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Resource StructureDefinition/FHIR Server from package il.core.fhir.r4#0.15.3 (265 ms)

Package il.core.fhir.r4
Type StructureDefinition
Id Id
FHIR Version R4
Source https://simplifier.net/resolve?scope=il.core.fhir.r4@0.15.3&canonical=http://fhir.health.gov.il/StructureDefinition/il-core-immunization
Url http://fhir.health.gov.il/StructureDefinition/il-core-immunization
Version 0.15.3
Status draft
Date 2024-08-29
Name ILCoreImmunization
Title ILCore Immunization Profile
Experimental False
Realm il
Authority national
Description Israel Core proposed constraints and extensions on the Immunization Resource
Type Immunization
Kind resource

Resources that use this resource

StructureDefinition
http://fhir.health.gov.il/StructureDefinition/il-core-immunization-reaction-observation ILCore ImmunizationReactionObservation Profile
http://fhir.health.gov.il/StructureDefinition/il-core-immunization-recommendation ILCore ImmunizationRecommendation Profile
http://fhir.health.gov.il/StructureDefinition/il-core-observation ILCore Observation Profile

Resources that this resource uses

StructureDefinition
http://fhir.health.gov.il/StructureDefinition/il-core-condition ILCore Condition Profile
http://fhir.health.gov.il/StructureDefinition/il-core-diagnostic-report ILCore DiagnosticReport Profile
http://fhir.health.gov.il/StructureDefinition/il-core-encounter ILCore Encounter Profile
http://fhir.health.gov.il/StructureDefinition/il-core-immunization-reaction-observation ILCore ImmunizationReactionObservation Profile
http://fhir.health.gov.il/StructureDefinition/il-core-location ILCore Location Profile
http://fhir.health.gov.il/StructureDefinition/il-core-observation ILCore Observation Profile
http://fhir.health.gov.il/StructureDefinition/il-core-organization ILCore Organization Profile
http://fhir.health.gov.il/StructureDefinition/il-core-patient ILCore Patient Profile
http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role ILCore PractitionerRole Profile
http://fhir.health.gov.il/StructureDefinition/il-core-practitioner ILCore Practitioner Profile
http://fhir.health.gov.il/ValueSet/immunization-body-site Immunization Observation Body Site list
http://fhir.health.gov.il/ValueSet/reason-not-done statusReason codes for Immunization profile
http://fhir.health.gov.il/ValueSet/target-disease Target Disease Codes
http://fhir.health.gov.il/ValueSet/vaccine-code Vaccine Codes
http://fhir.health.gov.il/ValueSet/vaccine-product-code Vaccine Product Codes


Source

{
  "resourceType" : "StructureDefinition",
  "id" : "il-core-immunization",
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 1
    }
  ],
  "url" : "http://fhir.health.gov.il/StructureDefinition/il-core-immunization",
  "version" : "0.15.3",
  "name" : "ILCoreImmunization",
  "title" : "ILCore Immunization Profile",
  "status" : "draft",
  "date" : "2024-08-29",
  "publisher" : "Israel Core Team",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "email",
          "value" : "tal.primak@moh.gov.il"
        }
      ]
    }
  ],
  "description" : "Israel Core proposed constraints and extensions on the Immunization Resource",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    },
    {
      "identity" : "cda",
      "uri" : "http://hl7.org/v3/cda",
      "name" : "CDA (R2)"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Immunization",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Immunization",
  "derivation" : "constraint",
  "snapshot" : {
    "element" : [
      {
        "id" : "Immunization",
        "path" : "Immunization",
        "short" : "ILCore Immunization Profile",
        "definition" : "Israel Core proposed constraints and extensions on the Immunization resource profile.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization",
          "min" : 0,
          "max" : "*"
        },
        "constraint" : [
          {
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "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",
            "expression" : "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()",
            "xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                "valueBoolean" : true
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
                "valueMarkdown" : "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."
