IMMZ.D Update Vaccination Record - XML Representation - WHO SMART Guidelines

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 - XML Profile

Active as of 2024-08-12
XML representation of the IMMZDUpdateVaccinationRecord logical model.
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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="IMMZDUpdateVaccinationRecord"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablestructuredefinition"/>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablestructuredefinition"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
  </text>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/logical-target">
    <valueBoolean value="true"/>
  </extension>
  <url
       value="http://smart.who.int/immunizations-measles/StructureDefinition/IMMZDUpdateVaccinationRecord"/>
  <version value="0.1.0"/>
  <name value="IMMZDUpdateVaccinationRecord"/>
  <title value="IMMZ.D Update Vaccination Record"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2024-08-12T09:03:21+00:00"/>
  <publisher value="WHO"/>
  <contact>
    <name value="WHO"/>
    <telecom>
      <system value="url"/>
      <value value="http://who.int"/>
    </telecom>
  </contact>
  <description value="Data elements for IMMZ.D Update Vaccination Record."/>
  <fhirVersion value="4.0.1"/>
  <kind value="logical"/>
  <abstract value="false"/>
  <type
        value="http://smart.who.int/immunizations-measles/StructureDefinition/IMMZDUpdateVaccinationRecord"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="IMMZDUpdateVaccinationRecord">
      <path value="IMMZDUpdateVaccinationRecord"/>
      <short value="IMMZ.D Update Vaccination Record"/>
      <definition
                  value="Data elements for IMMZ.D Update Vaccination Record."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.immunizatioEventStatus">
      <path value="IMMZDUpdateVaccinationRecord.immunizatioEventStatus"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE1"/>
      </code>
      <short value="The current status of the individual immunization event"/>
      <definition
                  value="The current status of the individual immunization event"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="IMMZDUpdateVaccinationRecord.immunizatioEventStatus"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations-measles/ValueSet/IMMZ.D1.DE1VS"/>
      </binding>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.reasonNotDone">
      <path value="IMMZDUpdateVaccinationRecord.reasonNotDone"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE5"/>
      </code>
      <short value="Reason vaccine was not administered"/>
      <definition
                  value="The reason this immunization event was not performed"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZDUpdateVaccinationRecord.reasonNotDone"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations-measles/ValueSet/IMMZ.D1.DE5VS"/>
      </binding>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccineProduct">
      <path value="IMMZDUpdateVaccinationRecord.vaccineProduct"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE18"/>
      </code>
      <short value="Vaccine brand"/>
      <definition
                  value="The brand or trade name used to refer to the vaccine received"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="IMMZDUpdateVaccinationRecord.vaccineProduct"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.liveVaccine">
      <path value="IMMZDUpdateVaccinationRecord.liveVaccine"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE173"/>
      </code>
      <short value="Live attenuated vaccine"/>
      <definition
                  value="Uses a living but weakened version of the virus or one that's very similar"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZDUpdateVaccinationRecord.liveVaccine"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccineType">
      <path value="IMMZDUpdateVaccinationRecord.vaccineType"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE19"/>
      </code>
      <short value="Vaccine type"/>
      <definition
                  value="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 value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZDUpdateVaccinationRecord.vaccineType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.dateTime">
      <path value="IMMZDUpdateVaccinationRecord.dateTime"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE20"/>
      </code>
      <short value="Date and time of vaccination"/>
      <definition
                  value="Represents the visit/encounter date, which is the date and time when the vaccine was administered to the client"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="IMMZDUpdateVaccinationRecord.dateTime"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.countryOfVaccination">
      <path value="IMMZDUpdateVaccinationRecord.countryOfVaccination"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE21"/>
      </code>
      <short value="Country of vaccination"/>
      <definition
                  value="The service delivery country where the vaccine administration occurred"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="IMMZDUpdateVaccinationRecord.countryOfVaccination"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations-measles/ValueSet/sgcountry"/>
      </binding>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccinationLocation">
      <path value="IMMZDUpdateVaccinationRecord.vaccinationLocation"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE22"/>
      </code>
      <short value="Vaccination location"/>
      <definition
                  value="The service delivery location where the vaccine administration occurred"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZDUpdateVaccinationRecord.vaccinationLocation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccineManufacturer">
      <path value="IMMZDUpdateVaccinationRecord.vaccineManufacturer"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE23"/>
      </code>
      <short value="Vaccine manufacturer"/>
      <definition value="The manufacturer of the vaccine product"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZDUpdateVaccinationRecord.vaccineManufacturer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccineLotNumber">
      <path value="IMMZDUpdateVaccinationRecord.vaccineLotNumber"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE24"/>
      </code>
      <short value="Vaccine batch number"/>
      <definition value="Batch number or lot number of vaccine"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZDUpdateVaccinationRecord.vaccineLotNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccineMAH">
      <path value="IMMZDUpdateVaccinationRecord.vaccineMAH"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE25"/>
      </code>
      <short value="Vaccine market authorization holder"/>
      <definition
                  value="Name of the market authorization holder of the vaccine received. If market authorization holder is unknown, vaccine manufacturer is REQUIRED"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZDUpdateVaccinationRecord.vaccineMAH"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccineExpirationDate">
      <path value="IMMZDUpdateVaccinationRecord.vaccineExpirationDate"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE26"/>
      </code>
      <short value="Expiration date"/>
      <definition value="The expiration date of the vaccine"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZDUpdateVaccinationRecord.vaccineExpirationDate"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccineDoseQuantity">
      <path value="IMMZDUpdateVaccinationRecord.vaccineDoseQuantity"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE34"/>
      </code>
      <short value="Dose quantity"/>
      <definition
                  value="The quantity of vaccine product that was administered"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZDUpdateVaccinationRecord.vaccineDoseQuantity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.healthWorker">
