Release 5
MedicationsThis page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. For a full list of available versions, see the Directory of published versions 
. Page versions: R5 R4B R4 R3 R2
| Public Health and Emergency Response Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Patient, Practitioner |
Raw XML (canonical form + also see XML Format Specification)
Generated Questionnaire for Immunization
<?xml version="1.0" encoding="UTF-8"?>
<Questionnaire xmlns="http://hl7.org/fhir">
<id value="qgen-Immunization1"/>
<contained>
<ValueSet>
<id value="vs2"/>
<name value="Type options for Immunization.occurrence[x]"/>
<status value="active"/>
<description value="Type options for Immunization.occurrence[x]"/>
<expansion>
<identifier value="urn:uuid:8042808f-8f35-47d3-bd25-1c0b69c815ea"/>
<timestamp value="2023-03-26T15:25:00+11:00"/>
<contains>
<system value="http://hl7.org/fhir/fhir-types"/>
<code value="dateTime"/>
<display value="dateTime"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/fhir-types"/>
<code value="string"/>
<display value="string"/>
</contains>
</expansion>
</ValueSet>
</contained>
<url value="http://hl7.org/fhir/Questionnaire/qgen-Immunization1"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
</identifier>
<version value="5.0.0"/>
<status value="draft"/>
<experimental value="false"/>
<date value="2023-03-26T15:21:02+11:00"/>
<publisher value="Health Level Seven International (Public Health and Emergency Response)"/>
<item>
<linkId value="Immunization"/>
<text value="Immunization event information"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization-flyover"/>
<text value="Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party."/>
<type value="display"/>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="string"/>
</extension>
<linkId value="Immunization.id"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.id-flyover"/>
<text value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.id.value"/>
<text value="Logical id of this artifact"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<linkId value="Immunization.meta"/>
<text value="Metadata about the resource"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.meta-flyover"/>
<text value="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."/>
<type value="display"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="uri"/>
</extension>
<linkId value="Immunization.implicitRules"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.implicitRules-flyover"/>
<text 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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. 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 its narrative along with other profiles, value sets, etc."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.implicitRules.value"/>
<text value="A set of rules under which this content was created"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="code"/>
</extension>
<linkId value="Immunization.language"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.language-flyover"/>
<text value="The base language in which the resource is written. 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)."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.language.value"/>
<text value="language"/>
<type value="coding"/>
<required value="false"/>
<repeats value="false"/>
<answerConstraint value="optionsOrType"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<linkId value="Immunization.text"/>
<text value="Text summary of the resource, for human interpretation"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.text-flyover"/>
<text value="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. 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."/>
<type value="display"/>
</item>
</item>
<item>
<linkId value="Immunization.contained"/>
<text value="Contained, inline Resources"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.contained-flyover"/>
<text value="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. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning. 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."/>
<type value="display"/>
</item>
</item>
<item>
<linkId value="Immunization.extension"/>
<text value="Additional content defined by implementations"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.extension-flyover"/>
<text value="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 managable, 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. 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."/>
<type value="display"/>
</item>
</item>
<item>
<linkId value="Immunization.modifierExtension"/>
<text value="Extensions that cannot be ignored"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.modifierExtension-flyover"/>
<text 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 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 managable, 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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."/>
<type value="display"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="Identifier"/>
</extension>
<linkId value="Immunization.identifier"/>
<text value="Business identifier"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.identifier-flyover"/>
<text value="A unique identifier assigned to this immunization record."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.identifier.label"/>
<text value="label:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
<item>
<linkId value="Immunization.identifier.system"/>
<text value="system:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
<item>
<linkId value="Immunization.identifier.value"/>
<text value="value:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="Reference"/>
</extension>
<linkId value="Immunization.basedOn"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.basedOn-flyover"/>
<text value="A plan, order or recommendation fulfilled in whole or in part by this immunization. Allows tracing of an authorization for the Immunization."/>