              }
            ],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.`div`.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key" : "il-immunization-lot-number",
            "severity" : "error",
            "human" : "Immunization.lotNumber SHALL have a value if Immunization.primarySource is TRUE.",
            "expression" : "primarySource=true implies lotNumber.exists()",
            "source" : "http://fhir.health.gov.il/StructureDefinition/il-core-immunization"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "VXU_V04"
          },
          {
            "identity" : "rim",
            "map" : "SubstanceAdministration"
          }
        ]
      },
      {
        "id" : "Immunization.id",
        "path" : "Immunization.id",
        "short" : "Logical id of this artifact",
        "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
        "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhirpath/System.String",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ]
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "Immunization.meta",
        "path" : "Immunization.meta",
        "short" : "Metadata about the resource",
        "definition" : "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" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.meta",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Meta"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "Immunization.implicitRules",
        "path" : "Immunization.implicitRules",
        "short" : "A set of rules under which this content was created",
        "definition" : "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.",
        "comment" : "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 it's narrative along with other profiles, value sets, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.implicitRules",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
        "isSummary" : true
      },
      {
        "id" : "Immunization.language",
        "path" : "Immunization.language",
        "short" : "Language of the resource content",
        "definition" : "The base language in which the resource is written.",
        "comment" : "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" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.language",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }
          ],
          "strength" : "preferred",
          "description" : "A human language.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
        }
      },
      {
        "id" : "Immunization.text",
        "path" : "Immunization.text",
        "short" : "Text summary of the resource, for human interpretation",
        "definition" : "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.",
        "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
        "alias" : [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "DomainResource.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Act.text?"
          }
        ]
      },
      {
        "id" : "Immunization.contained",
        "path" : "Immunization.contained",
        "short" : "Contained, inline Resources",
        "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
        "comment" : "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" : [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.contained",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Resource"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.extension",
        "path" : "Immunization.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.modifierExtension",
        "path" : "Immunization.modifierExtension",
        "short" : "Extensions that cannot be ignored",
        "definition" : "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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.identifier",
        "path" : "Immunization.identifier",
        "short" : "Business identifier",
        "definition" : "A unique identifier assigned to this immunization record.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.identifier",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Identifier"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id"
          }
        ]
      },
      {
        "id" : "Immunization.status",
        "path" : "Immunization.status",
        "short" : "completed | entered-in-error | not-done",
        "definition" : "Indicates the current status of the immunization event.",
        "comment" : "Will generally be set to show that the immunization has been completed or not done. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Immunization.status",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport" : true,
        "isModifier" : true,
        "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains statuses entered-in-error and not-done which means that the resource should not be treated as valid",
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationStatus"
            }
          ],
          "strength" : "required",
          "description" : "A set of codes indicating the current status of an Immunization.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-status|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "statusCode"
          }
        ]
      },
      {
        "id" : "Immunization.statusReason",
        "path" : "Immunization.statusReason",
        "short" : "Reason not done",
        "definition" : "Indicates the reason the immunization event was not performed.",
        "comment" : "This is generally only used for the status of \"not-done\". The reason for performing the immunization event is captured in reasonCode, not here.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.statusReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "example" : [
          {
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "code" : "310376006",
                  "system" : "http://snomed.info/sct",
                  "display" : "Immunization consent not given"
                }
              ]
            },
            "label" : "Valid Example"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://fhir.health.gov.il/ValueSet/reason-not-done"
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.statusReason"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
          }
        ]
      },
      {
        "id" : "Immunization.vaccineCode",
        "path" : "Immunization.vaccineCode",
        "short" : "Vaccine product administered",
        "definition" : "Vaccine that was administered or was to be administered.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Immunization.vaccineCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "VaccineCode"
            }
          ],
          "strength" : "example",
          "description" : "The code for vaccine product administered.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/vaccine-code"
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXA-5"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code"
          }
        ]
      },
      {
        "id" : "Immunization.vaccineCode.id",
        "path" : "Immunization.vaccineCode.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhirpath/System.String",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ]
