FHIR IG analytics| Package | ch.fhir.ig.ch-ekm |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-ch-ekm-immunization.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/ahdis/ch-ekm/StructureDefinition-ch-ekm-immunization.html |
| URL | http://fhir.ch/ig/ch-ekm/StructureDefinition/ch-ekm-immunization |
| Version | 0.0.1 |
| Status | draft |
| Date | 2026-08-26T14:49:37+00:00 |
| Name | ChEkmImmunization |
| Title | CH EKM Immunization: Vaccination status |
| Realm | ch |
| Authority | hl7 |
| Description | This CH EKM base profile constrains the Immunization resource for the 'Impfstatus' section of the reporting form: per vaccination type relevant to the reported disease, whether the affected person was vaccinated (yes / no / unknown), with how many doses in total, when the last dose was given and with which product. Referenced from Composition.section[immunization]. |
| Copyright | CC0-1.0 |
| Type | Immunization |
| Kind | resource |
| StructureDefinition | ||
| ch.fhir.ig.ch-ekm#current | ch-ekm-composition | CH EKM Composition: Clinical Findings of Communicable Infectious Diseases Report |
| ch.fhir.ig.ch-ekm#current | ch-ekm-immunization-mpox | CH EKM Immunization: Mpox |
| StructureDefinition | ||
| ch.fhir.ig.ch-core#current | ch-core-immunization | CH Core Immunization |
| ch.fhir.ig.ch-ekm#current | ch-ekm-ext-immunization-unknown | CH EKM Extension: Immunization unknown |
| ch.fhir.ig.ch-ekm#current | ch-ekm-patient | CH EKM Patient |
| ValueSet | ||
| ch.fhir.ig.ch-term#current | ch-vacd-targetdiseasesandillnessesundergoneforimmunization-vs | CH VACD Target disease and illnesses undergone for immunization |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition ch-ekm-immunization
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Immunization | C | 0..* | CHCoreImmunization | CH EKM Immunization: vaccination status for one target disease Constraints: ch-ekm-immunization-unknown |
  Slices for modifierExtension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   modifierExtension:unknown | 0..1 | CodeableConcept | Present when the answer was 'unbekannt': it is not known whether this vaccination took place URL: http://fhir.ch/ig/ch-ekm/StructureDefinition/ch-ekm-ext-immunization-unknown | |
 status | 1..1 | code | completed = vaccinated ('ja'); not-done = not vaccinated ('nein'), or — together with modifierExtension[unknown] — not known ('unbekannt') | |
| statusReason | 0..0 | Not used: the form does not ask WHY a vaccination was not given | ||
| vaccineCode | 1..1 | CodeableConcept | The vaccine product. A Swiss vaccine (brand) code when the physician picked one, otherwise the SNOMED CT vaccine product concept for the target disease; a typed brand name is carried in vaccineCode.text | |
 patient | 1..1 | Reference(CH EKM Patient) | Patient | |
 occurrence[x] | 1..1 | dateTime | Date of the LAST dose ('Letzte Dosis, Datum'). Valueless with a data-absent-reason when the person was not vaccinated or it is unknown | |
 protocolApplied | 1..1 | BackboneElement | Protocol followed by the provider | |
 targetDisease | 1..1 | CodeableConcept | The vaccination type the form row asks about, as the disease it protects against (e.g. smallpox, mpox) Binding: CH VACD Target disease and illnesses undergone for immunization (preferred) | |
| doseNumber[x] | 1..1 | positiveInt | Total number of doses received ('mit total ___ Dosen') — the number of the last dose. Valueless with a data-absent-reason when not vaccinated, unknown, or not stated | |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "StructureDefinition",
"id": "ch-ekm-immunization",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://fhir.ch/ig/ch-ekm/StructureDefinition/ch-ekm-immunization",
"version": "0.0.1",
"name": "ChEkmImmunization",
"title": "CH EKM Immunization: Vaccination status",
"status": "draft",
"date": "2026-08-26T14:49:37+00:00",
"publisher": "Federal Office of Public Health FOPH",
"contact": [
{
"name": "Federal Office of Public Health FOPH",
"telecom": [
{
"system": "url",
"value": "https://www.bag.admin.ch/bag/en/home/das-bag/kontakt-standort.html"
}
]
}
],
"description": "This CH EKM base profile constrains the Immunization resource for the 'Impfstatus' section of the reporting form: per vaccination type relevant to the reported disease, whether the affected person was vaccinated (yes / no / unknown), with how many doses in total, when the last dose was given and with which product. Referenced from Composition.section[immunization].",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "CH"
}
]
}
],
"copyright": "CC0-1.0",
"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://fhir.ch/ig/ch-core/StructureDefinition/ch-core-immunization",
"derivation": "constraint",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "7.0.0-ballot"
}
],
"element": [
{
"id": "Immunization",
"path": "Immunization",
"short": "CH EKM Immunization: vaccination status for one target disease",
"definition": "Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party.",
"min": 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": "ch-ekm-immunization-unknown",
