FHIR IG analytics| Package | smart.who.int.immunizations |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-IMMZD17.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/WorldHealthOrganization/smart-immunizations/StructureDefinition-IMMZD17.html |
| URL | http://smart.who.int/immunizations/StructureDefinition/IMMZD17 |
| Version | 0.2.0 |
| Status | active |
| Date | 2025-01-13 |
| Name | IMMZ_D17_Report_AEFI |
| Title | IMMZ.D17.Report AEFI |
| Authority | who |
| Description | Data elements for the IMMZ.D17.Report AEFI Data Dictionary Activity. |
| Type | http://smart.who.int/immunizations/StructureDefinition/IMMZD17 |
| Kind | logical |
No resources found
| ValueSet | ||
| smart.who.int.immunizations#current | IMMZ.D.DE107 | IMMZ.D.DE107 ValueSet for Type of reaction |
| smart.who.int.immunizations#current | IMMZ.D.DE115 | IMMZ.D.DE115 ValueSet for Reaction outcome |
| smart.who.int.immunizations#current | IMMZ.D.DE95 | IMMZ.D.DE95 ValueSet for Reaction manifestation |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition IMMZD17
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  IMMZD17 | 0..* | Base | IMMZ.D17.Report AEFI | |
  patient | 1..1 | Reference() | Patient | |
 reactionReported | 0..1 | boolean | Reaction reported | |
| reactionDate | C | 0..1 | date | Reaction date Constraints: IMMZ-D-reqReaction-1, IMMZ-D-dateOccurred-1 |
 reactionManifestation | C | 0..1 | Coding | Reaction manifestation Binding: IMMZ.D.DE95 ValueSet for Reaction manifestation (required) Constraints: IMMZ-D-reqReaction-1 |
| typeOfReaction | C | 0..1 | Coding | Type of reaction Binding: IMMZ.D.DE107 ValueSet for Type of reaction (required) Constraints: IMMZ-D-reqReaction-1 |
| otherImportantMedicalEvent | 0..1 | string | Other important medical event (specify) | |
 reactionOutcome | C | 0..1 | Coding | Reaction outcome Binding: IMMZ.D.DE115 ValueSet for Reaction outcome (required) Constraints: IMMZ-D-reqReaction-1 |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "StructureDefinition",
"id": "IMMZD17",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablestructuredefinition",
"http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablestructuredefinition"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode": "shareable"
},
{
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"valueCoding": {
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"code": "semver"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy",
"valueCodeableConcept": {
"coding": [
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"code": "metadata"
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}
],
"url": "http://smart.who.int/immunizations/StructureDefinition/IMMZD17",
"version": "0.2.0",
"name": "IMMZ_D17_Report_AEFI",
"title": "IMMZ.D17.Report AEFI",
"status": "active",
"experimental": false,
"date": "2025-01-13",
"publisher": "WHO",
"contact": [
{
"name": "WHO",
"telecom": [
{
"system": "url",
"value": "http://who.int"
}
]
}
],
"description": "Data elements for the IMMZ.D17.Report AEFI Data Dictionary Activity.",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "IMMZD17.to.Observation",
"uri": "http://smart.who.int/immunizations/StructureDefinition/IMMZAdverseEvent",
"name": "Mapping from the IMMZ.D17 to the IMMZAdverseEvent profile"
}
],
"kind": "logical",
"abstract": false,
"type": "http://smart.who.int/immunizations/StructureDefinition/IMMZD17",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base",
"derivation": "specialization",
"snapshot": {
"extension": [
{
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"valueString": "4.0.1"
}
],
"element": [
{
"id": "IMMZD17",
"path": "IMMZD17",
"short": "IMMZ.D17.Report AEFI",
"definition": "Data elements for the IMMZ.D17.Report AEFI Data Dictionary Activity.",
"min": 0,
"max": "*",
"base": {
"path": "Base",
"min": 0,
"max": "*"
},
"isModifier": false,
"mapping": [
{
"identity": "IMMZD17.to.Observation",
"map": "AdverseEvent"
}
]
},
{
"id": "IMMZD17.patient",
"path": "IMMZD17.patient",
"short": "Patient",
"definition": "The patient.",
"min": 1,
"max": "1",
"base": {
"path": "IMMZD17.patient",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference"
}
],
"mapping": [
{
"identity": "IMMZD17.to.Observation",
"map": "AdverseEvent.subject"
}
]
},
{
"id": "IMMZD17.reactionReported",
"path": "IMMZD17.reactionReported",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE92"
},
{
"system": "http://id.who.int/icd/release/11/mms",
"code": "PK81.7",
"display": "Injection or infusion for therapeutic or diagnostic purposes associated with injury or harm in therapeutic use"
},
{
"system": "http://snomed.info/sct",
"code": "418799008",
"display": "Finding reported by subject or history provider (finding)"
}
],
"short": "Reaction reported",
