SMART ICVP, 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-icvp/tree/v1.0.0-updates and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: DVC - WHO PreQual Immunization for IPS

This profile represents an IPS Immunization record that can be mapped onto a Digital Vaccine Certificates using the WHO PreQual Database

Usage:

• Derived from this Resource Profile: DVC - WHO ICVP Immunization for IPS
• Use this Resource Profile: DVC Certificate - IPS Bundle for WHO PreQual Databae
• Refer to this Resource Profile: DVC Certificate - IPS Composition for WHO PreQual Database

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	Immunization-uv-ips-DVC	Immunization event information dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
productID	SC	1..1	Coding, Reference(Medication Catalog Item)	Extension URL: http://smart.who.int/icvp/StructureDefinition/ProductID ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both has-a-product-id-code: Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc. has-a-prequal-vaccine-product-id-code: Ensure vaccine type is from the prequal vaccine database
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. ele-1: All FHIR elements must have a @value or children
vaccineCode	SC	1..1	CodeableConceptIPS	Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization. Additional Bindings Purpose Documentation Vaccines WHO ATC - IPS candidate For when WHO ATC code system is preferred ele-1: All FHIR elements must have a @value or children has-a-prequal-vaccine-type: Ensure vaccine type is from the prequal vaccine database
patient	SΣ	1..1	Reference(Patient (IPS))	Who was immunized ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
occurrence[x]	SΣ	1..1		Vaccine administration date ele-1: All FHIR elements must have a @value or children
occurrence[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
data-absent-reason	S	0..1	code	occurrence[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
occurrenceDateTime			dateTime
occurrenceString			string
isSubpotent	?!Σ	0..1	boolean	Dose potency ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 from the FHIR Standard
Immunization.vaccineCode	preferred	VaccinesUvIps http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Immunization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Immunization	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Immunization	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
has-a-prequal-vaccine-product-id-code	error	Immunization.extension:productID	Ensure vaccine type is from the prequal vaccine database : valueCoding.memberOf('http://smart.who.int/pcmt-vaxprequal/ValueSets/PreQualProductIDs')
has-a-prequal-vaccine-type	error	Immunization.vaccineCode	Ensure vaccine type is from the prequal vaccine database : memberOf('http://smart.who.int/pcmt-vaxprequal/CodeSystem/PreQualVaccineType')
has-a-product-id-code	error	Immunization.extension:productID	Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc. : exists()

This structure is derived from Immunization-uv-ips-DVC

Name	Flags	Card.	Type	Description & Constraints
Immunization			Immunization-uv-ips-DVC
Slices for extension				Content/Rules for all slices
extension:productID	C	1..1	ProductID	Extension has-a-prequal-vaccine-product-id-code: Ensure vaccine type is from the prequal vaccine database
vaccineCode	C	1..1	CodeableConceptIPS	Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. has-a-prequal-vaccine-type: Ensure vaccine type is from the prequal vaccine database
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
has-a-prequal-vaccine-product-id-code	error	Immunization.extension:productID	Ensure vaccine type is from the prequal vaccine database : valueCoding.memberOf('http://smart.who.int/pcmt-vaxprequal/ValueSets/PreQualProductIDs')
has-a-prequal-vaccine-type	error	Immunization.vaccineCode	Ensure vaccine type is from the prequal vaccine database : memberOf('http://smart.who.int/pcmt-vaxprequal/CodeSystem/PreQualVaccineType')

