US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.49 - 250701 United States of America flag

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Resource Profile: VAERS Immunization[pvac3]

Official URL: http://va.gov/fhir/StructureDefinition/VAERSImmunizationpvac3 Version: 1.6.49
Draft as of 2025-06-13 Computable Name: VAERSImmunizationpvac3

This StructureDefinition contains the maps for ADERS to us-core-immunization.

​See also the FHIR Shorthand.

Use Case Overview

Use Case: VAERS«us-core-patient»VAERSPatient«us-core-immunization»VAERSImmunizationvac1patient«us-core-immunization»VAERSImmunizationvac2patient«us-core-immunization»VAERSImmunizationvac3patient«us-core-immunization»VAERSImmunizationvac4patient«FHIR AdverseEvent»VAERSAdverseEventsubjectsuspectEntity.instance«us-core-immunization»VAERSImmunizationpvac1patient«us-core-immunization»VAERSImmunizationpvac2patient«us-core-immunization»VAERSImmunizationpvac3patient«us-core-immunization»VAERSImmunizationpvac4patient«FHIR Bundle»VAERSBundleentry[va-patient].resourceentry[va-vac1].resourceentry[va-vac2].resourceentry[va-vac3].resourceentry[va-vac4].resourceentry[va-pvac1].resourceentry[va-pvac2].resourceentry[va-pvac3].resourceentry[va-pvac4].resourceentry[va-ae].resource

Usages:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Immunization C 0..* USCoreImmunizationProfile(5.0.1) Immunization event information
Constraints: us-core-5
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code completed | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required)
Required Pattern: completed
... vaccineCode SΣC 1..1 CodeableConcept Vaccine Product Type (bind to CVX)
Binding: CVX Vaccines Administered Vaccine Set . (extensible)
... patient SΣ 1..1 Reference(VAERS Patient) Who was immunized
... Slices for occurrence[x] SΣ 1..1 Vaccine administration date
Slice: Unordered, Open by type:$this
.... occurrenceDateTime dateTime
.... occurrence[x]:occurrenceDateTime SΣ 0..1 dateTime Vaccine administration date
... primarySource SΣ 1..1 boolean Indicates context the data was recorded in
Required Pattern: false
... manufacturer 0..1 Reference(Organization) Vaccine manufacturer
.... display SΣ 0..1 string Text alternative for the resource
... lotNumber S 0..1 string Vaccine lot number
... site S 0..1 CodeableConcept Body site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.
... route S 0..1 CodeableConcept How vaccine entered body
Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.
... isSubpotent ?!Σ 0..1 boolean Dose potency
... protocolApplied 0..* BackboneElement Protocol followed by the provider
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for doseNumber[x] 1..1 Dose number within series
Slice: Unordered, Open by type:$this
..... doseNumberPositiveInt positiveInt
..... doseNumberString string
..... doseNumber[x]:doseNumberString S 0..1 string Dose number within series

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Immunization.statusrequiredPattern Value: completed
http://hl7.org/fhir/ValueSet/immunization-status
From the FHIR Standard
Immunization.statusReasonexampleImmunizationStatusReasonCodes
http://hl7.org/fhir/ValueSet/immunization-status-reason
From the FHIR Standard
Immunization.vaccineCodeextensibleCVX Vaccines Administered Vaccine Set .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6
Immunization.siteexampleCodesForImmunizationSiteOfAdministration
http://hl7.org/fhir/ValueSet/immunization-site
From the FHIR Standard
Immunization.routeexampleImmunizationRouteCodes
http://hl7.org/fhir/ValueSet/immunization-route
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImmunizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImmunizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
us-core-5best practiceImmunizationSHOULD have a translation to the NDC value set
: vaccineCode.coding.where(system='http://hl7.org/fhir/sid/ndc').empty()

