FHIR Release 3 (STU) R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.0.2: STU 3). (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Immunization.profile.xml

Public Health and Emergency Response Work Group Maturity Level : N/A Ballot Status : Informative Compartments : Patient , Practitioner

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StructureDefinition for immunization

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Immunization"/> 
  <meta> 
    

    <lastUpdated value="2018-04-03T12:05:46.262+10:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
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            <a href="formats.html#table" title="The logical name of the element">Name</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="formats.html#table" title="Information about the use of the element">Flags</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a> 
          </th> 
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            <a href="formats.html#table" title="Reference to the type of the element">Type</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a> 
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/> 
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            Nj6C+QmaxAek5tyAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Resource"/>  
            Immunization : Describes the event of a patient being administered a vaccination or a
             record of a vaccination as reported by a patient, a clinician or another party and may
             include vaccine reaction information and what vaccination protocol was followed.

            <span title="Immunization : Describes the event of a patient being administered a vaccine or a record
             of an immunization as reported by a patient, a clinician or another party.">Immunization</span> 

            <a name="Immunization"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            

            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color:
             black; background-color: #fff5e6" title="Ballot Status = Trial Use">TU</a> 

          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Immunization event information
            
            + If immunization was administered (notGiven=false) then explanation.reasonNotGiven SHALL
               be absent.
            
            + If immunization was not administered (notGiven=true) then there SHALL be no reaction
               nor explanation.reason present

            <br/>  Elements defined in Ancestors: 
            <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned, this
             value never changes.">id</a> , 
            <a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure.
             Changes to the content may not always be associated with version changes to the resource., 

             Changes to the content might not always be associated with version changes to the resource.">meta</a> , 

            <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed, and
             which must be understood when processing the content., 

             which must be understood when processing the content. Often, this is a reference to an
             implementation guide that defines the special rules along with other profiles etc.">implicitRules</a> , 

            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> , 
            A human-readable narrative that contains a summary of the resource, and may be used to

            <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource and can be used to
             represent the content of the resource to a human. The narrative need not encode all the
             structured data, but is required to contain sufficient detail to make it &quot;clinically
             safe&quot; for a human to just read the narrative. Resource definitions may define what
             content should be represented in the narrative to ensure clinical safety.">text</a> , 
            <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that contains
             them - they cannot be identified independently, and nor can they have their own independent
             transaction scope.">contained</a> , 
            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource. In order to make the use of extensions safe and manageable, there is
             a strict set of governance  applied to the definition and use of extensions. Though any
             implementer is allowed to define an extension, there is a set of requirements that SHALL
             be met as part of the definition of the extension., 

             of the resource. To make the use of extensions safe and manageable, there is a strict
             set of governance  applied to the definition and use of extensions. Though any implementer
             can define an extension, there is a set of requirements that SHALL be met as part of the
             definition of the extension.">extension</a> , 

            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource, and that modifies the understanding of the element that contains it.
             Usually modifier elements provide negation or qualification. In order to make the use
             of extensions safe and manageable, there is a strict set of governance applied to the
             definition and use of extensions. Though any implementer is allowed to define an extension,
             there is a set of requirements that SHALL be met as part of the definition of the extension.
             Applications processing a resource are required to check for modifier extensions.

             Usually modifier elements provide negation or qualification. To make the use of extensions
             safe and manageable, there is a strict set of governance applied to the definition and
             use of extensions. Though any implementer is allowed to define an extension, there is
             a set of requirements that SHALL be met as part of the definition of the extension. Applications
             processing a resource are required to check for modifier extensions.">modifierExtension</a> 

          </td> 
        </tr> 

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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="Immunization.identifier : A unique identifier assigned to this immunization record.">identifier</span> 
            <a name="Immunization.identifier"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#Identifier">Identifier</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Business identifier
            <br/>  
          </td> 
        </tr> 

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            <span title="Immunization.status : Indicates the current status of the immunization event.">status</span> 
            <a name="Immunization.status"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            
            

            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxcompleted | entered-in-error

           padding:0px 4px 0px 4px">completed | entered-in-error | not-done

            <br/>  
            <a href="valueset-immunization-status.html" title="A set of codes indicating the current status of an Immunization">Immunization Status Codes</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set">Required</a> )
          </td> 
        </tr> 

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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="Immunization.statusReason : Indicates the reason the immunization event was not performed.">statusReason</span> 
            <a name="Immunization.statusReason"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
            
          

           padding:0px 4px 0px 4px"/> 

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

           padding:0px 4px 0px 4px">0..1</td> 

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            

            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

           padding:0px 4px 0px 4px">Reason not done
            <br/>  
            <a href="valueset-immunization-status-reason.html" title="The reason why a vaccine was not administered">Immunization Status Reason Codes</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The

             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.vaccineCode : Vaccine that was administered or was to be administered.">vaccineCode</span> 
            <a name="Immunization.vaccineCode"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Vaccine product administered
            <br/>  
            <a href="valueset-vaccine-code.html" title="The code for vaccine product administered">Vaccine Administered Value Set</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <span title="Immunization.patient : The patient who either received or did not receive the immunization.">patient</span> 
            <a name="Immunization.patient"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="patient.html">Patient</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Who was immunized</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="Immunization.encounter : The visit or admission or other contact between patient and health
             care provider the immunization was performed as part of.">encounter</span> 
            <a name="Immunization.encounter"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="encounter.html">Encounter</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

           padding:0px 4px 0px 4px">Encounter immunization was part of</td> 

        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="Immunization.date : Date vaccine administered or was to be administered.">date</span> 
            <a name="Immunization.date"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

           padding:0px 4px 0px 4px">Vaccine administration date</td> 

        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW
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            <span title="Immunization.primarySource : An indication that the content of the record is based on
             information from the person who administered the vaccine. This reflects the context under
             which the data was originally recorded.">primarySource</span> 
            <a name="Immunization.primarySource"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#boolean">boolean</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Indicates context the data was recorded in</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.reportOrigin : The source of the data when the report of the immunization
             event is not based on information from the person who administered the vaccine.">reportOrigin</span> 
            <a name="Immunization.reportOrigin"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Indicates the source of a secondarily reported record
            <br/>  
            <a href="valueset-immunization-origin.html" title="The source of the data for a record which is not from a primary source.">Immunization Origin Codes</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.location : The service delivery location where the vaccine administration
             occurred.">location</span> 
            <a name="Immunization.location"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="location.html">Location</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

           padding:0px 4px 0px 4px">Where immunization occurred</td> 

        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            <span title="Immunization.manufacturer : Name of vaccine manufacturer.">manufacturer</span> 
            <a name="Immunization.manufacturer"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="organization.html">Organization</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Vaccine manufacturer</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.lotNumber : Lot number of the  vaccine product.">lotNumber</span> 
            <a name="Immunization.lotNumber"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Vaccine lot number</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW
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            <span title="Immunization.expirationDate : Date vaccine batch expires.">expirationDate</span> 
            <a name="Immunization.expirationDate"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#date">date</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Vaccine expiration date</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="Immunization.site : Body site where vaccine was administered.">site</span> 
            <a name="Immunization.site"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Body site vaccine  was administered
            <br/>  
            <a href="valueset-immunization-site.html" title="The site at which the vaccine was administered">Codes for Immunization Site of Administration</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.route : The path by which the vaccine product is taken into the body.">route</span> 
            <a name="Immunization.route"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">How vaccine entered body
            <br/>  
            <a href="valueset-immunization-route.html" title="The route by which the vaccine was administered">Immunization Route Codes</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.doseQuantity : The quantity of vaccine product that was administered.">doseQuantity</span> 
            <a name="Immunization.doseQuantity"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#SimpleQuantity">SimpleQuantity</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Amount of vaccine administered</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.performer : Indicates who performed the immunization event.">performer</span> 
            <a name="Immunization.performer"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            

            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Who performed event
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            Immunization.practitioner.role : Describes the type of performance (e.g. ordering provider,
             administering provider, etc.).
            