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	Immunization-uv-ips-DVC	Immunization event information
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
productID	SC	1..1	Coding, Reference(Medication Catalog Item)	Extension URL: http://smart.who.int/icvp/StructureDefinition/ProductID has-a-product-id-code: Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc. has-a-prequal-vaccine-product-id-code: Ensure vaccine type is from the prequal vaccine database
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!SΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
statusReason		0..1	CodeableConcept	Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.
vaccineCode	SC	1..1	CodeableConceptIPS	Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization. Additional Bindings Purpose Documentation Vaccines WHO ATC - IPS candidate For when WHO ATC code system is preferred has-a-prequal-vaccine-type: Ensure vaccine type is from the prequal vaccine database
patient	SΣ	1..1	Reference(Patient (IPS))	Who was immunized
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
occurrence[x]	SΣ	1..1		Vaccine administration date
occurrence[x]All Types				Content/Rules for all Types
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
data-absent-reason	S	0..1	code	occurrence[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
occurrenceDateTime			dateTime
occurrenceString			string
recorded		0..1	dateTime	When the immunization was first captured in the subject's record
primarySource	Σ	0..1	boolean	Indicates context the data was recorded in
reportOrigin		0..1	CodeableConcept	Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.
location		0..1	Reference(Location)	Where immunization occurred
manufacturer		0..1	Reference(Organization)	Vaccine manufacturer
lotNumber		0..1	string	Vaccine lot number
expirationDate		0..1	date	Vaccine expiration date
site		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (preferred)
route		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Medicine Route of Administration - IPS (preferred)
doseQuantity		0..1	SimpleQuantity	Amount of vaccine administered
performer	Σ	0..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Individual or organization who was performing
note	Σ	0..*	Annotation	Additional immunization notes
reasonCode		0..*	CodeableConcept	Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Why immunization occurred
isSubpotent	?!Σ	0..1	boolean	Dose potency
subpotentReason		0..*	CodeableConcept	Reason for being subpotent Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.
education	C	0..*	BackboneElement	Educational material presented to patient imm-1: One of documentType or reference SHALL be present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
documentType		0..1	string	Educational material document identifier
reference		0..1	uri	Educational material reference pointer
publicationDate		0..1	dateTime	Educational material publication date
presentationDate		0..1	dateTime	Educational material presentation date
programEligibility		0..*	CodeableConcept	Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.
fundingSource		0..1	CodeableConcept	Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
reaction		0..*	BackboneElement	Details of a reaction that follows immunization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date		0..1	dateTime	When reaction started
detail		0..1	Reference(Observation)	Additional information on reaction
reported		0..1	boolean	Indicates self-reported reaction
protocolApplied		0..*	BackboneElement	Protocol followed by the provider
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
series		0..1	string	Name of vaccine series
authority		0..1	Reference(Organization)	Who is responsible for publishing the recommendations
targetDisease		0..*	CodeableConcept	Vaccine preventable disease being targeted Binding: Vaccine Target Diseases - IPS (preferred): The particular disease or diseases against which the patient has been immunized.
doseNumber[x]		1..1		Dose number within series
doseNumberPositiveInt			positiveInt
doseNumberString			string
seriesDoses[x]		0..1		Recommended number of doses for immunity
seriesDosesPositiveInt			positiveInt
seriesDosesString			string
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Immunization.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 from the FHIR Standard
Immunization.statusReason	example	ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason from the FHIR Standard
Immunization.vaccineCode	preferred	VaccinesUvIps http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips
Immunization.patient.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Immunization.reportOrigin	example	ImmunizationOriginCodes http://hl7.org/fhir/ValueSet/immunization-origin from the FHIR Standard
Immunization.site	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Immunization.route	preferred	MedicineRouteOfAdministrationUvIps http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration
Immunization.performer.function	extensible	ImmunizationFunctionCodes http://hl7.org/fhir/ValueSet/immunization-function from the FHIR Standard
Immunization.reasonCode	example	ImmunizationReasonCodes http://hl7.org/fhir/ValueSet/immunization-reason from the FHIR Standard
Immunization.subpotentReason	example	ImmunizationSubpotentReason http://hl7.org/fhir/ValueSet/immunization-subpotent-reason from the FHIR Standard
Immunization.programEligibility	example	ImmunizationProgramEligibility http://hl7.org/fhir/ValueSet/immunization-program-eligibility from the FHIR Standard
Immunization.fundingSource	example	ImmunizationFundingSource http://hl7.org/fhir/ValueSet/immunization-funding-source from the FHIR Standard
Immunization.protocolApplied.targetDisease	preferred	VaccineTargetDiseasesUvIps http://hl7.org/fhir/uv/ips/ValueSet/target-diseases-uv-ips

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Immunization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Immunization	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Immunization	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
has-a-prequal-vaccine-product-id-code	error	Immunization.extension:productID	Ensure vaccine type is from the prequal vaccine database : valueCoding.memberOf('http://smart.who.int/pcmt-vaxprequal/ValueSets/PreQualProductIDs')
has-a-prequal-vaccine-type	error	Immunization.vaccineCode	Ensure vaccine type is from the prequal vaccine database : memberOf('http://smart.who.int/pcmt-vaxprequal/CodeSystem/PreQualVaccineType')
has-a-product-id-code	error	Immunization.extension:productID	Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc. : exists()
imm-1	error	Immunization.education	One of documentType or reference SHALL be present : documentType.exists() or reference.exists()