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Immunization.vaccineCode.extension",
        "path" : "Immunization.vaccineCode.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Additional content defined by implementations",
        "definition" : "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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Immunization.vaccineCode.coding",
        "path" : "Immunization.vaccineCode.coding",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "$this"
            }
          ],
          "rules" : "open"
        },
        "short" : "Code defined by a terminology system",
        "definition" : "A reference to a code defined by a terminology system.",
        "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
        "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "CodeableConcept.coding",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.1-8, C*E.10-22"
          },
          {
            "identity" : "rim",
            "map" : "union(., ./translation)"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
          }
        ]
      },
      {
        "id" : "Immunization.vaccineCode.coding:vaccine",
        "path" : "Immunization.vaccineCode.coding",
        "sliceName" : "vaccine",
        "short" : "Code defined by a terminology system",
        "definition" : "A reference to a code defined by a terminology system.",
        "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
        "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "CodeableConcept.coding",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "example" : [
          {
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "code" : "346313005",
                  "system" : "http://snomed.info/sct",
                  "display" : "Allergen extract vaccines"
                }
              ]
            },
            "label" : "Valid Example"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://fhir.health.gov.il/ValueSet/vaccine-code"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.1-8, C*E.10-22"
          },
          {
            "identity" : "rim",
            "map" : "union(., ./translation)"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
          }
        ]
      },
      {
        "id" : "Immunization.vaccineCode.coding:product",
        "path" : "Immunization.vaccineCode.coding",
        "sliceName" : "product",
        "short" : "Code defined by a terminology system",
        "definition" : "A reference to a code defined by a terminology system.",
        "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
        "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CodeableConcept.coding",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "example" : [
          {
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "code" : "J07AC",
                  "system" : "http://www.whocc.no/atc",
                  "display" : "Anthrax vaccines"
                }
              ]
            },
            "label" : "Valid Example"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://fhir.health.gov.il/ValueSet/vaccine-product-code"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.1-8, C*E.10-22"
          },
          {
            "identity" : "rim",
            "map" : "union(., ./translation)"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
          }
        ]
      },
      {
        "id" : "Immunization.vaccineCode.text",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean" : true
          }
        ],
        "path" : "Immunization.vaccineCode.text",
        "short" : "Plain text representation of the concept",
        "definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
        "comment" : "Very often the text is the same as a displayName of one of the codings.",
        "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CodeableConcept.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.9. But note many systems use C*E.2 for this"
          },
          {
            "identity" : "rim",
            "map" : "./originalText[mediaType/code=\"text/plain\"]/data"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
          }
        ]
      },
      {
        "id" : "Immunization.patient",
        "path" : "Immunization.patient",
        "short" : "Who was immunized",
        "definition" : "The patient who either received or did not receive the immunization.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Immunization.patient",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://fhir.health.gov.il/StructureDefinition/il-core-patient"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : ".partipication[ttypeCode=].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }
        ]
      },
      {
        "id" : "Immunization.encounter",
        "path" : "Immunization.encounter",
        "short" : "Encounter immunization was part of",
        "definition" : "The visit or admission or other contact between patient and health care provider the immunization was performed as part of.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.encounter",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://fhir.health.gov.il/StructureDefinition/il-core-encounter"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1-19"
          },
          {
            "identity" : "rim",
            "map" : "component->EncounterEvent"
          }
        ]
      },
      {
        "id" : "Immunization.occurrence[x]",
        "path" : "Immunization.occurrence[x]",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "short" : "Vaccine administration date",
        "definition" : "Date vaccine administered or was to be administered.",
        "comment" : "When immunizations are given a specific date and time should always be known. When immunizations are patient reported, a specific date might not be known. Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Immunization.occurrence[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          },
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXA-3"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value"
          }
        ]
      },
      {
        "id" : "Immunization.occurrence[x]:occurrenceDateTime",
        "path" : "Immunization.occurrence[x]",
        "sliceName" : "occurrenceDateTime",
        "short" : "Vaccine administration date",
        "definition" : "Date vaccine administered or was to be administered.",
        "comment" : "When immunizations are given a specific date and time should always be known. When immunizations are patient reported, a specific date might not be known. Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.occurrence[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXA-3"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value"
          }
        ]
      },
      {
        "id" : "Immunization.recorded",
        "path" : "Immunization.recorded",
        "short" : "When the immunization was first captured in the subject's record",
