IMMZ.D1 Capture Client History for All Antigens - XML Representation - WHO Immunization Implementation Guide v0.1.0

WHO Immunization Implementation Guide, published by World Health Organization (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-immunizations and changes regularly. See the Directory of published versions
Logical Model: IMMZ_D1_Client_History - XML Profile

Draft as of 2024-05-30
XML representation of the IMMZD1ClientHistory logical model.
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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="IMMZD1ClientHistory"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><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 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-IMMZD1ClientHistory-definitions.html#IMMZD1ClientHistory" title="Data elements for the IMMZ.D1 Capture Client History Data Dictionary for the fields that apply to all antigens.">IMMZD1ClientHistory</a><a name="IMMZD1ClientHistory"> </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.D1 Capture Client History for All Antigens<br/><span style="font-weight:bold">Instances of this logical model are not marked to 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_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-IMMZD1ClientHistory-definitions.html#IMMZD1ClientHistory.patient" title="The patient who is being checked for contraindications.">patient</a><a name="IMMZD1ClientHistory.patient"> </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/references.html">Reference</a>()</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Patient</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_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-IMMZD1ClientHistory-definitions.html#IMMZD1ClientHistory.type" title="The type of dose in a series that the client received">type</a><a name="IMMZD1ClientHistory.type"> </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..*</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#Coding">Coding</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Type of dose<br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-IMMZ.D1.DE103.html" title="http://smart.who.int/ig/smart-immunizations/ValueSet/IMMZ.D1.DE103">IMMZ.D1.DE103 ValueSet for Type of dose</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>)<br/></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-IMMZD1ClientHistory-definitions.html#IMMZD1ClientHistory.completedPrimarySeries" title="Indicates if the client has completed the primary vaccination series of a product/antigen. If the client has not yet completed their primary series, it means they may be expected to receive more doses to complete their vaccination regimen for the respective product/antigen.">completedPrimarySeries</a><a name="IMMZD1ClientHistory.completedPrimarySeries"> </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#boolean">boolean</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Completed the primary vaccination series</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-IMMZD1ClientHistory-definitions.html#IMMZD1ClientHistory.booster" title="Indicates if the client has completed the booster series of a product/antigen">booster</a><a name="IMMZD1ClientHistory.booster"> </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">Completed the booster series</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-IMMZD1ClientHistory-definitions.html#IMMZD1ClientHistory.dateSeriesCompleted" title="The date when the client completed the primary vaccination series (per product/antigen)">dateSeriesCompleted</a><a name="IMMZD1ClientHistory.dateSeriesCompleted"> </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#date">date</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Date when primary vaccination series was completed</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_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-IMMZD1ClientHistory-definitions.html#IMMZD1ClientHistory.hivStatus" title="The current human immunodeficiency virus (HIV) status of the client">hivStatus</a><a name="IMMZD1ClientHistory.hivStatus"> </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#Coding">Coding</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">HIV status<br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-IMMZ.D1.DE10.html" title="http://smart.who.int/ig/smart-immunizations/ValueSet/IMMZ.D1.DE10">IMMZ.D1.DE10 ValueSet for HIV 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: #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-IMMZD1ClientHistory-definitions.html#IMMZD1ClientHistory.pretermBirth" title="The infant was preterm; the mother gave birth to the infant when gestational age was less than 37 weeks">pretermBirth</a><a name="IMMZD1ClientHistory.pretermBirth"> </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#boolean">boolean</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Preterm birth</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-IMMZD1ClientHistory-definitions.html#IMMZD1ClientHistory.immunocompromised" title="The client is known to be immunocompromised. This means the client has a weakened immune system and having a reduced ability to fight infections and other diseases">immunocompromised</a><a name="IMMZD1ClientHistory.immunocompromised"> </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">Immunocompromised</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-IMMZD1ClientHistory-definitions.html#IMMZD1ClientHistory.onART" title="The client is currently receiving antiretroviral therapy (ART)">onART</a><a name="IMMZD1ClientHistory.onART"> </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#boolean">boolean</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Currently on ART</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_bck01.