Connectathon 11 Snapshot

This page is part of the FHIR Specification (v1.2.0: STU 3 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Immunization.profile.xml

Raw XML (canonical form)

StructureDefinition for immunization

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Immunization"/>
  <meta>
    <lastUpdated value="2015-12-11T17:38:40.294+11:00"/>
  </meta>
  <text>
    <status value="generated"/>
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          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
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          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
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          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a>
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            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a>
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/>
              </a>
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            Nj6C+QmaxAek5tyAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Resource"/> 
            <span title="Immunization : Describes the event of a patient being administered a vaccination or a
             record of a vaccination as reported by a patient, a clinician or another party and may
             include vaccine reaction information and what vaccination protocol was followed.">Immunization</span>
            <a name="Immunization"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element has or is affected by some invariants">I</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Immunization event information
            <br/>
            <span style="font-style: italic" title="imm-2">If immunization was administered (wasNotGiven=false) then explanation.reasonNotGiven SHALL
               be absent.</span>
            <br/>
            <span style="font-style: italic" title="imm-1">If immunization was not administred (wasNotGiven=true) then there SHALL be no reaction
               nor explanation.reason present</span>
          </td>
        </tr>

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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/> 
            <span title="Immunization.identifier : A unique identifier assigned to this immunization record.">identifier</span>
            <a name="Immunization.identifier"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Business identifier</td>
        </tr>

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            <span title="Immunization.status : Indicates the current status of the vaccination event.">status</span>
            <a name="Immunization.status"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is a modifier element">?! </span>
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">in-progress | on-hold | completed | entered-in-error | stopped
            <br/>
            <a href="valueset-medication-admin-status.html" title="A set of codes indicating the current status of an Immunization">MedicationAdministrationStatus</a> (
            <a href="terminologies.html#required" title="To be conformant, instances of this element SHALL include a code from the specified value
             set.">Required</a>)
          </td>
        </tr>

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            <span title="Immunization.date : Date vaccine administered or was to be administered.">date</span>
            <a name="Immunization.date"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Vaccination administration date</td>
        </tr>

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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/> 
            <span title="Immunization.vaccineCode : Vaccine that was administered or was to be administered.">vaccineCode</span>
            <a name="Immunization.vaccineCode"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Vaccine product administered
            <br/>
            <a href="valueset-vaccine-code.html" title="The code for vaccine product administered">Vaccine Administered Value Set</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
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            <span title="Immunization.patient : The patient who either received or did not receive the immunization.">patient</span>
            <a name="Immunization.patient"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="patient.html">Patient</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Who was immunized</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="Immunization.wasNotGiven : Indicates if the vaccination was or was not given.">wasNotGiven</span>
            <a name="Immunization.wasNotGiven"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is a modifier element">?!</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#boolean">boolean</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Flag for whether immunization was given</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
           white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCA
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            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Primitive Data Type"/> 
            <span title="Immunization.reported : True if this administration was reported rather than directly
             administered.">reported</span>
            <a name="Immunization.reported"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#boolean">boolean</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Indicates a self-reported record</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="Immunization.performer : Clinician who administered the vaccine.">performer</span>
            <a name="Immunization.performer"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="practitioner.html">Practitioner</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Who administered vaccine</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="Immunization.requester : Clinician who ordered the vaccination.">requester</span>
            <a name="Immunization.requester"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="practitioner.html">Practitioner</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Who ordered vaccination</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="Immunization.encounter : The visit or admission or other contact between patient and health
             care provider the immunization was performed as part of.">encounter</span>
            <a name="Immunization.encounter"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="encounter.html">Encounter</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Encounter administered as part of</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.manufacturer : Name of vaccine manufacturer.">manufacturer</span>
            <a name="Immunization.manufacturer"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="organization.html">Organization</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Vaccine manufacturer</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.location : The service delivery location where the vaccine administration
             occurred.">location</span>
            <a name="Immunization.location"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="location.html">Location</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Where vaccination occurred</td>
        </tr>

