WHO Immunization Implementation Guide
0.1.0 - CI Build
WHO Immunization Implementation Guide
0.1.0 - CI Build
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
| Draft as of 2024-05-30 |
XML representation of the IMMZD1ClientHistoryMeasles logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="IMMZD1ClientHistoryMeasles"/>
<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 & 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-IMMZD1ClientHistoryMeasles-definitions.html#IMMZD1ClientHistoryMeasles" title="Data elements for the IMMZ.D1 Capture Client History Data Dictionary for Measles.">IMMZD1ClientHistoryMeasles</a><a name="IMMZD1ClientHistoryMeasles"> </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="StructureDefinition-IMMZD1ClientHistory.html">IMMZ_D1_Client_History</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><br/>Elements defined in Ancestors:<a href="StructureDefinition-IMMZD1ClientHistory.html" title="The patient who is being checked for contraindications.">patient</a>, <a href="StructureDefinition-IMMZD1ClientHistory.html" title="The type of dose in a series that the client received">type</a>, <a href="StructureDefinition-IMMZD1ClientHistory.html" 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 href="StructureDefinition-IMMZD1ClientHistory.html" title="Indicates if the client has completed the booster series of a product/antigen">booster</a>, <a href="StructureDefinition-IMMZD1ClientHistory.html" title="The date when the client completed the primary vaccination series (per product/antigen)">dateSeriesCompleted</a>, <a href="StructureDefinition-IMMZD1ClientHistory.html" title="The current human immunodeficiency virus (HIV) status of the client">hivStatus</a>, <a href="StructureDefinition-IMMZD1ClientHistory.html" title="The infant was preterm; the mother gave birth to the infant when gestational age was less than 37 weeks">pretermBirth</a>, <a href="StructureDefinition-IMMZD1ClientHistory.html" 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 href="StructureDefinition-IMMZD1ClientHistory.html" title="The client is currently receiving antiretroviral therapy (ART)">onART</a>, <a href="StructureDefinition-IMMZD1ClientHistory.html" title="History of previous vaccine doses.">vaccineHistory</a><br/>IMMZ.D1 Capture Client History for Measles<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_bck11.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_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IMMZD1ClientHistoryMeasles-definitions.html#IMMZD1ClientHistoryMeasles.vaccineHistory">vaccineHistory</a><a name="IMMZD1ClientHistoryMeasles.vaccineHistory"> </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"/><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"/></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_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.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-IMMZD1ClientHistoryMeasles-definitions.html#IMMZD1ClientHistoryMeasles.vaccineHistory.vaccineType">vaccineType</a><a name="IMMZD1ClientHistoryMeasles.vaccineHistory.vaccineType"> </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">1</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 style="opacity: 0.5" 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"><span style="opacity: 0.5">Vaccine type</span><br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-IMMZ.Z.DE9.html" title="http://smart.who.int/ig/smart-immunizations/ValueSet/IMMZ.Z.DE9">IMMZ.Z.DE9 ValueSet for Measles Vaccines</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-IMMZD1ClientHistoryMeasles-definitions.html#IMMZD1ClientHistoryMeasles.severelyImmunosuppressed" title="The client is known to be severely immunocompromised or immunosuppressed">severelyImmunosuppressed</a><a name="IMMZD1ClientHistoryMeasles.severelyImmunosuppressed"> </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#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">Severely immunosuppressed</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-IMMZD1ClientHistoryMeasles-definitions.html#IMMZD1ClientHistoryMeasles.artStartDate" title="The date on which the client started or restarted antiretroviral therapy (ART)">artStartDate</a><a name="IMMZD1ClientHistoryMeasles.artStartDate"> </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">ART start date</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/IMMZD1ClientHistoryMeasles"/>
<version value="0.1.0"/>
<name value="IMMZ_D1_Client_History_Measles"/>
<title value="IMMZ.D1 Capture Client History for Measles"/>
<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 Measles."/>
<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/IMMZD1ClientHistoryMeasles"/>
<baseDefinition
value="http://smart.who.int/ig/smart-immunizations/StructureDefinition/IMMZD1ClientHistory"/>
<derivation value="specialization"/>
<snapshot>
<element id="IMMZD1ClientHistoryMeasles">
<path value="IMMZD1ClientHistoryMeasles"/>
<short value="IMMZ.D1 Capture Client History for Measles"/>
<definition
value="Data elements for the IMMZ.D1 Capture Client History Data Dictionary for Measles."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<isModifier value="false"/>