"severity": "error",
"human": "If it is unknown whether the vaccination took place (modifierExtension[unknown] present), Immunization.status must be 'not-done'.",
"expression": "modifierExtension.where(url = 'http://fhir.ch/ig/ch-ekm/StructureDefinition/ch-ekm-ext-immunization-unknown').exists() implies status = 'not-done'",
"source": "http://fhir.ch/ig/ch-ekm/StructureDefinition/ch-ekm-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": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.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"
}
],
"strength": "preferred",
"description": "A human language.",
"valueSet": "http://hl7.org/fhir/ValueSet/languages|4.0.1"
}
},
{
"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",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"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
},
{
"id": "Immunization.extension:recorder",
"path": "Immunization.extension",
"sliceName": "recorder",
"short": "Optional Extensions Element",
"definition": "The recorder Reference of the immunization. May be a Practitioner or a Patient",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author"
]
}
],
"condition": [
"ele-1"
],
"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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Immunization.extension:indicationCode",
"path": "Immunization.extension",
"sliceName": "indicationCode",
"short": "Optional Extensions Element",
"definition": "Optional Extension Element - found in all resources.",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epl-regulated-authorization-limitation-indication-code"
]
}
],
"condition": [
"ele-1"
],
"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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Immunization.modifierExtension",
"path": "Immunization.modifierExtension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"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
},
{
"id": "Immunization.modifierExtension:unknown",
"path": "Immunization.modifierExtension",
"sliceName": "unknown",
"short": "Present when the answer was 'unbekannt': it is not known whether this vaccination took place",
"definition": "This CH EKM modifier extension records that it is NOT KNOWN whether the vaccination described by this Immunization took place ('unbekannt' on the reporting form), as opposed to it being known not to have taken place. It is a modifier extension because the resource carries status = not-done, which without this extension would assert that the vaccination did not happen.",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.ch/ig/ch-ekm/StructureDefinition/ch-ekm-ext-immunization-unknown"
]
}
],
"condition": [
"ele-1"
],
"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": "Changes the meaning of Immunization.status: the record states that it is unknown whether the vaccination took place, not that it did not take place. A consumer that ignores this extension would read status = not-done as an assertion that the person was not vaccinated.",
"isSummary": false
},
{
"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 = vaccinated ('ja'); not-done = not vaccinated ('nein'), or — together with modifierExtension[unknown] — not known ('unbekannt')",
"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"
}
],
"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": "Not used: the form does not ask WHY a vaccination was not given",
"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": "0",
"base": {
"path": "Immunization.statusReason",
"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": "ImmunizationStatusReason"
}
],
"strength": "example",
"description": "The reason why a vaccine was not administered.",
"valueSet": "http://hl7.org/fhir/ValueSet/immunization-status-reason|4.0.1"
},
"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": "The vaccine product. A Swiss vaccine (brand) code when the physician picked one, otherwise the SNOMED CT vaccine product concept for the target disease; a typed brand name is carried in vaccineCode.text",
"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"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"extension": [
{
"url": "key",
"valueId": "snomedct"
},
{
"url": "purpose",
"valueCode": "candidate"
},
{
"url": "valueSet",
"valueCanonical": "http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-vaccines-snomedct-vs"
},
{
"url": "documentation",
"valueMarkdown": "Additional conformance binding to a vaccines value set out of the SNOMED CT code system."
},
{
"url": "shortDoco",
"valueString": "For when SNOMED CT code system is preferred"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension": [
{
"url": "key",
"valueId": "swissmedic"
},
{
"url": "purpose",
"valueCode": "candidate"
},
{
"url": "valueSet",
"valueCanonical": "http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-swissmedic-immunoglobulin-vs"
},
{
"url": "documentation",
"valueMarkdown": "Additional conformance binding to a vaccines value set out of the Swissmedic Immunoglobulin code system."