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            <span title="Immunization.lotNumber : Lot number of the  vaccine product.">lotNumber</span>
            <a name="Immunization.lotNumber"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Vaccine lot number</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.expirationDate : Date vaccine batch expires.">expirationDate</span>
            <a name="Immunization.expirationDate"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#date">date</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Vaccine expiration date</td>
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            <span title="Immunization.site : Body site where vaccine was administered.">site</span>
            <a name="Immunization.site"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Body site vaccine  was administered
            <br/>
            <a href="valueset-immunization-site.html" title="The site at which the vaccine was administered">Codes for Immunization Site of Administration</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.route : The path by which the vaccine product is taken into the body.">route</span>
            <a name="Immunization.route"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">How vaccine entered body
            <br/>
            <a href="valueset-immunization-route.html" title="The route by which the vaccine was administered">Immunization Route Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
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            <span title="Immunization.doseQuantity : The quantity of vaccine product that was administered.">doseQuantity</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#SimpleQuantity">SimpleQuantity</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Amount of vaccine administered</td>
        </tr>

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Vaccination notes</td>
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        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.explanation.reason : Reasons why a vaccine was administered.">reason</span>
            <a name="Immunization.explanation.reason"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Why immunization occurred
            <br/>
            <a href="valueset-immunization-reason.html" title="The reason why a vaccine was administered">Immunization Reason Codes</a> (
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             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Why immunization did not occur
            <br/>
            <a href="valueset-no-immunization-reason.html" title="The reason why a vaccine was not administered">Immunization Reasons for Not Immunizing Codes</a> (
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            <span title="Immunization.reaction : Categorical data indicating that an adverse event is associated
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Details of a reaction that follows immunization</td>
        </tr>

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        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.reaction.detail : Details of the reaction.">detail</span>
            <a name="Immunization.reaction.detail"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="observation.html">Observation</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Additional information on reaction</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.reaction.reported : Self-reported indicator.">reported</span>
            <a name="Immunization.reaction.reported"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Indicates self-reported reaction</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.vaccinationProtocol : Contains information about the protocol(s) under which
             the vaccine was administered.">vaccinationProtocol</span>
            <a name="Immunization.vaccinationProtocol"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">What protocol was followed</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.vaccinationProtocol.doseSequence : Nominal position in a series.">doseSequence</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Dose number within series</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="Immunization.vaccinationProtocol.description : Contains the description about the protocol
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Details of vaccine protocol</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Immunization.vaccinationProtocol.authority : Indicates the authority who published the
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            <a name="Immunization.vaccinationProtocol.authority"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="organization.html">Organization</a>)
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Who is responsible for protocol</td>
        </tr>

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            <span title="Immunization.vaccinationProtocol.seriesDoses : The recommended number of doses to achieve
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            <a name="Immunization.vaccinationProtocol.seriesDoses"> </a>
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            <span title="Immunization.vaccinationProtocol.targetDisease : The targeted disease.">targetDisease</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Disease immunized against
            <br/>
            <a href="valueset-vaccination-protocol-dose-target.html" title="The disease target of the vaccination protocol">Vaccination Protocol Dose Target Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
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            <span title="Immunization.vaccinationProtocol.doseStatus : Indicates if the immunization event should
             &quot;count&quot; against  the protocol.">doseStatus</span>
            <a name="Immunization.vaccinationProtocol.doseStatus"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Indicates if dose counts towards immunity
            <br/>
            <a href="valueset-vaccination-protocol-dose-status.html" title="The status of the vaccination protocol (i.e. should this count)">Vaccination Protocol Dose Status codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

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            <span title="Immunization.vaccinationProtocol.doseStatusReason : Provides an explanation as to why
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            <a name="Immunization.vaccinationProtocol.doseStatusReason"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Why dose does (not) count
            <br/>
            <a href="valueset-vaccination-protocol-dose-status-reason.html" title="The reason for the determining if a vaccination should count or why vaccination should
             not count.">Vaccination Protocol Dose Status Reason codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

