Medications
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Public
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Maturity Level : N/A | Standards Status : Informative | Compartments : Patient |
Raw XML ( canonical form + also see XML Format Specification )
StructureDefinition for immunizationrecommendation
<?xml version="1.0" encoding="UTF-8"?> <StructureDefinition xmlns="http://hl7.org/fhir"> <id value="ImmunizationRecommendation"/> <meta><lastUpdated value="2023-12-18T15:12:07.602+11:00"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:<table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:<tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top">vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"> <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a> </th>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"> <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a> </th>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"> <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a> </th> <th class="hierarchy" style="width: 100px"> <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a> </th>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"> <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a> <span style="float: right"> <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"> <img alt="doco" src="data:(snipped in html view)" style="background-color: inherit"/> </a> </span> </th> </tr>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAgDsHd9/w4EQIOamFnaBgAA4M<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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAgDsHd9/w4EQIOamFnaBgAA4M MKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Resource"/>ImmunizationRecommendation : A patient's point-in-time set of recommendations (i.e.<span title="ImmunizationRecommendation : A patient's point-in-time set of recommendations (i.e. forecasting) according to a published schedule with optional supporting justification.">ImmunizationRecommendation</span> <a name="ImmunizationRecommendation"> </a> </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;<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="Standards Status = Trial Use">TU</a> </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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<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>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Guidance or advice relating to an immunization <br/> <br/> Elements defined in Ancestors:The logical id of the resource, as used in the URL for the resource. Once assigned,<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> ,The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the<a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.">meta</a> ,A reference to a set of rules that were followed when the resource was constructed, and 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<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. 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 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 "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical<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 "clinically safe" 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> ,These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource<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, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.">contained</a> ,May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, 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<a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, 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> ,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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.<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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.Modifier extensions SHALL NOT change the meaning of any elements on Resource orModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).">modifierExtension</a> </td> </tr>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>ImmunizationRecommendation.identifier : A unique identifier assigned to this particular<span title="ImmunizationRecommendation.identifier : A unique identifier assigned to this particular recommendation record.">identifier</span> <a name="ImmunizationRecommendation.identifier"> </a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; 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; null" title="This element is included in summaries">Σ</a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"> <a href="datatypes.html#Identifier">Identifier</a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Business identifier <br/> <br/> </td> </tr>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj<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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj 9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/> <span title="ImmunizationRecommendation.patient : The patient the recommendation(s) are for.">patient</span> <a name="ImmunizationRecommendation.patient"> </a> </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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; null" title="This element is included in summaries">Σ</a> </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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">Reference</a> ( <a href="patient.html">Patient</a> ) </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Who this profile is for <br/> </td> </tr>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>ImmunizationRecommendation.date : The date the immunization recommendation(s) were<span title="ImmunizationRecommendation.date : The date the immunization recommendation(s) were created.">date</span> <a name="ImmunizationRecommendation.date"> </a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; 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; null" title="This element is included in summaries">Σ</a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"> <a href="datatypes.html#dateTime">dateTime</a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Date recommendation(s) created <br/> </td> </tr>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj<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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj 9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>ImmunizationRecommendation.authority : Indicates the authority who published the<span title="ImmunizationRecommendation.authority : Indicates the authority who published the protocol (e.g. ACIP).">authority</span> <a name="ImmunizationRecommendation.authority"> </a> </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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<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>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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">Reference</a> ( <a href="organization.html">Organization</a> ) </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Who is responsible for protocol <br/> </td> </tr>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Element"/> <span title="ImmunizationRecommendation.recommendation : Vaccine administration recommendations.">recommendation</span> <a name="ImmunizationRecommendation.recommendation"> </a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; 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; null" title="This element is included in summaries">Σ</a>padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;<a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..