WHO SMART Guidelines - Measles Immunization
0.1.0 - ci-build

WHO SMART Guidelines - Measles Immunization, published by WHO. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-example-immz and changes regularly. See the Directory of published versions

Logical Model: IMMZDUpdateVaccinationRecord - JSON Profile

Active as of 2024-08-12

JSON representation of the IMMZDUpdateVaccinationRecord logical model.

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{
  "resourceType" : "StructureDefinition",
  "id" : "IMMZDUpdateVaccinationRecord",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablestructuredefinition"🔗 ,
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablestructuredefinition"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition IMMZDUpdateVaccinationRecord</b></p><a name=\"IMMZDUpdateVaccinationRecord\"> </a><a name=\"hcIMMZDUpdateVaccinationRecord\"> </a><a name=\"IMMZDUpdateVaccinationRecord-en-US\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZDUpdateVaccinationRecord-definitions.html#IMMZDUpdateVaccinationRecord\" title=\"Data elements for IMMZ.D Update Vaccination Record.\">IMMZDUpdateVaccinationRecord</a><a name=\"IMMZDUpdateVaccinationRecord\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/types.html#Base\">Base</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">IMMZ.D Update Vaccination Record<br/><span style=\"font-weight:bold\">Instances of this logical model can be the target of a Reference</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZDUpdateVaccinationRecord-definitions.html#IMMZDUpdateVaccinationRecord.immunizatioEventStatus\" title=\"The current status of the individual immunization event\">immunizatioEventStatus</a><a name=\"IMMZDUpdateVaccinationRecord.immunizatioEventStatus\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The current status of the individual immunization event<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-IMMZ.D1.DE1VS.html\" title=\"http://smart.who.int/immunizations-measles/ValueSet/IMMZ.D1.DE1VS\">IMMZ.D1.DE1 CodeSystem for Immunization status</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZDUpdateVaccinationRecord-definitions.html#IMMZDUpdateVaccinationRecord.reasonNotDone\" title=\"The reason this immunization event was not performed\">reasonNotDone</a><a name=\"IMMZDUpdateVaccinationRecord.reasonNotDone\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Reason vaccine was not administered<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-IMMZ.D1.DE5VS.html\" title=\"http://smart.who.int/immunizations-measles/ValueSet/IMMZ.D1.DE5VS\">IMMZ.D1.DE5 values for Reason Not Done</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZDUpdateVaccinationRecord-definitions.html#IMMZDUpdateVaccinationRecord.vaccineProduct\" title=\"The brand or trade name used to refer to the vaccine received\">vaccineProduct</a><a name=\"IMMZDUpdateVaccinationRecord.vaccineProduct\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Vaccine brand</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZDUpdateVaccinationRecord-definitions.html#IMMZDUpdateVaccinationRecord.liveVaccine\" title=\"Uses a living but weakened version of the virus or one that's very similar\">liveVaccine</a><a name=\"IMMZDUpdateVaccinationRecord.liveVaccine\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Live attenuated vaccine</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZDUpdateVaccinationRecord-definitions.html#IMMZDUpdateVaccinationRecord.vaccineType\" title=\"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\">vaccineType</a><a name=\"IMMZDUpdateVaccinationRecord.vaccineType\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Vaccine type</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZDUpdateVaccinationRecord-definitions.html#IMMZDUpdateVaccinationRecord.dateTime\" title=\"Represents the visit/encounter date, which is the date and time when the vaccine was administered to the client\">dateTime</a><a name=\"IMMZDUpdateVaccinationRecord.dateTime\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date and time of vaccination</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZDUpdateVaccinationRecord-definitions.html#IMMZDUpdateVaccinationRecord.countryOfVaccination\" title=\"The service delivery country where the vaccine administration occurred\">countryOfVaccination</a><a name=\"IMMZDUpdateVaccinationRecord.countryOfVaccination\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Country of vaccination<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-sgcountry.html\" title=\"http://smart.who.int/immunizations-measles/ValueSet/sgcountry\">Country ValueSet</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZDUpdateVaccinationRecord-definitions.html#IMMZDUpdateVaccinationRecord.vaccinationLocation\" title=\"The service delivery location where the vaccine administration occurred\">vaccinationLocation</a><a name=\"IMMZDUpdateVaccinationRecord.vaccinationLocation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Vaccination location</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZDUpdateVaccinationRecord-definitions.html#IMMZDUpdateVaccinationRecord.vaccineManufacturer\" title=\"The manufacturer of the vaccine product\">vaccineManufacturer</a><a name=\"IMMZDUpdateVaccinationRecord.vaccineManufacturer\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Vaccine manufacturer</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZDUpdateVaccinationRecord-definitions.html#IMMZDUpdateVaccinationRecord.vaccineLotNumber\" title=\"Batch number or lot number of vaccine\">vaccineLotNumber</a><a name=\"IMMZDUpdateVaccinationRecord.vaccineLotNumber\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Vaccine batch