This structure is derived from USCoreImmunizationProfile

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Immunization USCoreImmunizationProfile(5.0.1)
... status 1..1 code completed | entered-in-error | not-done
Required Pattern: completed
... statusReason 0..1 CodeableConcept Reason not done
... vaccineCode 1..1 CodeableConcept Vaccine Product Type (bind to CVX)
... Slices for occurrence[x] 1..1 dateTime, string Vaccine administration date
Slice: Unordered, Open by type:$this
.... occurrence[x]:occurrenceDateTime S 0..1 dateTime S Vaccine administration date
... primarySource 1..1 boolean Indicates context the data was recorded in
Required Pattern: false
... manufacturer
.... display S 0..1 string Text alternative for the resource
... lotNumber S 0..1 string Vaccine lot number
... site S 0..1 CodeableConcept Body site vaccine was administered
... route S 0..1 CodeableConcept How vaccine entered body
... protocolApplied
.... Slices for doseNumber[x] 1..1 positiveInt, string Dose number within series
Slice: Unordered, Open by type:$this
..... doseNumber[x]:doseNumberString S 0..1 string Dose number within series

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Immunization C 0..* USCoreImmunizationProfile(5.0.1) Immunization event information
Constraints: us-core-5
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business identifier
... status ?!SΣ 1..1 code completed | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required)
Required Pattern: completed
... statusReason S 0..1 CodeableConcept Reason not done
Binding: ImmunizationStatusReasonCodes (example)
... vaccineCode SΣC 1..1 CodeableConcept Vaccine Product Type (bind to CVX)
Binding: CVX Vaccines Administered Vaccine Set . (extensible)
... patient SΣ 1..1 Reference(VAERS Patient) Who was immunized
... encounter 0..1 Reference(Encounter) Encounter immunization was part of
... Slices for occurrence[x] SΣ 1..1 Vaccine administration date
Slice: Unordered, Open by type:$this
.... occurrenceDateTime dateTime S
.... occurrenceString string
.... occurrence[x]:occurrenceDateTime SΣ 0..1 dateTime S Vaccine administration date
... recorded 0..1 dateTime When the immunization was first captured in the subject's record
... primarySource SΣ 1..1 boolean Indicates context the data was recorded in
Required Pattern: false
... reportOrigin 0..1 CodeableConcept Indicates the source of a secondarily reported record
Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.
... location 0..1 Reference(Location) Where immunization occurred
... manufacturer 0..1 Reference(Organization) Vaccine manufacturer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display SΣ 0..1 string Text alternative for the resource
... lotNumber S 0..1 string Vaccine lot number
... expirationDate 0..1 date Vaccine expiration date
... site S 0..1 CodeableConcept Body site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.
... route S 0..1 CodeableConcept How vaccine entered body
Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.
... doseQuantity 0..1 SimpleQuantity Amount of vaccine administered
... performer Σ 0..* BackboneElement Who performed event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function Σ 0..1 CodeableConcept What type of performance was done
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization) Individual or organization who was performing
... note Σ 0..* Annotation Additional immunization notes
... reasonCode 0..* CodeableConcept Why immunization occurred
Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Why immunization occurred
... isSubpotent ?!Σ 0..1 boolean Dose potency
... subpotentReason 0..* CodeableConcept Reason for being subpotent
Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.
... education C 0..* BackboneElement Educational material presented to patient
Constraints: imm-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... documentType 0..1 string Educational material document identifier
.... reference 0..1 uri Educational material reference pointer
.... publicationDate 0..1 dateTime Educational material publication date
.... presentationDate 0..1 dateTime Educational material presentation date
... programEligibility 0..* CodeableConcept Patient eligibility for a vaccination program
Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.
... fundingSource 0..1 CodeableConcept Funding source for the vaccine
Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
... reaction 0..* BackboneElement Details of a reaction that follows immunization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... date 0..1 dateTime When reaction started
.... detail 0..1 Reference(Observation) Additional information on reaction
.... reported 0..1 boolean Indicates self-reported reaction
... protocolApplied 0..* BackboneElement Protocol followed by the provider
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... series 0..1 string Name of vaccine series
.... authority 0..1 Reference(Organization) Who is responsible for publishing the recommendations
.... targetDisease 0..* CodeableConcept Vaccine preventatable disease being targetted
Binding: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.
.... Slices for doseNumber[x] 1..1 Dose number within series
Slice: Unordered, Open by type:$this
..... doseNumberPositiveInt positiveInt
..... doseNumberString string
..... doseNumber[x]:doseNumberString S 0..1 string Dose number within series
.... seriesDoses[x] 0..1 Recommended number of doses for immunity
..... seriesDosesPositiveInt positiveInt
..... seriesDosesString string