*</td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"> <a href="types.html#BackBoneElement">BackboneElement</a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Vaccine administration recommendations <br/> <span style="font-style: italic" title="imr-1">+ Rule: One of vaccineCode or targetDisease SHALL be present</span> <br/> <br/> </td> </tr>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAwEsez6+89AqKGGJj7JzVWS+m<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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAwEsez6+89AqKGGJj7JzVWS+m m3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>ImmunizationRecommendation.recommendation.vaccineCode : Vaccine(s) or vaccine group<span title="ImmunizationRecommendation.recommendation.vaccineCode : Vaccine(s) or vaccine group that pertain to the recommendation.">vaccineCode</span> <a name="ImmunizationRecommendation.recommendation.vaccineCode"> </a> </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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; null" title="This element is included in summaries">Σ</a>padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;<a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Vaccine or vaccine group recommendation applies to <br/> Binding: <a href="valueset-vaccine-code.html">Vaccine Administered Value Set</a> (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<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/> <br/> </td> </tr>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>ImmunizationRecommendation.recommendation.targetDisease : The targeted disease<span title="ImmunizationRecommendation.recommendation.targetDisease : The targeted disease for the recommendation.">targetDisease</span> <a name="ImmunizationRecommendation.recommendation.targetDisease"> </a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; 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; null" title="This element is included in summaries">Σ</a>padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;<a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"> <a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Disease to be immunized against <br/> Binding: <a href="valueset-immunization-target-disease.html">Immunization Target Disease Codes</a> (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<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/> <br/> </td> </tr>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAwEsez6+89AqKGGJj7JzVWS+m<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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAwEsez6+89AqKGGJj7JzVWS+m m3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>ImmunizationRecommendation.recommendation.contraindicatedVaccineCode : Vaccine(s)<span title="ImmunizationRecommendation.recommendation.contraindicatedVaccineCode : Vaccine(s) which should not be used to fulfill the recommendation.">contraindicatedVaccineCode</span> <a name="ImmunizationRecommendation.recommendation.contraindicatedVaccineCode"> </a> </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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; null" title="This element is included in summaries">Σ</a> </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Vaccine which is contraindicated to fulfill the recommendation <br/> Binding: <a href="valueset-vaccine-code.html">Vaccine Administered Value Set</a> (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<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/> <br/> </td> </tr>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>ImmunizationRecommendation.recommendation.forecastStatus : Indicates the patient<span title="ImmunizationRecommendation.recommendation.forecastStatus : Indicates the patient status with respect to the path to immunity for the target disease.">forecastStatus</span> <a name="ImmunizationRecommendation.recommendation.forecastStatus"> </a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"> <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a modifier element">?!</a> <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"> <a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Vaccine recommendation status <br/> Binding: <a href="valueset-immunization-recommendation-status.html">Immunization Recommendation Status Codes</a> (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<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>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAwEsez6+89AqKGGJj7JzVWS+m<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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAwEsez6+89AqKGGJj7JzVWS+m m3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>ImmunizationRecommendation.recommendation.forecastReason : The reason for the assigned<span title="ImmunizationRecommendation.recommendation.forecastReason : The reason for the assigned forecast status.">forecastReason</span> <a name="ImmunizationRecommendation.recommendation.forecastReason"> </a> </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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; null" title="This element is included in summaries">Σ</a> </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Vaccine administration status reason <br/> Binding: <a href="valueset-immunization-recommendation-reason.html">Immunization Recommendation Reason Codes</a> (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<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/> <br/> </td> </tr>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Element"/>ImmunizationRecommendation.recommendation.dateCriterion : Vaccine date recommendations.<span title="ImmunizationRecommendation.recommendation.dateCriterion : Vaccine date recommendations. For example, earliest date to administer, latest date to administer, etc.">dateCriterion</span> <a name="ImmunizationRecommendation.recommendation.dateCriterion"> </a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"> <a href="types.html#BackBoneElement">BackboneElement</a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Dates governing proposed immunization <br/> <br/> </td> </tr>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQkAIBRDwb9r9p9BrbUSUZsLXPMgla<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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQkAIBRDwb9r9p9BrbUSUZsLXPMgla ReGmtz23H6BwAA/lkCAADALR1gq0BWueJ34gAAAABJRU5ErkJggg==)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>ImmunizationRecommendation.recommendation.dateCriterion.code : Date classification<span title="ImmunizationRecommendation.recommendation.dateCriterion.code : Date classification of recommendation. For example, earliest date to give, latest date to give, etc.">code</span> <a name="ImmunizationRecommendation.recommendation.dateCriterion.code"> </a> </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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<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>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Type of date <br/> Binding: <a href="valueset-immunization-recommendation-date-criterion.html">Immunization Recommendation Date Criterion Codes</a> (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<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>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>ImmunizationRecommendation.recommendation.dateCriterion.value : The date whose<span title="ImmunizationRecommendation.recommendation.dateCriterion.value : The date whose meaning is specified by dateCriterion.code.">value</span> <a name="ImmunizationRecommendation.recommendation.dateCriterion.value"> </a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"> <a href="datatypes.html#dateTime">dateTime</a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Recommended date <br/> </td> </tr>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAwEsez6+89AqKGGJj7JzVWS+m<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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAwEsez6+89AqKGGJj7JzVWS+m m3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>ImmunizationRecommendation.recommendation.description : Contains the description<span title="ImmunizationRecommendation.recommendation.description : Contains the description about the protocol under which the vaccine was administered.">description</span> <a