Release 5 Preview #3
MedicationsThis page is part of the FHIR Specification (v4.5.0: R5 Preview #3). 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
| Public Health and Emergency Response Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Patient |
Raw JSON (canonical form + also see JSON Format Specification)
StructureDefinition for immunizationevaluation
{
"resourceType" : "StructureDefinition",
"id" : "ImmunizationEvaluation",
"meta" : {
"lastUpdated" : "2020-08-20T17:41:31.970+10:00"
},
"text" : {
"status" : "generated",
"div" : "<div>!-- Snipped for Brevity --></div>"
},
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
"valueString" : "Clinical.Medications"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "trial-use"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 0
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
"valueCode" : "patient"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "pher"
}],
"url" : "http://hl7.org/fhir/StructureDefinition/ImmunizationEvaluation",
"version" : "4.5.0",
"name" : "ImmunizationEvaluation",
"status" : "draft",
"date" : "2020-08-20T17:41:31+10:00",
"publisher" : "Health Level Seven International (Public Health and Emergency Response)",
"contact" : [{
"telecom" : [{
"system" : "url",
"value" : "http://hl7.org/fhir"
}]
},
{
"telecom" : [{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/pher/index.cfm"
}]
}],
"description" : "Describes a comparison of an immunization event against published recommendations to determine if the administration is \"valid\" in relation to those recommendations.",
"fhirVersion" : "4.5.0",
"mapping" : [{
"identity" : "workflow",
"uri" : "http://hl7.org/fhir/workflow",
"name" : "Workflow Pattern"
},
{
"identity" : "v2",
"uri" : "http://hl7.org/v2",
"name" : "HL7 v2 Mapping"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/fivews",
"name" : "FiveWs Pattern Mapping"
},
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
}],
"kind" : "resource",
"abstract" : false,
"type" : "ImmunizationEvaluation",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
"derivation" : "specialization",
"snapshot" : {
"element" : [{
"id" : "ImmunizationEvaluation",
"path" : "ImmunizationEvaluation",
"short" : "Immunization evaluation information",
"definition" : "Describes a comparison of an immunization event against published recommendations to determine if the administration is \"valid\" in relation to those recommendations.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ImmunizationEvaluation",
"min" : 0,
"max" : "*"
},
"constraint" : [{
"key" : "dom-2",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression" : "contained.contained.empty()",
"xpath" : "not(parent::f:contained and f:contained)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-3",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
"expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-4",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-5",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression" : "contained.meta.security.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:security))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean" : true
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}],
"key" : "dom-6",
"severity" : "warning",
"human" : "A resource should have narrative for robust management",
"expression" : "text.`div`.exists()",
"xpath" : "exists(f:text/h:div)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "workflow",
"map" : "Event"
},
{
"identity" : "v2",
"map" : "RSP_K11"
}]
},
{
"id" : "ImmunizationEvaluation.id",
"path" : "ImmunizationEvaluation.id",
"short" : "Logical id of this artifact",
"definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUri" : "id"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "ImmunizationEvaluation.meta",
"path" : "ImmunizationEvaluation.meta",
"short" : "Metadata about the resource",
"definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.meta",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Meta"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "ImmunizationEvaluation.implicitRules",
"path" : "ImmunizationEvaluation.implicitRules",
"short" : "A set of rules under which this content was created",
"definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment" : "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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.implicitRules",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "uri"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : true,
"isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary" : true
},
{
"id" : "ImmunizationEvaluation.language",
"path" : "ImmunizationEvaluation.language",
"short" : "Language of the resource content",
"definition" : "The base language in which the resource is written.",
"comment" : "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" : 0,
"max" : "1",
"base" : {
"path" : "Resource.language",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "code"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Language"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean" : true
}],
"strength" : "preferred",
"description" : "A human language.",
"valueSet" : "http://hl7.org/fhir/ValueSet/languages"
}
},
{
"id" : "ImmunizationEvaluation.text",
"path" : "ImmunizationEvaluation.text",
"short" : "Text summary of the resource, for human interpretation",
"definition" : "A human-readable narrative that contains a summary of the resource and can 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 \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comment" : "Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
"alias" : ["narrative",
"html",
"xhtml",
"display"],
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.text",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Narrative"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "Act.text?"