        <tr>
          <td class="hierarchy" colspan="5">
            <br/>
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/> Documentation for this format
            </a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/>
  </extension>
  <url value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
  <name value="Immunization"/>
  <status value="draft"/>
  <publisher value="Health Level Seven International (Public Health and Emergency Response)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://www.hl7.org/Special/committees/pher/index.cfm"/>
    </telecom>
  </contact>
  <date value="2015-12-11T17:38:40+11:00"/>
  <description value="Base StructureDefinition for Immunization Resource"/>
  <fhirVersion value="1.2.0"/>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <mapping>
    <identity value="cda"/>
    <uri value="http://hl7.org/v3/cda"/>
    <name value="CDA (R2)"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
  <snapshot>
    <element>
      <path value="Immunization"/>
      <short value="Immunization event information"/>
      <definition value="Describes the event of a patient being administered a vaccination or a record of a vaccination
       as reported by a patient, a clinician or another party and may include vaccine reaction
       information and what vaccination protocol was followed."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="DomainResource"/>
      </type>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="(wasNotGiven = 'true') or explanation.reasonNotGiven.empty()"/>
        </extension>
        <key value="imm-2"/>
        <severity value="error"/>
        <human value="If immunization was administered (wasNotGiven=false) then explanation.reasonNotGiven SHALL
         be absent."/>
        <xpath value="not(f:wasNotGiven/@value=false() and exists(f:explanation/f:reasonNotGiven))"/>
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="(wasNotGiven = 'true').not() or (reaction.empty() and explanation.reason.empty())"/>
        </extension>
        <key value="imm-1"/>
        <severity value="error"/>
        <human value="If immunization was not administred (wasNotGiven=true) then there SHALL be no reaction
         nor explanation.reason present"/>
        <xpath value="not(f:wasNotGiven/@value=true() and (count(f:reaction) &gt; 0 or exists(f:explanation/f:reason)))"/>
      </constraint>
      <mapping>
        <identity value="v2"/>
        <map value="VXU_V04"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="SubstanceAdministration"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.medication"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.id"/>
      <short value="Logical id of this artifact"/>
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes."/>
      <comments value="The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation. Bundles always have an id, though it is usually a generated
       UUID."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Immunization.meta"/>
      <short value="Metadata about the resource"/>
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Immunization.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content."/>
      <comments value="Asserting this rule set restricts the content to be only understood by a limited set of
       trading partners. This inherently limits the usefulness of the data in the long term.
       However, the existing health eco-system is highly fractured, and not yet ready to define,
       collect, and exchange data in a generally computable sense. Wherever possible, implementers
       and/or specification writers should avoid using this element as much as possible."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Immunization.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comments value="Language is provided to support indexing and accessibility (typically, services such as
       text to speech use the language tag). The html language tag in the narrative applies 
       to the narrative. The language tag on the resource may be used to specify the language
       of other presentations generated from the data in the resource  Not all the content has
       to be in the base language. The Resource.language should not be assumed to apply to the
       narrative automatically. If a language is specified, it should it also be specified on
       the div element in the html (see rules in HTML5 for information about the relationship
       between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="A human language."/>
        <valueSetUri value="http://tools.ietf.org/html/bcp47"/>
      </binding>
    </element>
    <element>
      <path value="Immunization.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition value="A human-readable narrative that contains a summary of the resource, and may be used to
       represent the content of the resource to a human. The narrative need not encode all the
       structured data, but is required to contain sufficient detail to make it &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety."/>
      <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.contained"/>
      <short value="Contained, inline Resources"/>
      <definition value="These resources do not have an independent existence apart from the resource that contains
       them - they cannot be identified independently, and nor can they have their own independent
       transaction scope."/>
      <comments value="This should never be done when the content can be identified properly, as once identification
       is lost, it is extremely difficult (and context dependent) to restore it again."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.extension"/>
      <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 resource. In order 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 is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments 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="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource, and that modifies the understanding of the element that contains it.
       Usually modifier elements provide negation or qualification. In order 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 is allowed to 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."/>
      <comments 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="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.identifier"/>
      <short value="Business identifier"/>
      <definition value="A unique identifier assigned to this immunization record."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.status"/>
      <short value="in-progress | on-hold | completed | entered-in-error | stopped"/>
      <definition value="Indicates the current status of the vaccination event."/>
      <comments value="Will generally be set to show that the immunization has been completed."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="A set of codes indicating the current status of an Immunization"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/medication-admin-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="statusCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.date"/>
      <short value="Vaccination administration date"/>
      <definition value="Date vaccine administered or was to be administered."/>
      <comments value="When immunizations are given a specific date and time should always be known.   When immunizations
       are patient reported, a specific date might not be known.  Although partial dates are
       allowed, an adult patient might not be able to recall the year a childhood immunization