<type value="display"/>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource">
<valueCode value="CarePlan, MedicationRequest, ServiceRequest, ImmunizationRecommendation"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter">
<valueString value="subject=$subj&patient=$subj&encounter=$encounter"/>
</extension>
<linkId value="Immunization.basedOn.value"/>
<text value="Authority that the immunization event is based on"/>
<type value="reference"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="code"/>
</extension>
<linkId value="Immunization.status"/>
<type value="group"/>
<required value="true"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.status-flyover"/>
<text value="Indicates the current status of the immunization event. Will generally be set to show that the immunization has been completed or not done. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.status.value"/>
<text value="status"/>
<type value="coding"/>
<required value="false"/>
<repeats value="false"/>
<answerConstraint value="optionsOrType"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="CodeableConcept"/>
</extension>
<linkId value="Immunization.statusReason"/>
<text value="Reason for current status"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.statusReason-flyover"/>
<text value="Indicates the reason the immunization event was not performed. This is generally only used for the status of "not-done". The reason for performing the immunization event is captured in reasonCode, not here."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.statusReason.coding"/>
<text value="code:"/>
<type value="coding"/>
<required value="false"/>
<repeats value="false"/>
<answerConstraint value="optionsOnly"/>
</item>
<item>
<linkId value="Immunization.statusReason.text"/>
<text value="text:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="CodeableConcept"/>
</extension>
<linkId value="Immunization.vaccineCode"/>
<text value="Vaccine administered"/>
<type value="group"/>
<required value="true"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.vaccineCode-flyover"/>
<text value="Vaccine that was administered or was to be administered. The code for the administered vaccine may be reported at various levels of granularity from a very generic code for a general type of vaccine (e.g. the SNOMED or CVX code for the flu vaccine) to a very discrete code for a specific product including the form and packaging (e.g. an NDC code). Because vaccineCode uses the CodeableConcept data type, multiple codes at different levels of granularity may be reported for a single immunization event provided that all codes are appropriate for the same vaccine. For example, both NDC and CVX codes may be provided for a given immunization event by repeating the coding element within vaccineCode."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.vaccineCode.coding"/>
<text value="code:"/>
<type value="coding"/>
<required value="false"/>
<repeats value="false"/>
<answerConstraint value="optionsOnly"/>
</item>
<item>
<linkId value="Immunization.vaccineCode.text"/>
<text value="text:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<linkId value="Immunization.administeredProduct"/>
<text value="Product that was administered"/>
<type value="group"/>
<required value="false"/>
<repeats value="false"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.administeredProduct-flyover"/>
<text value="An indication of which product was administered to the patient. This is typically a more detailed representation of the concept conveyed by the vaccineCode data element. If a Medication resource is referenced, it may be to a stand-alone resource or a contained resource within the Immunization resource."/>
<type value="display"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<linkId value="Immunization.manufacturer"/>
<text value="Vaccine manufacturer"/>
<type value="group"/>
<required value="false"/>
<repeats value="false"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.manufacturer-flyover"/>
<text value="Name of vaccine manufacturer."/>
<type value="display"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="string"/>
</extension>
<linkId value="Immunization.lotNumber"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.lotNumber-flyover"/>
<text value="Lot number of the vaccine product."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.lotNumber.value"/>
<text value="Vaccine lot number"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="datetime"/>
</extension>
<linkId value="Immunization.expirationDate"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.expirationDate-flyover"/>
<text value="Date vaccine batch expires."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.expirationDate.value"/>
<text value="Vaccine expiration date"/>
<type value="dateTime"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="Reference"/>
</extension>
<linkId value="Immunization.patient"/>
<type value="group"/>
<required value="true"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.patient-flyover"/>
<text value="The patient who either received or did not receive the immunization."/>
<type value="display"/>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource">
<valueCode value="Patient"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter">
<valueString value="subject=$subj&patient=$subj&encounter=$encounter"/>
</extension>
<linkId value="Immunization.patient.value"/>
<text value="Who was immunized"/>
<type value="reference"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="Reference"/>
</extension>
<linkId value="Immunization.encounter"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.encounter-flyover"/>
<text value="The visit or admission or other contact between patient and health care provider the immunization was performed as part of."/>
<type value="display"/>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource">
<valueCode value="Encounter"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter">
<valueString value="subject=$subj&patient=$subj&encounter=$encounter"/>
</extension>
<linkId value="Immunization.encounter.value"/>
