| Package | smart.who.int.immunizations |
| Resource Type | StructureDefinition |
| Id | IMMZD1 |
| FHIR Version | R4 |
| Source | http://smart.who.int/immunizations/https://build.fhir.org/ig/WorldHealthOrganization/smart-immunizations/StructureDefinition-IMMZD1.html |
| URL | http://smart.who.int/immunizations/StructureDefinition/IMMZD1 |
| Version | 0.2.0 |
| Status | active |
| Date | 2025-01-10 |
| Name | IMMZ_D1_Capture_or_update_client_history |
| Title | IMMZ.D1.Capture or update client history |
| Authority | who |
| Description | Data elements for the IMMZ.D1.Capture or update client history Data Dictionary Activity. |
| Type | http://smart.who.int/immunizations/StructureDefinition/IMMZD1 |
| Kind | logical |
No resources found
| ValueSet | |
| IMMZ.D.DE204 | IMMZ.D.DE204 ValueSet for HIV status |
| IMMZ.D.DE212 | IMMZ.D.DE212 ValueSet for Type of poliovirus dose |
| IMMZ.D.DE216 | IMMZ.D.DE216 ValueSet for Type of JE dose |
| IMMZ.D.DE220 | IMMZ.D.DE220 ValueSet for Type of TBE dose |
| IMMZ.D.DE225 | IMMZ.D.DE225 ValueSet for Type of typhoid dose |
| IMMZ.D.DE229 | IMMZ.D.DE229 ValueSet for Type of cholera dose |
| IMMZ.D.DE232 | IMMZ.D.DE232 ValueSet for Type of meningococcal dose |
| IMMZ.D.DE237 | IMMZ.D.DE237 ValueSet for Type of hepatitis A dose |
| IMMZ.D.DE241 | IMMZ.D.DE241 ValueSet for Dengue serostatus |
| IMMZ.D.DE243 | IMMZ.D.DE243 ValueSet for Type of TB infection test performed |
| IMMZ.D.DE246 | IMMZ.D.DE246 ValueSet for TB infection test result |
| IMMZ.D.DE254 | IMMZ.D.DE254 ValueSet for Type of hepatitis B dose |
| IMMZ.D.DE258 | IMMZ.D.DE258 ValueSet for Type of dose |
| IMMZ.Z.VS | IMMZ.Z.VS ValueSet for vaccine types |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition IMMZD1
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  IMMZD1 | 0..* | Base | IMMZ.D1.Capture or update client history | |
  patient | 1..1 | Reference() | Patient | |
 birthDose | C | 0..1 | boolean | Birth dose Constraints: IMMZ-D-reqVType-1 |
 typeOfDose | 1..1 | Coding | Type of dose Binding: IMMZ.D.DE258 ValueSet for Type of dose (required) | |
| completedThePrimaryVaccinationSeries | 0..1 | boolean | Completed the primary vaccination series | |
| completedTheBoosterSeries | 0..1 | boolean | Completed the booster series | |
| dateWhenPrimaryVaccinationSeriesWasCompleted | C | 0..1 | date | Date when primary vaccination series was completed Constraints: IMMZ-D-reqPrimaryCompleted-1, IMMZ-D-dateOccurred-1 |
| hivStatus | 0..1 | Coding | HIV status Binding: IMMZ.D.DE204 ValueSet for HIV status (required) | |
| pretermBirth | 0..1 | boolean | Preterm birth | |
| immunocompromised | 0..1 | boolean | Immunocompromised | |
| currentlyOnArt | C | 0..1 | boolean | Currently on ART Constraints: IMMZ-D-reqHIVPositive-1 |
| typeOfTbInfectionTestPerformed | C | 0..1 | Coding | Type of TB infection test performed Binding: IMMZ.D.DE243 ValueSet for Type of TB infection test performed (required) Constraints: IMMZ-D-reqVType-2 |
| tbInfectionTestResult | C | 0..1 | Coding | TB infection test result Binding: IMMZ.D.DE246 ValueSet for TB infection test result (required) Constraints: IMMZ-D-reqTBTest-1 |
| immunologicallyStable | C | 0..1 | boolean | Immunologically stable Constraints: IMMZ-D-reqVType-3 |
| clinicallyWell | C | 0..1 | boolean | Clinically well Constraints: IMMZ-D-reqVType-2 |
| birthWeightInGrams | C | 0..1 | decimal | Birth weight in grams Constraints: IMMZ-D-reqVType-4, IMMZ-D-reqGTEZero-1 |
| typeOfPoliovirusDose | C | 0..1 | Coding | Type of poliovirus dose Binding: IMMZ.D.DE212 ValueSet for Type of poliovirus dose (required) Constraints: IMMZ-D-reqVType-5 |
| artStartDate | C | 0..1 | date | ART start date Constraints: IMMZ-D-reqVType-6, IMMZ-D-dateOccurred-1 |
| highRiskOfPneumococcalInfection | C | 0..1 | boolean | High risk of pneumococcal infection Constraints: IMMZ-D-reqVType-7 |
| typeOfJeDose | C | 0..1 | Coding | Type of JE dose Binding: IMMZ.D.DE216 ValueSet for Type of JE dose (required) Constraints: IMMZ-D-reqVType-8 |
| typeOfTbeDose | C | 0..1 | Coding | Type of TBE dose Binding: IMMZ.D.DE220 ValueSet for Type of TBE dose (required) Constraints: IMMZ-D-reqVType-9 |
| typeOfTyphoidDose | C | 0..1 | Coding | Type of typhoid dose Binding: IMMZ.D.DE225 ValueSet for Type of typhoid dose (required) Constraints: IMMZ-D-reqVType-10 |
| typeOfCholeraDose | C | 0..1 | Coding | Type of cholera dose Binding: IMMZ.D.DE229 ValueSet for Type of cholera dose (required) Constraints: IMMZ-D-reqVType-11 |
| typeOfMeningococcalDose | C | 0..1 | Coding | Type of meningococcal dose Binding: IMMZ.D.DE232 ValueSet for Type of meningococcal dose (required) Constraints: IMMZ-D-reqVType-12 |
| ageInMonthsWhenClientReceivedFirstMeningococcalDose | C | 0..1 | decimal | Age in months when client received first meningococcal dose Constraints: IMMZ-D-reqVType-12, IMMZ-D-reqGTEZero-1 |
| typeOfHepatitisADose | C | 0..1 | Coding | Type of hepatitis A dose Binding: IMMZ.D.DE237 ValueSet for Type of hepatitis A dose (required) Constraints: IMMZ-D-reqVType-13 |
| typeOfHepatitisBDose | C | 0..1 | Coding | Type of hepatitis B dose Binding: IMMZ.D.DE254 ValueSet for Type of hepatitis B dose (required) Constraints: IMMZ-D-reqVType-14 |
| vnaLevel | C | 0..1 | decimal | VNA level Constraints: IMMZ-D-reqVType-15 |
| riskOfOccupationalExposureToRabiesVirus | C | 0..1 | boolean | Risk of occupational exposure to rabies virus Constraints: IMMZ-D-reqVType-15 |
| dengueSerostatus | C | 0..1 | Coding | Dengue serostatus Binding: IMMZ.D.DE241 ValueSet for Dengue serostatus (required) Constraints: IMMZ-D-reqVType-16 |
| vaccineType | 1..* | Coding | Vaccine type Binding: IMMZ.Z.VS ValueSet for vaccine types (required) | |
| dateAndTimeOfVaccination | 1..1 | dateTime | Date and time of vaccination | |
| contactDate | C | 0..1 | dateTime | Contact date Constraints: IMMZ-D-dateTimeOccurred-1 |
| ancContactNumber | 0..1 | integer | ANC contact number | |
 doseNumber | C | 1..1 | integer | Dose number Constraints: IMMZ-D-reqGTEZero-1 |
| Documentation for this format | ||||
FHIR{
"resourceType": "StructureDefinition",
"id": "IMMZD1",
"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"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
"valueCoding": {
"system": "http://hl7.org/fhir/version-algorithm",
"code": "semver"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/artifact-version-policy-codes",
"code": "metadata"
}
]
}
}
],
"url": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1",
"version": "0.2.0",
"name": "IMMZ_D1_Capture_or_update_client_history",
"title": "IMMZ.D1.Capture or update client history",
"status": "active",
"experimental": false,