},
{
"url": "shortDoco",
"valueString": "For when Swissmedic Immunoglobulin code system is preferred"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension": [
{
"url": "key",
"valueId": "swissmedic"
},
{
"url": "purpose",
"valueCode": "candidate"
},
{
"url": "valueSet",
"valueCanonical": "http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-swissmedic-immunesera-vs"
},
{
"url": "documentation",
"valueMarkdown": "Additional conformance binding to a vaccines value set out of the Swissmedic Immunsera code system."
},
{
"url": "shortDoco",
"valueString": "For when Swissmedic Immunsera code system is preferred"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension": [
{
"url": "key",
"valueId": "nuva"
},
{
"url": "purpose",
"valueCode": "candidate"
},
{
"url": "valueSet",
"valueCanonical": "https://smt.esante.gouv.fr/terminologie-nuva?vs"
},
{
"url": "documentation",
"valueMarkdown": "Additional conformance binding to the NUVA vaccines value set."
},
{
"url": "shortDoco",
"valueString": "For usage of NUVA codes."
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
}
],
"strength": "preferred",
"valueSet": "http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-vaccines-vs"
},
"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.patient",
"path": "Immunization.patient",
"short": "Patient",
"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.ch/ig/ch-ekm/StructureDefinition/ch-ekm-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"
}
],
"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",
"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.ch/ig/ch-core/StructureDefinition/ch-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]",
"short": "Date of the LAST dose ('Letzte Dosis, Datum'). Valueless with a data-absent-reason when the person was not vaccinated or it is unknown",
"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"
}
],
"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.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": 0,
"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"
}
],
"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|4.0.1"
},
"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://hl7.org/fhir/StructureDefinition/Location|4.0.1"
]
}
],
"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://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
]
}
],
"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"
}
],
"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"
}
],
"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": "ImmunizationSite"
}
],
"strength": "example",
"description": "The site at which the vaccine was administered.",
"valueSet": "http://hl7.org/fhir/ValueSet/immunization-site|4.0.1"
},
"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": "preferred",
"valueSet": "http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-route-of-administration-vs"
},
"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|4.0.1"
]
}
],
"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": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.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](http://hl7.org/fhir/R4/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|4.0.1"
},
"mapping": [
{
"identity": "workflow",
"map": "Event.performer.function"
},
{
"identity": "rim",
"map": ".participation.functionCode"
}
]
},
{
"id": "Immunization.performer.actor",
"path": "Immunization.performer.actor",
"short": "The performer who applied the vaccine",
"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.ch/ig/ch-core/StructureDefinition/ch-core-practitioner",
"http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole",
"http://fhir.ch/ig/ch-core/StructureDefinition/ch-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|4.0.1"
},
"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://hl7.org/fhir/StructureDefinition/Condition|4.0.1",
"http://hl7.org/fhir/StructureDefinition/Observation|4.0.1",
"http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1"
]
}
],
"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|4.0.1"
},
"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)",
"source": "http://hl7.org/fhir/StructureDefinition/Immunization"
}
],
"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": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.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": "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.education.modifierExtension",
"path": "Immunization.education.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](http://hl7.org/fhir/R4/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.education.documentType",
"path": "Immunization.education.documentType",
"short": "Educational material document identifier",
"definition": "Identifier of the material presented to the patient.",
"min": 0,
"max": "1",
"base": {
"path": "Immunization.education.documentType",
"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": false,
"mapping": [
{
"identity": "v2",
"map": "OBX-5 : OBX-3 = 69764-9"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Immunization.education.reference",
"path": "Immunization.education.reference",
"short": "Educational material reference pointer",
"definition": "Reference pointer to the educational material given to the patient if the information was on line.",