"definition": "Indicates observation of an adverse event/reaction",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD17.reactionReported",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "IMMZD17.reactionDate",
"path": "IMMZD17.reactionDate",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE93"
},
{
"system": "http://loinc.org",
"code": "30953-4",
"display": "Date and time of onset of vaccination adverse event"
}
],
"short": "Reaction date",
"definition": "When adverse event/reaction started",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD17.reactionDate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"constraint": [
{
"key": "IMMZ-D-reqReaction-1",
"severity": "error",
"human": "Required if input in IMMZ.D.DE92 Reaction reported is Yes",
"expression": "not(%resource.reactionReport.exists()) or %resource.reactionReported.value != true or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
},
{
"key": "IMMZ-D-dateOccurred-1",
"severity": "error",
"human": "Date ≤ current date",
"expression": "not($this.exists()) or $this.value <= today()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
}
],
"mapping": [
{
"identity": "IMMZD17.to.Observation",
"map": "AdverseEvent.date"
}
]
},
{
"id": "IMMZD17.reactionManifestation",
"path": "IMMZD17.reactionManifestation",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE95"
},
{
"system": "http://id.who.int/icd/release/11/mms",
"code": "NE80.3",
"display": "Other serum reactions. This code includes 'Complications of vaccination, serum reaction'. A more specific code may be selected based on the documented reaction/manifestation"
}
],
"short": "Reaction manifestation",
"definition": "The manifestation of the reaction (e.g. infected abscess, swelling, rash, hives, diarrhoea, etc.) observed after administering the vaccine",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD17.reactionManifestation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqReaction-1",
"severity": "error",
"human": "Required if input in IMMZ.D.DE92 Reaction reported is Yes",
"expression": "not(%resource.reactionReport.exists()) or %resource.reactionReported.value != true or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE95"
},
"mapping": [
{
"identity": "IMMZD17.to.Observation",
"map": "AdverseEvent.event"
}
]
},
{
"id": "IMMZD17.typeOfReaction",
"path": "IMMZD17.typeOfReaction",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE107"
}
],
"short": "Type of reaction",
"definition": "If the event resulted in a reaction, what is the type of reaction",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD17.typeOfReaction",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqReaction-1",
"severity": "error",
"human": "Required if input in IMMZ.D.DE92 Reaction reported is Yes",
"expression": "not(%resource.reactionReport.exists()) or %resource.reactionReported.value != true or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE107"
},
"mapping": [
{
"identity": "IMMZD17.to.Observation",
"map": "AdverseEvent.seriousness"
}
]
},
{
"id": "IMMZD17.otherImportantMedicalEvent",
"path": "IMMZD17.otherImportantMedicalEvent",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE113"
}
],
"short": "Other important medical event (specify)",
"definition": "There was another important reaction or medical event",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD17.otherImportantMedicalEvent",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "IMMZD17.to.Observation",
"map": "AdverseEvent.extension[otherMedicalEvent].valueString"
}
]
},
{
"id": "IMMZD17.reactionOutcome",
"path": "IMMZD17.reactionOutcome",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE115"
},
{
"system": "http://snomed.info/sct",
"code": "293104008",
"display": "Adverse reaction to component of vaccine product (disorder)"
}
],
"short": "Reaction outcome",
"definition": "The outcome of the reaction (e.g. death, recovered, recovering)",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD17.reactionOutcome",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqReaction-1",
"severity": "error",
"human": "Required if input in IMMZ.D.DE92 Reaction reported is Yes",
"expression": "not(%resource.reactionReport.exists()) or %resource.reactionReported.value != true or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE115"
},
"mapping": [
{
"identity": "IMMZD17.to.Observation",
"map": "AdverseEvent.outcome"
}
]
}
]
},
"differential": {
"element": [
{
"id": "IMMZD17",
"path": "IMMZD17",
"short": "IMMZ.D17.Report AEFI",
"definition": "Data elements for the IMMZ.D17.Report AEFI Data Dictionary Activity.",
"mapping": [
{
"identity": "IMMZD17.to.Observation",
"map": "AdverseEvent"
}
]
},
{
"id": "IMMZD17.patient",
"path": "IMMZD17.patient",
"short": "Patient",