"date": "2025-01-10",
"publisher": "WHO",
"contact": [
{
"name": "WHO",
"telecom": [
{
"system": "url",
"value": "http://who.int"
}
]
}
],
"description": "Data elements for the IMMZ.D1.Capture or update client history Data Dictionary Activity.",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"uri": "http://smart.who.int/immunizations/StructureDefinition/IMMZObservation",
"name": "Mapping from the IMMZ.D1 to the IMMZObservation profile"
},
{
"identity": "IMMZD1.to.Immunization",
"uri": "http://smart.who.int/immunizations/StructureDefinition/IMMZImmunization",
"name": "Mapping from the IMMZ.D1 to the IMMZImmunization profile"
}
],
"kind": "logical",
"abstract": false,
"type": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base",
"derivation": "specialization",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "4.0.1"
}
],
"element": [
{
"id": "IMMZD1",
"path": "IMMZD1",
"short": "IMMZ.D1.Capture or update client history",
"definition": "Data elements for the IMMZ.D1.Capture or update client history Data Dictionary Activity.",
"min": 0,
"max": "*",
"base": {
"path": "Base",
"min": 0,
"max": "*"
},
"isModifier": false,
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation"
},
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization"
}
]
},
{
"id": "IMMZD1.patient",
"path": "IMMZD1.patient",
"short": "Patient",
"definition": "The patient.",
"min": 1,
"max": "1",
"base": {
"path": "IMMZD1.patient",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.subject"
},
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.patient"
}
]
},
{
"id": "IMMZD1.birthDose",
"path": "IMMZD1.birthDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE263"
}
],
"short": "Birth dose",
"definition": "Indicates if the client received a dose within 24 hours of birth. Whether a birth dose is counted as part of the primary series will depend on the antigen",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.birthDose",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-1",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Hepatitis B-containing vaccines OR Poliovirus-containing vaccines.",
"expression": "(%resource.vaccineType.value != 'DE6' and %resource.vaccineType.value != 'DE14') or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.typeOfDose",
"path": "IMMZD1.typeOfDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE258"
}
],
"short": "Type of dose",
"definition": "The type of dose in a series that the client received",
"min": 1,
"max": "1",
"base": {
"path": "IMMZD1.typeOfDose",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE258"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.protocolApplied.series"
}
]
},
{
"id": "IMMZD1.completedThePrimaryVaccinationSeries",
"path": "IMMZD1.completedThePrimaryVaccinationSeries",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE203"
}
],
"short": "Completed the primary vaccination series",
"definition": "Indicates if the client has completed the primary vaccination series of a product/antigen. If the client has not yet completed their primary series, it means they may be expected to receive more doses to complete their vaccination regimen for the respective product/antigen",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.completedThePrimaryVaccinationSeries",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.completedTheBoosterSeries",
"path": "IMMZD1.completedTheBoosterSeries",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE257"
}
],
"short": "Completed the booster series",
"definition": "Indicates if the client has completed the booster series of a product/antigen",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.completedTheBoosterSeries",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.dateWhenPrimaryVaccinationSeriesWasCompleted",
"path": "IMMZD1.dateWhenPrimaryVaccinationSeriesWasCompleted",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE242"
}
],
"short": "Date when primary vaccination series was completed",
"definition": "The date when the client completed the primary vaccination series (per product/antigen)",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.dateWhenPrimaryVaccinationSeriesWasCompleted",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"constraint": [
{
"key": "IMMZ-D-reqPrimaryCompleted-1",
"severity": "error",
"human": "Required if input in IMMZ.D.DE203 Completed the primary vaccination series is Yes",
"expression": "%resource.completedTheBoosterSeries.value = false or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
},
{
"key": "IMMZ-D-dateOccurred-1",
"severity": "error",
"human": "Date ≤ current date",
"expression": "not($this.exists()) or $this.value <= today()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueDateTime"
}
]
},
{
"id": "IMMZD1.hivStatus",
"path": "IMMZD1.hivStatus",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE204"
},
{
"system": "http://loinc.org",
"code": "55277-8",
"display": "HIV Status"
},
{
"system": "http://snomed.info/sct",
"code": "278977008",
"display": "HIV status"
}
],
"short": "HIV status",
"definition": "The current HIV status of the client",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.hivStatus",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE204"
},
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.pretermBirth",
"path": "IMMZD1.pretermBirth",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE208"
},
{
"system": "http://id.who.int/icd/release/11/mms",
"code": "KA21.4",
"display": "Preterm newborn"
},
{
"system": "http://loinc.org",
"code": "76517-2",
"display": "Premature infant"
},
{
"system": "http://snomed.info/sct",
"code": "395507008",
"display": "Premature infant (finding)"
}
],
"short": "Preterm birth",
"definition": "The infant was preterm; the mother gave birth to the infant when gestational age was less than 37 weeks",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.pretermBirth",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.immunocompromised",
"path": "IMMZD1.immunocompromised",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE209"
},
{
"system": "http://id.who.int/icd/release/11/mms",
"code": "4B4Z",
"display": "Diseases of the immune system, unspecified"
},
{
"system": "http://loinc.org",
"code": "96381-9",
"display": "Immune status"
},
{
"system": "http://snomed.info/sct",
"code": "370388006",
"display": "Patient immunocompromised (finding)"
}
],
"short": "Immunocompromised",
"definition": "The client is known to be immunocompromised. This means the client has a weakened immune system and having a reduced ability to fight infections and other diseases",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.immunocompromised",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.currentlyOnArt",
