Name	Flags	Card.	Type	Description & Constraints
Immunization			ImmunizationUvIps
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
vaccineBrand	S	1..1	Coding	DDCC Event Brand for Immunization URL: http://lacpass.racsel.org/StructureDefinition/DDCCEventBrand
vaccineMarketAuthorization	S	0..1	Coding	DDCC Vaccine Market Authorization for Immunization URL: http://lacpass.racsel.org/StructureDefinition/DDCCVaccineMarketAuthorization
country	S	1..1	code	DDCC Country Of Event for Immunization URL: http://lacpass.racsel.org/StructureDefinition/DDCCCountryOfEvent Binding: Iso3166-1-3 (preferred)
validFrom	S	0..1	date	DDCC Vaccine Valid From URL: http://lacpass.racsel.org/StructureDefinition/DDCCVaccineValidFrom
vaccineCode		1..1	CodeableConceptIPS	Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: Vaccine List (preferred)
coding		1..1	CodingIPS	A reference to a code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
patient		1..1	Reference(LAC_Patient)	Who was immunized
occurrence[x]		1..1	dateTime	Vaccine administration date
location	S	1..1	Reference(Location)	Where immunization occurred
display	S	1..1	string	Text alternative for the resource
manufacturer	S	0..1	Reference(Organization)	Vaccine manufacturer
lotNumber	S	0..1	string	Vaccine lot number
performer
actor		1..1	Reference(Practitioner | LAC_Organization)	Individual or organization who was performing
Slices for protocolApplied	S	1..*	BackboneElement	Protocol followed by the provider Slice: Unordered, Open by type:authority
protocolApplied:protocolAppliedAuthority	S	1..*	BackboneElement	Protocol followed by the provider
authority		0..1	Reference(LAC_Organization)	Who is responsible for publishing the recommendations
targetDisease		0..*	CodeableConcept	Vaccine preventable disease being targeted Binding: Disease or Agent Targeted (preferred)
doseNumber[x]	S	1..1	positiveInt	Dose number within series
seriesDoses[x]		0..1	positiveInt	Recommended number of doses for immunity
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Immunization.vaccineCode	preferred	DDCC_Vaccines http://lacpass.racsel.org/ValueSet/ddcc-vaccines from this IG
Immunization.protocolApplied:protocolAppliedAuthority.targetDisease	preferred	DDCC_Disease_Targeted http://lacpass.racsel.org/ValueSet/ddcc-disease-targeted from this IG

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	ImmunizationUvIps	Immunization event information
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
vaccineBrand	S	1..1	Coding	DDCC Event Brand for Immunization URL: http://lacpass.racsel.org/StructureDefinition/DDCCEventBrand
vaccineMarketAuthorization	S	0..1	Coding	DDCC Vaccine Market Authorization for Immunization URL: http://lacpass.racsel.org/StructureDefinition/DDCCVaccineMarketAuthorization
country	S	1..1	code	DDCC Country Of Event for Immunization URL: http://lacpass.racsel.org/StructureDefinition/DDCCCountryOfEvent Binding: Iso3166-1-3 (preferred)
validFrom	S	0..1	date	DDCC Vaccine Valid From URL: http://lacpass.racsel.org/StructureDefinition/DDCCVaccineValidFrom
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
vaccineCode	S	1..1	CodeableConceptIPS	Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: Vaccine List (preferred)
coding	S	1..1	CodingIPS	A reference to a code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
translation		0..*	(Complex)	Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation
text	SΣ	0..1	string	Plain text representation of the concept
patient	SΣ	1..1	Reference(LAC_Patient)	Who was immunized
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
occurrence[x]	SΣ	1..1	dateTime	Vaccine administration date
data-absent-reason	S	0..1	code	occurrence[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
location	S	1..1	Reference(Location)	Where immunization occurred
display	SΣ	1..1	string	Text alternative for the resource
manufacturer	S	0..1	Reference(Organization)	Vaccine manufacturer
lotNumber	S	0..1	string	Vaccine lot number
isSubpotent	?!Σ	0..1	boolean	Dose potency
Slices for protocolApplied	S	1..*	BackboneElement	Protocol followed by the provider Slice: Unordered, Open by type:authority
protocolApplied:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
doseNumber[x]		1..1		Dose number within series
doseNumberPositiveInt			positiveInt
doseNumberString			string
protocolApplied:protocolAppliedAuthority	S	1..*	BackboneElement	Protocol followed by the provider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
authority		0..1	Reference(LAC_Organization)	Who is responsible for publishing the recommendations
targetDisease		0..*	CodeableConcept	Vaccine preventable disease being targeted Binding: Disease or Agent Targeted (preferred)
doseNumber[x]	S	1..1	positiveInt	Dose number within series
seriesDoses[x]		0..1	positiveInt	Recommended number of doses for immunity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 from the FHIR Standard
Immunization.vaccineCode	preferred	DDCC_Vaccines http://lacpass.racsel.org/ValueSet/ddcc-vaccines from this IG
Immunization.protocolApplied:protocolAppliedAuthority.targetDisease	preferred	DDCC_Disease_Targeted http://lacpass.racsel.org/ValueSet/ddcc-disease-targeted from this IG