name="ImmunizationRecommendation.recommendation.description"> </a> </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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<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>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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#markdown">markdown</a> </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Protocol details <br/> </td> </tr>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>ImmunizationRecommendation.recommendation.series : One possible path to achieve<span title="ImmunizationRecommendation.recommendation.series : One possible path to achieve presumed immunity against a disease - within the context of an authority.">series</span> <a name="ImmunizationRecommendation.recommendation.series"> </a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"> <a href="datatypes.html#string">string</a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Name of vaccination series <br/> </td> </tr>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAwEsez6+89AqKGGJj7JzVWS+m<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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAwEsez6+89AqKGGJj7JzVWS+m m3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>ImmunizationRecommendation.recommendation.doseNumber : Nominal position of the recommended dose in a series as determined by the evaluation and forecasting process<span title="ImmunizationRecommendation.recommendation.doseNumber : Nominal position of the recommended dose in a series as determined by the evaluation and forecasting process (e.g. dose 2 is the next recommended dose).">doseNumber</span> <a name="ImmunizationRecommendation.recommendation.doseNumber"> </a> </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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; null" title="This element is included in summaries">Σ</a> </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Recommended dose number within series <br/> </td> </tr>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>ImmunizationRecommendation.recommendation.seriesDoses : The recommended number<span title="ImmunizationRecommendation.recommendation.seriesDoses : The recommended number of doses to achieve immunity as determined by the evaluation and forecasting process.">seriesDoses</span> <a name="ImmunizationRecommendation.recommendation.seriesDoses"> </a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"> <a href="datatypes.html#string">string</a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Recommended number of doses for immunity <br/> </td> </tr>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAwEsez6+89AqKGGJj7JzVWS+m<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;bas e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAwEsez6+89AqKGGJj7JzVWS+m m3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>ImmunizationRecommendation.recommendation.supportingImmunization : Immunization<span title="ImmunizationRecommendation.recommendation.supportingImmunization : Immunization event history and/or evaluation that supports the status and recommendation.">supportingImmunization</span> <a name="ImmunizationRecommendation.recommendation.supportingImmunization"> </a> </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<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">Reference</a> ( <a href="immunization.html">Immunization</a> | <a href="immunizationevaluation.html">ImmunizationEvaluation</a> ) </td>vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Past immunizations supporting recommendation <br/> <br/> </td> </tr>border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)"> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>ImmunizationRecommendation.recommendation.supportingPatientInformation : Patient Information that supports the status and recommendation. This includes patient<span title="ImmunizationRecommendation.recommendation.supportingPatientInformation : Patient Information that supports the status and recommendation. This includes patient observations, adverse reactions and allergy/intolerance information.">supportingPatientInformation</span> <a name="ImmunizationRecommendation.recommendation.supportingPatientInformation"> </a> </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"> <a href="references.html#Reference">Reference</a> ( <a href="resourcelist.html">Any</a> ) </td>vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Patient observations supporting recommendation <br/> <br/> </td> </tr> <tr> <td class="hierarchy" colspan="5"> <br/> <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"> <img alt="doco" src="data:(snipped in html view)" style="background-color: inherit"/> Documentation for this format </a> </td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-category"> <valueString value="Clinical.Medications"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="trial-use"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"> <valueCode value="pher"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"> <valueInteger value="1"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category"> <valueCode value="patient"/> </extension><url value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"/><version value="6.0.0-ballot1"/> <name value="ImmunizationRecommendation"/> <status value="draft"/> <experimental value="false"/><date value="2023-12-18T15:12:07+11:00"/> <publisher value="HL7 International / Public Health"/> <contact> <telecom> <system value="url"/><value value="http://www.hl7.org/Special/committees/fiwg"/> </telecom> </contact> <contact> <telecom> <system value="url"/><value value="http://www.hl7.org/Special/committees/pher"/> </telecom> </contact>A patient's point-in-time set of recommendations (i.e. forecasting) according to<description value="A patient's point-in-time set of recommendations (i.e. forecasting) according to a published schedule with optional supporting justification."/> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction><fhirVersion value="6.0.0-ballot1"/> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Pattern"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/fivews"/> <name value="FiveWs Pattern Mapping"/> </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> <kind value="resource"/> <abstract value="false"/> <type value="ImmunizationRecommendation"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> <derivation value="specialization"/> <snapshot> <element id="ImmunizationRecommendation"> <path value="ImmunizationRecommendation"/> <short value="Guidance or advice relating to an immunization"/>A patient's point-in-time set of recommendations (i.e. forecasting) according to<definition value="A patient's point-in-time set of recommendations (i.e. forecasting) according to a published schedule with optional supporting justification."/> <min value="0"/> <max value="*"/> <base> <path value="ImmunizationRecommendation"/> <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()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/>If the resource is contained in another resource, it SHALL be referred to from<human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"/>contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofTy pe(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmat<expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofTy pe(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmat ched', id).empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/>If a resource is contained in another resource, it SHALL NOT have a meta.versionId<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()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-5"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> <expression value="contained.meta.security.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience<valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/> </extension> <key value="dom-6"/> <severity value="warning"/> <human value="A resource should have narrative for robust management"/> <expression value="text.`div`.