}]
},
{
"id" : "ImmunizationEvaluation.contained",
"path" : "ImmunizationEvaluation.contained",
"short" : "Contained, inline Resources",
"definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope.",
"comment" : "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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
"alias" : ["inline resources",
"anonymous resources",
"contained resources"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.contained",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Resource"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ImmunizationEvaluation.extension",
"path" : "ImmunizationEvaluation.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "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" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ImmunizationEvaluation.modifierExtension",
"path" : "ImmunizationEvaluation.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ImmunizationEvaluation.identifier",
"path" : "ImmunizationEvaluation.identifier",
"short" : "Business identifier",
"definition" : "A unique identifier assigned to this immunization evaluation record.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ImmunizationEvaluation.identifier",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Identifier"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.identifier"
},
{
"identity" : "w5",
"map" : "FiveWs.identifier"
}]
},
{
"id" : "ImmunizationEvaluation.status",
"path" : "ImmunizationEvaluation.status",
"short" : "completed | entered-in-error",
"definition" : "Indicates the current status of the evaluation of the vaccination administration event.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ImmunizationEvaluation.status",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "code"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : true,
"isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid).",
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ImmunizationEvaluationStatus"
}],
"strength" : "required",
"description" : "The status of the evaluation being done.",
"valueSet" : "http://hl7.org/fhir/ValueSet/immunization-evaluation-status|4.5.0"
},
"mapping" : [{
"identity" : "workflow",
"map" : "Event.status"
},
{
"identity" : "w5",
"map" : "FiveWs.status"
}]
},
{
"id" : "ImmunizationEvaluation.patient",
"path" : "ImmunizationEvaluation.patient",
"short" : "Who this evaluation is for",
"definition" : "The individual for whom the evaluation is being done.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ImmunizationEvaluation.patient",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.subject"
},
{
"identity" : "w5",
"map" : "FiveWs.subject[x]"
},
{
"identity" : "v2",
"map" : "PID-3"
},
{
"identity" : "w5",
"map" : "FiveWs.subject"
}]
},
{
"id" : "ImmunizationEvaluation.date",
"path" : "ImmunizationEvaluation.date",
"short" : "Date evaluation was performed",
"definition" : "The date the evaluation of the vaccine administration event was performed.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImmunizationEvaluation.date",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "dateTime"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.occurrenceDateTime"
},
{
"identity" : "w5",
"map" : "FiveWs.init"
},
{
"identity" : "v2",
"map" : "RXA-3"
}]
},
{
"id" : "ImmunizationEvaluation.authority",
"path" : "ImmunizationEvaluation.authority",
"short" : "Who is responsible for publishing the recommendations",
"definition" : "Indicates the authority who published the protocol (e.g. ACIP).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImmunizationEvaluation.authority",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "v2",
"map" : "OBX-5 : OBX-3 = ( 59779-9 )"
}]
},
{
"id" : "ImmunizationEvaluation.targetDisease",
"path" : "ImmunizationEvaluation.targetDisease",
"short" : "Evaluation target disease",
"definition" : "The vaccine preventable disease the dose is being evaluated against.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ImmunizationEvaluation.targetDisease",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "EvaluationTargetDisease"
}],
"strength" : "example",
"description" : "The vaccine preventable disease the dose is being evaluated against.",
"valueSet" : "http://hl7.org/fhir/ValueSet/immunization-evaluation-target-disease"
},
"mapping" : [{
"identity" : "v2",
"map" : "OBX-5 : OBX-3 = ( 30956-7 | 38890-0 )"
}]
},
{
"id" : "ImmunizationEvaluation.immunizationEvent",
"path" : "ImmunizationEvaluation.immunizationEvent",
"short" : "Immunization being evaluated",
"definition" : "The vaccine administration event being evaluated.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ImmunizationEvaluation.immunizationEvent",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Immunization"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "ImmunizationEvaluation.doseStatus",
"path" : "ImmunizationEvaluation.doseStatus",
"short" : "Status of the dose relative to published recommendations",
"definition" : "Indicates if the dose is valid or not valid with respect to the published recommendations.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ImmunizationEvaluation.doseStatus",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "EvaluationDoseStatus"