        "definition" : "The date the occurrence of the immunization was first captured in the record - potentially significantly after the occurrence of the event.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.recorded",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }
        ]
      },
      {
        "id" : "Immunization.primarySource",
        "path" : "Immunization.primarySource",
        "short" : "Indicates context the data was recorded in",
        "definition" : "An indication that the content of the record is based on information from the person who administered the vaccine. This reflects the context under which the data was originally recorded.",
        "comment" : "Reflects the “reliability” of the content.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Immunization.primarySource",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "v2",
            "map" : "RXA-9"
          },
          {
            "identity" : "rim",
            "map" : "immunization.uncertaintycode (if primary source=false, uncertainty=U)"
          }
        ]
      },
      {
        "id" : "Immunization.reportOrigin",
        "path" : "Immunization.reportOrigin",
        "short" : "Indicates the source of a secondarily reported record",
        "definition" : "The source of the data when the report of the immunization event is not based on information from the person who administered the vaccine.",
        "comment" : "Should not be populated if primarySource = True, not required even if primarySource = False.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.reportOrigin",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationReportOrigin"
            }
          ],
          "strength" : "example",
          "description" : "The source of the data for a record which is not from a primary source.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-origin"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "v2",
            "map" : "RXA-9"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported) .participation[typeCode=INF].role[classCode=LIC] (this syntax for health care professional) .participation[typeCode=INF].role[classCode=PRS] (this syntax for family member)"
          }
        ]
      },
      {
        "id" : "Immunization.location",
        "path" : "Immunization.location",
        "short" : "Where immunization occurred",
        "definition" : "The service delivery location where the vaccine administration occurred.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.location",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://fhir.health.gov.il/StructureDefinition/il-core-location"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.location"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXA-27 (or RXA-11, deprecated as of v2.7)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].COCT_MT240000UV"
          }
        ]
      },
      {
        "id" : "Immunization.manufacturer",
        "path" : "Immunization.manufacturer",
        "short" : "Vaccine manufacturer",
        "definition" : "Name of vaccine manufacturer.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.manufacturer",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://fhir.health.gov.il/StructureDefinition/il-core-organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "RXA-17"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacuturerOrganization/name"
          }
        ]
      },
      {
        "id" : "Immunization.lotNumber",
        "path" : "Immunization.lotNumber",
        "short" : "Vaccine lot number",
        "definition" : "Lot number of the vaccine product.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.lotNumber",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "RXA-15"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/lotNumberText"
          }
        ]
      },
      {
        "id" : "Immunization.expirationDate",
        "path" : "Immunization.expirationDate",
        "short" : "Vaccine expiration date",
        "definition" : "Date vaccine batch expires.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.expirationDate",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "date"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "RXA-16"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"
          }
        ]
      },
      {
        "id" : "Immunization.site",
        "path" : "Immunization.site",
        "short" : "Body site vaccine was administered",
        "definition" : "Body site where vaccine was administered.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.site",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "example" : [
          {
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "code" : "368208006",
                  "system" : "http://snomed.info/sct",
                  "display" : "Left upper arm structure (body structure)"
                }
              ]
            },
            "label" : "Valid Example"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://fhir.health.gov.il/ValueSet/immunization-body-site"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "RXR-2"
          },
          {
            "identity" : "rim",
            "map" : "observation.targetSiteCode"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSiteCode/code"
          }
        ]
      },
      {
        "id" : "Immunization.route",
        "path" : "Immunization.route",
        "short" : "How vaccine entered body",
        "definition" : "The path by which the vaccine product is taken into the body.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.route",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-route"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "RXR-1"
          },
          {
            "identity" : "rim",
            "map" : ".routeCode"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/code"
          }
        ]
      },
      {
        "id" : "Immunization.doseQuantity",
        "path" : "Immunization.doseQuantity",
        "short" : "Amount of vaccine administered",
        "definition" : "The quantity of vaccine product that was administered.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.doseQuantity",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Quantity",
            "profile" : [
              "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "RXA-6 / RXA-7"
          },
          {
            "identity" : "rim",
            "map" : ".doseQuantity"
          }
        ]
      },
      {
        "id" : "Immunization.performer",
        "path" : "Immunization.performer",
        "short" : "Who performed event",
        "definition" : "Indicates who performed the immunization event.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.performer",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "v2",
            "map" : "ORC-12 / RXA-10"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }
        ]
      },
      {
        "id" : "Immunization.performer.id",
        "path" : "Immunization.performer.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhirpath/System.String",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ]
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Immunization.performer.extension",