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Entity, Role, or Act,SubstanceAdministration[moodCode=RMD]"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request"/> </mapping> <mapping> <identity value="w5"/> <map value="clinical.medication"/> </mapping> <mapping> <identity value="v2"/> <map value="VXU_V04"/> </mapping> </element> <element id="ImmunizationRecommendation.id"> <path value="ImmunizationRecommendation.id"/> <short value="Logical id of this artifact"/>The logical id of the resource, as used in the URL for the resource. Once assigned,<definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce<comment value="Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base><!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler<!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) --> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="ImmunizationRecommendation.meta"> <path value="ImmunizationRecommendation.meta"/> <short value="Metadata about the resource"/>The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the<definition value="The metadata about the resource. This is content that is maintained by the infrastructure. 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> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="ImmunizationRecommendation.implicitRules"> <path value="ImmunizationRecommendation.implicitRules"/> <short value="A set of rules under which this content was created"/>A reference to a set of rules that were followed when the resource was constructed, and 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<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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/>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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles,<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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its 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> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/>This element is labeled as a modifier because the implicit rules may provide additional<isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation"/> <isSummary value="true"/> </element> <element id="ImmunizationRecommendation.language"> <path value="ImmunizationRecommendation.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/>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 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<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 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> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <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="required"/> <description value="IETF language tag for a human language"/><valueSet value="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot1"/> <additional> <purpose value="starter"/> <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> </additional> </binding> </element> <element id="ImmunizationRecommendation.text"> <path value="ImmunizationRecommendation.text"/> <short value="Text summary of the resource, for human interpretation"/>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 "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical<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 "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>Contained resources do not have a 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 "text blob" or where text is additionally entered raw or narrated<comment value="Contained resources do not have a 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 "text blob" or where text is additionally entered raw or narrated and encoded information 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-6"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="ImmunizationRecommendation.contained"> <path value="ImmunizationRecommendation.contained"/> <short value="Contained, inline Resources"/>These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource<definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning."/>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. Contained resources may have profiles and tags in their meta elements,<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. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels."/> <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> <condition value="dom-2"/> <condition value="dom-4"/> <condition value="dom-3"/> <condition value="dom-5"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="ImmunizationRecommendation.extension"> <path value="ImmunizationRecommendation.extension"/> <short value="Additional content defined by implementations"/>May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, 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<definition value="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, 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."/>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<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> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint><mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="ImmunizationRecommendation.modifierExtension"> <path value="ImmunizationRecommendation.modifierExtension"/> <short value="Extensions that cannot be ignored"/>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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.<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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.Modifier extensions SHALL NOT change the meaning of any elements on Resource orModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>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<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."/>Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)."/> <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> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint><mustSupport value="false"/> <isModifier value="true"/>Modifier extensions are expected to modify the meaning or interpretation of the<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="ImmunizationRecommendation.identifier"> <path value="ImmunizationRecommendation.identifier"/> <short value="Business identifier"/> <definition value="A unique identifier assigned to this particular recommendation record."/> <min value="0"/> <max value="*"/> <base> <path value="ImmunizationRecommendation.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="ImmunizationRecommendation.patient"> <path value="ImmunizationRecommendation.patient"/> <short value="Who this profile is for"/> <definition value="The patient the recommendation(s) are for."/> <min value="1"/> <max value="1"/> <base> <path value="ImmunizationRecommendation.patient"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.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[typeCode=SUBJ].role"/> </mapping> </element> <element id="ImmunizationRecommendation.date"> <path value="ImmunizationRecommendation.date"/> <short value="Date recommendation(s) created"/> <definition value="The date the immunization recommendation(s) were created."/> <min value="1"/> <max value="1"/> <base> <path value="ImmunizationRecommendation.date"/> <min value="1"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.authoredOn"/> </mapping> <mapping> <identity value="v2"/> <map value="OBX-15"/> </mapping> <mapping> <identity value="rim"/> <map value=".partipication[typeCode=AUTH].time"/> </mapping> </element> <element id="ImmunizationRecommendation.authority"> <path value="ImmunizationRecommendation.authority"/> <short value="Who is responsible for protocol"/> <definition value="Indicates the authority who published the protocol (e.g. ACIP)."/> <min value="0"/> <max value="1"/> <base> <path value="ImmunizationRecommendation.authority"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-5 : OBX-3 = 59779-9"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT]"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation"> <path value="ImmunizationRecommendation.recommendation"/> <short value="Vaccine administration recommendations"/> <definition value="Vaccine administration recommendations."