"definition": "The patient.",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference"
}
],
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{
"identity": "IMMZD17.to.Observation",
"map": "AdverseEvent.subject"
}
]
},
{
"id": "IMMZD17.reactionReported",
"path": "IMMZD17.reactionReported",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE92"
},
{
"system": "http://id.who.int/icd/release/11/mms",
"code": "PK81.7",
"display": "Injection or infusion for therapeutic or diagnostic purposes associated with injury or harm in therapeutic use"
},
{
"system": "http://snomed.info/sct",
"code": "418799008",
"display": "Finding reported by subject or history provider (finding)"
}
],
"short": "Reaction reported",
"definition": "Indicates observation of an adverse event/reaction",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "IMMZD17.reactionDate",
"path": "IMMZD17.reactionDate",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE93"
},
{
"system": "http://loinc.org",
"code": "30953-4",
"display": "Date and time of onset of vaccination adverse event"
}
],
"short": "Reaction date",
"definition": "When adverse event/reaction started",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"constraint": [
{
"key": "IMMZ-D-reqReaction-1",
"severity": "error",
"human": "Required if input in IMMZ.D.DE92 Reaction reported is Yes",
"expression": "not(%resource.reactionReport.exists()) or %resource.reactionReported.value != true or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
},
{
"key": "IMMZ-D-dateOccurred-1",
"severity": "error",
"human": "Date ≤ current date",
"expression": "not($this.exists()) or $this.value <= today()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
}
],
"mapping": [
{
"identity": "IMMZD17.to.Observation",
"map": "AdverseEvent.date"
}
]
},
{
"id": "IMMZD17.reactionManifestation",
"path": "IMMZD17.reactionManifestation",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE95"
},
{
"system": "http://id.who.int/icd/release/11/mms",
"code": "NE80.3",
"display": "Other serum reactions. This code includes 'Complications of vaccination, serum reaction'. A more specific code may be selected based on the documented reaction/manifestation"
}
],
"short": "Reaction manifestation",
"definition": "The manifestation of the reaction (e.g. infected abscess, swelling, rash, hives, diarrhoea, etc.) observed after administering the vaccine",
"min": 0,
"max": "1",
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqReaction-1",
"severity": "error",
"human": "Required if input in IMMZ.D.DE92 Reaction reported is Yes",
"expression": "not(%resource.reactionReport.exists()) or %resource.reactionReported.value != true or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE95"
},
"mapping": [
{
"identity": "IMMZD17.to.Observation",
"map": "AdverseEvent.event"
}
]
},
{
"id": "IMMZD17.typeOfReaction",
"path": "IMMZD17.typeOfReaction",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE107"
}
],
"short": "Type of reaction",
"definition": "If the event resulted in a reaction, what is the type of reaction",
"min": 0,
"max": "1",
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqReaction-1",
"severity": "error",
"human": "Required if input in IMMZ.D.DE92 Reaction reported is Yes",
"expression": "not(%resource.reactionReport.exists()) or %resource.reactionReported.value != true or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE107"
},
"mapping": [
{
"identity": "IMMZD17.to.Observation",
"map": "AdverseEvent.seriousness"
}
]
},
{
"id": "IMMZD17.otherImportantMedicalEvent",
"path": "IMMZD17.otherImportantMedicalEvent",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE113"
}
],
"short": "Other important medical event (specify)",
"definition": "There was another important reaction or medical event ",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "IMMZD17.to.Observation",
"map": "AdverseEvent.extension[otherMedicalEvent].valueString"
}
]
},
{
"id": "IMMZD17.reactionOutcome",
"path": "IMMZD17.reactionOutcome",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE115"
},
{
"system": "http://snomed.info/sct",
"code": "293104008",
"display": "Adverse reaction to component of vaccine product (disorder)"
}
],
"short": "Reaction outcome",
"definition": "The outcome of the reaction (e.g. death, recovered, recovering)",
"min": 0,
"max": "1",
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqReaction-1",
"severity": "error",
"human": "Required if input in IMMZ.D.DE92 Reaction reported is Yes",
"expression": "not(%resource.reactionReport.exists()) or %resource.reactionReported.value != true or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD17"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE115"
},
"mapping": [
{
"identity": "IMMZD17.to.Observation",
"map": "AdverseEvent.outcome"
}
]
}
]
}
}