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Immunization.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Immunization.statusrequiredPattern Value: completed
http://hl7.org/fhir/ValueSet/immunization-status
From the FHIR Standard
Immunization.statusReasonexampleImmunizationStatusReasonCodes
http://hl7.org/fhir/ValueSet/immunization-status-reason
From the FHIR Standard
Immunization.vaccineCodeextensibleCVX Vaccines Administered Vaccine Set .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6
Immunization.reportOriginexampleImmunizationOriginCodes
http://hl7.org/fhir/ValueSet/immunization-origin
From the FHIR Standard
Immunization.manufacturer.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Immunization.siteexampleCodesForImmunizationSiteOfAdministration
http://hl7.org/fhir/ValueSet/immunization-site
From the FHIR Standard
Immunization.routeexampleImmunizationRouteCodes
http://hl7.org/fhir/ValueSet/immunization-route
From the FHIR Standard
Immunization.performer.functionextensibleImmunizationFunctionCodes
http://hl7.org/fhir/ValueSet/immunization-function
From the FHIR Standard
Immunization.reasonCodeexampleImmunizationReasonCodes
http://hl7.org/fhir/ValueSet/immunization-reason
From the FHIR Standard
Immunization.subpotentReasonexampleImmunizationSubpotentReason
http://hl7.org/fhir/ValueSet/immunization-subpotent-reason
From the FHIR Standard
Immunization.programEligibilityexampleImmunizationProgramEligibility
http://hl7.org/fhir/ValueSet/immunization-program-eligibility
From the FHIR Standard
Immunization.fundingSourceexampleImmunizationFundingSource
http://hl7.org/fhir/ValueSet/immunization-funding-source
From the FHIR Standard
Immunization.protocolApplied.targetDiseaseexampleImmunizationTargetDiseaseCodes
http://hl7.org/fhir/ValueSet/immunization-target-disease
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImmunizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImmunizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
imm-1errorImmunization.educationOne of documentType or reference SHALL be present
: documentType.exists() or reference.exists()
us-core-5best practiceImmunizationSHOULD have a translation to the NDC value set
: vaccineCode.coding.where(system='http://hl7.org/fhir/sid/ndc').empty()

This structure is derived from USCoreImmunizationProfile

Summary

Must-Support: 6 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Immunization.occurrence[x]
  • The element 1 is sliced based on the value of Immunization.protocolApplied.doseNumber[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Immunization C 0..* USCoreImmunizationProfile(5.0.1) Immunization event information
Constraints: us-core-5
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code completed | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required)
Required Pattern: completed
... vaccineCode SΣC 1..1 CodeableConcept Vaccine Product Type (bind to CVX)
Binding: CVX Vaccines Administered Vaccine Set . (extensible)
... patient SΣ 1..1 Reference(VAERS Patient) Who was immunized
... Slices for occurrence[x] SΣ 1..1 Vaccine administration date
Slice: Unordered, Open by type:$this
.... occurrenceDateTime dateTime
.... occurrence[x]:occurrenceDateTime SΣ 0..1 dateTime Vaccine administration date
... primarySource SΣ 1..1 boolean Indicates context the data was recorded in
Required Pattern: false
... manufacturer 0..1 Reference(Organization) Vaccine manufacturer
.... display SΣ 0..1 string Text alternative for the resource
... lotNumber S 0..1 string Vaccine lot number
... site S 0..1 CodeableConcept Body site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.
... route S 0..1 CodeableConcept How vaccine entered body
Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.
... isSubpotent ?!Σ 0..1 boolean Dose potency
... protocolApplied 0..* BackboneElement Protocol followed by the provider
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for doseNumber[x] 1..1 Dose number within series
Slice: Unordered, Open by type:$this
..... doseNumberPositiveInt positiveInt
..... doseNumberString string
..... doseNumber[x]:doseNumberString S 0..1 string Dose number within series