/>A given instance of the .recommendation backbone element should correspond to a<comment value="A given instance of the .recommendation backbone element should correspond to a single recommended administration."/> <min value="1"/> <max value="*"/> <base> <path value="ImmunizationRecommendation.recommendation"/> <min value="1"/> <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() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="imr-1"/> <severity value="error"/> <human value="One of vaccineCode or targetDisease SHALL be present"/> <expression value="vaccineCode.exists() or targetDisease.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode='COMP'].target[classCode=SBADM, moodCode=RMD]"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.id"> <path value="ImmunizationRecommendation.recommendation.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/>Unique id for the element within a resource (for internal references). This may<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><!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler<!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) --> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.extension"> <path value="ImmunizationRecommendation.recommendation.extension"/> <short value="Additional content defined by implementations"/>May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, 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<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, 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."/>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<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> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint><isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.modifierExtension"> <path value="ImmunizationRecommendation.recommendation.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/>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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.<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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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. Applications processing a resource are required to check for modifier extensions.Modifier extensions SHALL NOT change the meaning of any elements on Resource orModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>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<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."/>Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)."/> <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> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint><isModifier value="true"/>Modifier extensions are expected to modify the meaning or interpretation of the<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.vaccineCode"> <path value="ImmunizationRecommendation.recommendation.vaccineCode"/> <short value="Vaccine or vaccine group recommendation applies to"/> <definition value="Vaccine(s) or vaccine group that pertain to the recommendation."/> <min value="0"/> <max value="*"/> <base> <path value="ImmunizationRecommendation.recommendation.vaccineCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="imr-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <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 type of vaccine administered."/> <valueSet value="http://hl7.org/fhir/ValueSet/vaccine-code"/> </binding> <mapping> <identity value="workflow"/> <map value="Request.code"/> </mapping> <mapping> <identity value="v2"/> <map value="OBX-5 : OBX-3 = ( 30956-7 | 38890-0 )"/> </mapping> <mapping> <identity value="rim"/> <map value=".partipication[typeCode=CSM].role[classCode=ADMM].code"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.targetDisease"> <path value="ImmunizationRecommendation.recommendation.targetDisease"/> <short value="Disease to be immunized against"/> <definition value="The targeted disease for the recommendation."/>A given instance of the .recommendation backbone element should correspond to a single recommended administration but sometimes that administration (e.g. MMR) will encompass multiple diseases, thus the targetDisease element is allowed to<comment value="A given instance of the .recommendation backbone element should correspond to a single recommended administration but sometimes that administration (e.g. MMR) will encompass multiple diseases, thus the targetDisease element is allowed to repeat."/> <min value="0"/> <max value="*"/> <base> <path value="ImmunizationRecommendation.recommendation.targetDisease"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="imr-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="TargetDisease"/> </extension> <strength value="example"/> <description value="The disease that the recommended vaccination targets."/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-target-disease"/> </binding> <mapping> <identity value="v2"/> <map value="OBX-5 : OBX-3 = ( 30956-7 | 38890-0 )"/> </mapping> <mapping> <identity value="rim"/> <map value=".partipication[typeCode=CSM].role[classCode=ADMM].code"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.contraindicatedVaccineCode"> <path value="ImmunizationRecommendation.recommendation.contraindicatedVaccineCode"/> <short value="Vaccine which is contraindicated to fulfill the recommendation"/> <definition value="Vaccine(s) which should not be used to fulfill the recommendation."/> <min value="0"/> <max value="*"/> <base> <path value="ImmunizationRecommendation.recommendation.contraindicatedVaccineCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <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 type of vaccine administered."/> <valueSet value="http://hl7.org/fhir/ValueSet/vaccine-code"/> </binding> </element> <element id="ImmunizationRecommendation.recommendation.forecastStatus"> <path value="ImmunizationRecommendation.recommendation.forecastStatus"/> <short value="Vaccine recommendation status"/>Indicates the patient status with respect to the path to immunity for the target<definition value="Indicates the patient status with respect to the path to immunity for the target disease."/> <min value="1"/> <max value="1"/> <base> <path value="ImmunizationRecommendation.recommendation.forecastStatus"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/>This element is labeled as a modifier because the forecastStatus indicates whether a patient needs additional doses (due, overdue, etc.) or not (contraindicated,<isModifierReason value="This element is labeled as a modifier because the forecastStatus indicates whether a patient needs additional doses (due, overdue, etc.) or not (contraindicated, complete, etc.)."/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ImmunizationRecommendationStatus"/> </extension> <strength value="example"/> <description value="The patient's status with respect to a vaccination protocol."/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-recommendation-status"/> </binding> <mapping> <identity value="v2"/> <map value="OBX-5 : OBX-3 = 59783-1"/> </mapping> <mapping> <identity value="rim"/>.inboundRelationship[typeCode=SUBJ] .source[classCode=OBS, moodCode=EVN, code="Immunizat<map value=".inboundRelationship[typeCode=SUBJ] .source[classCode=OBS, moodCode=EVN, code="Immunizat ion Forecast Status"].value"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.forecastReason"> <path value="ImmunizationRecommendation.recommendation.forecastReason"/> <short value="Vaccine administration status reason"/> <definition value="The reason for the assigned forecast status."/> <min value="0"/> <max value="*"/> <base> <path value="ImmunizationRecommendation.recommendation.forecastReason"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ImmunizationRecommendationReason"/> </extension> <strength value="example"/> <description value="The reason for the patient's status with respect to a vaccination protocol."