            <span title="Immunization.performer.function : Describes the type of performance (e.g. ordering provider,
             administering provider, etc.).">function</span> 
            <a name="Immunization.performer.function"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            

            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">What type of performance was done
            <br/>  
             (

            <a href="valueset-immunization-function.html" title="The role a practitioner or organization plays in the immunization event">Immunization Function Codes</a>  (
            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if
             any of the codes within the value set can apply to the concept being communicated.  If
             the value set does not cover the concept (based on human review), alternate codings (or,
             data type allowing, text) may be included instead.">Extensible</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.performer.actor : The practitioner or organization who performed the action.">actor</span> 
            <a name="Immunization.performer.actor"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            

            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            )

            <a href="practitioner.html">Practitioner</a>  | 
            <a href="organization.html">Organization</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

           padding:0px 4px 0px 4px">Individual or organization who was performing</td> 

        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.note : Extra information about the immunization that is not conveyed by the
             other attributes.">note</span> 
            <a name="Immunization.note"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            

            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Annotation">Annotation</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxVaccination notes

           padding:0px 4px 0px 4px">Additional immunization notes

            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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            <span title="Immunization.reasonCode : Reasons why the vaccine was administered.">reasonCode</span> 
            <a name="Immunization.reasonCode"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Why immunization occurred
            <br/>  
            <a href="valueset-immunization-reason.html" title="The reason why a vaccine was administered">Immunization Reason Codes</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxWhy immunization did not occur
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
            
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            FEhIdcAYJdYASFRUQhQkLCwkOFwcdEBAXhVabE52ecDahKy0oIQA7 
            Immunization.reaction : Categorical data indicating that an adverse event is associated
             in time to an immunization.
            

            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="Immunization.reasonReference : Condition, Observation or DiagnosticReport that supports

             why the immunization was administered.">reasonReference</span> 
            <a name="Immunization.reasonReference"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            

            <a href="references.html">Reference</a> (
            <a href="condition.html">Condition</a>  | 
            <a href="observation.html">Observation</a>  | 
            <a href="diagnosticreport.html">DiagnosticReport</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxDetails of a reaction that follows immunization

           padding:0px 4px 0px 4px">Why immunization occurred

            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.isPotent : Indication if a dose is considered to be subpotent. By default,
             a dose should be considered to be potent.">isPotent</span> 
            <a name="Immunization.isPotent"> </a> 
          </td> 
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            (
            )

            <a href="datatypes.html#boolean">boolean</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

           padding:0px 4px 0px 4px">Dose potency</td> 

        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.subpotentReason : Reason why a dose is considered to be subpotent.">subpotentReason</span> 
            <a name="Immunization.subpotentReason"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

           padding:0px 4px 0px 4px">0..*</td> 

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            

            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

           padding:0px 4px 0px 4px">Reason for being subpotent
            <br/>  
            <a href="valueset-immunization-subpotent-reason.html" title="The reason why a dose is considered to be subpotent">Immunization Subpotent Reason</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The

             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            FEhIdcAYJdYASFRUQhQkLCwkOFwcdEBAXhVabE52ecDahKy0oIQA7" style="background-color: white; background-color: inherit" title="Element"/>  
            Immunization.vaccinationProtocol : Contains information about the protocol(s) under which
             the vaccine was administered.
            

            <span title="Immunization.education : Educational material presented to the patient (or guardian) at
             the time of vaccine administration.">education</span> 
            <a name="Immunization.education"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

           padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element has or is affected by some invariants">I</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxWhat protocol was followed

           padding:0px 4px 0px 4px">Educational material presented to patient
            <br/>  
            <span style="font-style: italic" title="imm-1">+ One of documentType or reference SHALL be present</span> 
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <span title="Immunization.education.documentType : Identifier of the material presented to the patient.">documentType</span> 
            <a name="Immunization.education.documentType"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            

            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

           padding:0px 4px 0px 4px">Educational material document identifier</td> 

        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwA
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW
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            Immunization.vaccinationProtocol.description : Contains the description about the protocol
             under which the vaccine was administered.
            
          
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            Immunization.vaccinationProtocol.authority : Indicates the authority who published the
             protocol.  E.g. ACIP.
            

            <span title="Immunization.education.reference : Reference pointer to the educational material given
             to the patient if the information was on line.">reference</span> 
            <a name="Immunization.education.reference"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            (
            )

            <a href="datatypes.html#uri">uri</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

           padding:0px 4px 0px 4px">Educational material reference pointer</td> 

        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            Immunization.vaccinationProtocol.series : One possible path to achieve presumed immunity
             against a disease - within the context of an authority.
            

            <span title="Immunization.education.publicationDate : Date the educational material was published.">publicationDate</span> 
            <a name="Immunization.education.publicationDate"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            

            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

           padding:0px 4px 0px 4px">Educational material publication date</td> 

        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW
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            Immunization.vaccinationProtocol.seriesDoses : The recommended number of doses to achieve
             immunity.
            

            <span title="Immunization.education.presentationDate : Date the educational material was given to the
             patient.">presentationDate</span> 
            <a name="Immunization.education.presentationDate"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            

            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

           padding:0px 4px 0px 4px">Educational material presentation date</td> 

        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <span title="Immunization.programEligibility : Indicates a patient's eligibility for a funding program.">programEligibility</span> 
            <a name="Immunization.programEligibility"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

           padding:0px 4px 0px 4px">0..*</td> 

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxDisease immunized against

           padding:0px 4px 0px 4px">Patient eligibility for a vaccination program

            <br/>  
             (

            <a href="valueset-immunization-program-eligibility.html" title="The patient's eligibility for a vaccation program">Immunization Program Eligibility</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            f3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///////yH5BAEAAH8ALAAAAAAQABAAAAfNgH+Cg36FfoOIhH4JBxBghYl/hQ
            kNAV0IVT5GkJKLCwtQaSsSdx9aR26Gcwt2IkQaNRI6dBERIzCFDSgWSW8WCDkbBnoOQ3uFARc/JQJfCAZlT0x4ZFyFBxdNQT9ZCBN
            WKQoKUQ+FEDgcdTIAV14YDmg2CgSFA0hmQC5TLE4VRTdrKJAoxOeFCzZSwsw4U6BCizwUQhQyEaAPiAwCVNCY0FCNnA6GPAwYoETI
            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7 
            Immunization.vaccinationProtocol.doseStatus : Indicates if the immunization event should
             &quot;count&quot; against  the protocol.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxIndicates if dose counts towards immunity
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG