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	ImmunizationUvIps	Immunization event information
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
vaccineBrand	S	1..1	Coding	DDCC Event Brand for Immunization URL: http://lacpass.racsel.org/StructureDefinition/DDCCEventBrand
vaccineMarketAuthorization	S	0..1	Coding	DDCC Vaccine Market Authorization for Immunization URL: http://lacpass.racsel.org/StructureDefinition/DDCCVaccineMarketAuthorization
country	S	1..1	code	DDCC Country Of Event for Immunization URL: http://lacpass.racsel.org/StructureDefinition/DDCCCountryOfEvent Binding: Iso3166-1-3 (preferred)
validFrom	S	0..1	date	DDCC Vaccine Valid From URL: http://lacpass.racsel.org/StructureDefinition/DDCCVaccineValidFrom
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!SΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
statusReason		0..1	CodeableConcept	Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.
vaccineCode	S	1..1	CodeableConceptIPS	Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: Vaccine List (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	S	1..1	CodingIPS	A reference to a code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
translation		0..*	(Complex)	Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation
value		0..1	string	Primitive value for string Max Length: 1048576
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
patient	SΣ	1..1	Reference(LAC_Patient)	Who was immunized
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
occurrence[x]	SΣ	1..1	dateTime	Vaccine administration date
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
data-absent-reason	S	0..1	code	occurrence[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
recorded		0..1	dateTime	When the immunization was first captured in the subject's record
primarySource	Σ	0..1	boolean	Indicates context the data was recorded in
reportOrigin		0..1	CodeableConcept	Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.
location	S	1..1	Reference(Location)	Where immunization occurred
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	1..1	string	Text alternative for the resource
manufacturer	S	0..1	Reference(Organization)	Vaccine manufacturer
lotNumber	S	0..1	string	Vaccine lot number
expirationDate		0..1	date	Vaccine expiration date
site		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (preferred)
route		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Medicine Route of Administration - IPS (preferred)
doseQuantity		0..1	SimpleQuantity	Amount of vaccine administered
performer	Σ	0..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
actor	Σ	1..1	Reference(Practitioner | LAC_Organization)	Individual or organization who was performing
note	Σ	0..*	Annotation	Additional immunization notes
reasonCode		0..*	CodeableConcept	Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Why immunization occurred
isSubpotent	?!Σ	0..1	boolean	Dose potency
subpotentReason		0..*	CodeableConcept	Reason for being subpotent Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.
education	C	0..*	BackboneElement	Educational material presented to patient imm-1: One of documentType or reference SHALL be present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
documentType		0..1	string	Educational material document identifier
reference		0..1	uri	Educational material reference pointer
publicationDate		0..1	dateTime	Educational material publication date
presentationDate		0..1	dateTime	Educational material presentation date
programEligibility		0..*	CodeableConcept	Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.
fundingSource		0..1	CodeableConcept	Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