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_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-IMMZD1ClientHistory-definitions.html#IMMZD1ClientHistory.vaccineHistory" title="History of previous vaccine doses.">vaccineHistory</a><a name="IMMZD1ClientHistory.vaccineHistory"> </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..*</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#BackboneElement">BackboneElement</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 History<br/></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_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.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-IMMZD1ClientHistory-definitions.html#IMMZD1ClientHistory.vaccineHistory.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="IMMZD1ClientHistory.vaccineHistory.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_bck000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.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-IMMZD1ClientHistory-definitions.html#IMMZD1ClientHistory.vaccineHistory.vaccineDate" title="Represents the visit/encounter date, which is the date and time when the vaccine was administered to the client">vaccineDate</a><a name="IMMZD1ClientHistory.vaccineHistory.vaccineDate"> </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#date">date</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><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>
  <url
       value="http://smart.who.int/ig/smart-immunizations/StructureDefinition/IMMZD1ClientHistory"/>
  <version value="0.1.0"/>
  <name value="IMMZ_D1_Client_History"/>
  <title value="IMMZ.D1 Capture Client History for All Antigens"/>
  <status value="draft"/>
  <date value="2024-05-30T21:26:16+00:00"/>
  <publisher value="World Health Organization (WHO)"/>
  <contact>
    <name value="World Health Organization (WHO)"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.who.int"/>
    </telecom>
  </contact>
  <description
               value="Data elements for the IMMZ.D1 Capture Client History Data Dictionary for the fields that apply to all antigens."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <fhirVersion value="4.0.1"/>
  <kind value="logical"/>
  <abstract value="false"/>
  <type
        value="http://smart.who.int/ig/smart-immunizations/StructureDefinition/IMMZD1ClientHistory"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="IMMZD1ClientHistory">
      <path value="IMMZD1ClientHistory"/>
      <short value="IMMZ.D1 Capture Client History for All Antigens"/>
      <definition
                  value="Data elements for the IMMZ.D1 Capture Client History Data Dictionary for the fields that apply to all antigens."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
    </element>
    <element id="IMMZD1ClientHistory.patient">
      <path value="IMMZD1ClientHistory.patient"/>
      <short value="Patient"/>
      <definition
                  value="The patient who is being checked for contraindications."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1ClientHistory.patient"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
      </type>
    </element>
    <element id="IMMZD1ClientHistory.type">
      <path value="IMMZD1ClientHistory.type"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D1"/>
        <code value="DE103"/>
      </code>
      <short value="Type of dose"/>
      <definition
                  value="The type of dose in a series that the client received"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="IMMZD1ClientHistory.type"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/ig/smart-immunizations/ValueSet/IMMZ.D1.DE103"/>
      </binding>
    </element>
    <element id="IMMZD1ClientHistory.completedPrimarySeries">
      <path value="IMMZD1ClientHistory.completedPrimarySeries"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D1"/>
        <code value="DE8"/>
      </code>
      <short value="Completed the primary vaccination series"/>
      <definition
                  value="Indicates if the client has completed the primary vaccination series of a product/antigen. If the client has not yet completed their primary series, it means they may be expected to receive more doses to complete their vaccination regimen for the respective product/antigen."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1ClientHistory.completedPrimarySeries"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="IMMZD1ClientHistory.booster">
      <path value="IMMZD1ClientHistory.booster"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D1"/>
        <code value="DE102"/>
      </code>
      <short value="Completed the booster series"/>
      <definition
                  value="Indicates if the client has completed the booster series of a product/antigen"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1ClientHistory.booster"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="IMMZD1ClientHistory.dateSeriesCompleted">
      <path value="IMMZD1ClientHistory.dateSeriesCompleted"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D1"/>
        <code value="DE81"/>
      </code>
      <short value="Date when primary vaccination series was completed"/>
      <definition