"path": "IMMZD1.currentlyOnArt",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE210"
}
],
"short": "Currently on ART",
"definition": "The client is currently receiving antiretroviral therapy (ART)",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.currentlyOnArt",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"constraint": [
{
"key": "IMMZ-D-reqHIVPositive-1",
"severity": "error",
"human": "Required if input in IMMZ.D.DE204 HIV status is HIV-positive",
"expression": "%resource.hivStatus.value != 'DE11' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.typeOfTbInfectionTestPerformed",
"path": "IMMZD1.typeOfTbInfectionTestPerformed",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE243"
}
],
"short": "Type of TB infection test performed",
"definition": "The type of tuberculosis (TB) infection test performed",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.typeOfTbInfectionTestPerformed",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-2",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines",
"expression": "%resource.vaccineType.value != 'DE1' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE243"
},
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.tbInfectionTestResult",
"path": "IMMZD1.tbInfectionTestResult",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE246"
}
],
"short": "TB infection test result",
"definition": "Records the result of the TB infection test",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.tbInfectionTestResult",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqTBTest-1",
"severity": "error",
"human": "Required if input in IMMZ.D.DE243 Type of TB infection test performed IS NOT NULL",
"expression": "not(%resource.typeOfTbInfectionTestPerformed.exists()) or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE246"
},
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.immunologicallyStable",
"path": "IMMZD1.immunologicallyStable",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE249"
}
],
"short": "Immunologically stable",
"definition": "The client is living with HIV and is immunologically stable with CD4 count or percentage above a minimum as defined in the HIV guidelines",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.immunologicallyStable",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-3",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines OR Typhoid vaccines",
"expression": "(%resource.vaccineType.value != 'DE1' and %resource.vaccineType.value != 'DE21') or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.clinicallyWell",
"path": "IMMZD1.clinicallyWell",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE250"
}
],
"short": "Clinically well",
"definition": "The client is living with HIV and is clinically well, as defined in HIV guidelines and WHO clinical staging",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.clinicallyWell",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-2",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines",
"expression": "%resource.vaccineType.value != 'DE1' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.birthWeightInGrams",
"path": "IMMZD1.birthWeightInGrams",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE211"
},
{
"system": "http://id.who.int/icd/release/11/mms",
"code": "KA21",
"display": "Disorders of newborn related to short gestation or low birth weight, not elsewhere classified"
},
{
"system": "http://loinc.org",
"code": "8339-4",
"display": "Birth weight measured"
}
],
"short": "Birth weight in grams",
"definition": "Represents the client's birth weight value measures in grams",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.birthWeightInGrams",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-4",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines OR Hepatitis B-containing vaccines",
"expression": "(%resource.vaccineType.value != 'DE1' and %resource.vaccineType.value != 'DE6') or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
},
{
"key": "IMMZ-D-reqGTEZero-1",
"severity": "error",
"human": "Must be positive decimal value greater than or equal to zero (≥0)",
"expression": "not($this.exists()) or $this.value >= 0",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueQuantity.value"
}
]
},
{
"id": "IMMZD1.typeOfPoliovirusDose",
"path": "IMMZD1.typeOfPoliovirusDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE212"
},
{
"system": "http://id.who.int/icd/release/11/mms",
"code": "XM0N50",
"display": "Poliomyelitis vaccines"
}
],
"short": "Type of poliovirus dose",
"definition": "The type of the poliovirus vaccine dose administered to the client",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.typeOfPoliovirusDose",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-5",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Poliovirus-containing vaccines",
"expression": "%resource.vaccineType.value != 'DE14' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE212"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.extension[typeOfPolio].valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.artStartDate",
"path": "IMMZD1.artStartDate",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE215"
}
],
"short": "ART start date",
"definition": "The date on which the client started or restarted ART",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.artStartDate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-6",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Measles-containing vaccines",
"expression": "%resource.vaccineType.value != 'DE9' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
},
{
"key": "IMMZ-D-dateOccurred-1",
"severity": "error",
"human": "Date ≤ current date",
"expression": "not($this.exists()) or $this.value <= today()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueDateTime"
}
]
},
{
"id": "IMMZD1.highRiskOfPneumococcalInfection",
"path": "IMMZD1.highRiskOfPneumococcalInfection",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE251"
}
],
"short": "High risk of pneumococcal infection",
"definition": "The client is at high risk for pneumococcal infection because of underlying medical conditions (i.e. HIV infection or sickle-cell disease)",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.highRiskOfPneumococcalInfection",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-7",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Pneumococcal vaccines",
"expression": "%resource.vaccineType.value != 'DE13' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.typeOfJeDose",