reaction		0..*	BackboneElement	Details of a reaction that follows immunization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date		0..1	dateTime	When reaction started
detail		0..1	Reference(Observation)	Additional information on reaction
reported		0..1	boolean	Indicates self-reported reaction
Slices for protocolApplied	S	1..*	BackboneElement	Protocol followed by the provider Slice: Unordered, Open by type:authority
protocolApplied:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
series		0..1	string	Name of vaccine series
authority		0..1	Reference(Organization)	Who is responsible for publishing the recommendations
targetDisease		0..*	CodeableConcept	Vaccine preventable disease being targeted Binding: Vaccine Target Diseases - IPS (preferred): The particular disease or diseases against which the patient has been immunized. Additional Bindings Purpose Vaccine Target Diseases - SNOMED CT IPS Free Set candidate
doseNumber[x]		1..1		Dose number within series
doseNumberPositiveInt			positiveInt
doseNumberString			string
seriesDoses[x]		0..1		Recommended number of doses for immunity
seriesDosesPositiveInt			positiveInt
seriesDosesString			string
protocolApplied:protocolAppliedAuthority	S	1..*	BackboneElement	Protocol followed by the provider
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
series		0..1	string	Name of vaccine series
authority		0..1	Reference(LAC_Organization)	Who is responsible for publishing the recommendations
targetDisease		0..*	CodeableConcept	Vaccine preventable disease being targeted Binding: Disease or Agent Targeted (preferred)
doseNumber[x]	S	1..1	positiveInt	Dose number within series
seriesDoses[x]		0..1	positiveInt	Recommended number of doses for immunity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Immunization.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 from the FHIR Standard
Immunization.statusReason	example	ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason from the FHIR Standard
Immunization.vaccineCode	preferred	DDCC_Vaccines http://lacpass.racsel.org/ValueSet/ddcc-vaccines from this IG
Immunization.patient.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Immunization.reportOrigin	example	ImmunizationOriginCodes http://hl7.org/fhir/ValueSet/immunization-origin from the FHIR Standard
Immunization.location.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Immunization.site	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Immunization.route	preferred	MedicineRouteOfAdministrationUvIps http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration
Immunization.performer.function	extensible	ImmunizationFunctionCodes http://hl7.org/fhir/ValueSet/immunization-function from the FHIR Standard
Immunization.reasonCode	example	ImmunizationReasonCodes http://hl7.org/fhir/ValueSet/immunization-reason from the FHIR Standard
Immunization.subpotentReason	example	ImmunizationSubpotentReason http://hl7.org/fhir/ValueSet/immunization-subpotent-reason from the FHIR Standard
Immunization.programEligibility	example	ImmunizationProgramEligibility http://hl7.org/fhir/ValueSet/immunization-program-eligibility from the FHIR Standard
Immunization.fundingSource	example	ImmunizationFundingSource http://hl7.org/fhir/ValueSet/immunization-funding-source from the FHIR Standard
Immunization.protocolApplied.targetDisease	preferred	VaccineTargetDiseasesUvIps Additional Bindings Purpose Documentation Vaccine Target Diseases - SNOMED CT IPS Free Set candidate Additional conformance binding to a target diseases value set from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions). http://hl7.org/fhir/uv/ips/ValueSet/target-diseases-uv-ips
Immunization.protocolApplied:protocolAppliedAuthority.targetDisease	preferred	DDCC_Disease_Targeted http://lacpass.racsel.org/ValueSet/ddcc-disease-targeted from this IG