          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAI0lEQVR42u3QIQEAAAACIL/6/4MvTAQOkLYBAAB4kAAAANwMad9AqkRjgNAAAA
          AASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiY
            FCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=
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            L+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAOZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
            ad4Hb6dXv3u0f3v1ObEgfPTlerJiP3w1v79+e7OkPrfrfnjuNOtZPrpydaxa+/YrvvdpP779ZxvFPvnwKKBQaFyF/369M2vdaqHRP
            z58/HNh/vowufFhfroxO3OkPrluv779tK0e6JzGProwvrow9m4eOnIifPTlPDPkP78+Naxaf3v0/zowfXRi+bFhLWUVv379/rnwPv
            szv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjtPbPgrqZW+/QlPz48K2EMv36866O
            UPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/LSlfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6i
            f3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///////yH5BAEAAH8ALAAAAAAQABAAAAfNgH+Cg36FfoOIhH4JBxBghYl/hQ
            kNAV0IVT5GkJKLCwtQaSsSdx9aR26Gcwt2IkQaNRI6dBERIzCFDSgWSW8WCDkbBnoOQ3uFARc/JQJfCAZlT0x4ZFyFBxdNQT9ZCBN
            WKQoKUQ+FEDgcdTIAV14YDmg2CgSFA0hmQC5TLE4VRTdrKJAoxOeFCzZSwsw4U6BCizwUQhQyEaAPiAwCVNCY0FCNnA6GPAwYoETI
            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            Immunization.vaccinationProtocol.doseStatusReason : Provides an explanation as to why
             an immunization event should or should not count against the protocol.
            

            <span title="Immunization.fundingSource : Indicates the source of the vaccine actually administered.
             This may be different than the patient eligibility (e.g. the patient may be eligible for
             a publically purchased vaccine but due to inventory issues, vaccine purchased with private
             funds was actually administered).">fundingSource</span> 
            <a name="Immunization.fundingSource"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxWhy dose does (not) count

           padding:0px 4px 0px 4px">Funding source for the vaccine

            <br/>  
            The reason for the determining if a vaccination should count or why vaccination should
             not count. (

            <a href="valueset-immunization-funding-source.html" title="The source of funding used to purchase the vaccine administered">Immunization Funding Source</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

        <tr> 
          <td class="hierarchy" colspan="5">
            <br/>  
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/>  Documentation for this format
            </a> 
          </td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status">
    <valueString value="Trial Use"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="3"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pher"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/Immunization"/> 
  <name value="Immunization"/> 
  <status value="draft"/> 
  

  <date value="2018-04-03T12:05:46+10:00"/> 
  <publisher value="Health Level Seven International (Public Health and Emergency Response)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.hl7.org/Special/committees/pher/index.cfm"/> 
    </telecom> 
  </contact> 
  
  

  <description value="Describes the event of a patient being administered a vaccine or a record of an immunization
   as reported by a patient, a clinician or another party."/> 
  <fhirVersion value="3.3.0"/> 
  <mapping> 
    <identity value="workflow"/> 
    <uri value="http://hl7.org/fhir/workflow"/> 
    <name value="Workflow Pattern"/> 
  </mapping> 
  <mapping> 
    <identity value="v2"/> 
    <uri value="http://hl7.org/v2"/> 
    <name value="HL7 v2 Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    
    
  
  
    
    
    

    <uri value="http://hl7.org/fhir/fivews"/> 
    <name value="FiveWs Pattern"/> 
  </mapping> 
  <mapping> 
    <identity value="cda"/> 
    <uri value="http://hl7.org/v3/cda"/> 
    <name value="CDA (R2)"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="Immunization"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
  <derivation value="specialization"/> 
  <snapshot> 
    <element id="Immunization">
      <path value="Immunization"/> 
      <short value="Immunization event information"/> 
      Describes the event of a patient being administered a vaccination or a record of a vaccination
       as reported by a patient, a clinician or another party and may include vaccine reaction
       information and what vaccination protocol was followed.

      <definition value="Describes the event of a patient being administered a vaccine or a record of an immunization
       as reported by a patient, a clinician or another party."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Immunization"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        <key value="dom-2"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> 
        <expression value="contained.contained.empty()"/> 
        <xpath value="not(parent::f:contained and f:contained)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-1"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/> 
        <expression value="contained.text.empty()"/> 
        <xpath value="not(parent::f:contained and f:text)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-4"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
         a meta.lastUpdated"/> 
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-3"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere
         in the resource
        
        not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f
        :reference/@value=concat('#', $id))]))

         in the resource or SHALL refer to the containing resource"/> 
        <expression value="contained.all(('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical))

        ) or descendants().where(reference = '#').exists() or descendants().where(as(canonical)
         = '#').exists())"/> 
        <xpath value="not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@va

        lue=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/> 

        <source value="DomainResource"/> 
      </constraint> 
      
        
        
        If immunization was administered (notGiven=false) then explanation.reasonNotGiven SHALL
         be absent.
        
        
      
      
        
        
        If immunization was not administered (notGiven=true) then there SHALL be no reaction nor
         explanation.reason present
        
        
      

      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Entity. Role, or Act"/> 
      </mapping> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="VXU_V04"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="SubstanceAdministration"/> 
      </mapping> 
      
        
        
      

    </element> 
    <element id="Immunization.id">
      <path value="Immunization.id"/> 
      <short value="Logical id of this artifact"/> 
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes."/> 
      <comment value="The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="Immunization.meta">
      <path value="Immunization.meta"/> 
      <short value="Metadata about the resource"/> 
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content may not always be associated with version changes to the resource.

       Changes to the content might not always be associated with version changes to the resource."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="Immunization.implicitRules">
      <path value="Immunization.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content.

       which must be understood when processing the content. Often, this is a reference to an
       implementation guide that defines the special rules along with other profiles etc."/> 

      <comment value="Asserting this rule set restricts the content to be only understood by a limited set of
       trading partners. This inherently limits the usefulness of the data in the long term.
       However, the existing health eco-system is highly fractured, and not yet ready to define,
       collect, and exchange data in a generally computable sense. Wherever possible, implementers
       and/or specification writers should avoid using this element. 

This element is labelled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation.

       and/or specification writers should avoid using this element. Often, when used, the URL
       is a reference to an implementation guide that defines these special rules as part of
       it's narrative along with other profiles, value sets, etc."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation"/> 

      <isSummary value="true"/> 
    </element> 
    <element id="Immunization.language">
      <path value="Immunization.language"/> 
      <short value="Language of the resource content"/> 
      <definition value="The base language in which the resource is written."/> 
      <comment value="Language is provided to support indexing and accessibility (typically, services such as
       text to speech use the language tag). The html language tag in the narrative applies 
       to the narrative. The language tag on the resource may be used to specify the language
       of other presentations generated from the data in the resource  Not all the content has

       of other presentations generated from the data in the resource. Not all the content has

       to be in the base language. The Resource.language should not be assumed to apply to the
       narrative automatically. If a language is specified, it should it also be specified on
       the div element in the html (see rules in HTML5 for information about the relationship
       between xml:lang and the html lang attribute)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference> 
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/> 
          </valueReference> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="A human language."/> 
        
          
        

        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/languages"/> 
      </binding> 
    </element> 
    <element id="Immunization.text">
      <path value="Immunization.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      A human-readable narrative that contains a summary of the resource, and may be used to