/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-recommendation-reason"/> </binding> <mapping> <identity value="v2"/> <map value="OBX-5 : OBX-3 = 30982-3"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.dateCriterion"> <path value="ImmunizationRecommendation.recommendation.dateCriterion"/> <short value="Dates governing proposed immunization"/>Vaccine date recommendations. For example, earliest date to administer, latest<definition value="Vaccine date recommendations. For example, earliest date to administer, latest date to administer, etc."/> <min value="0"/> <max value="*"/> <base> <path value="ImmunizationRecommendation.recommendation.dateCriterion"/> <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() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Request.occurrence[x]"/> </mapping> <mapping> <identity value="v2"/>OBX-3: 30980-7 = Next dose recommended, 59777-3 = Latest next dose should be given,<map value="OBX-3: 30980-7 = Next dose recommended, 59777-3 = Latest next dose should be given, 59778-1 = Dose is overdue"/> </mapping> <mapping> <identity value="rim"/>.outboundRelationship[typeCode='LIMIT'].target[classCode=OBS, moodCode=EVN, isCriterionInd=tr<map value=".outboundRelationship[typeCode='LIMIT'].target[classCode=OBS, moodCode=EVN, isCriterionInd=tr ue]"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.dateCriterion.id"> <path value="ImmunizationRecommendation.recommendation.dateCriterion.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/>Unique id for the element within a resource (for internal references). This may<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><!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler<!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) --> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.dateCriterion.extension"> <path value="ImmunizationRecommendation.recommendation.dateCriterion.extension"/> <short value="Additional content defined by implementations"/>May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, 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<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, 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."/>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<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> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint><isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.dateCriterion.modifierExtension"> <path value="ImmunizationRecommendation.recommendation.dateCriterion.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/>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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.<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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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. Applications processing a resource are required to check for modifier extensions.Modifier extensions SHALL NOT change the meaning of any elements on Resource orModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>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<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."/>Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)."/> <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> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint><isModifier value="true"/>Modifier extensions are expected to modify the meaning or interpretation of the<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.dateCriterion.code"> <path value="ImmunizationRecommendation.recommendation.dateCriterion.code"/> <short value="Type of date"/>Date classification of recommendation. For example, earliest date to give, latest<definition value="Date classification of recommendation. For example, earliest date to give, latest date to give, etc."/> <min value="1"/> <max value="1"/> <base> <path value="ImmunizationRecommendation.recommendation.dateCriterion.code"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ImmunizationRecommendationDateCriterion"/> </extension> <strength value="example"/>Classifies date criterion with respect to conveying information about a patient's<description value="Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.)."/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion"/> </binding> <mapping> <identity value="v2"/> <map value="OBX-3"/> </mapping> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.dateCriterion.value"> <path value="ImmunizationRecommendation.recommendation.dateCriterion.value"/> <short value="Recommended date"/> <definition value="The date whose meaning is specified by dateCriterion.code."/> <min value="1"/> <max value="1"/> <base> <path value="ImmunizationRecommendation.recommendation.dateCriterion.value"/> <min value="1"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-5"/> </mapping> <mapping> <identity value="rim"/> <map value=".value"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.description"> <path value="ImmunizationRecommendation.recommendation.description"/> <short value="Protocol details"/> <definition value="Contains the description about the protocol under which the vaccine was administered."/> <min value="0"/> <max value="1"/> <base> <path value="ImmunizationRecommendation.recommendation.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-5 : OBX-3 = 30956-7"/> </mapping> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.series"> <path value="ImmunizationRecommendation.recommendation.series"/> <short value="Name of vaccination series"/>One possible path to achieve presumed immunity against a disease - within the context<definition value="One possible path to achieve presumed immunity against a disease - within the context of an authority."/> <min value="0"/> <max value="1"/> <base> <path value="ImmunizationRecommendation.recommendation.series"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="RXA-5-administered code"/> </mapping> <mapping> <identity value="rim"/> <map value=".title"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.doseNumber"> <path value="ImmunizationRecommendation.recommendation.doseNumber"/> <short value="Recommended dose number within series"/>Nominal position of the recommended dose in a series as determined by the evaluation<definition value="Nominal position of the recommended dose in a series as determined by the evaluation and forecasting process (e.g. dose 2 is the next recommended dose)."/>The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster<comment value="The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose)."/> <min value="0"/> <max value="1"/> <base> <path value="ImmunizationRecommendation.recommendation.doseNumber"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="OBX-5 : OBX-3 = 30973-2"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP, .source[classCode=SBADM, moodCode=INT]].sequenceNumber"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.seriesDoses"> <path value="ImmunizationRecommendation.recommendation.seriesDoses"/> <short value="Recommended number of doses for immunity"/>The recommended number of doses to achieve immunity as determined by the evaluation<definition value="The recommended number of doses to achieve immunity as determined by the evaluation and forecasting process."/> <comment value="The use of an integer is preferred if known."/> <min value="0"/> <max value="1"/> <base> <path value="ImmunizationRecommendation.recommendation.seriesDoses"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-5 : OBX-3 = 59782-3"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP, .source[classCode=SBADM, moodCode=DEF]].sequenceNumber"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.supportingImmunization"> <path value="ImmunizationRecommendation.recommendation.supportingImmunization"/> <short value="Past immunizations supporting recommendation"/> <definition value="Immunization event history and/or evaluation that supports the status and recommendation."