Constraints

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

Summary

Mandatory: 9 elements
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• LAC_Patient (http://lacpass.racsel.org/StructureDefinition/lac-patient)
• LAC_Organization (http://lacpass.racsel.org/StructureDefinition/lac-organization)

Extensions

This structure refers to these extensions:

• http://lacpass.racsel.org/StructureDefinition/DDCCEventBrand
• http://lacpass.racsel.org/StructureDefinition/DDCCVaccineMarketAuthorization
• http://lacpass.racsel.org/StructureDefinition/DDCCCountryOfEvent
• http://lacpass.racsel.org/StructureDefinition/DDCCVaccineValidFrom

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints
Immunization			ImmunizationUvIps
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
vaccineBrand	S	1..1	Coding	DDCC Event Brand for Immunization URL: http://lacpass.racsel.org/StructureDefinition/DDCCEventBrand
vaccineMarketAuthorization	S	0..1	Coding	DDCC Vaccine Market Authorization for Immunization URL: http://lacpass.racsel.org/StructureDefinition/DDCCVaccineMarketAuthorization
country	S	1..1	code	DDCC Country Of Event for Immunization URL: http://lacpass.racsel.org/StructureDefinition/DDCCCountryOfEvent Binding: Iso3166-1-3 (preferred)
validFrom	S	0..1	date	DDCC Vaccine Valid From URL: http://lacpass.racsel.org/StructureDefinition/DDCCVaccineValidFrom
vaccineCode		1..1	CodeableConceptIPS	Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: Vaccine List (preferred)
coding		1..1	CodingIPS	A reference to a code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
patient		1..1	Reference(LAC_Patient)	Who was immunized
occurrence[x]		1..1	dateTime	Vaccine administration date
location	S	1..1	Reference(Location)	Where immunization occurred
display	S	1..1	string	Text alternative for the resource
manufacturer	S	0..1	Reference(Organization)	Vaccine manufacturer
lotNumber	S	0..1	string	Vaccine lot number
performer
actor		1..1	Reference(Practitioner | LAC_Organization)	Individual or organization who was performing
Slices for protocolApplied	S	1..*	BackboneElement	Protocol followed by the provider Slice: Unordered, Open by type:authority
protocolApplied:protocolAppliedAuthority	S	1..*	BackboneElement	Protocol followed by the provider
authority		0..1	Reference(LAC_Organization)	Who is responsible for publishing the recommendations
targetDisease		0..*	CodeableConcept	Vaccine preventable disease being targeted Binding: Disease or Agent Targeted (preferred)
doseNumber[x]	S	1..1	positiveInt	Dose number within series
seriesDoses[x]		0..1	positiveInt	Recommended number of doses for immunity
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Immunization.vaccineCode	preferred	DDCC_Vaccines http://lacpass.racsel.org/ValueSet/ddcc-vaccines from this IG
Immunization.protocolApplied:protocolAppliedAuthority.targetDisease	preferred	DDCC_Disease_Targeted http://lacpass.racsel.org/ValueSet/ddcc-disease-targeted from this IG

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	ImmunizationUvIps	Immunization event information
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
vaccineBrand	S	1..1	Coding	DDCC Event Brand for Immunization URL: http://lacpass.racsel.org/StructureDefinition/DDCCEventBrand
vaccineMarketAuthorization	S	0..1	Coding	DDCC Vaccine Market Authorization for Immunization URL: http://lacpass.racsel.org/StructureDefinition/DDCCVaccineMarketAuthorization
country	S	1..1	code	DDCC Country Of Event for Immunization URL: http://lacpass.racsel.org/StructureDefinition/DDCCCountryOfEvent Binding: Iso3166-1-3 (preferred)
validFrom	S	0..1	date	DDCC Vaccine Valid From URL: http://lacpass.racsel.org/StructureDefinition/DDCCVaccineValidFrom
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
vaccineCode	S	1..1	CodeableConceptIPS	Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: Vaccine List (preferred)
coding	S	1..1	CodingIPS	A reference to a code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
translation		0..*	(Complex)	Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation
text	SΣ	0..1	string	Plain text representation of the concept
patient	SΣ	1..1	Reference(LAC_Patient)	Who was immunized
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
occurrence[x]	SΣ	1..1	dateTime	Vaccine administration date
data-absent-reason	S	0..1	code	occurrence[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
location	S	1..1	Reference(Location)	Where immunization occurred
display	SΣ	1..1	string	Text alternative for the resource
manufacturer	S	0..1	Reference(Organization)	Vaccine manufacturer
lotNumber	S	0..1	string	Vaccine lot number
isSubpotent	?!Σ	0..1	boolean	Dose potency
Slices for protocolApplied	S	1..*	BackboneElement	Protocol followed by the provider Slice: Unordered, Open by type:authority
protocolApplied:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
doseNumber[x]		1..1		Dose number within series
doseNumberPositiveInt			positiveInt
doseNumberString			string
protocolApplied:protocolAppliedAuthority	S	1..*	BackboneElement	Protocol followed by the provider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
authority		0..1	Reference(LAC_Organization)	Who is responsible for publishing the recommendations
targetDisease		0..*	CodeableConcept	Vaccine preventable disease being targeted Binding: Disease or Agent Targeted (preferred)
doseNumber[x]	S	1..1	positiveInt	Dose number within series
seriesDoses[x]		0..1	positiveInt	Recommended number of doses for immunity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 from the FHIR Standard
Immunization.vaccineCode	preferred	DDCC_Vaccines http://lacpass.racsel.org/ValueSet/ddcc-vaccines from this IG
Immunization.protocolApplied:protocolAppliedAuthority.targetDisease	preferred	DDCC_Disease_Targeted http://lacpass.racsel.org/ValueSet/ddcc-disease-targeted from this IG