"path": "IMMZD1.typeOfJeDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE216"
}
],
"short": "Type of JE dose",
"definition": "The type of Japanese encephalitis (JE) vaccine dose administered to the client",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.typeOfJeDose",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-8",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is JE vaccines",
"expression": "%resource.vaccineType.value != 'DE8' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE216"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.extension[typeOfJe].valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.typeOfTbeDose",
"path": "IMMZD1.typeOfTbeDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE220"
}
],
"short": "Type of TBE dose",
"definition": "The type of tick-borne encephalitis (TBE) vaccine dose administered",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.typeOfTbeDose",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-9",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is TBE vaccines",
"expression": "%resource.vaccineType.value != 'DE20' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE220"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.extension[typeOfTbe].valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.typeOfTyphoidDose",
"path": "IMMZD1.typeOfTyphoidDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE225"
}
],
"short": "Type of typhoid dose",
"definition": "The type of typhoid vaccine dose administered to the client",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.typeOfTyphoidDose",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-10",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Typhoid vaccines",
"expression": "%resource.vaccineType.value != 'DE21' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE225"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.extension[typeOfTyphoid].valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.typeOfCholeraDose",
"path": "IMMZD1.typeOfCholeraDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE229"
}
],
"short": "Type of cholera dose",
"definition": "The type of cholera vaccine dose administered to the client",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.typeOfCholeraDose",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-11",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Cholera vaccines",
"expression": "%resource.vaccineType.value != 'DE2' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE229"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.extension[typeOfCholera].valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.typeOfMeningococcalDose",
"path": "IMMZD1.typeOfMeningococcalDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE232"
}
],
"short": "Type of meningococcal dose",
"definition": "The type of meningococcal vaccine dose administered to the client",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.typeOfMeningococcalDose",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-12",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Meningococcal vaccines",
"expression": "%resource.vaccineType.value != 'DE10' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE232"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.extension[typeOfMeningococcal].valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.ageInMonthsWhenClientReceivedFirstMeningococcalDose",
"path": "IMMZD1.ageInMonthsWhenClientReceivedFirstMeningococcalDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE236"
}
],
"short": "Age in months when client received first meningococcal dose",
"definition": "The age in months when client received their first meningococcal dose",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.ageInMonthsWhenClientReceivedFirstMeningococcalDose",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-12",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Meningococcal vaccines",
"expression": "%resource.vaccineType.value != 'DE10' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
},
{
"key": "IMMZ-D-reqGTEZero-1",
"severity": "error",
"human": "Must be positive decimal value greater than or equal to zero (≥0)",
"expression": "not($this.exists()) or $this.value >= 0",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueQuantity.value"
}
]
},
{
"id": "IMMZD1.typeOfHepatitisADose",
"path": "IMMZD1.typeOfHepatitisADose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE237"
}
],
"short": "Type of hepatitis A dose",
"definition": "The type of hepatitis A-containing vaccine dose administered to the client",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.typeOfHepatitisADose",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-13",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Hepatitis A-containing vaccines",
"expression": "%resource.vaccineType.value != 'DE5' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE237"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.extension[typeOfHepatitisA].valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.typeOfHepatitisBDose",
"path": "IMMZD1.typeOfHepatitisBDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE254"
}
],
"short": "Type of hepatitis B dose",
"definition": "The type of hepatitis B-containing vaccine dose administered to the client",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.typeOfHepatitisBDose",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-14",
"severity": "error",
"human": "Required if input in IMMZ.D.DE6 vaccine type is Hepatitis B-containing vaccines",
"expression": "%resource.vaccineType.value != 'DE6' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE254"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.extension[typeOfHepatitisB].valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.vnaLevel",
"path": "IMMZD1.vnaLevel",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE240"
}
],
"short": "VNA level",
"definition": "Vaccine-induced neutralizing antibody (VNA) level, measured as a serum antibody concentration from the result of the concentrated, purified cell culture-derived and embryonated egg-based rabies vaccines (CCEEV)",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.vnaLevel",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-15",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Rabies vaccines",
"expression": "%resource.vaccineType.value != 'DE15' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueQuantity.value"
}
]
},
{
"id": "IMMZD1.riskOfOccupationalExposureToRabiesVirus",
"path": "IMMZD1.riskOfOccupationalExposureToRabiesVirus",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE253"
}
],
"short": "Risk of occupational exposure to rabies virus",