/> <min value="0"/> <max value="*"/> <base> <path value="ImmunizationRecommendation.recommendation.supportingImmunization"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationEvaluation"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="? No clear way to associate in HL7 V2 or IG"/> </mapping> <mapping> <identity value="rim"/>.outboundRelationship[typeCode=RSON].target[classCode=SBADM, moodCode=EVN, code="immuniz<map value=".outboundRelationship[typeCode=RSON].target[classCode=SBADM, moodCode=EVN, code="immuniz ation"]"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.supportingPatientInformation"> <path value="ImmunizationRecommendation.recommendation.supportingPatientInformation"/> <short value="Patient observations supporting recommendation"/>Patient Information that supports the status and recommendation. This includes<definition value="Patient Information that supports the status and recommendation. This includes patient observations, adverse reactions and allergy/intolerance information."/> <min value="0"/> <max value="*"/> <base> <path value="ImmunizationRecommendation.recommendation.supportingPatientInformation"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Request.supportingInfo"/> </mapping> <mapping> <identity value="v2"/>OBX If OBX is associated with ( RXA : RXA-5-administered code = '998^No vaccine<map value="OBX If OBX is associated with ( RXA : RXA-5-administered code = '998^No vaccine administered^CVX'), could contain the reason the vaccine was not administered"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=RSON].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> </snapshot> <differential> <element id="ImmunizationRecommendation"> <path value="ImmunizationRecommendation"/> <short value="Guidance or advice relating to an immunization"/>A patient's point-in-time set of recommendations (i.e. forecasting) according to<definition value="A patient's point-in-time set of recommendations (i.e. forecasting) according to a published schedule with optional supporting justification."/> <min value="0"/> <max value="*"/> <mustSupport value="false"/> <isModifier value="false"/> <mapping> <identity value="workflow"/> <map value="Request"/> </mapping> <mapping> <identity value="w5"/> <map value="clinical.medication"/> </mapping> <mapping> <identity value="v2"/> <map value="VXU_V04"/> </mapping> <mapping> <identity value="rim"/> <map value="SubstanceAdministration[moodCode=RMD]"/> </mapping> </element> <element id="ImmunizationRecommendation.identifier"> <path value="ImmunizationRecommendation.identifier"/> <short value="Business identifier"/> <definition value="A unique identifier assigned to this particular recommendation record."/> <min value="0"/> <max value="*"/> <type> <code value="Identifier"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="ImmunizationRecommendation.patient"> <path value="ImmunizationRecommendation.patient"/> <short value="Who this profile is for"/> <definition value="The patient the recommendation(s) are for."/> <min value="1"/> <max value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.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[typeCode=SUBJ].role"/> </mapping> </element> <element id="ImmunizationRecommendation.date"> <path value="ImmunizationRecommendation.date"/> <short value="Date recommendation(s) created"/> <definition value="The date the immunization recommendation(s) were created."/> <min value="1"/> <max value="1"/> <type> <code value="dateTime"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.authoredOn"/> </mapping> <mapping> <identity value="v2"/> <map value="OBX-15"/> </mapping> <mapping> <identity value="rim"/> <map value=".partipication[typeCode=AUTH].time"/> </mapping> </element> <element id="ImmunizationRecommendation.authority"> <path value="ImmunizationRecommendation.authority"/> <short value="Who is responsible for protocol"/> <definition value="Indicates the authority who published the protocol (e.g. ACIP)."/> <min value="0"/> <max value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-5 : OBX-3 = 59779-9"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT]"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation"> <path value="ImmunizationRecommendation.recommendation"/> <short value="Vaccine administration recommendations"/> <definition value="Vaccine administration recommendations."/>A given instance of the .recommendation backbone element should correspond to a<comment value="A given instance of the .recommendation backbone element should correspond to a single recommended administration."/> <min value="1"/> <max value="*"/> <type> <code value="BackboneElement"/> </type> <constraint> <key value="imr-1"/> <severity value="error"/> <human value="One of vaccineCode or targetDisease SHALL be present"/> <expression value="vaccineCode.exists() or targetDisease.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode='COMP'].target[classCode=SBADM, moodCode=RMD]"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.vaccineCode"> <path value="ImmunizationRecommendation.recommendation.vaccineCode"/> <short value="Vaccine or vaccine group recommendation applies to"/> <definition value="Vaccine(s) or vaccine group that pertain to the recommendation."/> <min value="0"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> <condition value="imr-1"/> <mustSupport value="false"/> <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 type of vaccine administered."/> <valueSet value="http://hl7.org/fhir/ValueSet/vaccine-code"/> </binding> <mapping> <identity value="workflow"/> <map value="Request.code"/> </mapping> <mapping> <identity value="v2"/> <map value="OBX-5 : OBX-3 = ( 30956-7 | 38890-0 )"/> </mapping> <mapping> <identity value="rim"/> <map value=".partipication[typeCode=CSM].role[classCode=ADMM].code"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.targetDisease"> <path value="ImmunizationRecommendation.recommendation.targetDisease"/> <short value="Disease to be immunized against"/> <definition value="The targeted disease for the recommendation."/>A given instance of the .recommendation backbone element should correspond to a single recommended administration but sometimes that administration (e.g. MMR) will encompass multiple diseases, thus the targetDisease element is allowed to<comment value="A given instance of the .recommendation backbone element should correspond to a single recommended administration but sometimes that administration (e.g. MMR) will encompass multiple diseases, thus the targetDisease element is allowed to repeat."/> <min value="0"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> <condition value="imr-1"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="TargetDisease"/> </extension> <strength value="example"/> <description value="The disease that the recommended vaccination targets."/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-target-disease"/> </binding> <mapping> <identity value="v2"/> <map value="OBX-5 : OBX-3 = ( 30956-7 | 38890-0 )"/> </mapping> <mapping> <identity value="rim"/> <map value=".partipication[typeCode=CSM].role[classCode=ADMM].code"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.contraindicatedVaccineCode"> <path value="ImmunizationRecommendation.recommendation.contraindicatedVaccineCode"/> <short value="Vaccine which is contraindicated to fulfill the recommendation"/> <definition value="Vaccine(s) which should not be used to fulfill the recommendation."/> <min value="0"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="false"/> <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 type of vaccine administered."/> <valueSet value="http://hl7.org/fhir/ValueSet/vaccine-code"/> </binding> </element> <element id="ImmunizationRecommendation.recommendation.forecastStatus"> <path value="ImmunizationRecommendation.recommendation.forecastStatus"/> <short value="Vaccine recommendation status"/>Indicates the patient status with respect to the path to immunity for the target<definition value="Indicates the patient status with respect to the path to immunity for the target disease."/> <min value="1"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="false"/> <isModifier value="true"/>This element is labeled as a modifier because the forecastStatus indicates whether a patient needs additional doses (due, overdue, etc.) or not (contraindicated,<isModifierReason value="This element is labeled as a modifier because the forecastStatus indicates whether a patient needs additional doses (due, overdue, etc.) or not (contraindicated, complete, etc.)