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	ImmunizationUvIps	Immunization event information
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
vaccineBrand	S	1..1	Coding	DDCC Event Brand for Immunization URL: http://lacpass.racsel.org/StructureDefinition/DDCCEventBrand
vaccineMarketAuthorization	S	0..1	Coding	DDCC Vaccine Market Authorization for Immunization URL: http://lacpass.racsel.org/StructureDefinition/DDCCVaccineMarketAuthorization
country	S	1..1	code	DDCC Country Of Event for Immunization URL: http://lacpass.racsel.org/StructureDefinition/DDCCCountryOfEvent Binding: Iso3166-1-3 (preferred)
validFrom	S	0..1	date	DDCC Vaccine Valid From URL: http://lacpass.racsel.org/StructureDefinition/DDCCVaccineValidFrom
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!SΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
statusReason		0..1	CodeableConcept	Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.
vaccineCode	S	1..1	CodeableConceptIPS	Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: Vaccine List (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	S	1..1	CodingIPS	A reference to a code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
translation		0..*	(Complex)	Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation
value		0..1	string	Primitive value for string Max Length: 1048576
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
patient	SΣ	1..1	Reference(LAC_Patient)	Who was immunized
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
occurrence[x]	SΣ	1..1	dateTime	Vaccine administration date
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
data-absent-reason	S	0..1	code	occurrence[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
recorded		0..1	dateTime	When the immunization was first captured in the subject's record
primarySource	Σ	0..1	boolean	Indicates context the data was recorded in
reportOrigin		0..1	CodeableConcept	Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.
location	S	1..1	Reference(Location)	Where immunization occurred
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	1..1	string	Text alternative for the resource
manufacturer	S	0..1	Reference(Organization)	Vaccine manufacturer
lotNumber	S	0..1	string	Vaccine lot number
expirationDate		0..1	date	Vaccine expiration date
site		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (preferred)
route		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Medicine Route of Administration - IPS (preferred)
doseQuantity		0..1	SimpleQuantity	Amount of vaccine administered
performer	Σ	0..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
actor	Σ	1..1	Reference(Practitioner | LAC_Organization)	Individual or organization who was performing
note	Σ	0..*	Annotation	Additional immunization notes
reasonCode		0..*	CodeableConcept	Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Why immunization occurred
isSubpotent	?!Σ	0..1	boolean	Dose potency
subpotentReason		0..*	CodeableConcept	Reason for being subpotent Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.
education	C	0..*	BackboneElement	Educational material presented to patient imm-1: One of documentType or reference SHALL be present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
documentType		0..1	string	Educational material document identifier
reference		0..1	uri	Educational material reference pointer
publicationDate		0..1	dateTime	Educational material publication date
presentationDate		0..1	dateTime	Educational material presentation date
programEligibility		0..*	CodeableConcept	Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.
fundingSource		0..1	CodeableConcept	Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
reaction		0..*	BackboneElement	Details of a reaction that follows immunization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date		0..1	dateTime	When reaction started
detail		0..1	Reference(Observation)	Additional information on reaction
reported		0..1	boolean	Indicates self-reported reaction
Slices for protocolApplied	S	1..*	BackboneElement	Protocol followed by the provider Slice: Unordered, Open by type:authority