       was given."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveT
        ime/value"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.init"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccineCode"/>
      <short value="Vaccine product administered"/>
      <definition value="Vaccine that was administered or was to be administered."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The code for vaccine product administered"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vaccine-code"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable
        /manfacturedProduct/manufacturedMaterial/realmCode/code"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="what"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.patient"/>
      <short value="Who was immunized"/>
      <definition value="The patient who either received or did not receive the immunization."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".partipication[ttypeCode=].role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.wasNotGiven"/>
      <short value="Flag for whether immunization was given"/>
      <definition value="Indicates if the vaccination was or was not given."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="[actionNegationInd=true].reasonCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reported"/>
      <short value="Indicates a self-reported record"/>
      <definition value="True if this administration was reported rather than directly administered."/>
      <comments value="May need source of reported info (e.g. parent), but leave out for now."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-9"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.source"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.performer"/>
      <short value="Who administered vaccine"/>
      <definition value="Clinician who administered the vaccine."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/performer/
        assignedEntity/assignedPerson/name"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-10"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PRF].COCT_MT090102UV"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.actor"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.requester"/>
      <short value="Who ordered vaccination"/>
      <definition value="Clinician who ordered the vaccination."/>
      <comments value="Other participants - delegate to Provenance resource."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="ORC-12"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship.target[classCode=SBADM].participation[typeCode=AUT].COCT_MT090102UV"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.cause"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.encounter"/>
      <short value="Encounter administered as part of"/>
      <definition value="The visit or admission or other contact between patient and health care provider the immunization
       was performed as part of."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-19"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="component-&gt;EncounterEvent"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.manufacturer"/>
      <short value="Vaccine manufacturer"/>
      <definition value="Name of vaccine manufacturer."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable
        /manfacturedProduct/manufacuturerOrganization/name"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-17"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.location"/>
      <short value="Where vaccination occurred"/>
      <definition value="The service delivery location where the vaccine administration occurred."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Location"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-27  (or RXA-11, deprecated as of v2.7)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=LOC].COCT_MT240000UV"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="where"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.lotNumber"/>
      <short value="Vaccine lot number"/>
      <definition value="Lot number of the  vaccine product."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable
        /manfacturedProduct/manufacturedMaterial/lotNumberText"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-15"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.expirationDate"/>
      <short value="Vaccine expiration date"/>
      <definition value="Date vaccine batch expires."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-16"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.site"/>
      <short value="Body site vaccine  was administered"/>
      <definition value="Body site where vaccine was administered."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The site at which the vaccine was administered"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/immunization-site"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSi
        teCode/code"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXR-2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="observation.targetSiteCode"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.route"/>
      <short value="How vaccine entered body"/>
      <definition value="The path by which the vaccine product is taken into the body."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The route by which the vaccine was administered"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/immunization-route"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/
        code"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXR-1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".routeCode"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.doseQuantity"/>
      <short value="Amount of vaccine administered"/>
      <definition value="The quantity of vaccine product that was administered."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-6 / RXA-7.1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".doseQuantity"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.note"/>
      <short value="Vaccination notes"/>
      <definition value="Extra information about the immunization that is not conveyed by the other attributes."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Annotation"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="note"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.explanation"/>
      <short value="Administration/non-administration reasons"/>
      <definition value="Reasons why a vaccine was or was not administered."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.explanation.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.explanation.extension"/>
      <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. In order 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 is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments 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="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.explanation.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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 is allowed to 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."/>
      <comments 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"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.explanation.reason"/>
      <short value="Why immunization occurred"/>
      <definition value="Reasons why a vaccine was administered."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The reason why a vaccine was administered"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/immunization-reason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="[actionNegationInd=false].reasonCode"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.explanation.reasonNotGiven"/>