</element>
<element id="IMMZD1ClientHistoryMeasles.patient">
<path value="IMMZD1ClientHistoryMeasles.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="IMMZD1ClientHistoryMeasles.type">
<path value="IMMZD1ClientHistoryMeasles.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="IMMZD1ClientHistoryMeasles.completedPrimarySeries">
<path value="IMMZD1ClientHistoryMeasles.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="IMMZD1ClientHistoryMeasles.booster">
<path value="IMMZD1ClientHistoryMeasles.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="IMMZD1ClientHistoryMeasles.dateSeriesCompleted">
<path value="IMMZD1ClientHistoryMeasles.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="IMMZD1ClientHistoryMeasles.hivStatus">
<path value="IMMZD1ClientHistoryMeasles.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="IMMZD1ClientHistoryMeasles.pretermBirth">
<path value="IMMZD1ClientHistoryMeasles.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="IMMZD1ClientHistoryMeasles.immunocompromised">
<path value="IMMZD1ClientHistoryMeasles.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="IMMZD1ClientHistoryMeasles.onART">
<path value="IMMZD1ClientHistoryMeasles.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="IMMZD1ClientHistoryMeasles.vaccineHistory">
<path value="IMMZD1ClientHistoryMeasles.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() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
</element>
<element id="IMMZD1ClientHistoryMeasles.vaccineHistory.id">
<path value="IMMZD1ClientHistoryMeasles.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="IMMZD1ClientHistoryMeasles.vaccineHistory.extension">
<path value="IMMZD1ClientHistoryMeasles.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() > 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(.), "value")])"/>
<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="IMMZD1ClientHistoryMeasles.vaccineHistory.modifierExtension">
<path
value="IMMZD1ClientHistoryMeasles.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() > 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(.), "value")])"/>
<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="IMMZD1ClientHistoryMeasles.vaccineHistory.vaccineType">
<path value="IMMZD1ClientHistoryMeasles.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>
<binding>
<strength value="required"/>
<valueSet
value="http://smart.who.int/ig/smart-immunizations/ValueSet/IMMZ.Z.DE9"/>
</binding>
</element>
<element id="IMMZD1ClientHistoryMeasles.vaccineHistory.vaccineDate">
<path value="IMMZD1ClientHistoryMeasles.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>
<element id="IMMZD1ClientHistoryMeasles.severelyImmunosuppressed">
<path value="IMMZD1ClientHistoryMeasles.severelyImmunosuppressed"/>
<code>
<system value="http://loinc.org"/>
<code value="96381-9"/>
</code>
<short value="Severely immunosuppressed"/>
<definition
value="The client is known to be severely immunocompromised or immunosuppressed"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMMZD1ClientHistoryMeasles.severelyImmunosuppressed"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="IMMZD1ClientHistoryMeasles.artStartDate">
<path value="IMMZD1ClientHistoryMeasles.artStartDate"/>
<code>
<system
value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D1"/>
<code value="DE49"/>
</code>
<short value="ART start date"/>
<definition
value="The date on which the client started or restarted antiretroviral therapy (ART)"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="IMMZD1ClientHistoryMeasles.artStartDate"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="date"/>
</type>
</element>
</snapshot>
<differential>
<element id="IMMZD1ClientHistoryMeasles">
<path value="IMMZD1ClientHistoryMeasles"/>
<short value="IMMZ.D1 Capture Client History for Measles"/>
<definition
value="Data elements for the IMMZ.D1 Capture Client History Data Dictionary for Measles."/>
</element>
<element id="IMMZD1ClientHistoryMeasles.vaccineHistory.vaccineType">
<path value="IMMZD1ClientHistoryMeasles.vaccineHistory.vaccineType"/>
<binding>
<strength value="required"/>
<valueSet
value="http://smart.who.int/ig/smart-immunizations/ValueSet/IMMZ.Z.DE9"/>
</binding>
</element>
<element id="IMMZD1ClientHistoryMeasles.severelyImmunosuppressed">
<path value="IMMZD1ClientHistoryMeasles.severelyImmunosuppressed"/>
<code>
<system value="http://loinc.org"/>
<code value="96381-9"/>
</code>
<short value="Severely immunosuppressed"/>
<definition
value="The client is known to be severely immunocompromised or immunosuppressed"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="IMMZD1ClientHistoryMeasles.artStartDate">
<path value="IMMZD1ClientHistoryMeasles.artStartDate"/>
<code>
<system
value="http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D1"/>
<code value="DE49"/>
</code>
<short value="ART start date"/>
<definition
value="The date on which the client started or restarted antiretroviral therapy (ART)"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="date"/>
</type>
</element>
</differential>
</StructureDefinition>