}],
"strength" : "example",
"description" : "The status of the administered dose relative to the published recommendations for the target disease.",
"valueSet" : "http://hl7.org/fhir/ValueSet/immunization-evaluation-dose-status"
},
"mapping" : [{
"identity" : "v2",
"map" : "OBX-5 : OBX-3 = ( 59781-5 )"
}]
},
{
"id" : "ImmunizationEvaluation.doseStatusReason",
"path" : "ImmunizationEvaluation.doseStatusReason",
"short" : "Reason for the dose status",
"definition" : "Provides an explanation as to why the vaccine administration event is valid or not relative to the published recommendations.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ImmunizationEvaluation.doseStatusReason",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "EvaluationDoseStatusReason"
}],
"strength" : "example",
"description" : "The reason the dose status was assigned.",
"valueSet" : "http://hl7.org/fhir/ValueSet/immunization-evaluation-dose-status-reason"
},
"mapping" : [{
"identity" : "v2",
"map" : "OBX-5 : OBX-3 = ( 30982-3 )"
}]
},
{
"id" : "ImmunizationEvaluation.description",
"path" : "ImmunizationEvaluation.description",
"short" : "Evaluation notes",
"definition" : "Additional information about the evaluation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImmunizationEvaluation.description",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "string"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.note"
},
{
"identity" : "v2",
"map" : "OBX-5 : OBX-3 = ( 48767-8 )"
}]
},
{
"id" : "ImmunizationEvaluation.series",
"path" : "ImmunizationEvaluation.series",
"short" : "Name of vaccine series",
"definition" : "One possible path to achieve presumed immunity against a disease - within the context of an authority.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImmunizationEvaluation.series",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "string"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "ImmunizationEvaluation.doseNumber",
"path" : "ImmunizationEvaluation.doseNumber",
"short" : "Dose number within series",
"definition" : "Nominal position in a series as determined by the outcome of the evaluation process.",
"comment" : "The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImmunizationEvaluation.doseNumber",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "string"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "v2",
"map" : "OBX-5 : OBX-3 = ( 30973-2 )"
}]
},
{
"id" : "ImmunizationEvaluation.seriesDoses",
"path" : "ImmunizationEvaluation.seriesDoses",
"short" : "Recommended number of doses for immunity",
"definition" : "The recommended number of doses to achieve immunity as determined by the outcome of the evaluation process.",
"comment" : "The use of an integer is preferred if known.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImmunizationEvaluation.seriesDoses",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "string"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "v2",
"map" : "OBX-5 : OBX-3 = ( 59782-3 )"
}]
}]
},
"differential" : {
"element" : [{
"id" : "ImmunizationEvaluation",
"path" : "ImmunizationEvaluation",
"short" : "Immunization evaluation information",
"definition" : "Describes a comparison of an immunization event against published recommendations to determine if the administration is \"valid\" in relation to those recommendations.",
"min" : 0,
"max" : "*",
"mapping" : [{
"identity" : "workflow",
"map" : "Event"
},
{
"identity" : "v2",
"map" : "RSP_K11"
}]
},
{
"id" : "ImmunizationEvaluation.identifier",
"path" : "ImmunizationEvaluation.identifier",
"short" : "Business identifier",
"definition" : "A unique identifier assigned to this immunization evaluation record.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "Identifier"
}],
"mapping" : [{
"identity" : "workflow",
"map" : "Event.identifier"
},
{
"identity" : "w5",
"map" : "FiveWs.identifier"
}]
},
{
"id" : "ImmunizationEvaluation.status",
"path" : "ImmunizationEvaluation.status",
"short" : "completed | entered-in-error",
"definition" : "Indicates the current status of the evaluation of the vaccination administration event.",
"min" : 1,
"max" : "1",
"type" : [{
"code" : "code"
}],
"isModifier" : true,
"isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid).",
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ImmunizationEvaluationStatus"
}],
"strength" : "required",
"description" : "The status of the evaluation being done.",
"valueSet" : "http://hl7.org/fhir/ValueSet/immunization-evaluation-status|4.5.0"
},
"mapping" : [{
"identity" : "workflow",
"map" : "Event.status"
},
{
"identity" : "w5",
"map" : "FiveWs.status"
}]
},
{
"id" : "ImmunizationEvaluation.patient",
"path" : "ImmunizationEvaluation.patient",
"short" : "Who this evaluation is for",
"definition" : "The individual for whom the evaluation is being done.",
"min" : 1,
"max" : "1",
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
}],
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.subject"
},
{
"identity" : "w5",