      <short value="Why immunization did not occur"/>
      <definition value="Reason why a vaccine was not administered."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The reason why a vaccine was not administered"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/no-immunization-reason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-18"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="[actionNegationInd=true].reasonCode"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reaction"/>
      <short value="Details of a reaction that follows immunization"/>
      <definition value="Categorical data indicating that an adverse event is associated in time to an immunization."/>
      <comments value="A reaction may be an indication of an allergy or intolerance and, if this is determined
       to be the case,  it should be recorded as a new [[[AllergyIntolerance]]] resource instance
       as most systems will not query against  past Immunization.reaction elements."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Observation[classCode=obs].code"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reaction.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reaction.extension"/>
      <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. In order 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 is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments 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="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reaction.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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 is allowed to 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."/>
      <comments 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"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reaction.date"/>
      <short value="When reaction started"/>
      <definition value="Date of reaction to the immunization."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7
         v2 VXU message - most likely would appear in OBX segments if at all)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reaction.detail"/>
      <short value="Additional information on reaction"/>
      <definition value="Details of the reaction."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".value"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reaction.reported"/>
      <short value="Indicates self-reported reaction"/>
      <definition value="Self-reported indicator."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="(no such concept seems to exist for allergy/adverse reaction in HL7 v2)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol"/>
      <short value="What protocol was followed"/>
      <definition value="Contains information about the protocol(s) under which the vaccine was administered."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="(HL7 v2 doesn't seem to provide for this)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=INST].target[classCode=SBADM]"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.extension"/>
      <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. In order 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 is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments 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="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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 is allowed to 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."/>
      <comments 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"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.doseSequence"/>
      <short value="Dose number within series"/>
      <definition value="Nominal position in a series."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].seque
        nceNumber"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.description"/>
      <short value="Details of vaccine protocol"/>
      <definition value="Contains the description about the protocol under which the vaccine was administered."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].sourc
        e[classCode=SBADM].text"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.authority"/>
      <short value="Who is responsible for protocol"/>
      <definition value="Indicates the authority who published the protocol.  E.g. ACIP."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].sourc
        e[classCode=SBADM].participation[typeCode=AUT].COCT_MT090200UV"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.series"/>
      <short value="Name of vaccine series"/>
      <definition value="One possible path to achieve presumed immunity against a disease - within the context
       of an authority."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=INST].target[classCode=SBADM]"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.seriesDoses"/>
      <short value="Recommended number of doses for immunity"/>
      <definition value="The recommended number of doses to achieve immunity."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].sourc
        e[classCode=SBADM].text"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.targetDisease"/>
      <short value="Disease immunized against"/>
      <definition value="The targeted disease."/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The disease target of the vaccination protocol"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-target"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship.target[classCode=OBS].code"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.doseStatus"/>
      <short value="Indicates if dose counts towards immunity"/>
      <definition value="Indicates if the immunization event should &quot;count&quot; against  the protocol."/>
      <comments value="May need to differentiate between status declarations by a provider vs. a CDS engine."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The status of the vaccination protocol (i.e. should this count)"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].playedRole[class
        Code=INGR].scopedRole.scoper[classCode=MMAT].playedRole[classCode=HLTHCHRT].participation[typeCode=SB
        J].observation[classCode=OBS].value"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.doseStatusReason"/>
      <short value="Why dose does (not) count"/>
      <definition value="Provides an explanation as to why an immunization event should or should not count against
       the protocol."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The reason for the determining if a vaccination should count or why vaccination should
         not count."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-status-reason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].playedRole[class
        Code=INGR].scopedRole.scoper[classCode=MMAT].playedRole[classCode=HLTHCHRT].participation[typeCode=SB
        J].observation[classCode=OBS].reasonCode"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Immunization"/>
      <short value="Immunization event information"/>
      <definition value="Describes the event of a patient being administered a vaccination or a record of a vaccination
       as reported by a patient, a clinician or another party and may include vaccine reaction
       information and what vaccination protocol was followed."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="DomainResource"/>
      </type>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="(wasNotGiven = 'true') or explanation.reasonNotGiven.empty()"/>