      <path value="IMMZDUpdateVaccinationRecord.healthWorker"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE35"/>
      </code>
      <short value="Health worker identifier"/>
      <definition
                  value="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 value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZDUpdateVaccinationRecord.healthWorker"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccineDoseNumber">
      <path value="IMMZDUpdateVaccinationRecord.vaccineDoseNumber"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE124"/>
      </code>
      <short value="Dose number"/>
      <definition
                  value="Vaccine dose number including dose number within series"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZDUpdateVaccinationRecord.vaccineDoseNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="integer"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccineTotalDosesInSeries">
      <path value="IMMZDUpdateVaccinationRecord.vaccineTotalDosesInSeries"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE125"/>
      </code>
      <short value="Total doses in series"/>
      <definition
                  value="The recommended number of doses for immunity according to the national protocol"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZDUpdateVaccinationRecord.vaccineTotalDosesInSeries"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="integer"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="IMMZDUpdateVaccinationRecord">
      <path value="IMMZDUpdateVaccinationRecord"/>
      <short value="IMMZ.D Update Vaccination Record"/>
      <definition
                  value="Data elements for IMMZ.D Update Vaccination Record."/>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.immunizatioEventStatus">
      <path value="IMMZDUpdateVaccinationRecord.immunizatioEventStatus"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE1"/>
      </code>
      <short value="The current status of the individual immunization event"/>
      <definition
                  value="The current status of the individual immunization event"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations-measles/ValueSet/IMMZ.D1.DE1VS"/>
      </binding>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.reasonNotDone">
      <path value="IMMZDUpdateVaccinationRecord.reasonNotDone"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE5"/>
      </code>
      <short value="Reason vaccine was not administered"/>
      <definition
                  value="The reason this immunization event was not performed"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations-measles/ValueSet/IMMZ.D1.DE5VS"/>
      </binding>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccineProduct">
      <path value="IMMZDUpdateVaccinationRecord.vaccineProduct"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE18"/>
      </code>
      <short value="Vaccine brand"/>
      <definition
                  value="The brand or trade name used to refer to the vaccine received"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.liveVaccine">
      <path value="IMMZDUpdateVaccinationRecord.liveVaccine"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE173"/>
      </code>
      <short value="Live attenuated vaccine"/>
      <definition
                  value="Uses a living but weakened version of the virus or one that's very similar"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccineType">
      <path value="IMMZDUpdateVaccinationRecord.vaccineType"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE19"/>
      </code>
      <short value="Vaccine type"/>
      <definition
                  value="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 value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.dateTime">
      <path value="IMMZDUpdateVaccinationRecord.dateTime"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE20"/>
      </code>
      <short value="Date and time of vaccination"/>
      <definition
                  value="Represents the visit/encounter date, which is the date and time when the vaccine was administered to the client"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.countryOfVaccination">
      <path value="IMMZDUpdateVaccinationRecord.countryOfVaccination"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE21"/>
      </code>
      <short value="Country of vaccination"/>
      <definition
                  value="The service delivery country where the vaccine administration occurred"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/immunizations-measles/ValueSet/sgcountry"/>
      </binding>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccinationLocation">
      <path value="IMMZDUpdateVaccinationRecord.vaccinationLocation"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE22"/>
      </code>
      <short value="Vaccination location"/>
      <definition
                  value="The service delivery location where the vaccine administration occurred"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccineManufacturer">
      <path value="IMMZDUpdateVaccinationRecord.vaccineManufacturer"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE23"/>
      </code>
      <short value="Vaccine manufacturer"/>
      <definition value="The manufacturer of the vaccine product"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccineLotNumber">
      <path value="IMMZDUpdateVaccinationRecord.vaccineLotNumber"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE24"/>
      </code>
      <short value="Vaccine batch number"/>
      <definition value="Batch number or lot number of vaccine"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccineMAH">
      <path value="IMMZDUpdateVaccinationRecord.vaccineMAH"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE25"/>
      </code>
      <short value="Vaccine market authorization holder"/>
      <definition
                  value="Name of the market authorization holder of the vaccine received. If market authorization holder is unknown, vaccine manufacturer is REQUIRED"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccineExpirationDate">
      <path value="IMMZDUpdateVaccinationRecord.vaccineExpirationDate"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE26"/>
      </code>
      <short value="Expiration date"/>
      <definition value="The expiration date of the vaccine"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccineDoseQuantity">
      <path value="IMMZDUpdateVaccinationRecord.vaccineDoseQuantity"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE34"/>
      </code>
      <short value="Dose quantity"/>
      <definition
                  value="The quantity of vaccine product that was administered"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.healthWorker">
      <path value="IMMZDUpdateVaccinationRecord.healthWorker"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE35"/>
      </code>
      <short value="Health worker identifier"/>
      <definition
                  value="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 value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccineDoseNumber">
      <path value="IMMZDUpdateVaccinationRecord.vaccineDoseNumber"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE124"/>
      </code>
      <short value="Dose number"/>
      <definition
                  value="Vaccine dose number including dose number within series"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="integer"/>
      </type>
    </element>
    <element id="IMMZDUpdateVaccinationRecord.vaccineTotalDosesInSeries">
      <path value="IMMZDUpdateVaccinationRecord.vaccineTotalDosesInSeries"/>
      <code>
        <system
                value="http://smart.who.int/immunizations-measles/CodeSystem/IMMZConcepts"/>
        <code value="D.DE125"/>
      </code>
      <short value="Total doses in series"/>
      <definition
                  value="The recommended number of doses for immunity according to the national protocol"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="integer"/>
      </type>
    </element>
  </differential>
</StructureDefinition>