"definition": "Professional at risk of occupational exposure to rabies virus, particularly animal health workers. Also considered for medical professionals who regularly provide care to persons with rabies",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.riskOfOccupationalExposureToRabiesVirus",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-15",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Rabies vaccines",
"expression": "%resource.vaccineType.value != 'DE15' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.dengueSerostatus",
"path": "IMMZD1.dengueSerostatus",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE241"
}
],
"short": "Dengue serostatus",
"definition": "Indicates the result of a serological test determining whether the client has antibodies against the dengue virus",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.dengueSerostatus",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-16",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Dengue vaccines",
"expression": "%resource.vaccineType.value != 'DE25' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE241"
},
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.vaccineType",
"path": "IMMZD1.vaccineType",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE19"
},
{
"system": "http://loinc.org",
"code": "39236-5",
"display": "Vaccine code (CPT [Current Procedural Terminology]) CPHS (Children's Preventative Health System)"
},
{
"system": "http://snomed.info/sct",
"code": "787859002",
"display": "Vaccine product (medicinal product)"
}
],
"short": "Vaccine type",
"definition": "Vaccine type/category that was administered or was to be administered. Any vaccine code available in the IMMZ.Z Vaccine library list of codes applies in this data element",
"min": 1,
"max": "*",
"base": {
"path": "IMMZD1.vaccineType",
"min": 1,
"max": "*"
},
"type": [
{
"code": "Coding"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.VS"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.vaccineCode"
}
]
},
{
"id": "IMMZD1.dateAndTimeOfVaccination",
"path": "IMMZD1.dateAndTimeOfVaccination",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE20"
},
{
"system": "http://loinc.org",
"code": "30952-6",
"display": "Date and time of vaccination"
}
],
"short": "Date and time of vaccination",
"definition": "Represents the visit/encounter date, which is the date and time when each vaccine was administered to the client",
"min": 1,
"max": "1",
"base": {
"path": "IMMZD1.dateAndTimeOfVaccination",
"min": 1,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.occurrenceDateTime"
}
]
},
{
"id": "IMMZD1.contactDate",
"path": "IMMZD1.contactDate",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE201"
},
{
"system": "http://loinc.org",
"code": "21975-8",
"display": "Date last contact"
},
{
"system": "http://snomed.info/sct",
"code": "406543005",
"display": "Date of visit"
}
],
"short": "Contact date",
"definition": "The date and time of the client's contact",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.contactDate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"constraint": [
{
"key": "IMMZ-D-dateTimeOccurred-1",
"severity": "error",
"human": "DateTime ≤ current DateTime",
"expression": "not($this.exists()) or $this.value <= now()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueDateTime"
}
]
},
{
"id": "IMMZD1.ancContactNumber",
"path": "IMMZD1.ancContactNumber",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE202"
},
{
"system": "http://loinc.org",
"code": "75612-2",
"display": "Number of visits to this health-care entity in the last 12 months"
},
{
"system": "http://snomed.info/sct",
"code": "3401000175105",
"display": "Total number of prenatal care visits"
}
],
"short": "ANC contact number",
"definition": "The antenatal care (ANC) contact or visit number",
"min": 0,
"max": "1",
"base": {
"path": "IMMZD1.ancContactNumber",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueInteger"
}
]
},
{
"id": "IMMZD1.doseNumber",
"path": "IMMZD1.doseNumber",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE124"
}
],
"short": "Dose number",
"definition": "Vaccine dose number including dose number within series",
"min": 1,
"max": "1",
"base": {
"path": "IMMZD1.doseNumber",
"min": 1,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"constraint": [
{
"key": "IMMZ-D-reqGTEZero-1",
"severity": "error",
"human": "Must be positive decimal value greater than or equal to zero (≥0)",
"expression": "not($this.exists()) or $this.value >= 0",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.protocolApplied.doseNumberString"
}
]
}
]
},
"differential": {
"element": [
{
"id": "IMMZD1",
"path": "IMMZD1",
"short": "IMMZ.D1.Capture or update client history",
"definition": "Data elements for the IMMZ.D1.Capture or update client history Data Dictionary Activity.",
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation"
},
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization"
}
]
},
{
"id": "IMMZD1.patient",
"path": "IMMZD1.patient",
"short": "Patient",
"definition": "The patient.",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.subject"
},
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.patient"
}
]
},
{
"id": "IMMZD1.birthDose",
"path": "IMMZD1.birthDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE263"
}
],
"short": "Birth dose",
"definition": "Indicates if the client received a dose within 24 hours of birth. Whether a birth dose is counted as part of the primary series will depend on the antigen",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-1",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Hepatitis B-containing vaccines OR Poliovirus-containing vaccines.",
"expression": "(%resource.vaccineType.value != 'DE6' and %resource.vaccineType.value != 'DE14') or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.typeOfDose",
"path": "IMMZD1.typeOfDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE258"
}
],
"short": "Type of dose",
"definition": "The type of dose in a series that the client received ",
"min": 1,
"max": "1",
"type": [
{
"code": "Coding"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE258"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.protocolApplied.series"
}
]
},
{
"id": "IMMZD1.completedThePrimaryVaccinationSeries",
"path": "IMMZD1.completedThePrimaryVaccinationSeries",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE203"
}
],
"short": "Completed the primary vaccination series",
"definition": "Indicates if the client has completed the primary vaccination series of a product/antigen. If the client has not yet completed their primary series, it means they may be expected to receive more doses to complete their vaccination regimen for the respective product/antigen",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.completedTheBoosterSeries",
