CDC FHIR® Implementation Guide: Anonymized Electronic Initial Case Reporting (eICR), published by APHL. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/lantanagroup/FHIR-us-eicr-anonymized/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: eICR Anonymized Immunization

This Immunization profile represents an anonymized eICR Immunization.

Usage:

• Refer to this Resource Profile: eICR Anonymized Composition
• Examples for this Resource Profile: Immunization/immunization-pneumo-anon

Formal Views of Profile Content

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

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

This structure is derived from USCoreImmunizationProfile

Name	Flags	Card.	Type	Description & Constraints
Immunization			USCoreImmunizationProfile(4.0.0)
text	C	0..1	Narrative	Text summary of the resource, for human interpretation eicr-anon-text: text.div SHALL be '<div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>'
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
dataAbsentReason	S	1..1	(Complex)	Use data-absent-reason with value 'masked' URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
value[x]		1..1	code	Value of extension Fixed Value: masked
div		1..1	xhtml	Set to '<div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>'
patient		1..1	Reference(eICR Anonymized Patient)	The patient of this anonymized Immunization is the anonymized Patient
performer		0..0
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
eicr-anon-text	error	Immunization.text	text.div SHALL be '<div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>' : exists() implies `div`.toString().matches('<div xmlns="http://www.w3.org/1999/xhtml">\\s*<p>MASKED</p>\\s*</div>')

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	USCoreImmunizationProfile(4.0.0)	Immunization event information
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	C	0..1	Narrative	Text summary of the resource, for human interpretation eicr-anon-text: text.div SHALL be '<div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>'
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
dataAbsentReason	S	1..1	(Complex)	Use data-absent-reason with value 'masked' URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Fixed Value: masked
status		1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	C	1..1	xhtml	Set to '<div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>' txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes txt-2: The narrative SHALL have some non-whitespace content
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required)
statusReason	S	0..1	CodeableConcept	Reason not done Binding: ImmunizationStatusReasonCodes (example)
vaccineCode	SΣC	1..1	CodeableConcept	Vaccine Product Type (bind to CVX) Binding: CVX Vaccines Administered Vaccine Set (extensible) us-core-1: SHOULD have a translation to the NDC value set
patient	SΣ	1..1	Reference(eICR Anonymized Patient)	The patient of this anonymized Immunization is the anonymized Patient
occurrence[x]	SΣ	1..1		Vaccine administration date
occurrenceDateTime			dateTime
primarySource	SΣ	1..1	boolean	Indicates context the data was recorded in
isSubpotent	?!Σ	0..1	boolean	Dose potency
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Immunization.text.extension:dataAbsentReason.value[x]	required	Fixed Value: masked http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Immunization.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 from the FHIR Standard
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status from the FHIR Standard
Immunization.statusReason	example	ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason from the FHIR Standard
Immunization.vaccineCode	extensible	CVXVaccinesAdministeredVaccineSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6 from https://vsac.nlm.nih.gov

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()
eicr-anon-text	error	Immunization.text	text.div SHALL be '<div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>' : exists() implies `div`.toString().matches('<div xmlns="http://www.w3.org/1999/xhtml">\\s*<p>MASKED</p>\\s*</div>')
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()
txt-1	error	Immunization.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	Immunization.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()
us-core-1	best practice	Immunization.vaccineCode	SHOULD have a translation to the NDC value set : coding.where(system='http://hl7.org/fhir/sid/ndc').empty()