                  value="The date when the client completed the primary vaccination series (per product/antigen)"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1ClientHistory.dateSeriesCompleted"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="date"/>
      </type>
    </element>
    <element id="IMMZD1ClientHistory.hivStatus">
      <path value="IMMZD1ClientHistory.hivStatus"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D1"/>
        <code value="DE10"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="55277-8"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="278977008"/>
      </code>
      <short value="HIV status"/>
      <definition
                  value="The current human immunodeficiency virus (HIV) status of the client"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1ClientHistory.hivStatus"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/ig/smart-immunizations/ValueSet/IMMZ.D1.DE10"/>
      </binding>
    </element>
    <element id="IMMZD1ClientHistory.pretermBirth">
      <path value="IMMZD1ClientHistory.pretermBirth"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D1"/>
        <code value="DE15"/>
      </code>
      <code>
        <system value="http://hl7.org/fhir/sid/icd-11"/>
        <code value="KA21.4"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="76517-2"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="395507008"/>
      </code>
      <short value="Preterm birth"/>
      <definition
                  value="The infant was preterm; the mother gave birth to the infant when gestational age was less than 37 weeks"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1ClientHistory.pretermBirth"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="IMMZD1ClientHistory.immunocompromised">
      <path value="IMMZD1ClientHistory.immunocompromised"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D1"/>
        <code value="DE16"/>
      </code>
      <code>
        <system value="http://hl7.org/fhir/sid/icd-11"/>
        <code value="4B4Z"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="96381-9"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="370388006"/>
      </code>
      <short value="Immunocompromised"/>
      <definition
                  value="The client is known to be immunocompromised. This means the client has a weakened immune system and having a reduced ability to fight infections and other diseases"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1ClientHistory.immunocompromised"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="IMMZD1ClientHistory.onART">
      <path value="IMMZD1ClientHistory.onART"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D1"/>
        <code value="DE17"/>
      </code>
      <short value="Currently on ART"/>
      <definition
                  value="The client is currently receiving antiretroviral therapy (ART)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1ClientHistory.onART"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="IMMZD1ClientHistory.vaccineHistory">
      <path value="IMMZD1ClientHistory.vaccineHistory"/>
      <short value="Vaccine History"/>
      <definition value="History of previous vaccine doses."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="IMMZD1ClientHistory.vaccineHistory"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
    </element>
    <element id="IMMZD1ClientHistory.vaccineHistory.id">
      <path value="IMMZD1ClientHistory.vaccineHistory.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="IMMZD1ClientHistory.vaccineHistory.extension">
      <path value="IMMZD1ClientHistory.vaccineHistory.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="IMMZD1ClientHistory.vaccineHistory.modifierExtension">
      <path value="IMMZD1ClientHistory.vaccineHistory.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="IMMZD1ClientHistory.vaccineHistory.vaccineType">
      <path value="IMMZD1ClientHistory.vaccineHistory.vaccineType"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE19"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="39236-5"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="787859002"/>
      </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="IMMZD1ClientHistory.vaccineHistory.vaccineType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
    </element>
    <element id="IMMZD1ClientHistory.vaccineHistory.vaccineDate">
      <path value="IMMZD1ClientHistory.vaccineHistory.vaccineDate"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE20"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="30952-6"/>
      </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="0"/>
      <max value="1"/>
      <base>
        <path value="IMMZD1ClientHistory.vaccineHistory.vaccineDate"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="date"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="IMMZD1ClientHistory">
      <path value="IMMZD1ClientHistory"/>
      <short value="IMMZ.D1 Capture Client History for All Antigens"/>
      <definition
                  value="Data elements for the IMMZ.D1 Capture Client History Data Dictionary for the fields that apply to all antigens."/>
    </element>
    <element id="IMMZD1ClientHistory.patient">
      <path value="IMMZD1ClientHistory.patient"/>
      <short value="Patient"/>
      <definition
                  value="The patient who is being checked for contraindications."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
      </type>
    </element>
    <element id="IMMZD1ClientHistory.type">