"map" : "FiveWs.subject[x]"
},
{
"identity" : "v2",
"map" : "PID-3"
},
{
"identity" : "w5",
"map" : "FiveWs.subject"
}]
},
{
"id" : "ImmunizationEvaluation.date",
"path" : "ImmunizationEvaluation.date",
"short" : "Date evaluation was performed",
"definition" : "The date the evaluation of the vaccine administration event was performed.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "dateTime"
}],
"mapping" : [{
"identity" : "workflow",
"map" : "Event.occurrenceDateTime"
},
{
"identity" : "w5",
"map" : "FiveWs.init"
},
{
"identity" : "v2",
"map" : "RXA-3"
}]
},
{
"id" : "ImmunizationEvaluation.authority",
"path" : "ImmunizationEvaluation.authority",
"short" : "Who is responsible for publishing the recommendations",
"definition" : "Indicates the authority who published the protocol (e.g. ACIP).",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
}],
"mapping" : [{
"identity" : "v2",
"map" : "OBX-5 : OBX-3 = ( 59779-9 )"
}]
},
{
"id" : "ImmunizationEvaluation.targetDisease",
"path" : "ImmunizationEvaluation.targetDisease",
"short" : "Evaluation target disease",
"definition" : "The vaccine preventable disease the dose is being evaluated against.",
"min" : 1,
"max" : "1",
"type" : [{
"code" : "CodeableConcept"
}],
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "EvaluationTargetDisease"
}],
"strength" : "example",
"description" : "The vaccine preventable disease the dose is being evaluated against.",
"valueSet" : "http://hl7.org/fhir/ValueSet/immunization-evaluation-target-disease"
},
"mapping" : [{
"identity" : "v2",
"map" : "OBX-5 : OBX-3 = ( 30956-7 | 38890-0 )"
}]
},
{
"id" : "ImmunizationEvaluation.immunizationEvent",
"path" : "ImmunizationEvaluation.immunizationEvent",
"short" : "Immunization being evaluated",
"definition" : "The vaccine administration event being evaluated.",
"min" : 1,
"max" : "1",
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Immunization"]
}],
"isSummary" : true
},
{
"id" : "ImmunizationEvaluation.doseStatus",
"path" : "ImmunizationEvaluation.doseStatus",
"short" : "Status of the dose relative to published recommendations",
"definition" : "Indicates if the dose is valid or not valid with respect to the published recommendations.",
"min" : 1,
"max" : "1",
"type" : [{
"code" : "CodeableConcept"
}],
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "EvaluationDoseStatus"
}],
"strength" : "example",
"description" : "The status of the administered dose relative to the published recommendations for the target disease.",
"valueSet" : "http://hl7.org/fhir/ValueSet/immunization-evaluation-dose-status"
},
"mapping" : [{
"identity" : "v2",
"map" : "OBX-5 : OBX-3 = ( 59781-5 )"
}]
},
{
"id" : "ImmunizationEvaluation.doseStatusReason",
"path" : "ImmunizationEvaluation.doseStatusReason",
"short" : "Reason for the dose status",
"definition" : "Provides an explanation as to why the vaccine administration event is valid or not relative to the published recommendations.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "CodeableConcept"
}],
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "EvaluationDoseStatusReason"
}],
"strength" : "example",
"description" : "The reason the dose status was assigned.",
"valueSet" : "http://hl7.org/fhir/ValueSet/immunization-evaluation-dose-status-reason"
},
"mapping" : [{
"identity" : "v2",
"map" : "OBX-5 : OBX-3 = ( 30982-3 )"
}]
},
{
"id" : "ImmunizationEvaluation.description",
"path" : "ImmunizationEvaluation.description",
"short" : "Evaluation notes",
"definition" : "Additional information about the evaluation.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "string"
}],
"mapping" : [{
"identity" : "workflow",
"map" : "Event.note"
},
{
"identity" : "v2",
"map" : "OBX-5 : OBX-3 = ( 48767-8 )"
}]
},
{
"id" : "ImmunizationEvaluation.series",
"path" : "ImmunizationEvaluation.series",
"short" : "Name of vaccine series",
"definition" : "One possible path to achieve presumed immunity against a disease - within the context of an authority.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "string"
}]
},
{
"id" : "ImmunizationEvaluation.doseNumber",
"path" : "ImmunizationEvaluation.doseNumber",
"short" : "Dose number within series",
"definition" : "Nominal position in a series as determined by the outcome of the evaluation process.",
"comment" : "The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "string"
}],
"mapping" : [{
"identity" : "v2",
"map" : "OBX-5 : OBX-3 = ( 30973-2 )"
}]
},
{
"id" : "ImmunizationEvaluation.seriesDoses",
"path" : "ImmunizationEvaluation.seriesDoses",
"short" : "Recommended number of doses for immunity",
"definition" : "The recommended number of doses to achieve immunity as determined by the outcome of the evaluation process.",
"comment" : "The use of an integer is preferred if known.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "string"
}],
"mapping" : [{
"identity" : "v2",
"map" : "OBX-5 : OBX-3 = ( 59782-3 )"
}]
}]
}
}
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.
FHIR ®© HL7.org 2011+. FHIR R5 Preview #3 hl7.fhir.core#4.5.0 generated on Thu, Aug 20, 2020 17:45+1000.
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