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	USCoreImmunizationProfile(4.0.0)	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	C	0..1	Narrative	Text summary of the resource, for human interpretation eicr-anon-text: text.div SHALL be '<div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>'
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
dataAbsentReason	S	1..1	(Complex)	Use data-absent-reason with value 'masked' URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Fixed Value: masked
status		1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	C	1..1	xhtml	Set to '<div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>' txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes txt-2: The narrative SHALL have some non-whitespace content
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!SΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required)
statusReason	S	0..1	CodeableConcept	Reason not done Binding: ImmunizationStatusReasonCodes (example)
vaccineCode	SΣC	1..1	CodeableConcept	Vaccine Product Type (bind to CVX) Binding: CVX Vaccines Administered Vaccine Set (extensible) us-core-1: SHOULD have a translation to the NDC value set
patient	SΣ	1..1	Reference(eICR Anonymized Patient)	The patient of this anonymized Immunization is the anonymized Patient
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
occurrence[x]	SΣ	1..1		Vaccine administration date
occurrenceDateTime			dateTime S
occurrenceString			string
recorded		0..1	dateTime	When the immunization was first captured in the subject's record
primarySource	SΣ	1..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)	Where immunization occurred
manufacturer		0..1	Reference(Organization)	Vaccine manufacturer
lotNumber		0..1	string	Vaccine 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	Amount of vaccine administered
note	Σ	0..*	Annotation	Additional immunization notes
reasonCode		0..*	CodeableConcept	Why immunization occurred 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 imm-1: One of documentType or reference SHALL be present
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: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.
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 Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Immunization.text.extension:dataAbsentReason.value[x]	required	Fixed Value: masked http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Immunization.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 from the FHIR Standard
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status from the FHIR Standard
Immunization.statusReason	example	ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason from the FHIR Standard
Immunization.vaccineCode	extensible	CVXVaccinesAdministeredVaccineSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6 from https://vsac.nlm.nih.gov
Immunization.reportOrigin	example	ImmunizationOriginCodes http://hl7.org/fhir/ValueSet/immunization-origin from the FHIR Standard
Immunization.site	example	CodesForImmunizationSiteOfAdministration http://hl7.org/fhir/ValueSet/immunization-site from the FHIR Standard
Immunization.route	example	ImmunizationRouteCodes http://hl7.org/fhir/ValueSet/immunization-route from the FHIR Standard
Immunization.performer.function	extensible	ImmunizationFunctionCodes http://hl7.org/fhir/ValueSet/immunization-function from the FHIR Standard
Immunization.reasonCode	example	ImmunizationReasonCodes http://hl7.org/fhir/ValueSet/immunization-reason from the FHIR Standard
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	example	ImmunizationTargetDiseaseCodes http://hl7.org/fhir/ValueSet/immunization-target-disease from the FHIR Standard

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()
eicr-anon-text	error	Immunization.text	text.div SHALL be '<div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>' : exists() implies `div`.toString().matches('<div xmlns="http://www.w3.org/1999/xhtml">\\s*<p>MASKED</p>\\s*</div>')
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()
txt-1	error	Immunization.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	Immunization.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()
us-core-1	best practice	Immunization.vaccineCode	SHOULD have a translation to the NDC value set : coding.where(system='http://hl7.org/fhir/sid/ndc').empty()

This structure is derived from USCoreImmunizationProfile

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 1 element
Fixed: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

• eICR Anonymized Patient (http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-patient)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/data-absent-reason

Differential View

This structure is derived from USCoreImmunizationProfile

Name	Flags	Card.	Type	Description & Constraints
Immunization			USCoreImmunizationProfile(4.0.0)
text	C	0..1	Narrative	Text summary of the resource, for human interpretation eicr-anon-text: text.div SHALL be '<div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>'
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
dataAbsentReason	S	1..1	(Complex)	Use data-absent-reason with value 'masked' URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
value[x]		1..1	code	Value of extension Fixed Value: masked
div		1..1	xhtml	Set to '<div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>'
patient		1..1	Reference(eICR Anonymized Patient)	The patient of this anonymized Immunization is the anonymized Patient
performer		0..0
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
eicr-anon-text	error	Immunization.text	text.div SHALL be '<div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>' : exists() implies `div`.toString().matches('<div xmlns="http://www.w3.org/1999/xhtml">\\s*<p>MASKED</p>\\s*</div>')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	USCoreImmunizationProfile(4.0.0)	Immunization event information
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	C	0..1	Narrative	Text summary of the resource, for human interpretation eicr-anon-text: text.div SHALL be '<div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>'
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
dataAbsentReason	S	1..1	(Complex)	Use data-absent-reason with value 'masked' URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Fixed Value: masked
status		1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	C	1..1	xhtml	Set to '<div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>' txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes txt-2: The narrative SHALL have some non-whitespace content
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required)
statusReason	S	0..1	CodeableConcept	Reason not done Binding: ImmunizationStatusReasonCodes (example)
vaccineCode	SΣC	1..1	CodeableConcept	Vaccine Product Type (bind to CVX) Binding: CVX Vaccines Administered Vaccine Set (extensible) us-core-1: SHOULD have a translation to the NDC value set
patient	SΣ	1..1	Reference(eICR Anonymized Patient)	The patient of this anonymized Immunization is the anonymized Patient
occurrence[x]	SΣ	1..1		Vaccine administration date
occurrenceDateTime			dateTime
primarySource	SΣ	1..1	boolean	Indicates context the data was recorded in
isSubpotent	?!Σ	0..1	boolean	Dose potency
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Immunization.text.extension:dataAbsentReason.value[x]	required	Fixed Value: masked http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Immunization.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 from the FHIR Standard
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status from the FHIR Standard
Immunization.statusReason	example	ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason from the FHIR Standard
Immunization.vaccineCode	extensible	CVXVaccinesAdministeredVaccineSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6 from https://vsac.nlm.nih.gov