This structure is derived from Immunization-uv-ips-DVC

Summary

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	Immunization-uv-ips-DVC	Immunization event information dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
productID	SC	1..1	Coding, Reference(Medication Catalog Item)	Extension URL: http://smart.who.int/icvp/StructureDefinition/ProductID ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both has-a-product-id-code: Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc. has-a-prequal-vaccine-product-id-code: Ensure vaccine type is from the prequal vaccine database
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. ele-1: All FHIR elements must have a @value or children
vaccineCode	SC	1..1	CodeableConceptIPS	Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization. Additional Bindings Purpose Documentation Vaccines WHO ATC - IPS candidate For when WHO ATC code system is preferred ele-1: All FHIR elements must have a @value or children has-a-prequal-vaccine-type: Ensure vaccine type is from the prequal vaccine database
patient	SΣ	1..1	Reference(Patient (IPS))	Who was immunized ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
occurrence[x]	SΣ	1..1		Vaccine administration date ele-1: All FHIR elements must have a @value or children
occurrence[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
data-absent-reason	S	0..1	code	occurrence[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
occurrenceDateTime			dateTime
occurrenceString			string
isSubpotent	?!Σ	0..1	boolean	Dose potency ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 from the FHIR Standard
Immunization.vaccineCode	preferred	VaccinesUvIps http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Immunization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Immunization	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Immunization	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
has-a-prequal-vaccine-product-id-code	error	Immunization.extension:productID	Ensure vaccine type is from the prequal vaccine database : valueCoding.memberOf('http://smart.who.int/pcmt-vaxprequal/ValueSets/PreQualProductIDs')
has-a-prequal-vaccine-type	error	Immunization.vaccineCode	Ensure vaccine type is from the prequal vaccine database : memberOf('http://smart.who.int/pcmt-vaxprequal/CodeSystem/PreQualVaccineType')
has-a-product-id-code	error	Immunization.extension:productID	Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc. : exists()