"min": 0,
"max": "1",
"base": {
"path": "Immunization.education.reference",
"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": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Immunization.education.publicationDate",
"path": "Immunization.education.publicationDate",
"short": "Educational material publication date",
"definition": "Date the educational material was published.",
"min": 0,
"max": "1",
"base": {
"path": "Immunization.education.publicationDate",
"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": "v2",
"map": "OBX-5 : OBX-3 = 29768-9"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Immunization.education.presentationDate",
"path": "Immunization.education.presentationDate",
"short": "Educational material presentation date",
"definition": "Date the educational material was given to the patient.",
"min": 0,
"max": "1",
"base": {
"path": "Immunization.education.presentationDate",
"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": "v2",
"map": "OBX-5 : OBX-3 = 29769-7"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Immunization.programEligibility",
"path": "Immunization.programEligibility",
"short": "Patient eligibility for a vaccination program",
"definition": "Indicates a patient's eligibility for a funding program.",
"min": 0,
"max": "*",
"base": {
"path": "Immunization.programEligibility",
"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": "ProgramEligibility"
}
],
"strength": "example",
"description": "The patient's eligibility for a vaccation program.",
"valueSet": "http://hl7.org/fhir/ValueSet/immunization-program-eligibility|4.0.1"
},
"mapping": [
{
"identity": "v2",
"map": "OBX-5 : OBX-3 = 64994-7"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Immunization.fundingSource",
"path": "Immunization.fundingSource",
"short": "Funding source for the vaccine",
"definition": "Indicates the source of the vaccine actually administered. This may be different than the patient eligibility (e.g. the patient may be eligible for a publically purchased vaccine but due to inventory issues, vaccine purchased with private funds was actually administered).",
"min": 0,
"max": "1",
"base": {
"path": "Immunization.fundingSource",
"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": "FundingSource"
}
],
"strength": "example",
"description": "The source of funding used to purchase the vaccine administered.",
"valueSet": "http://hl7.org/fhir/ValueSet/immunization-funding-source|4.0.1"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Immunization.reaction",
"path": "Immunization.reaction",
"short": "Details of a reaction that follows immunization",
"definition": "Categorical data indicating that an adverse event is associated in time to an immunization.",
"comment": "A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements.",
"min": 0,
"max": "*",
"base": {
"path": "Immunization.reaction",
"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": false,
"mapping": [
{
"identity": "v2",
"map": "OBX-3"
},
{
"identity": "rim",
"map": "Observation[classCode=obs].code"
}
]
},
{
"id": "Immunization.reaction.id",
"path": "Immunization.reaction.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": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Immunization.reaction.extension",
"path": "Immunization.reaction.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.reaction.modifierExtension",
"path": "Immunization.reaction.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](http://hl7.org/fhir/R4/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.reaction.date",
"path": "Immunization.reaction.date",
"short": "When reaction started",
"definition": "Date of reaction to the immunization.",
"min": 0,
"max": "1",
"base": {
"path": "Immunization.reaction.date",
"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": "v2",
"map": "OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7 v2 VXU message - most likely would appear in OBX segments if at all)"
},
{
"identity": "rim",
"map": ".effectiveTime"
}
]
},
{
"id": "Immunization.reaction.detail",
"path": "Immunization.reaction.detail",
"short": "Additional information on reaction",
"definition": "Details of the reaction.",
"min": 0,
"max": "1",
"base": {
"path": "Immunization.reaction.detail",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
]
}
],
"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": "OBX-5"
},
{
"identity": "rim",
"map": ".value"
}
]
},
{
"id": "Immunization.reaction.reported",
"path": "Immunization.reaction.reported",
"short": "Indicates self-reported reaction",
"definition": "Self-reported indicator.",
"min": 0,
"max": "1",
"base": {
"path": "Immunization.reaction.reported",
"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"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "v2",
"map": "(HL7 v2 doesn't seem to provide for this)"
},
{
"identity": "rim",
"map": ".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"
}
]
},
{
"id": "Immunization.protocolApplied",
"path": "Immunization.protocolApplied",
"short": "Protocol followed by the provider",
"definition": "The protocol (set of recommendations) being followed by the provider who administered the dose.",
"min": 1,
"max": "1",
"base": {
"path": "Immunization.protocolApplied",