"path": "IMMZD1.completedTheBoosterSeries",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE257"
}
],
"short": "Completed the booster series",
"definition": "Indicates if the client has completed the booster series of a product/antigen",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.dateWhenPrimaryVaccinationSeriesWasCompleted",
"path": "IMMZD1.dateWhenPrimaryVaccinationSeriesWasCompleted",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE242"
}
],
"short": "Date when primary vaccination series was completed",
"definition": "The date when the client completed the primary vaccination series (per product/antigen)",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"constraint": [
{
"key": "IMMZ-D-reqPrimaryCompleted-1",
"severity": "error",
"human": "Required if input in IMMZ.D.DE203 Completed the primary vaccination series is Yes",
"expression": "%resource.completedTheBoosterSeries.value = false or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
},
{
"key": "IMMZ-D-dateOccurred-1",
"severity": "error",
"human": "Date ≤ current date",
"expression": "not($this.exists()) or $this.value <= today()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueDateTime"
}
]
},
{
"id": "IMMZD1.hivStatus",
"path": "IMMZD1.hivStatus",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE204"
},
{
"system": "http://loinc.org",
"code": "55277-8",
"display": "HIV Status"
},
{
"system": "http://snomed.info/sct",
"code": "278977008",
"display": "HIV status"
}
],
"short": "HIV status",
"definition": "The current HIV status of the client",
"min": 0,
"max": "1",
"type": [
{
"code": "Coding"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE204"
},
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.pretermBirth",
"path": "IMMZD1.pretermBirth",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE208"
},
{
"system": "http://id.who.int/icd/release/11/mms",
"code": "KA21.4",
"display": "Preterm newborn"
},
{
"system": "http://loinc.org",
"code": "76517-2",
"display": "Premature infant"
},
{
"system": "http://snomed.info/sct",
"code": "395507008",
"display": "Premature infant (finding)"
}
],
"short": "Preterm birth",
"definition": "The infant was preterm; the mother gave birth to the infant when gestational age was less than 37 weeks",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.immunocompromised",
"path": "IMMZD1.immunocompromised",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE209"
},
{
"system": "http://id.who.int/icd/release/11/mms",
"code": "4B4Z",
"display": "Diseases of the immune system, unspecified"
},
{
"system": "http://loinc.org",
"code": "96381-9",
"display": "Immune status"
},
{
"system": "http://snomed.info/sct",
"code": "370388006",
"display": "Patient immunocompromised (finding)"
}
],
"short": "Immunocompromised",
"definition": "The client is known to be immunocompromised. This means the client has a weakened immune system and having a reduced ability to fight infections and other diseases",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.currentlyOnArt",
"path": "IMMZD1.currentlyOnArt",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE210"
}
],
"short": "Currently on ART",
"definition": "The client is currently receiving antiretroviral therapy (ART)",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"constraint": [
{
"key": "IMMZ-D-reqHIVPositive-1",
"severity": "error",
"human": "Required if input in IMMZ.D.DE204 HIV status is HIV-positive",
"expression": "%resource.hivStatus.value != 'DE11' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.typeOfTbInfectionTestPerformed",
"path": "IMMZD1.typeOfTbInfectionTestPerformed",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE243"
}
],
"short": "Type of TB infection test performed",
"definition": "The type of tuberculosis (TB) infection test performed",
"min": 0,
"max": "1",
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-2",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines",
"expression": "%resource.vaccineType.value != 'DE1' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE243"
},
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.tbInfectionTestResult",
"path": "IMMZD1.tbInfectionTestResult",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE246"
}
],
"short": "TB infection test result",
"definition": "Records the result of the TB infection test",
"min": 0,
"max": "1",
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqTBTest-1",
"severity": "error",
"human": "Required if input in IMMZ.D.DE243 Type of TB infection test performed IS NOT NULL",
"expression": "not(%resource.typeOfTbInfectionTestPerformed.exists()) or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE246"
},
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.immunologicallyStable",
"path": "IMMZD1.immunologicallyStable",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE249"
}
],
"short": "Immunologically stable",
"definition": "The client is living with HIV and is immunologically stable with CD4 count or percentage above a minimum as defined in the HIV guidelines",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-3",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines OR Typhoid vaccines",
"expression": "(%resource.vaccineType.value != 'DE1' and %resource.vaccineType.value != 'DE21') or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.clinicallyWell",
"path": "IMMZD1.clinicallyWell",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE250"
}
],
"short": "Clinically well",
"definition": "The client is living with HIV and is clinically well, as defined in HIV guidelines and WHO clinical staging",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-2",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines",
"expression": "%resource.vaccineType.value != 'DE1' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.birthWeightInGrams",
"path": "IMMZD1.birthWeightInGrams",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE211"
},
{
"system": "http://id.who.int/icd/release/11/mms",
"code": "KA21",
"display": "Disorders of newborn related to short gestation or low birth weight, not elsewhere classified"
},
{
"system": "http://loinc.org",
"code": "8339-4",
"display": "Birth weight measured"
}
],
"short": "Birth weight in grams",
"definition": "Represents the client's birth weight value measures in grams",
"min": 0,
"max": "1",
"type": [
{
"code": "decimal"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-4",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines OR Hepatitis B-containing vaccines",