      <definition value="A human-readable narrative that contains a summary of the resource and can be used to
       represent the content of the resource to a human. The narrative need not encode all the
       structured data, but is required to contain sufficient detail to make it &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety."/> 
      <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative. In some cases, a resource may only have text with little or no additional
       discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary
       for data from legacy systems where information is captured as a &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded in formation is added
       later."/> 
      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <condition value="dom-1"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="Immunization.contained">
      <path value="Immunization.contained"/> 
      <short value="Contained, inline Resources"/> 
      <definition value="These resources do not have an independent existence apart from the resource that contains
       them - they cannot be identified independently, and nor can they have their own independent
       transaction scope."/> 
      <comment value="This should never be done when the content can be identified properly, as once identification
       is lost, it is extremely difficult (and context dependent) to restore it again."/> 
      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Immunization.extension">
      <path value="Immunization.extension"/> 
      <short value="Additional Content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. In order to make the use of extensions safe and manageable, there is
       a strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension.

       of the resource. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension."/> 

      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Immunization.modifierExtension">
      <path value="Immunization.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource, and that modifies the understanding of the element that contains it.
       Usually modifier elements provide negation or qualification. In order to make the use
       of extensions safe and manageable, there is a strict set of governance applied to the
       definition and use of extensions. Though any implementer is allowed to define an extension,
       there is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

       Usually modifier elements provide negation or qualification. To make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions."/> 

      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Not known why this is labelled a modifier"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Immunization.identifier">
      <path value="Immunization.identifier"/> 
      <short value="Business identifier"/> 
      <definition value="A unique identifier assigned to this immunization record."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Immunization.identifier"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id"/> 
      </mapping> 
      
        
        
      

    </element> 
    <element id="Immunization.status">
      <path value="Immunization.status"/> 
      
      
      Will generally be set to show that the immunization has been completed.

This element is labeled as a modifier because the status contains codes that mark the
       resource as not currently valid.

      <short value="completed | entered-in-error | not-done"/> 
      <definition value="Indicates the current status of the immunization event."/> 
      <comment value="Will generally be set to show that the immunization has been completed or not done.  This
       element is labeled as a modifier because the status contains codes that mark the resource
       as not currently valid."/> 

      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.status"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because it is a status element that contains statuses
       entered-in-error and not-done which means that the resource should not be treated as valid"/> 

      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImmunizationStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="A set of codes indicating the current status of an Immunization"/> 
        
          
        

        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-status"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.status"/> 
      </mapping> 
      <mapping> 
        
        

        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        
        

        <identity value="rim"/> 
        <map value="statusCode"/> 
      </mapping> 
    </element> 
    
      
      
      
      This element is labeled as a modifier because it indicates that an immunization didn't
       happen.
      

    <element id="Immunization.statusReason">
      <path value="Immunization.statusReason"/> 
      <short value="Reason not done"/> 
      <definition value="Indicates the reason the immunization event was not performed."/> 
      <comment value="This is generally only used for the status of &quot;not-done&quot;. The reason for performing
       the immunization event is captured in reasonCode, not here."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.statusReason"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        

        <code value="CodeableConcept"/> 
      </type> 
      
      

      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImmunizationStatusReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The reason why a vaccine was not administered"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-status-reason"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        

        <map value="Event.statusReason"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        
      
      
        
        

        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"/> 
      </mapping> 
    </element> 
    <element id="Immunization.vaccineCode">
      <path value="Immunization.vaccineCode"/> 
      <short value="Vaccine product administered"/> 
      <definition value="Vaccine that was administered or was to be administered."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.vaccineCode"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="VaccineCode"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The code for vaccine product administered"/> 
        
          
        

        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/vaccine-code"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.code"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.what[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-5"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".code"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable
        /manfacturedProduct/manufacturedMaterial/realmCode/code"/> 
      </mapping> 
      
        
        
      

    </element> 
    <element id="Immunization.patient">
      <path value="Immunization.patient"/> 
      <short value="Who was immunized"/> 
      <definition value="The patient who either received or did not receive the immunization."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.patient"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PID-3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".partipication[ttypeCode=].role"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        

        <map value="FiveWs.subject"/> 
      </mapping> 
    </element> 
    <element id="Immunization.encounter">
      <path value="Immunization.encounter"/> 
      

      <short value="Encounter immunization was part of"/> 
      <definition value="The visit or admission or other contact between patient and health care provider the immunization
       was performed as part of."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.encounter"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.context"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PV1-19"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="component-&gt;EncounterEvent"/> 
      </mapping> 
      
        
        
      

    </element> 
    <element id="Immunization.date">
      <path value="Immunization.date"/> 
      

      <short value="Vaccine administration date"/> 
      <definition value="Date vaccine administered or was to be administered."/> 
      <comment value="When immunizations are given a specific date and time should always be known.   When immunizations
       are patient reported, a specific date might not be known.  Although partial dates are
       allowed, an adult patient might not be able to recall the year a childhood immunization
       was given."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.date"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.occurrence.occurrenceDateTime"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.init"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".effectiveTime"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveT
        ime/value"/> 
      </mapping> 
      
        
        
      

    </element> 
    <element id="Immunization.primarySource">
      <path value="Immunization.primarySource"/> 
      <short value="Indicates context the data was recorded in"/> 
      <definition value="An indication that the content of the record is based on information from the person who
       administered the vaccine. This reflects the context under which the data was originally
       recorded."/> 
      <comment value="Reflects the “reliability” of the content."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.primarySource"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.source"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-9"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="immunization.uncertaintycode (if primary source=false, uncertainty=U)"/> 
      </mapping> 
      
        
        
      

    </element> 
    <element id="Immunization.reportOrigin">
      <path value="Immunization.reportOrigin"/> 
      <short value="Indicates the source of a secondarily reported record"/> 
      <definition value="The source of the data when the report of the immunization event is not based on information
       from the person who administered the vaccine."/> 
      Should not be populated if primarySource = True, will not be required even if primarySource
       = False.

      <comment value="Should not be populated if primarySource = True, not required even if primarySource =
       False."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.reportOrigin"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImmunizationReportOrigin"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The source of the data for a record which is not from a primary source."/> 
        
          
        

        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-origin"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.source"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-9"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        .participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported)
.participation[typeCode=INF].role[classCode=LIC] (this syntax for health care professional)
.participation[typeCode=INF].role[classCode=PRS] (this syntax for family member)
      
      
        
        

        <map value=".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported) .participation[type
        Code=INF].role[classCode=LIC] (this syntax for health care professional) .participation[typeCode=INF]
        .role[classCode=PRS] (this syntax for family member)"/> 

      </mapping> 
    </element> 
    <element id="Immunization.location">
      <path value="Immunization.location"/> 
      

      <short value="Where immunization occurred"/> 
      <definition value="The service delivery location where the vaccine administration occurred."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.location"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.location"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.where[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-27  (or RXA-11, deprecated as of v2.7)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=LOC].COCT_MT240000UV"/> 
      </mapping> 
      
        
        
      

    </element> 
    <element id="Immunization.manufacturer">
      <path value="Immunization.manufacturer"/> 
      <short value="Vaccine manufacturer"/> 
      <definition value="Name of vaccine manufacturer."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.manufacturer"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-17"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable
        /manfacturedProduct/manufacuturerOrganization/name"/> 
      </mapping> 
    </element> 
    <element id="Immunization.lotNumber">
      <path value="Immunization.lotNumber"/> 
      <short value="Vaccine lot number"/> 
      <definition value="Lot number of the  vaccine product."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.lotNumber"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-15"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable
        /manfacturedProduct/manufacturedMaterial/lotNumberText"/> 
      </mapping> 
    </element> 
    <element id="Immunization.expirationDate">
      <path value="Immunization.expirationDate"/> 
      <short value="Vaccine expiration date"/> 
      <definition value="Date vaccine batch expires."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.expirationDate"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="date"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-16"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"/> 
      </mapping> 
    </element> 
    <element id="Immunization.site">
      <path value="Immunization.site"/> 
      <short value="Body site vaccine  was administered"/> 
      <definition value="Body site where vaccine was administered."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.site"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImmunizationSite"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The site at which the vaccine was administered"/> 
        