protocolApplied:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
series		0..1	string	Name of vaccine series
authority		0..1	Reference(Organization)	Who is responsible for publishing the recommendations
targetDisease		0..*	CodeableConcept	Vaccine preventable disease being targeted Binding: Vaccine Target Diseases - IPS (preferred): The particular disease or diseases against which the patient has been immunized. Additional Bindings Purpose Vaccine Target Diseases - SNOMED CT IPS Free Set candidate
doseNumber[x]		1..1		Dose number within series
doseNumberPositiveInt			positiveInt
doseNumberString			string
seriesDoses[x]		0..1		Recommended number of doses for immunity
seriesDosesPositiveInt			positiveInt
seriesDosesString			string
protocolApplied:protocolAppliedAuthority	S	1..*	BackboneElement	Protocol followed by the provider
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
series		0..1	string	Name of vaccine series
authority		0..1	Reference(LAC_Organization)	Who is responsible for publishing the recommendations
targetDisease		0..*	CodeableConcept	Vaccine preventable disease being targeted Binding: Disease or Agent Targeted (preferred)
doseNumber[x]	S	1..1	positiveInt	Dose number within series
seriesDoses[x]		0..1	positiveInt	Recommended number of doses for immunity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Immunization.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 from the FHIR Standard
Immunization.statusReason	example	ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason from the FHIR Standard
Immunization.vaccineCode	preferred	DDCC_Vaccines http://lacpass.racsel.org/ValueSet/ddcc-vaccines from this IG
Immunization.patient.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Immunization.reportOrigin	example	ImmunizationOriginCodes http://hl7.org/fhir/ValueSet/immunization-origin from the FHIR Standard
Immunization.location.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Immunization.site	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Immunization.route	preferred	MedicineRouteOfAdministrationUvIps http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration
Immunization.performer.function	extensible	ImmunizationFunctionCodes http://hl7.org/fhir/ValueSet/immunization-function from the FHIR Standard
Immunization.reasonCode	example	ImmunizationReasonCodes http://hl7.org/fhir/ValueSet/immunization-reason from the FHIR Standard
Immunization.subpotentReason	example	ImmunizationSubpotentReason http://hl7.org/fhir/ValueSet/immunization-subpotent-reason from the FHIR Standard
Immunization.programEligibility	example	ImmunizationProgramEligibility http://hl7.org/fhir/ValueSet/immunization-program-eligibility from the FHIR Standard
Immunization.fundingSource	example	ImmunizationFundingSource http://hl7.org/fhir/ValueSet/immunization-funding-source from the FHIR Standard
Immunization.protocolApplied.targetDisease	preferred	VaccineTargetDiseasesUvIps Additional Bindings Purpose Documentation Vaccine Target Diseases - SNOMED CT IPS Free Set candidate Additional conformance binding to a target diseases value set from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions). http://hl7.org/fhir/uv/ips/ValueSet/target-diseases-uv-ips
Immunization.protocolApplied:protocolAppliedAuthority.targetDisease	preferred	DDCC_Disease_Targeted http://lacpass.racsel.org/ValueSet/ddcc-disease-targeted from this IG

Constraints

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

Summary

Mandatory: 9 elements
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• LAC_Patient (http://lacpass.racsel.org/StructureDefinition/lac-patient)
• LAC_Organization (http://lacpass.racsel.org/StructureDefinition/lac-organization)

Extensions

This structure refers to these extensions:

• http://lacpass.racsel.org/StructureDefinition/DDCCEventBrand
• http://lacpass.racsel.org/StructureDefinition/DDCCVaccineMarketAuthorization
• http://lacpass.racsel.org/StructureDefinition/DDCCCountryOfEvent
• http://lacpass.racsel.org/StructureDefinition/DDCCVaccineValidFrom

Slices

This structure defines the following Slices:

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