImmunizationRecommendation.recommendation	One of vaccineCode or targetDisease SHALL be present	vaccineCode.exists() or targetDisease.exists()

This structure is derived from CHCoreImmunizationRecommendation

Summary

Mandatory: 3 elements
Must-Support: 3 elements

Other representations of profile: CSV, Excel, Schematron