          
        

        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-site"/> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXR-2"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="observation.targetSiteCode"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSi
        teCode/code"/> 
      </mapping> 
    </element> 
    <element id="Immunization.route">
      <path value="Immunization.route"/> 
      <short value="How vaccine entered body"/> 
      <definition value="The path by which the vaccine product is taken into the body."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.route"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImmunizationRoute"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The route by which the vaccine was administered"/> 
        
          
        

        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-route"/> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXR-1"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".routeCode"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/
        code"/> 
      </mapping> 
    </element> 
    <element id="Immunization.doseQuantity">
      <path value="Immunization.doseQuantity"/> 
      <short value="Amount of vaccine administered"/> 
      <definition value="The quantity of vaccine product that was administered."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.doseQuantity"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Quantity"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        

        <map value="RXA-6 / RXA-7"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".doseQuantity"/> 
      </mapping> 
    </element> 
    
      

    <element id="Immunization.performer">
      <path value="Immunization.performer"/> 
      <short value="Who performed event"/> 
      

      <definition value="Indicates who performed the immunization event."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Immunization.performer"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() | (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="ORC-12 / RXA-10"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/> 
      </mapping> 
    </element> 
    
      

    <element id="Immunization.performer.id">
      <path value="Immunization.performer.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      unique id for the element within a resource (for internal references). This may be any

      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    
      
      

    <element id="Immunization.performer.extension">
      <path value="Immunization.performer.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension.

       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension."/> 

      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    
      

    <element id="Immunization.performer.modifierExtension">
      <path value="Immunization.performer.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions

       of the element and that modifies the understanding of the element in which it is contained.
       Usually modifier elements provide negation or qualification. To make the use of extensions

       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions.

       use of extensions. Though any implementer can define an extension, there is a set of requirements
       that SHALL be met as part of the definition of the extension. Applications processing
       a resource are required to check for modifier extensions."/> 

      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="modifierExtension is reserved for use where modifier extensions must be used"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      

    <element id="Immunization.performer.function">
      <path value="Immunization.performer.function"/> 
      <short value="What type of performance was done"/> 
      <definition value="Describes the type of performance (e.g. ordering provider, administering provider, etc.)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.performer.function"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          

          <valueString value="ImmunizationFunction"/> 
        </extension> 
        <strength value="extensible"/> 
        
        
          
        

        <description value="The role a practitioner or organization plays in the immunization event"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-function"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        

        <map value="Event.performer.function"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation.functionCode"/> 
      </mapping> 
    </element> 
    
      
      
      

    <element id="Immunization.performer.actor">
      <path value="Immunization.performer.actor"/> 
      <short value="Individual or organization who was performing"/> 
      <definition value="The practitioner or organization who performed the action."/> 
      <comment value="When the individual practitioner who performed the action is known, it is best to send."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.performer.actor"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.actor"/> 
      </mapping> 
      <mapping> 
        
        

        <identity value="w5"/> 
        <map value="FiveWs.actor"/> 
      </mapping> 
      <mapping> 
        
        

        <identity value="rim"/> 
        <map value=".player"/> 
      </mapping> 
    </element> 
    <element id="Immunization.note">
      <path value="Immunization.note"/> 
      

      <short value="Additional immunization notes"/> 
      <definition value="Extra information about the immunization that is not conveyed by the other attributes."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Immunization.note"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.note"/> 
      </mapping> 
      <mapping> 
        
        

        <identity value="v2"/> 
        <map value="OBX-5 : OBX-3 = 48767-8"/> 
      </mapping> 
    
    
      
      
      
      
      
      
        
      
      
        
        
        
        
        
        
      

      <mapping> 
        <identity value="rim"/> 
        

        <map value="note"/> 
      </mapping> 
    </element> 
    
      
      
      
      unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

    <element id="Immunization.reasonCode">
      <path value="Immunization.reasonCode"/> 
      <short value="Why immunization occurred"/> 
      <definition value="Reasons why the vaccine was administered."/> 
      <min value="0"/> 
      

      <max value="*"/> 
      <base> 
        

        <path value="Immunization.reasonCode"/> 
        <min value="0"/> 
        

        <max value="*"/> 
      </base> 
      <type> 
        

        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImmunizationReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The reason why a vaccine was administered"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-reason"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.reasonCode"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        

        <map value="[actionNegationInd=false].reasonCode"/> 
      </mapping> 
    </element> 
    
      
      
      May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      

    <element id="Immunization.reasonReference">
      <path value="Immunization.reasonReference"/> 
      <short value="Why immunization occurred"/> 
      <definition value="Condition, Observation or DiagnosticReport that supports why the immunization was administered."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        

        <path value="Immunization.reasonReference"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        

        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.reasonReference"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        

        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      

    <element id="Immunization.isPotent">
      <path value="Immunization.isPotent"/> 
      <short value="Dose potency"/> 
      <definition value="Indication if a dose is considered to be subpotent. By default, a dose should be considered
       to be potent."/> 

      <min value="0"/> 
      

      <max value="1"/> 
      <base> 
        

        <path value="Immunization.isPotent"/> 
        <min value="0"/> 
        

        <max value="1"/> 
      </base> 
      <type> 
        

        <code value="boolean"/> 
      </type> 
      <meaningWhenMissing value="By default, a dose should be considered to be potent."/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because an immunization event with a subpotent vaccine
       doesn't protect the patient the same way as a potent dose."/> 

      <isSummary value="true"/> 
      <mapping> 
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
          
        
        
        
        
          
        
      
      
        
        

        <identity value="v2"/> 
        <map value="RXA-20 = PA (partial administration)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        

        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      

    <element id="Immunization.subpotentReason">
      <path value="Immunization.subpotentReason"/> 
      <short value="Reason for being subpotent"/> 
      <definition value="Reason why a dose is considered to be subpotent."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Immunization.subpotentReason"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          

          <valueString value="SubpotentReason"/> 
        </extension> 
        <strength value="example"/> 
        
        
          
        

        <description value="The reason why a dose is considered to be subpotent"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-subpotent-reason"/> 
      </binding> 
      <mapping> 
        
        
      
      
        
        
      
      

        <identity value="rim"/> 
        

        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      
      A reaction may be an indication of an allergy or intolerance and, if this is determined
       to be the case,  it should be recorded as a new [AllergyIntolerance](allergyintolerance.html)
       resource instance as most systems will not query against  past Immunization.reaction elements.

    <element id="Immunization.education">
      <path value="Immunization.education"/> 
      <short value="Educational material presented to patient"/> 
      <definition value="Educational material presented to the patient (or guardian) at the time of vaccine administration."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Immunization.education"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() | (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      
        
        
      

      <constraint> 
        <key value="imm-1"/> 
        <severity value="error"/> 
        <human value="One of documentType or reference SHALL be present"/> 
        <expression value="documentType.exists() or reference.exists()"/> 
        <xpath value="exists(f:documentType) or exists(f:reference)"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        

        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      

    <element id="Immunization.education.id">
      <path value="Immunization.education.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      unique id for the element within a resource (for internal references). This may be any

      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    
      
      

    <element id="Immunization.education.extension">
      <path value="Immunization.education.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension.