number</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZDUpdateVaccinationRecord-definitions.html#IMMZDUpdateVaccinationRecord.vaccineMAH\" title=\"Name of the market authorization holder of the vaccine received. If market authorization holder is unknown, vaccine manufacturer is REQUIRED\">vaccineMAH</a><a name=\"IMMZDUpdateVaccinationRecord.vaccineMAH\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Vaccine market authorization holder</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZDUpdateVaccinationRecord-definitions.html#IMMZDUpdateVaccinationRecord.vaccineExpirationDate\" title=\"The expiration date of the vaccine\">vaccineExpirationDate</a><a name=\"IMMZDUpdateVaccinationRecord.vaccineExpirationDate\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Expiration date</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZDUpdateVaccinationRecord-definitions.html#IMMZDUpdateVaccinationRecord.vaccineDoseQuantity\" title=\"The quantity of vaccine product that was administered\">vaccineDoseQuantity</a><a name=\"IMMZDUpdateVaccinationRecord.vaccineDoseQuantity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Dose quantity</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZDUpdateVaccinationRecord-definitions.html#IMMZDUpdateVaccinationRecord.healthWorker\" title=\"The person, organization, or role of the entity that performed the act of giving the vaccine to the client. The implementing system can choose to populate this field using data from a health worker registry or health facility registry\">healthWorker</a><a name=\"IMMZDUpdateVaccinationRecord.healthWorker\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Health worker identifier</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZDUpdateVaccinationRecord-definitions.html#IMMZDUpdateVaccinationRecord.vaccineDoseNumber\" title=\"Vaccine dose number including dose number within series\">vaccineDoseNumber</a><a name=\"IMMZDUpdateVaccinationRecord.vaccineDoseNumber\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Dose number</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-IMMZDUpdateVaccinationRecord-definitions.html#IMMZDUpdateVaccinationRecord.vaccineTotalDosesInSeries\" title=\"The recommended number of doses for immunity according to the national protocol\">vaccineTotalDosesInSeries</a><a name=\"IMMZDUpdateVaccinationRecord.vaccineTotalDosesInSeries\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Total doses in series</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-target",
      "valueBoolean" : true
    }
  ],
  "url" : "http://smart.who.int/immunizations-measles/StructureDefinition/IMMZDUpdateVaccinationRecord",
  "version" : "0.1.0",
  "name" : "IMMZDUpdateVaccinationRecord",
  "title" : "IMMZ.D Update Vaccination Record",
  "status" : "active",
  "experimental" : true,
  "date" : "2024-08-12T09:03:21+00:00",
  "publisher" : "WHO",
  "contact" : [
    {
      "name" : "WHO",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://who.int"
        }
      ]
    }
  ],
  "description" : "Data elements for IMMZ.D Update Vaccination Record.",
  "fhirVersion" : "4.0.1",
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://smart.who.int/immunizations-measles/StructureDefinition/IMMZDUpdateVaccinationRecord",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [
      {
        "id" : "IMMZDUpdateVaccinationRecord",
        "path" : "IMMZDUpdateVaccinationRecord",
        "short" : "IMMZ.D Update Vaccination Record",
        "definition" : "Data elements for IMMZ.D Update Vaccination Record.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Base",
          "min" : 0,
          "max" : "*"
        },
        "isModifier" : false
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.immunizatioEventStatus",
        "path" : "IMMZDUpdateVaccinationRecord.immunizatioEventStatus",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE1"
          }
        ],
        "short" : "The current status of the individual immunization event",
        "definition" : "The current status of the individual immunization event",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "IMMZDUpdateVaccinationRecord.immunizatioEventStatus",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations-measles/ValueSet/IMMZ.D1.DE1VS"
        }
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.reasonNotDone",
        "path" : "IMMZDUpdateVaccinationRecord.reasonNotDone",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE5"
          }
        ],
        "short" : "Reason vaccine was not administered",
        "definition" : "The reason this immunization event was not performed",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZDUpdateVaccinationRecord.reasonNotDone",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations-measles/ValueSet/IMMZ.D1.DE5VS"
        }
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccineProduct",
        "path" : "IMMZDUpdateVaccinationRecord.vaccineProduct",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE18"
          }
        ],
        "short" : "Vaccine brand",
        "definition" : "The brand or trade name used to refer to the vaccine received",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "IMMZDUpdateVaccinationRecord.vaccineProduct",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.liveVaccine",
        "path" : "IMMZDUpdateVaccinationRecord.liveVaccine",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE173"
          }
        ],
        "short" : "Live attenuated vaccine",
        "definition" : "Uses a living but weakened version of the virus or one that's very similar",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZDUpdateVaccinationRecord.liveVaccine",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccineType",