        </extension>
        <key value="imm-2"/>
        <severity value="error"/>
        <human value="If immunization was administered (wasNotGiven=false) then explanation.reasonNotGiven SHALL
         be absent."/>
        <xpath value="not(f:wasNotGiven/@value=false() and exists(f:explanation/f:reasonNotGiven))"/>
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="(wasNotGiven = 'true').not() or (reaction.empty() and explanation.reason.empty())"/>
        </extension>
        <key value="imm-1"/>
        <severity value="error"/>
        <human value="If immunization was not administred (wasNotGiven=true) then there SHALL be no reaction
         nor explanation.reason present"/>
        <xpath value="not(f:wasNotGiven/@value=true() and (count(f:reaction) &gt; 0 or exists(f:explanation/f:reason)))"/>
      </constraint>
      <mapping>
        <identity value="v2"/>
        <map value="VXU_V04"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="SubstanceAdministration"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.medication"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.identifier"/>
      <short value="Business identifier"/>
      <definition value="A unique identifier assigned to this immunization record."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.status"/>
      <short value="in-progress | on-hold | completed | entered-in-error | stopped"/>
      <definition value="Indicates the current status of the vaccination event."/>
      <comments value="Will generally be set to show that the immunization has been completed."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="A set of codes indicating the current status of an Immunization"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/medication-admin-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="statusCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.date"/>
      <short value="Vaccination administration date"/>
      <definition value="Date vaccine administered or was to be administered."/>
      <comments value="When immunizations are given a specific date and time should always be known.   When immunizations
       are patient reported, a specific date might not be known.  Although partial dates are
       allowed, an adult patient might not be able to recall the year a childhood immunization
       was given."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveT
        ime/value"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.init"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccineCode"/>
      <short value="Vaccine product administered"/>
      <definition value="Vaccine that was administered or was to be administered."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The code for vaccine product administered"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vaccine-code"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable
        /manfacturedProduct/manufacturedMaterial/realmCode/code"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="what"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.patient"/>
      <short value="Who was immunized"/>
      <definition value="The patient who either received or did not receive the immunization."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".partipication[ttypeCode=].role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.wasNotGiven"/>
      <short value="Flag for whether immunization was given"/>
      <definition value="Indicates if the vaccination was or was not given."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="[actionNegationInd=true].reasonCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reported"/>
      <short value="Indicates a self-reported record"/>
      <definition value="True if this administration was reported rather than directly administered."/>
      <comments value="May need source of reported info (e.g. parent), but leave out for now."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-9"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.source"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.performer"/>
      <short value="Who administered vaccine"/>
      <definition value="Clinician who administered the vaccine."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/performer/
        assignedEntity/assignedPerson/name"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-10"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PRF].COCT_MT090102UV"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.actor"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.requester"/>
      <short value="Who ordered vaccination"/>
      <definition value="Clinician who ordered the vaccination."/>
      <comments value="Other participants - delegate to Provenance resource."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="ORC-12"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship.target[classCode=SBADM].participation[typeCode=AUT].COCT_MT090102UV"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.cause"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.encounter"/>
      <short value="Encounter administered as part of"/>
      <definition value="The visit or admission or other contact between patient and health care provider the immunization
       was performed as part of."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-19"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="component-&gt;EncounterEvent"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.manufacturer"/>
      <short value="Vaccine manufacturer"/>
      <definition value="Name of vaccine manufacturer."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable
        /manfacturedProduct/manufacuturerOrganization/name"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-17"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.location"/>
      <short value="Where vaccination occurred"/>
      <definition value="The service delivery location where the vaccine administration occurred."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Location"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-27  (or RXA-11, deprecated as of v2.7)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=LOC].COCT_MT240000UV"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="where"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.lotNumber"/>
      <short value="Vaccine lot number"/>
      <definition value="Lot number of the  vaccine product."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable
        /manfacturedProduct/manufacturedMaterial/lotNumberText"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-15"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.expirationDate"/>
      <short value="Vaccine expiration date"/>
      <definition value="Date vaccine batch expires."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-16"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.site"/>
      <short value="Body site vaccine  was administered"/>
      <definition value="Body site where vaccine was administered."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The site at which the vaccine was administered"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/immunization-site"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSi
        teCode/code"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXR-2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="observation.targetSiteCode"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.route"/>
      <short value="How vaccine entered body"/>