        "path" : "Immunization.performer.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Immunization.performer.modifierExtension",
        "path" : "Immunization.performer.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "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" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.performer.function",
        "path" : "Immunization.performer.function",
        "short" : "What type of performance was done",
        "definition" : "Describes the type of performance (e.g. ordering provider, administering provider, etc.).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.performer.function",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationFunction"
            }
          ],
          "strength" : "extensible",
          "description" : "The role a practitioner or organization plays in the immunization event.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-function"
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.performer.function"
          },
          {
            "identity" : "rim",
            "map" : ".participation.functionCode"
          }
        ]
      },
      {
        "id" : "Immunization.performer.actor",
        "path" : "Immunization.performer.actor",
        "short" : "Individual or organization who was performing",
        "definition" : "The practitioner or organization who performed the action.",
        "comment" : "When the individual practitioner who performed the action is known, it is best to send.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Immunization.performer.actor",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner",
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role",
              "http://fhir.health.gov.il/StructureDefinition/il-core-organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".player"
          }
        ]
      },
      {
        "id" : "Immunization.note",
        "path" : "Immunization.note",
        "short" : "Additional immunization notes",
        "definition" : "Extra information about the immunization that is not conveyed by the other attributes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.note",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Annotation"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 48767-8"
          },
          {
            "identity" : "rim",
            "map" : "note"
          }
        ]
      },
      {
        "id" : "Immunization.reasonCode",
        "path" : "Immunization.reasonCode",
        "short" : "Why immunization occurred",
        "definition" : "Reasons why the vaccine was administered.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.reasonCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationReason"
            }
          ],
          "strength" : "example",
          "description" : "The reason why a vaccine was administered.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-reason"
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "rim",
            "map" : "[actionNegationInd=false].reasonCode"
          }
        ]
      },
      {
        "id" : "Immunization.reasonReference",
        "path" : "Immunization.reasonReference",
        "short" : "Why immunization occurred",
        "definition" : "Condition, Observation or DiagnosticReport that supports why the immunization was administered.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.reasonReference",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://fhir.health.gov.il/StructureDefinition/il-core-condition",
              "http://fhir.health.gov.il/StructureDefinition/il-core-observation",
              "http://fhir.health.gov.il/StructureDefinition/il-core-diagnostic-report"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.isSubpotent",
        "path" : "Immunization.isSubpotent",
        "short" : "Dose potency",
        "definition" : "Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent.",
        "comment" : "Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.isSubpotent",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "By default, a dose should be considered to be potent.",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "This element is labeled as a modifier because an immunization event with a subpotent vaccine doesn't protect the patient the same way as a potent dose.",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "RXA-20 = PA (partial administration)"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.subpotentReason",
        "path" : "Immunization.subpotentReason",
        "short" : "Reason for being subpotent",
        "definition" : "Reason why a dose is considered to be subpotent.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.subpotentReason",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubpotentReason"
            }
          ],
          "strength" : "example",
          "description" : "The reason why a dose is considered to be subpotent.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-subpotent-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.education",
        "path" : "Immunization.education",
        "short" : "Educational material presented to patient",
        "definition" : "Educational material presented to the patient (or guardian) at the time of vaccine administration.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.education",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "imm-1",
            "severity" : "error",
            "human" : "One of documentType or reference SHALL be present",
            "expression" : "documentType.exists() or reference.exists()",
            "xpath" : "exists(f:documentType) or exists(f:reference)"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.education.id",
        "path" : "Immunization.education.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhirpath/System.String",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ]
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Immunization.education.extension",
        "path" : "Immunization.education.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extens   {
        "id" : "Immunization.protocolApplied.targetDisease",
        "path" : "Immunization.protocolApplied.targetDisease",
        "short" : "Vaccine preventatable disease being targetted",
        "definition" : "The vaccine preventable disease the dose is being administered against.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.protocolApplied.targetDisease",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "strength" : "preferred",
          "valueSet" : "http://fhir.health.gov.il/ValueSet/target-disease"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.protocolApplied.doseNumber[x]",
        "path" : "Immunization.protocolApplied.doseNumber[x]",
        "short" : "Dose number within series",
        "definition" : "Nominal position in a series.",
        "comment" : "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" : 1,
        "max" : "1",
        "base" : {
          "path" : "Immunization.protocolApplied.doseNumber[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.protocolApplied.seriesDoses[x]",