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Immunization.statusrequiredPattern Value: completed
http://hl7.org/fhir/ValueSet/immunization-status
From the FHIR Standard
Immunization.statusReasonexampleImmunizationStatusReasonCodes
http://hl7.org/fhir/ValueSet/immunization-status-reason
From the FHIR Standard
Immunization.vaccineCodeextensibleCVX Vaccines Administered Vaccine Set .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6
Immunization.siteexampleCodesForImmunizationSiteOfAdministration
http://hl7.org/fhir/ValueSet/immunization-site
From the FHIR Standard
Immunization.routeexampleImmunizationRouteCodes
http://hl7.org/fhir/ValueSet/immunization-route
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImmunizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImmunizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
us-core-5best practiceImmunizationSHOULD have a translation to the NDC value set
: vaccineCode.coding.where(system='http://hl7.org/fhir/sid/ndc').empty()

Differential View

This structure is derived from USCoreImmunizationProfile

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Immunization USCoreImmunizationProfile(5.0.1)
... status 1..1 code completed | entered-in-error | not-done
Required Pattern: completed
... statusReason 0..1 CodeableConcept Reason not done
... vaccineCode 1..1 CodeableConcept Vaccine Product Type (bind to CVX)
... Slices for occurrence[x] 1..1 dateTime, string Vaccine administration date
Slice: Unordered, Open by type:$this
.... occurrence[x]:occurrenceDateTime S 0..1 dateTime S Vaccine administration date
... primarySource 1..1 boolean Indicates context the data was recorded in
Required Pattern: false
... manufacturer
.... display S 0..1 string Text alternative for the resource
... lotNumber S 0..1 string Vaccine lot number
... site S 0..1 CodeableConcept Body site vaccine was administered
... route S 0..1 CodeableConcept How vaccine entered body
... protocolApplied
.... Slices for doseNumber[x] 1..1 positiveInt, string Dose number within series
Slice: Unordered, Open by type:$this
..... doseNumber[x]:doseNumberString S 0..1 string Dose number within series

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Immunization C 0..* USCoreImmunizationProfile(5.0.1) Immunization event information
Constraints: us-core-5
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business identifier
... status ?!SΣ 1..1 code completed | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required)
Required Pattern: completed
... statusReason S 0..1 CodeableConcept Reason not done
Binding: ImmunizationStatusReasonCodes (example)
... vaccineCode SΣC 1..1 CodeableConcept Vaccine Product Type (bind to CVX)
Binding: CVX Vaccines Administered Vaccine Set . (extensible)
... patient SΣ 1..1 Reference(VAERS Patient) Who was immunized
... encounter 0..1 Reference(Encounter) Encounter immunization was part of
... Slices for occurrence[x] SΣ 1..1 Vaccine administration date
Slice: Unordered, Open by type:$this
.... occurrenceDateTime dateTime S
.... occurrenceString string
.... occurrence[x]:occurrenceDateTime SΣ 0..1 dateTime S Vaccine administration date
... recorded 0..1 dateTime When the immunization was first captured in the subject's record
... primarySource SΣ 1..1 boolean Indicates context the data was recorded in
Required Pattern: false
... reportOrigin 0..1 CodeableConcept Indicates the source of a secondarily reported record
Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.
... location 0..1 Reference(Location) Where immunization occurred
... manufacturer 0..1 Reference(Organization) Vaccine manufacturer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display SΣ 0..1 string Text alternative for the resource
... lotNumber S 0..1 string Vaccine lot number
... expirationDate 0..1 date Vaccine expiration date
... site S 0..1 CodeableConcept Body site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.
... route S 0..1 CodeableConcept How vaccine entered body
Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.
... doseQuantity 0..1 SimpleQuantity Amount of vaccine administered
... performer Σ 0..* BackboneElement Who performed event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function Σ 0..1 CodeableConcept What type of performance was done
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization) Individual or organization who was performing
... note Σ 0..* Annotation Additional immunization notes
... reasonCode 0..* CodeableConcept Why immunization occurred
Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Why immunization occurred
... isSubpotent ?!Σ 0..1 boolean Dose potency
... subpotentReason 0..* CodeableConcept Reason for being subpotent
Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.
... education C 0..* BackboneElement Educational material presented to patient
Constraints: imm-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... documentType 0..1 string Educational material document identifier
.... reference 0..1 uri Educational material reference pointer
.... publicationDate 0..1 dateTime Educational material publication date
.... presentationDate 0..1 dateTime Educational material presentation date
... programEligibility 0..* CodeableConcept Patient eligibility for a vaccination program
Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.
... fundingSource 0..1 CodeableConcept Funding source for the vaccine
Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
... reaction 0..* BackboneElement Details of a reaction that follows immunization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... date 0..1 dateTime When reaction started
.... detail 0..1 Reference(Observation) Additional information on reaction
.... reported 0..1 boolean Indicates self-reported reaction
... protocolApplied 0..* BackboneElement Protocol followed by the provider
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... series 0..1 string Name of vaccine series
.... authority 0..1 Reference(Organization) Who is responsible for publishing the recommendations
.... targetDisease 0..* CodeableConcept Vaccine preventatable disease being targetted
Binding: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.
.... Slices for doseNumber[x] 1..1 Dose number within series
Slice: Unordered, Open by type:$this
..... doseNumberPositiveInt positiveInt
..... doseNumberString string
..... doseNumber[x]:doseNumberString S 0..1 string Dose number within series
.... seriesDoses[x] 0..1 Recommended number of doses for immunity
..... seriesDosesPositiveInt positiveInt
..... seriesDosesString string