        "path" : "IMMZDUpdateVaccinationRecord.vaccineType",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE19"
          }
        ],
        "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" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZDUpdateVaccinationRecord.vaccineType",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.dateTime",
        "path" : "IMMZDUpdateVaccinationRecord.dateTime",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE20"
          }
        ],
        "short" : "Date and time of vaccination",
        "definition" : "Represents the visit/encounter date, which is the date and time when the vaccine was administered to the client",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "IMMZDUpdateVaccinationRecord.dateTime",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.countryOfVaccination",
        "path" : "IMMZDUpdateVaccinationRecord.countryOfVaccination",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE21"
          }
        ],
        "short" : "Country of vaccination",
        "definition" : "The service delivery country where the vaccine administration occurred",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "IMMZDUpdateVaccinationRecord.countryOfVaccination",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations-measles/ValueSet/sgcountry"
        }
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccinationLocation",
        "path" : "IMMZDUpdateVaccinationRecord.vaccinationLocation",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE22"
          }
        ],
        "short" : "Vaccination location",
        "definition" : "The service delivery location where the vaccine administration occurred",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZDUpdateVaccinationRecord.vaccinationLocation",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccineManufacturer",
        "path" : "IMMZDUpdateVaccinationRecord.vaccineManufacturer",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE23"
          }
        ],
        "short" : "Vaccine manufacturer",
        "definition" : "The manufacturer of the vaccine product",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZDUpdateVaccinationRecord.vaccineManufacturer",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccineLotNumber",
        "path" : "IMMZDUpdateVaccinationRecord.vaccineLotNumber",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE24"
          }
        ],
        "short" : "Vaccine batch number",
        "definition" : "Batch number or lot number of vaccine",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZDUpdateVaccinationRecord.vaccineLotNumber",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccineMAH",
        "path" : "IMMZDUpdateVaccinationRecord.vaccineMAH",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE25"
          }
        ],
        "short" : "Vaccine market authorization holder",
        "definition" : "Name of the market authorization holder of the vaccine received. If market authorization holder is unknown, vaccine manufacturer is REQUIRED",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZDUpdateVaccinationRecord.vaccineMAH",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccineExpirationDate",
        "path" : "IMMZDUpdateVaccinationRecord.vaccineExpirationDate",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE26"
          }
        ],
        "short" : "Expiration date",
        "definition" : "The expiration date of the vaccine",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZDUpdateVaccinationRecord.vaccineExpirationDate",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccineDoseQuantity",
        "path" : "IMMZDUpdateVaccinationRecord.vaccineDoseQuantity",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE34"
          }
        ],
        "short" : "Dose quantity",
        "definition" : "The quantity of vaccine product that was administered",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZDUpdateVaccinationRecord.vaccineDoseQuantity",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.healthWorker",
        "path" : "IMMZDUpdateVaccinationRecord.healthWorker",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE35"
          }
        ],
        "short" : "Health worker identifier",
        "definition" : "The person, organization, or role of the entity that performed the act of giving the vaccine to the client. The implementing system can choose to populate this field using data from a health worker registry or health facility registry",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZDUpdateVaccinationRecord.healthWorker",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccineDoseNumber",
        "path" : "IMMZDUpdateVaccinationRecord.vaccineDoseNumber",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE124"
          }
        ],
        "short" : "Dose number",
        "definition" : "Vaccine dose number including dose number within series",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZDUpdateVaccinationRecord.vaccineDoseNumber",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccineTotalDosesInSeries",
        "path" : "IMMZDUpdateVaccinationRecord.vaccineTotalDosesInSeries",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE125"
          }
        ],
        "short" : "Total doses in series",
        "definition" : "The recommended number of doses for immunity according to the national protocol",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IMMZDUpdateVaccinationRecord.vaccineTotalDosesInSeries",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "IMMZDUpdateVaccinationRecord",
        "path" : "IMMZDUpdateVaccinationRecord",
        "short" : "IMMZ.D Update Vaccination Record",
        "definition" : "Data elements for IMMZ.D Update Vaccination Record."