      <path value="IMMZD1ClientHistory.type"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D1"/>
        <code value="DE103"/>
      </code>
      <short value="Type of dose"/>
      <definition
                  value="The type of dose in a series that the client received"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/ig/smart-immunizations/ValueSet/IMMZ.D1.DE103"/>
      </binding>
    </element>
    <element id="IMMZD1ClientHistory.completedPrimarySeries">
      <path value="IMMZD1ClientHistory.completedPrimarySeries"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D1"/>
        <code value="DE8"/>
      </code>
      <short value="Completed the primary vaccination series"/>
      <definition
                  value="Indicates if the client has completed the primary vaccination series of a product/antigen. If the client has not yet completed their primary series, it means they may be expected to receive more doses to complete their vaccination regimen for the respective product/antigen."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="IMMZD1ClientHistory.booster">
      <path value="IMMZD1ClientHistory.booster"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D1"/>
        <code value="DE102"/>
      </code>
      <short value="Completed the booster series"/>
      <definition
                  value="Indicates if the client has completed the booster series of a product/antigen"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="IMMZD1ClientHistory.dateSeriesCompleted">
      <path value="IMMZD1ClientHistory.dateSeriesCompleted"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D1"/>
        <code value="DE81"/>
      </code>
      <short value="Date when primary vaccination series was completed"/>
      <definition
                  value="The date when the client completed the primary vaccination series (per product/antigen)"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
    </element>
    <element id="IMMZD1ClientHistory.hivStatus">
      <path value="IMMZD1ClientHistory.hivStatus"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D1"/>
        <code value="DE10"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="55277-8"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="278977008"/>
      </code>
      <short value="HIV status"/>
      <definition
                  value="The current human immunodeficiency virus (HIV) status of the client"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://smart.who.int/ig/smart-immunizations/ValueSet/IMMZ.D1.DE10"/>
      </binding>
    </element>
    <element id="IMMZD1ClientHistory.pretermBirth">
      <path value="IMMZD1ClientHistory.pretermBirth"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D1"/>
        <code value="DE15"/>
      </code>
      <code>
        <system value="http://hl7.org/fhir/sid/icd-11"/>
        <code value="KA21.4"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="76517-2"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="395507008"/>
      </code>
      <short value="Preterm birth"/>
      <definition
                  value="The infant was preterm; the mother gave birth to the infant when gestational age was less than 37 weeks"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="IMMZD1ClientHistory.immunocompromised">
      <path value="IMMZD1ClientHistory.immunocompromised"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D1"/>
        <code value="DE16"/>
      </code>
      <code>
        <system value="http://hl7.org/fhir/sid/icd-11"/>
        <code value="4B4Z"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="96381-9"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="370388006"/>
      </code>
      <short value="Immunocompromised"/>
      <definition
                  value="The client is known to be immunocompromised. This means the client has a weakened immune system and having a reduced ability to fight infections and other diseases"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="IMMZD1ClientHistory.onART">
      <path value="IMMZD1ClientHistory.onART"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D1"/>
        <code value="DE17"/>
      </code>
      <short value="Currently on ART"/>
      <definition
                  value="The client is currently receiving antiretroviral therapy (ART)"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="IMMZD1ClientHistory.vaccineHistory">
      <path value="IMMZD1ClientHistory.vaccineHistory"/>
      <short value="Vaccine History"/>
      <definition value="History of previous vaccine doses."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="IMMZD1ClientHistory.vaccineHistory.vaccineType">
      <path value="IMMZD1ClientHistory.vaccineHistory.vaccineType"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE19"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="39236-5"/>
      </code>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="787859002"/>
      </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="IMMZD1ClientHistory.vaccineHistory.vaccineDate">
      <path value="IMMZD1ClientHistory.vaccineHistory.vaccineDate"/>
      <code>
        <system
                value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D"/>
        <code value="DE20"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="30952-6"/>
      </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="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
    </element>
  </differential>
</StructureDefinition>