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()
eicr-anon-text	error	Immunization.text	text.div SHALL be '<div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>' : exists() implies `div`.toString().matches('<div xmlns="http://www.w3.org/1999/xhtml">\\s*<p>MASKED</p>\\s*</div>')
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()
txt-1	error	Immunization.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	Immunization.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()
us-core-1	best practice	Immunization.vaccineCode	SHOULD have a translation to the NDC value set : coding.where(system='http://hl7.org/fhir/sid/ndc').empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	USCoreImmunizationProfile(4.0.0)	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	C	0..1	Narrative	Text summary of the resource, for human interpretation eicr-anon-text: text.div SHALL be '<div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>'
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
dataAbsentReason	S	1..1	(Complex)	Use data-absent-reason with value 'masked' URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Fixed Value: masked
status		1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	C	1..1	xhtml	Set to '<div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>' txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes txt-2: The narrative SHALL have some non-whitespace content
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!SΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required)
statusReason	S	0..1	CodeableConcept	Reason not done Binding: ImmunizationStatusReasonCodes (example)
vaccineCode	SΣC	1..1	CodeableConcept	Vaccine Product Type (bind to CVX) Binding: CVX Vaccines Administered Vaccine Set (extensible) us-core-1: SHOULD have a translation to the NDC value set
patient	SΣ	1..1	Reference(eICR Anonymized Patient)	The patient of this anonymized Immunization is the anonymized Patient
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
occurrence[x]	SΣ	1..1		Vaccine administration date
occurrenceDateTime			dateTime S
occurrenceString			string
recorded		0..1	dateTime	When the immunization was first captured in the subject's record
primarySource	SΣ	1..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)	Where immunization occurred
manufacturer		0..1	Reference(Organization)	Vaccine manufacturer
lotNumber		0..1	string	Vaccine 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	Amount of vaccine administered
note	Σ	0..*	Annotation	Additional immunization notes
reasonCode		0..*	CodeableConcept	Why immunization occurred 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 imm-1: One of documentType or reference SHALL be present
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: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.
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 Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Immunization.text.extension:dataAbsentReason.value[x]	required	Fixed Value: masked http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Immunization.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 from the FHIR Standard
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status from the FHIR Standard
Immunization.statusReason	example	ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason from the FHIR Standard
Immunization.vaccineCode	extensible	CVXVaccinesAdministeredVaccineSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6 from https://vsac.nlm.nih.gov
Immunization.reportOrigin	example	ImmunizationOriginCodes http://hl7.org/fhir/ValueSet/immunization-origin from the FHIR Standard
Immunization.site	example	CodesForImmunizationSiteOfAdministration http://hl7.org/fhir/ValueSet/immunization-site from the FHIR Standard
Immunization.route	example	ImmunizationRouteCodes http://hl7.org/fhir/ValueSet/immunization-route from the FHIR Standard
Immunization.performer.function	extensible	ImmunizationFunctionCodes http://hl7.org/fhir/ValueSet/immunization-function from the FHIR Standard
Immunization.reasonCode	example	ImmunizationReasonCodes http://hl7.org/fhir/ValueSet/immunization-reason from the FHIR Standard
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	example	ImmunizationTargetDiseaseCodes http://hl7.org/fhir/ValueSet/immunization-target-disease from the FHIR Standard

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()
eicr-anon-text	error	Immunization.text	text.div SHALL be '<div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>' : exists() implies `div`.toString().matches('<div xmlns="http://www.w3.org/1999/xhtml">\\s*<p>MASKED</p>\\s*</div>')
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()
txt-1	error	Immunization.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	Immunization.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()
us-core-1	best practice	Immunization.vaccineCode	SHOULD have a translation to the NDC value set : coding.where(system='http://hl7.org/fhir/sid/ndc').empty()

This structure is derived from USCoreImmunizationProfile

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 1 element
Fixed: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

• eICR Anonymized Patient (http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-patient)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/data-absent-reason

Other representations of profile: CSV, Excel, Schematron