."/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ImmunizationRecommendationStatus"/> </extension> <strength value="example"/> <description value="The patient's status with respect to a vaccination protocol."/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-recommendation-status"/> </binding> <mapping> <identity value="v2"/> <map value="OBX-5 : OBX-3 = 59783-1"/> </mapping> <mapping> <identity value="rim"/>.inboundRelationship[typeCode=SUBJ] .source[classCode=OBS, moodCode=EVN, code="Immunizat<map value=".inboundRelationship[typeCode=SUBJ] .source[classCode=OBS, moodCode=EVN, code="Immunizat ion Forecast Status"].value"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.forecastReason"> <path value="ImmunizationRecommendation.recommendation.forecastReason"/> <short value="Vaccine administration status reason"/> <definition value="The reason for the assigned forecast status."/> <min value="0"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ImmunizationRecommendationReason"/> </extension> <strength value="example"/> <description value="The reason for the patient's status with respect to a vaccination protocol."/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-recommendation-reason"/> </binding> <mapping> <identity value="v2"/> <map value="OBX-5 : OBX-3 = 30982-3"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.dateCriterion"> <path value="ImmunizationRecommendation.recommendation.dateCriterion"/> <short value="Dates governing proposed immunization"/>Vaccine date recommendations. For example, earliest date to administer, latest<definition value="Vaccine date recommendations. For example, earliest date to administer, latest date to administer, etc."/> <min value="0"/> <max value="*"/> <type> <code value="BackboneElement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Request.occurrence[x]"/> </mapping> <mapping> <identity value="v2"/>OBX-3: 30980-7 = Next dose recommended, 59777-3 = Latest next dose should be given,<map value="OBX-3: 30980-7 = Next dose recommended, 59777-3 = Latest next dose should be given, 59778-1 = Dose is overdue"/> </mapping> <mapping> <identity value="rim"/>.outboundRelationship[typeCode='LIMIT'].target[classCode=OBS, moodCode=EVN, isCriterionInd=tr<map value=".outboundRelationship[typeCode='LIMIT'].target[classCode=OBS, moodCode=EVN, isCriterionInd=tr ue]"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.dateCriterion.code"> <path value="ImmunizationRecommendation.recommendation.dateCriterion.code"/> <short value="Type of date"/>Date classification of recommendation. For example, earliest date to give, latest<definition value="Date classification of recommendation. For example, earliest date to give, latest date to give, etc."/> <min value="1"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ImmunizationRecommendationDateCriterion"/> </extension> <strength value="example"/>Classifies date criterion with respect to conveying information about a patient's<description value="Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.)."/> <valueSet value="http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion"/> </binding> <mapping> <identity value="v2"/> <map value="OBX-3"/> </mapping> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.dateCriterion.value"> <path value="ImmunizationRecommendation.recommendation.dateCriterion.value"/> <short value="Recommended date"/> <definition value="The date whose meaning is specified by dateCriterion.code."/> <min value="1"/> <max value="1"/> <type> <code value="dateTime"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-5"/> </mapping> <mapping> <identity value="rim"/> <map value=".value"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.description"> <path value="ImmunizationRecommendation.recommendation.description"/> <short value="Protocol details"/> <definition value="Contains the description about the protocol under which the vaccine was administered."/> <min value="0"/> <max value="1"/> <type> <code value="markdown"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-5 : OBX-3 = 30956-7"/> </mapping> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.series"> <path value="ImmunizationRecommendation.recommendation.series"/> <short value="Name of vaccination series"/>One possible path to achieve presumed immunity against a disease - within the context<definition value="One possible path to achieve presumed immunity against a disease - within the context of an authority."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="RXA-5-administered code"/> </mapping> <mapping> <identity value="rim"/> <map value=".title"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.doseNumber"> <path value="ImmunizationRecommendation.recommendation.doseNumber"/> <short value="Recommended dose number within series"/>Nominal position of the recommended dose in a series as determined by the evaluation<definition value="Nominal position of the recommended dose in a series as determined by the evaluation and forecasting process (e.g. dose 2 is the next recommended dose)."/>The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster<comment value="The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose)."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="OBX-5 : OBX-3 = 30973-2"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP, .source[classCode=SBADM, moodCode=INT]].sequenceNumber"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.seriesDoses"> <path value="ImmunizationRecommendation.recommendation.seriesDoses"/> <short value="Recommended number of doses for immunity"/>The recommended number of doses to achieve immunity as determined by the evaluation<definition value="The recommended number of doses to achieve immunity as determined by the evaluation and forecasting process."/> <comment value="The use of an integer is preferred if known."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-5 : OBX-3 = 59782-3"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP, .source[classCode=SBADM, moodCode=DEF]].sequenceNumber"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.supportingImmunization"> <path value="ImmunizationRecommendation.recommendation.supportingImmunization"/> <short value="Past immunizations supporting recommendation"/> <definition value="Immunization event history and/or evaluation that supports the status and recommendation."/> <min value="0"/> <max value="*"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationEvaluation"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="? No clear way to associate in HL7 V2 or IG"/> </mapping> <mapping> <identity value="rim"/>.outboundRelationship[typeCode=RSON].target[classCode=SBADM, moodCode=EVN, code="immuniz<map value=".outboundRelationship[typeCode=RSON].target[classCode=SBADM, moodCode=EVN, code="immuniz ation"]"/> </mapping> </element> <element id="ImmunizationRecommendation.recommendation.supportingPatientInformation"> <path value="ImmunizationRecommendation.recommendation.supportingPatientInformation"/> <short value="Patient observations supporting recommendation"/>Patient Information that supports the status and recommendation. This includes<definition value="Patient Information that supports the status and recommendation. This includes patient observations, adverse reactions and allergy/intolerance information."/> <min value="0"/> <max value="*"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Request.supportingInfo"/> </mapping> <mapping> <identity value="v2"/>OBX If OBX is associated with ( RXA : RXA-5-administered code = '998^No vaccine<map value="OBX If OBX is associated with ( RXA : RXA-5-administered code = '998^No vaccine administered^CVX'), could contain the reason the vaccine was not administered"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=RSON].target[classCode=OBS, moodCode=EVN]"/> </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.
FHIR
®©
HL7.org
2011+.
FHIR
R5
hl7.fhir.core#5.0.0
R6
hl7.fhir.core#6.0.0-ballot1
generated
on
Sun,
Mar
26,
Mon,
Dec
18,
2023
15:25+1100.
15:17+1100.
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