"expression": "(%resource.vaccineType.value != 'DE1' and %resource.vaccineType.value != 'DE6') or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
},
{
"key": "IMMZ-D-reqGTEZero-1",
"severity": "error",
"human": "Must be positive decimal value greater than or equal to zero (≥0)",
"expression": "not($this.exists()) or $this.value >= 0",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueQuantity.value"
}
]
},
{
"id": "IMMZD1.typeOfPoliovirusDose",
"path": "IMMZD1.typeOfPoliovirusDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE212"
},
{
"system": "http://id.who.int/icd/release/11/mms",
"code": "XM0N50",
"display": "Poliomyelitis vaccines"
}
],
"short": "Type of poliovirus dose",
"definition": "The type of the poliovirus vaccine dose administered to the client",
"min": 0,
"max": "1",
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-5",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Poliovirus-containing vaccines",
"expression": "%resource.vaccineType.value != 'DE14' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE212"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.extension[typeOfPolio].valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.artStartDate",
"path": "IMMZD1.artStartDate",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE215"
}
],
"short": "ART start date",
"definition": "The date on which the client started or restarted ART",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-6",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Measles-containing vaccines",
"expression": "%resource.vaccineType.value != 'DE9' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
},
{
"key": "IMMZ-D-dateOccurred-1",
"severity": "error",
"human": "Date ≤ current date",
"expression": "not($this.exists()) or $this.value <= today()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueDateTime"
}
]
},
{
"id": "IMMZD1.highRiskOfPneumococcalInfection",
"path": "IMMZD1.highRiskOfPneumococcalInfection",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE251"
}
],
"short": "High risk of pneumococcal infection",
"definition": "The client is at high risk for pneumococcal infection because of underlying medical conditions (i.e. HIV infection or sickle-cell disease)",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-7",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Pneumococcal vaccines",
"expression": "%resource.vaccineType.value != 'DE13' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.typeOfJeDose",
"path": "IMMZD1.typeOfJeDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE216"
}
],
"short": "Type of JE dose",
"definition": "The type of Japanese encephalitis (JE) vaccine dose administered to the client",
"min": 0,
"max": "1",
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-8",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is JE vaccines",
"expression": "%resource.vaccineType.value != 'DE8' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE216"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.extension[typeOfJe].valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.typeOfTbeDose",
"path": "IMMZD1.typeOfTbeDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE220"
}
],
"short": "Type of TBE dose",
"definition": "The type of tick-borne encephalitis (TBE) vaccine dose administered",
"min": 0,
"max": "1",
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-9",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is TBE vaccines",
"expression": "%resource.vaccineType.value != 'DE20' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE220"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.extension[typeOfTbe].valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.typeOfTyphoidDose",
"path": "IMMZD1.typeOfTyphoidDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE225"
}
],
"short": "Type of typhoid dose",
"definition": "The type of typhoid vaccine dose administered to the client",
"min": 0,
"max": "1",
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-10",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Typhoid vaccines",
"expression": "%resource.vaccineType.value != 'DE21' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE225"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.extension[typeOfTyphoid].valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.typeOfCholeraDose",
"path": "IMMZD1.typeOfCholeraDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE229"
}
],
"short": "Type of cholera dose",
"definition": "The type of cholera vaccine dose administered to the client",
"min": 0,
"max": "1",
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-11",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Cholera vaccines",
"expression": "%resource.vaccineType.value != 'DE2' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE229"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.extension[typeOfCholera].valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.typeOfMeningococcalDose",
"path": "IMMZD1.typeOfMeningococcalDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE232"
}
],
"short": "Type of meningococcal dose",
"definition": "The type of meningococcal vaccine dose administered to the client",
"min": 0,
"max": "1",
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-12",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Meningococcal vaccines",
"expression": "%resource.vaccineType.value != 'DE10' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE232"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.extension[typeOfMeningococcal].valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.ageInMonthsWhenClientReceivedFirstMeningococcalDose",
"path": "IMMZD1.ageInMonthsWhenClientReceivedFirstMeningococcalDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE236"
}
],
"short": "Age in months when client received first meningococcal dose",
"definition": "The age in months when client received their first meningococcal dose",
"min": 0,
"max": "1",
"type": [
{
"code": "decimal"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-12",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Meningococcal vaccines",
"expression": "%resource.vaccineType.value != 'DE10' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
},
{
"key": "IMMZ-D-reqGTEZero-1",
"severity": "error",
"human": "Must be positive decimal value greater than or equal to zero (≥0)",
"expression": "not($this.exists()) or $this.value >= 0",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueQuantity.value"
}
]
},
{
"id": "IMMZD1.typeOfHepatitisADose",
"path": "IMMZD1.typeOfHepatitisADose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE237"