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Immunization.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Immunization.statusrequiredPattern Value: completed
http://hl7.org/fhir/ValueSet/immunization-status
From the FHIR Standard
Immunization.statusReasonexampleImmunizationStatusReasonCodes
http://hl7.org/fhir/ValueSet/immunization-status-reason
From the FHIR Standard
Immunization.vaccineCodeextensibleCVX Vaccines Administered Vaccine Set .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6
Immunization.reportOriginexampleImmunizationOriginCodes
http://hl7.org/fhir/ValueSet/immunization-origin
From the FHIR Standard
Immunization.manufacturer.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Immunization.siteexampleCodesForImmunizationSiteOfAdministration
http://hl7.org/fhir/ValueSet/immunization-site
From the FHIR Standard
Immunization.routeexampleImmunizationRouteCodes
http://hl7.org/fhir/ValueSet/immunization-route
From the FHIR Standard
Immunization.performer.functionextensibleImmunizationFunctionCodes
http://hl7.org/fhir/ValueSet/immunization-function
From the FHIR Standard
Immunization.reasonCodeexampleImmunizationReasonCodes
http://hl7.org/fhir/ValueSet/immunization-reason
From the FHIR Standard
Immunization.subpotentReasonexampleImmunizationSubpotentReason
http://hl7.org/fhir/ValueSet/immunization-subpotent-reason
From the FHIR Standard
Immunization.programEligibilityexampleImmunizationProgramEligibility
http://hl7.org/fhir/ValueSet/immunization-program-eligibility
From the FHIR Standard
Immunization.fundingSourceexampleImmunizationFundingSource
http://hl7.org/fhir/ValueSet/immunization-funding-source
From the FHIR Standard
Immunization.protocolApplied.targetDiseaseexampleImmunizationTargetDiseaseCodes
http://hl7.org/fhir/ValueSet/immunization-target-disease
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImmunizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImmunizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
imm-1errorImmunization.educationOne of documentType or reference SHALL be present
: documentType.exists() or reference.exists()
us-core-5best practiceImmunizationSHOULD have a translation to the NDC value set
: vaccineCode.coding.where(system='http://hl7.org/fhir/sid/ndc').empty()

This structure is derived from USCoreImmunizationProfile

Summary

Must-Support: 6 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Immunization.occurrence[x]
  • The element 1 is sliced based on the value of Immunization.protocolApplied.doseNumber[x]

 

Other representations of profile: CSV, Excel, Schematron