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.immunizatioEventStatus",
        "path" : "IMMZDUpdateVaccinationRecord.immunizatioEventStatus",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE1"
          }
        ],
        "short" : "The current status of the individual immunization event",
        "definition" : "The current status of the individual immunization event",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations-measles/ValueSet/IMMZ.D1.DE1VS"
        }
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.reasonNotDone",
        "path" : "IMMZDUpdateVaccinationRecord.reasonNotDone",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE5"
          }
        ],
        "short" : "Reason vaccine was not administered",
        "definition" : "The reason this immunization event was not performed",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations-measles/ValueSet/IMMZ.D1.DE5VS"
        }
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccineProduct",
        "path" : "IMMZDUpdateVaccinationRecord.vaccineProduct",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE18"
          }
        ],
        "short" : "Vaccine brand",
        "definition" : "The brand or trade name used to refer to the vaccine received",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.liveVaccine",
        "path" : "IMMZDUpdateVaccinationRecord.liveVaccine",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE173"
          }
        ],
        "short" : "Live attenuated vaccine",
        "definition" : "Uses a living but weakened version of the virus or one that's very similar",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "boolean"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccineType",
        "path" : "IMMZDUpdateVaccinationRecord.vaccineType",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE19"
          }
        ],
        "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" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.dateTime",
        "path" : "IMMZDUpdateVaccinationRecord.dateTime",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE20"
          }
        ],
        "short" : "Date and time of vaccination",
        "definition" : "Represents the visit/encounter date, which is the date and time when the vaccine was administered to the client",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "dateTime"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.countryOfVaccination",
        "path" : "IMMZDUpdateVaccinationRecord.countryOfVaccination",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE21"
          }
        ],
        "short" : "Country of vaccination",
        "definition" : "The service delivery country where the vaccine administration occurred",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://smart.who.int/immunizations-measles/ValueSet/sgcountry"
        }
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccinationLocation",
        "path" : "IMMZDUpdateVaccinationRecord.vaccinationLocation",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE22"
          }
        ],
        "short" : "Vaccination location",
        "definition" : "The service delivery location where the vaccine administration occurred",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccineManufacturer",
        "path" : "IMMZDUpdateVaccinationRecord.vaccineManufacturer",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE23"
          }
        ],
        "short" : "Vaccine manufacturer",
        "definition" : "The manufacturer of the vaccine product",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccineLotNumber",
        "path" : "IMMZDUpdateVaccinationRecord.vaccineLotNumber",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE24"
          }
        ],
        "short" : "Vaccine batch number",
        "definition" : "Batch number or lot number of vaccine",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccineMAH",
        "path" : "IMMZDUpdateVaccinationRecord.vaccineMAH",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE25"
          }
        ],
        "short" : "Vaccine market authorization holder",
        "definition" : "Name of the market authorization holder of the vaccine received. If market authorization holder is unknown, vaccine manufacturer is REQUIRED",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccineExpirationDate",
        "path" : "IMMZDUpdateVaccinationRecord.vaccineExpirationDate",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE26"
          }
        ],
        "short" : "Expiration date",
        "definition" : "The expiration date of the vaccine",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccineDoseQuantity",
        "path" : "IMMZDUpdateVaccinationRecord.vaccineDoseQuantity",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE34"
          }
        ],
        "short" : "Dose quantity",
        "definition" : "The quantity of vaccine product that was administered",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.healthWorker",
        "path" : "IMMZDUpdateVaccinationRecord.healthWorker",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE35"
          }
        ],
        "short" : "Health worker identifier",
        "definition" : "The person, organization, or role of the entity that performed the act of giving the vaccine to the client. The implementing system can choose to populate this field using data from a health worker registry or health facility registry",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccineDoseNumber",
        "path" : "IMMZDUpdateVaccinationRecord.vaccineDoseNumber",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE124"
          }
        ],
        "short" : "Dose number",
        "definition" : "Vaccine dose number including dose number within series",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "integer"
          }
        ]
      },
      {
        "id" : "IMMZDUpdateVaccinationRecord.vaccineTotalDosesInSeries",
        "path" : "IMMZDUpdateVaccinationRecord.vaccineTotalDosesInSeries",
        "code" : [
          {
            "system" : "http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts",
            "code" : "D.DE125"
          }
        ],
        "short" : "Total doses in series",
        "definition" : "The recommended number of doses for immunity according to the national protocol",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "integer"
          }
        ]
      }
    ]
  }
}