}
],
"short": "Type of hepatitis A dose",
"definition": "The type of hepatitis A-containing vaccine dose administered to the client",
"min": 0,
"max": "1",
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-13",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Hepatitis A-containing vaccines",
"expression": "%resource.vaccineType.value != 'DE5' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE237"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.extension[typeOfHepatitisA].valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.typeOfHepatitisBDose",
"path": "IMMZD1.typeOfHepatitisBDose",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE254"
}
],
"short": "Type of hepatitis B dose",
"definition": "The type of hepatitis B-containing vaccine dose administered to the client",
"min": 0,
"max": "1",
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-14",
"severity": "error",
"human": "Required if input in IMMZ.D.DE6 vaccine type is Hepatitis B-containing vaccines",
"expression": "%resource.vaccineType.value != 'DE6' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE254"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.extension[typeOfHepatitisB].valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.vnaLevel",
"path": "IMMZD1.vnaLevel",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE240"
}
],
"short": "VNA level",
"definition": "Vaccine-induced neutralizing antibody (VNA) level, measured as a serum antibody concentration from the result of the concentrated, purified cell culture-derived and embryonated egg-based rabies vaccines (CCEEV)",
"min": 0,
"max": "1",
"type": [
{
"code": "decimal"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-15",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Rabies vaccines",
"expression": "%resource.vaccineType.value != 'DE15' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueQuantity.value"
}
]
},
{
"id": "IMMZD1.riskOfOccupationalExposureToRabiesVirus",
"path": "IMMZD1.riskOfOccupationalExposureToRabiesVirus",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE253"
}
],
"short": "Risk of occupational exposure to rabies virus",
"definition": "Professional at risk of occupational exposure to rabies virus, particularly animal health workers. Also considered for medical professionals who regularly provide care to persons with rabies",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-15",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Rabies vaccines",
"expression": "%resource.vaccineType.value != 'DE15' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueBoolean"
}
]
},
{
"id": "IMMZD1.dengueSerostatus",
"path": "IMMZD1.dengueSerostatus",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE241"
}
],
"short": "Dengue serostatus",
"definition": "Indicates the result of a serological test determining whether the client has antibodies against the dengue virus",
"min": 0,
"max": "1",
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "IMMZ-D-reqVType-16",
"severity": "error",
"human": "Required if input in IMMZ.D.DE19 vaccine type is Dengue vaccines",
"expression": "%resource.vaccineType.value != 'DE25' or $this.exists()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE241"
},
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueCodeableConcept.coding"
}
]
},
{
"id": "IMMZD1.vaccineType",
"path": "IMMZD1.vaccineType",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE19"
},
{
"system": "http://loinc.org",
"code": "39236-5",
"display": "Vaccine code (CPT [Current Procedural Terminology]) CPHS (Children's Preventative Health System)"
},
{
"system": "http://snomed.info/sct",
"code": "787859002",
"display": "Vaccine product (medicinal product)"
}
],
"short": "Vaccine type",
"definition": "Vaccine type/category that was administered or was to be administered. Any vaccine code available in the IMMZ.Z Vaccine library list of codes applies in this data element",
"min": 1,
"max": "*",
"type": [
{
"code": "Coding"
}
],
"binding": {
"strength": "required",
"valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.VS"
},
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.vaccineCode"
}
]
},
{
"id": "IMMZD1.dateAndTimeOfVaccination",
"path": "IMMZD1.dateAndTimeOfVaccination",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE20"
},
{
"system": "http://loinc.org",
"code": "30952-6",
"display": "Date and time of vaccination"
}
],
"short": "Date and time of vaccination",
"definition": "Represents the visit/encounter date, which is the date and time when each vaccine was administered to the client",
"min": 1,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.occurrenceDateTime"
}
]
},
{
"id": "IMMZD1.contactDate",
"path": "IMMZD1.contactDate",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE201"
},
{
"system": "http://loinc.org",
"code": "21975-8",
"display": "Date last contact"
},
{
"system": "http://snomed.info/sct",
"code": "406543005",
"display": "Date of visit"
}
],
"short": "Contact date",
"definition": "The date and time of the client's contact",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"constraint": [
{
"key": "IMMZ-D-dateTimeOccurred-1",
"severity": "error",
"human": "DateTime ≤ current DateTime",
"expression": "not($this.exists()) or $this.value <= now()",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueDateTime"
}
]
},
{
"id": "IMMZD1.ancContactNumber",
"path": "IMMZD1.ancContactNumber",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE202"
},
{
"system": "http://loinc.org",
"code": "75612-2",
"display": "Number of visits to this health-care entity in the last 12 months"
},
{
"system": "http://snomed.info/sct",
"code": "3401000175105",
"display": "Total number of prenatal care visits"
}
],
"short": "ANC contact number",
"definition": "The antenatal care (ANC) contact or visit number ",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Observation",
"map": "Observation.valueInteger"
}
]
},
{
"id": "IMMZD1.doseNumber",
"path": "IMMZD1.doseNumber",
"code": [
{
"system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code": "DE124"
}
],
"short": "Dose number",
"definition": "Vaccine dose number including dose number within series",
"min": 1,
"max": "1",
"type": [
{
"code": "integer"
}
],
"constraint": [
{
"key": "IMMZ-D-reqGTEZero-1",
"severity": "error",
"human": "Must be positive decimal value greater than or equal to zero (≥0)",
"expression": "not($this.exists()) or $this.value >= 0",
"source": "http://smart.who.int/immunizations/StructureDefinition/IMMZD1"
}
],
"mapping": [
{
"identity": "IMMZD1.to.Immunization",
"map": "Immunization.protocolApplied.doseNumberString"
}
]
}
]
}
}