"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": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Immunization.protocolApplied.id",
"path": "Immunization.protocolApplied.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": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Immunization.protocolApplied.extension",
"path": "Immunization.protocolApplied.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.protocolApplied.modifierExtension",
"path": "Immunization.protocolApplied.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](http://hl7.org/fhir/R4/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.protocolApplied.series",
"path": "Immunization.protocolApplied.series",
"short": "Name of vaccine series",
"definition": "One possible path to achieve presumed immunity against a disease - within the context of an authority.",
"min": 0,
"max": "1",
"base": {
"path": "Immunization.protocolApplied.series",
"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": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Immunization.protocolApplied.authority",
"path": "Immunization.protocolApplied.authority",
"short": "Who is responsible for publishing the recommendations",
"definition": "Indicates the authority who published the protocol (e.g. ACIP) that is being followed.",
"min": 0,
"max": "1",
"base": {
"path": "Immunization.protocolApplied.authority",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
]
}
],
"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.targetDisease",
"path": "Immunization.protocolApplied.targetDisease",
"short": "The vaccination type the form row asks about, as the disease it protects against (e.g. smallpox, mpox)",
"definition": "The vaccine preventable disease the dose is being administered against.",
"min": 1,
"max": "1",
"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.ch/ig/ch-vacd/ValueSet/ch-vacd-targetdiseasesandillnessesundergoneforimmunization-vs"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Immunization.protocolApplied.doseNumber[x]",
"path": "Immunization.protocolApplied.doseNumber[x]",
"short": "Total number of doses received ('mit total ___ Dosen') — the number of the last dose. Valueless with a data-absent-reason when not vaccinated, unknown, or not stated",
"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"
}
],
"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": "CH EKM Immunization: vaccination status for one target disease",
"constraint": [
{
"key": "ch-ekm-immunization-unknown",
"severity": "error",
"human": "If it is unknown whether the vaccination took place (modifierExtension[unknown] present), Immunization.status must be 'not-done'.",
"expression": "modifierExtension.where(url = 'http://fhir.ch/ig/ch-ekm/StructureDefinition/ch-ekm-ext-immunization-unknown').exists() implies status = 'not-done'",
"source": "http://fhir.ch/ig/ch-ekm/StructureDefinition/ch-ekm-immunization"
}
]
},
{
"id": "Immunization.modifierExtension",
"path": "Immunization.modifierExtension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Immunization.modifierExtension:unknown",
"path": "Immunization.modifierExtension",
"sliceName": "unknown",
"short": "Present when the answer was 'unbekannt': it is not known whether this vaccination took place",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.ch/ig/ch-ekm/StructureDefinition/ch-ekm-ext-immunization-unknown"
]
}
]
},
{
"id": "Immunization.status",
"path": "Immunization.status",
"short": "completed = vaccinated ('ja'); not-done = not vaccinated ('nein'), or — together with modifierExtension[unknown] — not known ('unbekannt')"
},
{
"id": "Immunization.statusReason",
"path": "Immunization.statusReason",
"short": "Not used: the form does not ask WHY a vaccination was not given",
"max": "0"
},
{
"id": "Immunization.vaccineCode",
"path": "Immunization.vaccineCode",
"short": "The vaccine product. A Swiss vaccine (brand) code when the physician picked one, otherwise the SNOMED CT vaccine product concept for the target disease; a typed brand name is carried in vaccineCode.text"
},
{
"id": "Immunization.patient",
"path": "Immunization.patient",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.ch/ig/ch-ekm/StructureDefinition/ch-ekm-patient"
]
}
]
},
{
"id": "Immunization.occurrence[x]",
"path": "Immunization.occurrence[x]",
"short": "Date of the LAST dose ('Letzte Dosis, Datum'). Valueless with a data-absent-reason when the person was not vaccinated or it is unknown",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "Immunization.protocolApplied",
"path": "Immunization.protocolApplied",
"min": 1,
"max": "1"
},
{
"id": "Immunization.protocolApplied.targetDisease",
"path": "Immunization.protocolApplied.targetDisease",
"short": "The vaccination type the form row asks about, as the disease it protects against (e.g. smallpox, mpox)",
"min": 1,
"max": "1",
"binding": {
"strength": "preferred",
"valueSet": "http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-targetdiseasesandillnessesundergoneforimmunization-vs"
}
},
{
"id": "Immunization.protocolApplied.doseNumber[x]",
"path": "Immunization.protocolApplied.doseNumber[x]",
"short": "Total number of doses received ('mit total ___ Dosen') — the number of the last dose. Valueless with a data-absent-reason when not vaccinated, unknown, or not stated",
"type": [
{
"code": "positiveInt"
}
]
}
]
}
}