       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension."/> 

      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    
      

    <element id="Immunization.education.modifierExtension">
      <path value="Immunization.education.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions

       of the element and that modifies the understanding of the element in which it is contained.
       Usually modifier elements provide negation or qualification. To make the use of extensions

       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions.

       use of extensions. Though any implementer can define an extension, there is a set of requirements
       that SHALL be met as part of the definition of the extension. Applications processing
       a resource are required to check for modifier extensions."/> 

      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="modifierExtension is reserved for use where modifier extensions must be used"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      

    <element id="Immunization.education.documentType">
      <path value="Immunization.education.documentType"/> 
      <short value="Educational material document identifier"/> 
      <definition value="Identifier of the material presented to the patient."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.education.documentType"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        

        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7
         v2 VXU message - most likely would appear in OBX segments if at all)

        <map value="OBX-5 : OBX-3 = 69764-9"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        

        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      

    <element id="Immunization.education.reference">
      <path value="Immunization.education.reference"/> 
      <short value="Educational material reference pointer"/> 
      <definition value="Reference pointer to the educational material given to the patient if the information
       was on line."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.education.reference"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        
        

        <code value="uri"/> 
      </type> 
      
        
        
      

      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        

        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      

    <element id="Immunization.education.publicationDate">
      <path value="Immunization.education.publicationDate"/> 
      <short value="Educational material publication date"/> 
      <definition value="Date the educational material was published."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.education.publicationDate"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        

        <code value="dateTime"/> 
      </type> 
      
        
        
        
        
        
        
      

      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        

        <map value="OBX-5 : OBX-3 = 29768-9"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        

        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      
      unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

    <element id="Immunization.education.presentationDate">
      <path value="Immunization.education.presentationDate"/> 
      <short value="Educational material presentation date"/> 
      <definition value="Date the educational material was given to the patient."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        

        <path value="Immunization.education.presentationDate"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        

        <code value="dateTime"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        
        

        <identity value="v2"/> 
        <map value="OBX-5 : OBX-3 = 29769-7"/> 
      </mapping> 
    
    
      
      
      May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
        
        
      
      
        
      

      <mapping> 
        <identity value="rim"/> 
        

        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      

    <element id="Immunization.programEligibility">
      <path value="Immunization.programEligibility"/> 
      <short value="Patient eligibility for a vaccination program"/> 
      <definition value="Indicates a patient's eligibility for a funding program."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        

        <path value="Immunization.programEligibility"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].seque
        nceNumber
      
    
    
      
      
      
      
      
      
        
      
      
        
        outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].sourc
        e[classCode=SBADM].text
      
    
    
      
      
      
      
      
      
        
        
      
      
        
        outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].sourc
        e[classCode=SBADM].participation[typeCode=AUT].COCT_MT090200UV
      
    
    
      
      
      One possible path to achieve presumed immunity against a disease - within the context
       of an authority.
      
      
      
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].sourc
        e[classCode=SBADM].text
      
    
    
      
      
      
      
      
      

        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          

          <valueString value="ProgramEligibility"/> 
        </extension> 
        <strength value="example"/> 
        
        
          
        

        <description value="The patient's eligibility for a vaccation program"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-program-eligibility"/> 
      </binding> 
      <mapping> 
        
        

        <identity value="v2"/> 
        <map value="OBX-5 : OBX-3 = 64994-7"/> 
      </mapping> 
    
    
      
      
      
      
      
      
      
        
      
      
        
          
        
        
        
        
          
        
      

      <mapping> 
        <identity value="rim"/> 
        .participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].playedRole[class
        Code=INGR].scopedRole.scoper[classCode=MMAT].playedRole[classCode=HLTHCHRT].participation[typeCode=SB
        J].observation[classCode=OBS].value

        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      Provides an explanation as to why an immunization event should or should not count against
       the protocol.

    <element id="Immunization.fundingSource">
      <path value="Immunization.fundingSource"/> 
      <short value="Funding source for the vaccine"/> 
      <definition value="Indicates the source of the vaccine actually administered. This may be different than
       the patient eligibility (e.g. the patient may be eligible for a publically purchased vaccine
       but due to inventory issues, vaccine purchased with private funds was actually administered)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Immunization.fundingSource"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          

          <valueString value="FundingSource"/> 
        </extension> 
        <strength value="example"/> 
        The reason for the determining if a vaccination should count or why vaccination should
         not count.
        
          
        

        <description value="The source of funding used to purchase the vaccine administered"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-funding-source"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        .participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].playedRole[class
        Code=INGR].scopedRole.scoper[classCode=MMAT].playedRole[classCode=HLTHCHRT].participation[typeCode=SB
        J].observation[classCode=OBS].reasonCode

        <map value="N/A"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="Immunization">
      <path value="Immunization"/> 
      <short value="Immunization event information"/> 
      Describes the event of a patient being administered a vaccination or a record of a vaccination
       as reported by a patient, a clinician or another party and may include vaccine reaction
       information and what vaccination protocol was followed.

      <definition value="Describes the event of a patient being administered a vaccine or a record of an immunization
       as reported by a patient, a clinician or another party."/> 

      <min value="0"/> 
      <max value="*"/> 
      
        
        
        If immunization was administered (notGiven=false) then explanation.reasonNotGiven SHALL
         be absent.
        
        
      
      
        
        
        If immunization was not administered (notGiven=true) then there SHALL be no reaction nor
         explanation.reason present
        
        
      

      <mapping> 
        <identity value="workflow"/> 
        <map value="Event"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="VXU_V04"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="SubstanceAdministration"/> 
      </mapping> 
      
        
        
      

    </element> 
    <element id="Immunization.identifier">
      <path value="Immunization.identifier"/> 
      <short value="Business identifier"/> 
      <definition value="A unique identifier assigned to this immunization record."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id"/> 
      </mapping> 
      
        
        
      

    </element> 
    <element id="Immunization.status">
      <path value="Immunization.status"/> 
      
      
      Will generally be set to show that the immunization has been completed.

This element is labeled as a modifier because the status contains codes that mark the
       resource as not currently valid.

      <short value="completed | entered-in-error | not-done"/> 
      <definition value="Indicates the current status of the immunization event."/> 
      <comment value="Will generally be set to show that the immunization has been completed or not done.  This
       element is labeled as a modifier because the status contains codes that mark the resource
       as not currently valid."/> 

      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because it is a status element that contains statuses
       entered-in-error and not-done which means that the resource should not be treated as valid"/> 

      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImmunizationStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="A set of codes indicating the current status of an Immunization"/> 
        
          
        

        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-status"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.status"/> 
      </mapping> 
      <mapping> 
        
        

        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        
        

        <identity value="rim"/> 
        <map value="statusCode"/> 
      </mapping> 
    </element> 
    
      
      
      
      This element is labeled as a modifier because it indicates that an immunization didn't
       happen.
      