Differential View

This structure is derived from Immunization-uv-ips-DVC

Name	Flags	Card.	Type	Description & Constraints
Immunization			Immunization-uv-ips-DVC
Slices for extension				Content/Rules for all slices
extension:productID	C	1..1	ProductID	Extension has-a-prequal-vaccine-product-id-code: Ensure vaccine type is from the prequal vaccine database
vaccineCode	C	1..1	CodeableConceptIPS	Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. has-a-prequal-vaccine-type: Ensure vaccine type is from the prequal vaccine database
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
has-a-prequal-vaccine-product-id-code	error	Immunization.extension:productID	Ensure vaccine type is from the prequal vaccine database : valueCoding.memberOf('http://smart.who.int/pcmt-vaxprequal/ValueSets/PreQualProductIDs')
has-a-prequal-vaccine-type	error	Immunization.vaccineCode	Ensure vaccine type is from the prequal vaccine database : memberOf('http://smart.who.int/pcmt-vaxprequal/CodeSystem/PreQualVaccineType')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Immunization		0..*	Immunization-uv-ips-DVC	Immunization event information
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
productID	SC	1..1	Coding, Reference(Medication Catalog Item)	Extension URL: http://smart.who.int/icvp/StructureDefinition/ProductID has-a-product-id-code: Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc. has-a-prequal-vaccine-product-id-code: Ensure vaccine type is from the prequal vaccine database
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!SΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
statusReason		0..1	CodeableConcept	Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.
vaccineCode	SC	1..1	CodeableConceptIPS	Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization. Additional Bindings Purpose Documentation Vaccines WHO ATC - IPS candidate For when WHO ATC code system is preferred has-a-prequal-vaccine-type: Ensure vaccine type is from the prequal vaccine database
patient	SΣ	1..1	Reference(Patient (IPS))	Who was immunized
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
occurrence[x]	SΣ	1..1		Vaccine administration date
occurrence[x]All Types				Content/Rules for all Types
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
data-absent-reason	S	0..1	code	occurrence[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
occurrenceDateTime			dateTime
occurrenceString			string
recorded		0..1	dateTime	When the immunization was first captured in the subject's record
primarySource	Σ	0..1	boolean	Indicates context the data was recorded in
reportOrigin		0..1	CodeableConcept	Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.
location		0..1	Reference(Location)	Where immunization occurred
manufacturer		0..1	Reference(Organization)	Vaccine manufacturer
lotNumber		0..1	string	Vaccine lot number
expirationDate		0..1	date	Vaccine expiration date
site		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (preferred)
route		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Medicine Route of Administration - IPS (preferred)
doseQuantity		0..1	SimpleQuantity	Amount of vaccine administered
performer	Σ	0..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Individual or organization who was performing
note	Σ	0..*	Annotation	Additional immunization notes
reasonCode		0..*	CodeableConcept	Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Why immunization occurred
isSubpotent	?!Σ	0..1	boolean	Dose potency
subpotentReason		0..*	CodeableConcept	Reason for being subpotent Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.
education	C	0..*	BackboneElement	Educational material presented to patient imm-1: One of documentType or reference SHALL be present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
documentType		0..1	string	Educational material document identifier
reference		0..1	uri	Educational material reference pointer
publicationDate		0..1	dateTime	Educational material publication date
presentationDate		0..1	dateTime	Educational material presentation date
programEligibility		0..*	CodeableConcept	Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.
fundingSource		0..1	CodeableConcept	Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
reaction		0..*	BackboneElement	Details of a reaction that follows immunization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date		0..1	dateTime	When reaction started
detail		0..1	Reference(Observation)	Additional information on reaction
reported		0..1	boolean	Indicates self-reported reaction
protocolApplied		0..*	BackboneElement	Protocol followed by the provider
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
series		0..1	string	Name of vaccine series
authority		0..1	Reference(Organization)	Who is responsible for publishing the recommendations
targetDisease		0..*	CodeableConcept	Vaccine preventable disease being targeted Binding: Vaccine Target Diseases - IPS (preferred): The particular disease or diseases against which the patient has been immunized.
doseNumber[x]		1..1		Dose number within series
doseNumberPositiveInt			positiveInt
doseNumberString			string
seriesDoses[x]		0..1		Recommended number of doses for immunity
seriesDosesPositiveInt			positiveInt
seriesDosesString			string
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Immunization.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Immunization.status	required	ImmunizationStatusCodes http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 from the FHIR Standard
Immunization.statusReason	example	ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason from the FHIR Standard
Immunization.vaccineCode	preferred	VaccinesUvIps http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips
Immunization.patient.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Immunization.reportOrigin	example	ImmunizationOriginCodes http://hl7.org/fhir/ValueSet/immunization-origin from the FHIR Standard
Immunization.site	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Immunization.route	preferred	MedicineRouteOfAdministrationUvIps http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration
Immunization.performer.function	extensible	ImmunizationFunctionCodes http://hl7.org/fhir/ValueSet/immunization-function from the FHIR Standard
Immunization.reasonCode	example	ImmunizationReasonCodes http://hl7.org/fhir/ValueSet/immunization-reason from the FHIR Standard
Immunization.subpotentReason	example	ImmunizationSubpotentReason http://hl7.org/fhir/ValueSet/immunization-subpotent-reason from the FHIR Standard
Immunization.programEligibility	example	ImmunizationProgramEligibility http://hl7.org/fhir/ValueSet/immunization-program-eligibility from the FHIR Standard
Immunization.fundingSource	example	ImmunizationFundingSource http://hl7.org/fhir/ValueSet/immunization-funding-source from the FHIR Standard
Immunization.protocolApplied.targetDisease	preferred	VaccineTargetDiseasesUvIps http://hl7.org/fhir/uv/ips/ValueSet/target-diseases-uv-ips

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Immunization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Immunization	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Immunization	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
has-a-prequal-vaccine-product-id-code	error	Immunization.extension:productID	Ensure vaccine type is from the prequal vaccine database : valueCoding.memberOf('http://smart.who.int/pcmt-vaxprequal/ValueSets/PreQualProductIDs')
has-a-prequal-vaccine-type	error	Immunization.vaccineCode	Ensure vaccine type is from the prequal vaccine database : memberOf('http://smart.who.int/pcmt-vaxprequal/CodeSystem/PreQualVaccineType')
has-a-product-id-code	error	Immunization.extension:productID	Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc. : exists()
imm-1	error	Immunization.education	One of documentType or reference SHALL be present : documentType.exists() or reference.exists()

This structure is derived from Immunization-uv-ips-DVC

Summary

Other representations of profile: CSV, Excel, Schematron