        "path" : "Immunization.protocolApplied.seriesDoses[x]",
        "short" : "Recommended number of doses for immunity",
        "definition" : "The recommended number of doses to achieve immunity.",
        "comment" : "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" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.protocolApplied.seriesDoses[x]",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "Immunization",
        "path" : "Immunization",
        "short" : "ILCore Immunization Profile",
        "definition" : "Israel Core proposed constraints and extensions on the Immunization resource profile.",
        "constraint" : [
          {
            "key" : "il-immunization-lot-number",
            "severity" : "error",
            "human" : "Immunization.lotNumber SHALL have a value if Immunization.primarySource is TRUE.",
            "expression" : "primarySource=true implies lotNumber.exists()",
            "source" : "http://fhir.health.gov.il/StructureDefinition/il-core-immunization"
          }
        ]
      },
      {
        "id" : "Immunization.status",
        "path" : "Immunization.status",
        "mustSupport" : true
      },
      {
        "id" : "Immunization.statusReason",
        "path" : "Immunization.statusReason",
        "example" : [
          {
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "code" : "310376006",
                  "system" : "http://snomed.info/sct",
                  "display" : "Immunization consent not given"
                }
              ]
            },
            "label" : "Valid Example"
          }
        ],
        "mustSupport" : true,
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://fhir.health.gov.il/ValueSet/reason-not-done"
        }
      },
      {
        "id" : "Immunization.vaccineCode",
        "path" : "Immunization.vaccineCode",
        "mustSupport" : true
      },
      {
        "id" : "Immunization.vaccineCode.coding",
        "path" : "Immunization.vaccineCode.coding",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "$this"
            }
          ],
          "rules" : "open"
        },
        "min" : 1
      },
      {
        "id" : "Immunization.vaccineCode.coding:vaccine",
        "path" : "Immunization.vaccineCode.coding",
        "sliceName" : "vaccine",
        "min" : 1,
        "max" : "1",
        "example" : [
          {
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "code" : "346313005",
                  "system" : "http://snomed.info/sct",
                  "display" : "Allergen extract vaccines"
                }
              ]
            },
            "label" : "Valid Example"
          }
        ],
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://fhir.health.gov.il/ValueSet/vaccine-code"
        }
      },
      {
        "id" : "Immunization.vaccineCode.coding:product",
        "path" : "Immunization.vaccineCode.coding",
        "sliceName" : "product",
        "min" : 0,
        "max" : "1",
        "example" : [
          {
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "code" : "J07AC",
                  "system" : "http://www.whocc.no/atc",
                  "display" : "Anthrax vaccines"
                }
              ]
            },
            "label" : "Valid Example"
          }
        ],
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://fhir.health.gov.il/ValueSet/vaccine-product-code"
        }
      },
      {
        "id" : "Immunization.patient",
        "path" : "Immunization.patient",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://fhir.health.gov.il/StructureDefinition/il-core-patient"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Immunization.encounter",
        "path" : "Immunization.encounter",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://fhir.health.gov.il/StructureDefinition/il-core-encounter"
            ]
          }
        ]
      },
      {
        "id" : "Immunization.occurrence[x]",
        "path" : "Immunization.occurrence[x]",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "mustSupport" : true
      },
      {
        "id" : "Immunization.occurrence[x]:occurrenceDateTime",
        "path" : "Immunization.occurrence[x]",
        "sliceName" : "occurrenceDateTime",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Immunization.primarySource",
        "path" : "Immunization.primarySource",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Immunization.location",
        "path" : "Immunization.location",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://fhir.health.gov.il/StructureDefinition/il-core-location"
            ]
          }
        ]
      },
      {
        "id" : "Immunization.manufacturer",
        "path" : "Immunization.manufacturer",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://fhir.health.gov.il/StructureDefinition/il-core-organization"
            ]
          }
        ]
      },
      {
        "id" : "Immunization.lotNumber",
        "path" : "Immunization.lotNumber",
        "mustSupport" : true
      },
      {
        "id" : "Immunization.site",
        "path" : "Immunization.site",
        "example" : [
          {
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "code" : "368208006",
                  "system" : "http://snomed.info/sct",
                  "display" : "Left upper arm structure (body structure)"
                }
              ]
            },
            "label" : "Valid Example"
          }
        ],
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://fhir.health.gov.il/ValueSet/immunization-body-site"
        }
      },
      {
        "id" : "Immunization.route",
        "path" : "Immunization.route",
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-route"
        }
      },
      {
        "id" : "Immunization.performer.actor",
        "path" : "Immunization.performer.actor",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner",
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role",
              "http://fhir.health.gov.il/StructureDefinition/il-core-organization"
            ]
          }
        ]
      },
      {
        "id" : "Immunization.reasonReference",
        "path" : "Immunization.reasonReference",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://fhir.health.gov.il/StructureDefinition/il-core-condition",
              "http://fhir.health.gov.il/StructureDefinition/il-core-observation",
              "http://fhir.health.gov.il/StructureDefinition/il-core-diagnostic-report"
            ]
          }
        ]
      },
      {
        "id" : "Immunization.reaction.detail",
        "path" : "Immunization.reaction.detail",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://fhir.health.gov.il/StructureDefinition/il-core-immunization-reaction-observation"
            ]
          }
        ]
      },
      {
        "id" : "Immunization.protocolApplied.targetDisease",
        "path" : "Immunization.protocolApplied.targetDisease",
        "binding" : {
          "strength" : "preferred",
          "valueSet" : "http://fhir.health.gov.il/ValueSet/target-disease"
        }
      }
    ]
  },
  "text" : {
  }
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.