    <element id="Immunization.statusReason">
      <path value="Immunization.statusReason"/> 
      <short value="Reason not done"/> 
      <definition value="Indicates the reason the immunization event was not performed."/> 
      <comment value="This is generally only used for the status of &quot;not-done&quot;. The reason for performing
       the immunization event is captured in reasonCode, not here."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        

        <code value="CodeableConcept"/> 
      </type> 
      
      

      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImmunizationStatusReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The reason why a vaccine was not administered"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-status-reason"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        

        <map value="Event.statusReason"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        
      
      
        
        

        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"/> 
      </mapping> 
    </element> 
    <element id="Immunization.vaccineCode">
      <path value="Immunization.vaccineCode"/> 
      <short value="Vaccine product administered"/> 
      <definition value="Vaccine that was administered or was to be administered."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="VaccineCode"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The code for vaccine product administered"/> 
        
          
        

        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/vaccine-code"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.code"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.what[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-5"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".code"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable
        /manfacturedProduct/manufacturedMaterial/realmCode/code"/> 
      </mapping> 
      
        
        
      

    </element> 
    <element id="Immunization.patient">
      <path value="Immunization.patient"/> 
      <short value="Who was immunized"/> 
      <definition value="The patient who either received or did not receive the immunization."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PID-3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".partipication[ttypeCode=].role"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        

        <map value="FiveWs.subject"/> 
      </mapping> 
    </element> 
    <element id="Immunization.encounter">
      <path value="Immunization.encounter"/> 
      

      <short value="Encounter immunization was part of"/> 
      <definition value="The visit or admission or other contact between patient and health care provider the immunization
       was performed as part of."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.context"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PV1-19"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="component-&gt;EncounterEvent"/> 
      </mapping> 
      
        
        
      

    </element> 
    <element id="Immunization.date">
      <path value="Immunization.date"/> 
      

      <short value="Vaccine administration date"/> 
      <definition value="Date vaccine administered or was to be administered."/> 
      <comment value="When immunizations are given a specific date and time should always be known.   When immunizations
       are patient reported, a specific date might not be known.  Although partial dates are
       allowed, an adult patient might not be able to recall the year a childhood immunization
       was given."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.occurrence.occurrenceDateTime"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.init"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".effectiveTime"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveT
        ime/value"/> 
      </mapping> 
      
        
        
      

    </element> 
    <element id="Immunization.primarySource">
      <path value="Immunization.primarySource"/> 
      <short value="Indicates context the data was recorded in"/> 
      <definition value="An indication that the content of the record is based on information from the person who
       administered the vaccine. This reflects the context under which the data was originally
       recorded."/> 
      <comment value="Reflects the “reliability” of the content."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.source"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-9"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="immunization.uncertaintycode (if primary source=false, uncertainty=U)"/> 
      </mapping> 
      
        
        
      

    </element> 
    <element id="Immunization.reportOrigin">
      <path value="Immunization.reportOrigin"/> 
      <short value="Indicates the source of a secondarily reported record"/> 
      <definition value="The source of the data when the report of the immunization event is not based on information
       from the person who administered the vaccine."/> 
      Should not be populated if primarySource = True, will not be required even if primarySource
       = False.

      <comment value="Should not be populated if primarySource = True, not required even if primarySource =
       False."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImmunizationReportOrigin"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The source of the data for a record which is not from a primary source."/> 
        
          
        

        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-origin"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.source"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-9"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        .participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported)
.participation[typeCode=INF].role[classCode=LIC] (this syntax for health care professional)
.participation[typeCode=INF].role[classCode=PRS] (this syntax for family member)
      
      
        
        

        <map value=".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported) .participation[type
        Code=INF].role[classCode=LIC] (this syntax for health care professional) .participation[typeCode=INF]
        .role[classCode=PRS] (this syntax for family member)"/> 

      </mapping> 
    </element> 
    <element id="Immunization.location">
      <path value="Immunization.location"/> 
      

      <short value="Where immunization occurred"/> 
      <definition value="The service delivery location where the vaccine administration occurred."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.location"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.where[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-27  (or RXA-11, deprecated as of v2.7)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=LOC].COCT_MT240000UV"/> 
      </mapping> 
      
        
        
      

    </element> 
    <element id="Immunization.manufacturer">
      <path value="Immunization.manufacturer"/> 
      <short value="Vaccine manufacturer"/> 
      <definition value="Name of vaccine manufacturer."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-17"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable
        /manfacturedProduct/manufacuturerOrganization/name"/> 
      </mapping> 
    </element> 
    <element id="Immunization.lotNumber">
      <path value="Immunization.lotNumber"/> 
      <short value="Vaccine lot number"/> 
      <definition value="Lot number of the  vaccine product."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-15"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable
        /manfacturedProduct/manufacturedMaterial/lotNumberText"/> 
      </mapping> 
    </element> 
    <element id="Immunization.expirationDate">
      <path value="Immunization.expirationDate"/> 
      <short value="Vaccine expiration date"/> 
      <definition value="Date vaccine batch expires."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="date"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-16"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"/> 
      </mapping> 
    </element> 
    <element id="Immunization.site">
      <path value="Immunization.site"/> 
      <short value="Body site vaccine  was administered"/> 
      <definition value="Body site where vaccine was administered."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImmunizationSite"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The site at which the vaccine was administered"/> 
        
          
        

        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-site"/> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXR-2"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="observation.targetSiteCode"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSi
        teCode/code"/> 
      </mapping> 
    </element> 
    <element id="Immunization.route">
      <path value="Immunization.route"/> 
      <short value="How vaccine entered body"/> 
      <definition value="The path by which the vaccine product is taken into the body."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImmunizationRoute"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The route by which the vaccine was administered"/> 
        
          
        

        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-route"/> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXR-1"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".routeCode"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/
        code"/> 
      </mapping> 
    </element> 
    <element id="Immunization.doseQuantity">
      <path value="Immunization.doseQuantity"/> 
      <short value="Amount of vaccine administered"/> 
      <definition value="The quantity of vaccine product that was administered."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Quantity"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        

        <map value="RXA-6 / RXA-7"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".doseQuantity"/> 
      </mapping> 
    </element> 
    
      

    <element id="Immunization.performer">
      <path value="Immunization.performer"/> 
      <short value="Who performed event"/> 
      

      <definition value="Indicates who performed the immunization event."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="ORC-12 / RXA-10"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/> 
      </mapping> 
    </element> 
    
      

    <element id="Immunization.performer.function">
      <path value="Immunization.performer.function"/> 
      <short value="What type of performance was done"/> 
      <definition value="Describes the type of performance (e.g. ordering provider, administering provider, etc.)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          

          <valueString value="ImmunizationFunction"/> 
        </extension> 
        <strength value="extensible"/> 
        
        
          
        

        <description value="The role a practitioner or organization plays in the immunization event"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-function"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        

        <map value="Event.performer.function"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation.functionCode"/> 
      </mapping> 
    </element> 
    
      
      
      

    <element id="Immunization.performer.actor">
      <path value="Immunization.performer.actor"/> 
      <short value="Individual or organization who was performing"/> 
      <definition value="The practitioner or organization who performed the action."/> 
      <comment value="When the individual practitioner who performed the action is known, it is best to send."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.actor"/> 
      </mapping> 
      <mapping> 
        
        

        <identity value="w5"/> 
        <map value="FiveWs.actor"/> 
      </mapping> 
      <mapping> 
        
        

        <identity value="rim"/> 
        <map value=".player"/> 
      </mapping> 
    </element> 
    <element id="Immunization.note">
      <path value="Immunization.note"/> 
      