      <definition value="The path by which the vaccine product is taken into the body."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The route by which the vaccine was administered"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/immunization-route"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/
        code"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXR-1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".routeCode"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.doseQuantity"/>
      <short value="Amount of vaccine administered"/>
      <definition value="The quantity of vaccine product that was administered."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-6 / RXA-7.1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".doseQuantity"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.note"/>
      <short value="Vaccination notes"/>
      <definition value="Extra information about the immunization that is not conveyed by the other attributes."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Annotation"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="note"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.explanation"/>
      <short value="Administration/non-administration reasons"/>
      <definition value="Reasons why a vaccine was or was not administered."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.explanation.reason"/>
      <short value="Why immunization occurred"/>
      <definition value="Reasons why a vaccine was administered."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The reason why a vaccine was administered"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/immunization-reason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="[actionNegationInd=false].reasonCode"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.explanation.reasonNotGiven"/>
      <short value="Why immunization did not occur"/>
      <definition value="Reason why a vaccine was not administered."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The reason why a vaccine was not administered"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/no-immunization-reason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-18"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="[actionNegationInd=true].reasonCode"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reaction"/>
      <short value="Details of a reaction that follows immunization"/>
      <definition value="Categorical data indicating that an adverse event is associated in time to an immunization."/>
      <comments value="A reaction may be an indication of an allergy or intolerance and, if this is determined
       to be the case,  it should be recorded as a new [[[AllergyIntolerance]]] resource instance
       as most systems will not query against  past Immunization.reaction elements."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Observation[classCode=obs].code"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reaction.date"/>
      <short value="When reaction started"/>
      <definition value="Date of reaction to the immunization."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7
         v2 VXU message - most likely would appear in OBX segments if at all)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reaction.detail"/>
      <short value="Additional information on reaction"/>
      <definition value="Details of the reaction."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".value"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.reaction.reported"/>
      <short value="Indicates self-reported reaction"/>
      <definition value="Self-reported indicator."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="(no such concept seems to exist for allergy/adverse reaction in HL7 v2)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol"/>
      <short value="What protocol was followed"/>
      <definition value="Contains information about the protocol(s) under which the vaccine was administered."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="(HL7 v2 doesn't seem to provide for this)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=INST].target[classCode=SBADM]"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.doseSequence"/>
      <short value="Dose number within series"/>
      <definition value="Nominal position in a series."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].seque
        nceNumber"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.description"/>
      <short value="Details of vaccine protocol"/>
      <definition value="Contains the description about the protocol under which the vaccine was administered."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].sourc
        e[classCode=SBADM].text"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.authority"/>
      <short value="Who is responsible for protocol"/>
      <definition value="Indicates the authority who published the protocol.  E.g. ACIP."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].sourc
        e[classCode=SBADM].participation[typeCode=AUT].COCT_MT090200UV"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.series"/>
      <short value="Name of vaccine series"/>
      <definition value="One possible path to achieve presumed immunity against a disease - within the context
       of an authority."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=INST].target[classCode=SBADM]"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.seriesDoses"/>
      <short value="Recommended number of doses for immunity"/>
      <definition value="The recommended number of doses to achieve immunity."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].sourc
        e[classCode=SBADM].text"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.targetDisease"/>
      <short value="Disease immunized against"/>
      <definition value="The targeted disease."/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The disease target of the vaccination protocol"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-target"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship.target[classCode=OBS].code"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.doseStatus"/>
      <short value="Indicates if dose counts towards immunity"/>
      <definition value="Indicates if the immunization event should &quot;count&quot; against  the protocol."/>
      <comments value="May need to differentiate between status declarations by a provider vs. a CDS engine."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The status of the vaccination protocol (i.e. should this count)"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].playedRole[class
        Code=INGR].scopedRole.scoper[classCode=MMAT].playedRole[classCode=HLTHCHRT].participation[typeCode=SB
        J].observation[classCode=OBS].value"/>
      </mapping>
    </element>
    <element>
      <path value="Immunization.vaccinationProtocol.doseStatusReason"/>
      <short value="Why dose does (not) count"/>
      <definition value="Provides an explanation as to why an immunization event should or should not count against
       the protocol."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The reason for the determining if a vaccination should count or why vaccination should
         not count."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-status-reason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].playedRole[class
        Code=INGR].scopedRole.scoper[classCode=MMAT].playedRole[classCode=HLTHCHRT].participation[typeCode=SB
        J].observation[classCode=OBS].reasonCode"/>
      </mapping>
    </element>
  </differential>
</StructureDefinition>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.