      <short value="Additional immunization notes"/> 
      <definition value="Extra information about the immunization that is not conveyed by the other attributes."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.note"/> 
      </mapping> 
      <mapping> 
        
        

        <identity value="v2"/> 
        <map value="OBX-5 : OBX-3 = 48767-8"/> 
      </mapping> 
    
    
      
      
      
      
      
      
        
      

      <mapping> 
        <identity value="rim"/> 
        

        <map value="note"/> 
      </mapping> 
    </element> 
    
      

    <element id="Immunization.reasonCode">
      <path value="Immunization.reasonCode"/> 
      <short value="Why immunization occurred"/> 
      

      <definition value="Reasons why the vaccine was administered."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImmunizationReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The reason why a vaccine was administered"/> 
        
          
        

        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-reason"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        

        <map value="Event.reasonCode"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="[actionNegationInd=false].reasonCode"/> 
      </mapping> 
    </element> 
    
      
      
      

    <element id="Immunization.reasonReference">
      <path value="Immunization.reasonReference"/> 
      <short value="Why immunization occurred"/> 
      <definition value="Condition, Observation or DiagnosticReport that supports why the immunization was administered."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        

        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> 
      </type> 
      
        
          
        
        
        
        
          
        
      

      <mapping> 
        <identity value="workflow"/> 
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      A reaction may be an indication of an allergy or intolerance and, if this is determined
       to be the case,  it should be recorded as a new [AllergyIntolerance](allergyintolerance.html)
       resource instance as most systems will not query against  past Immunization.reaction elements.
      
      
      
        
      
      
        
        

        <map value="Event.reasonReference"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        

        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      

    <element id="Immunization.isPotent">
      <path value="Immunization.isPotent"/> 
      <short value="Dose potency"/> 
      <definition value="Indication if a dose is considered to be subpotent. By default, a dose should be considered
       to be potent."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        

        <code value="boolean"/> 
      </type> 
      <meaningWhenMissing value="By default, a dose should be considered to be potent."/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because an immunization event with a subpotent vaccine
       doesn't protect the patient the same way as a potent dose."/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7
         v2 VXU message - most likely would appear in OBX segments if at all)

        <map value="RXA-20 = PA (partial administration)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        

        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      

    <element id="Immunization.subpotentReason">
      <path value="Immunization.subpotentReason"/> 
      <short value="Reason for being subpotent"/> 
      <definition value="Reason why a dose is considered to be subpotent."/> 
      <min value="0"/> 
      

      <max value="*"/> 
      <type> 
        
        

        <code value="CodeableConcept"/> 
      </type> 
      
        
        
      

      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SubpotentReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The reason why a dose is considered to be subpotent"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-subpotent-reason"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        

        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      

    <element id="Immunization.education">
      <path value="Immunization.education"/> 
      <short value="Educational material presented to patient"/> 
      <definition value="Educational material presented to the patient (or guardian) at the time of vaccine administration."/> 
      <min value="0"/> 
      

      <max value="*"/> 
      <type> 
        

        <code value="BackboneElement"/> 
      </type> 
      
        
        
      

      <constraint> 
        <key value="imm-1"/> 
        <severity value="error"/> 
        <human value="One of documentType or reference SHALL be present"/> 
        <expression value="documentType.exists() or reference.exists()"/> 
        <xpath value="exists(f:documentType) or exists(f:reference)"/> 
      </constraint> 
      <mapping> 
        <identity value="rim"/> 
        

        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      

    <element id="Immunization.education.documentType">
      <path value="Immunization.education.documentType"/> 
      <short value="Educational material document identifier"/> 
      <definition value="Identifier of the material presented to the patient."/> 
      <min value="0"/> 
      

      <max value="1"/> 
      <type> 
        

        <code value="string"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        

        <map value="OBX-5 : OBX-3 = 69764-9"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        

        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      

    <element id="Immunization.education.reference">
      <path value="Immunization.education.reference"/> 
      <short value="Educational material reference pointer"/> 
      <definition value="Reference pointer to the educational material given to the patient if the information
       was on line."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        

        <code value="uri"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].seque
        nceNumber

        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      

    <element id="Immunization.education.publicationDate">
      <path value="Immunization.education.publicationDate"/> 
      <short value="Educational material publication date"/> 
      <definition value="Date the educational material was published."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        

        <code value="dateTime"/> 
      </type> 
      <mapping> 
        
        outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].sourc
        e[classCode=SBADM].text

        <identity value="v2"/> 
        <map value="OBX-5 : OBX-3 = 29768-9"/> 
      </mapping> 
    
    
      
      
      
      
      
      
        
        
      

      <mapping> 
        <identity value="rim"/> 
        outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].sourc
        e[classCode=SBADM].participation[typeCode=AUT].COCT_MT090200UV

        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      One possible path to achieve presumed immunity against a disease - within the context
       of an authority.

    <element id="Immunization.education.presentationDate">
      <path value="Immunization.education.presentationDate"/> 
      <short value="Educational material presentation date"/> 
      <definition value="Date the educational material was given to the patient."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        

        <code value="dateTime"/> 
      </type> 
      <mapping> 
        
        

        <identity value="v2"/> 
        <map value="OBX-5 : OBX-3 = 29769-7"/> 
      </mapping> 
    
    
      
      
      
      
      
      
        
      

      <mapping> 
        <identity value="rim"/> 
        outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].sourc
        e[classCode=SBADM].text

        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      
      

    <element id="Immunization.programEligibility">
      <path value="Immunization.programEligibility"/> 
      <short value="Patient eligibility for a vaccination program"/> 
      <definition value="Indicates a patient's eligibility for a funding program."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          

          <valueString value="ProgramEligibility"/> 
        </extension> 
        <strength value="example"/> 
        
        
          
        

        <description value="The patient's eligibility for a vaccation program"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-program-eligibility"/> 
      </binding> 
      <mapping> 
        
        

        <identity value="v2"/> 
        <map value="OBX-5 : OBX-3 = 64994-7"/> 
      </mapping> 
    
    
      
      
      
      
      
      
      
        
      
      
        
          
        
        
        
        
          
        
      

      <mapping> 
        <identity value="rim"/> 
        .participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].playedRole[class
        Code=INGR].scopedRole.scoper[classCode=MMAT].playedRole[classCode=HLTHCHRT].participation[typeCode=SB
        J].observation[classCode=OBS].value

        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      Provides an explanation as to why an immunization event should or should not count against
       the protocol.

    <element id="Immunization.fundingSource">
      <path value="Immunization.fundingSource"/> 
      <short value="Funding source for the vaccine"/> 
      <definition value="Indicates the source of the vaccine actually administered. This may be different than
       the patient eligibility (e.g. the patient may be eligible for a publically purchased vaccine
       but due to inventory issues, vaccine purchased with private funds was actually administered)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          

          <valueString value="FundingSource"/> 
        </extension> 
        <strength value="example"/> 
        The reason for the determining if a vaccination should count or why vaccination should
         not count.
        
          
        

        <description value="The source of funding used to purchase the vaccine administered"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/immunization-funding-source"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        .participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].playedRole[class
        Code=INGR].scopedRole.scoper[classCode=MMAT].playedRole[classCode=HLTHCHRT].participation[typeCode=SB
        J].observation[classCode=OBS].reasonCode

        <map value="N/A"/> 
      </mapping> 
    </element> 
  </differential> 


</

StructureDefinition

>



Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.