<text value="Encounter immunization was part of"/>
<type value="reference"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="Reference"/>
</extension>
<linkId value="Immunization.supportingInformation"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.supportingInformation-flyover"/>
<text value="Additional information that is relevant to the immunization (e.g. for a vaccine recipient who is pregnant, the gestational age of the fetus). The reason why a vaccine was given (e.g. occupation, underlying medical condition) should be conveyed in Immunization.reason, not as supporting information. The reason why a vaccine was not given (e.g. contraindication) should be conveyed in Immunization.statusReason, not as supporting information."/>
<type value="display"/>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource">
<valueCode value="Resource"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter">
<valueString value="subject=$subj&patient=$subj&encounter=$encounter"/>
</extension>
<linkId value="Immunization.supportingInformation.value"/>
<text value="Additional information in support of the immunization"/>
<type value="reference"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<linkId value="Immunization.occurrence[x]"/>
<text value="Vaccine administration date"/>
<type value="group"/>
<required value="true"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.occurrence[x]-flyover"/>
<text value="Date vaccine administered or was to be administered. 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. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.occurrence[x]._type"/>
<text value="type"/>
<type value="coding"/>
<required value="false"/>
<repeats value="false"/>
<answerConstraint value="optionsOnly"/>
<answerValueSet value="#vs2"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="datetime"/>
</extension>
<linkId value="Immunization.occurrence[x]._null"/>
<type value="group"/>
<item>
<linkId value="Immunization.occurrence[x]._null.value"/>
<type value="dateTime"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="string"/>
</extension>
<linkId value="Immunization.occurrence[x]._null"/>
<type value="group"/>
<item>
<linkId value="Immunization.occurrence[x]._null.value"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="boolean"/>
</extension>
<linkId value="Immunization.primarySource"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.primarySource-flyover"/>
<text value="Indicates whether the data contained in the resource was captured by the individual/organization which was responsible for the administration of the vaccine rather than as 'secondary reported' data documented by a third party. A value of 'true' means this data originated with the individual/organization which was responsible for the administration of the vaccine. Reflects the “reliability” of the content."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.primarySource.value"/>
<text value="Indicates context the data was captured in"/>
<type value="boolean"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<linkId value="Immunization.informationSource"/>
<text value="Indicates the source of a reported record"/>
<type value="group"/>
<required value="false"/>
<repeats value="false"/>
<item>
<linkId value="Immunization.informationSource-display"/>
<text value="Typically will not be populated if primarySource = True, not required even if primarySource = False."/>
<type value="display"/>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.informationSource-flyover"/>
<text value="Typically the source of the data when the report of the immunization event is not based on information from the person who administered the vaccine."/>
<type value="display"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="Reference"/>
</extension>
<linkId value="Immunization.location"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.location-flyover"/>
<text value="The service delivery location where the vaccine administration occurred."/>
<type value="display"/>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource">
<valueCode value="Location"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter">
<valueString value="subject=$subj&patient=$subj&encounter=$encounter"/>
</extension>
<linkId value="Immunization.location.value"/>
<text value="Where immunization occurred"/>
<type value="reference"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="CodeableConcept"/>
</extension>
<linkId value="Immunization.site"/>
<text value="Body site vaccine was administered"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.site-flyover"/>
<text value="Body site where vaccine was administered."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.site.coding"/>
<text value="code:"/>
<type value="coding"/>
<required value="false"/>
<repeats value="false"/>
<answerConstraint value="optionsOnly"/>
</item>
<item>
<linkId value="Immunization.site.text"/>
<text value="text:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="CodeableConcept"/>
</extension>
<linkId value="Immunization.route"/>
<text value="How vaccine entered body"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.route-flyover"/>
<text value="The path by which the vaccine product is taken into the body."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.route.coding"/>
<text value="code:"/>
<type value="coding"/>
<required value="false"/>
<repeats value="false"/>
<answerConstraint value="optionsOnly"/>
</item>
<item>
<linkId value="Immunization.route.text"/>
<text value="text:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="Quantity"/>
</extension>
<linkId value="Immunization.doseQuantity"/>
<text value="Amount of vaccine administered"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.doseQuantity-flyover"/>
<text value="The quantity of vaccine product that was administered."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.doseQuantity.comparator"/>
<text value="comp:"/>
<type value="coding"/>
<required value="false"/>
<repeats value="false"/>
<answerConstraint value="optionsOnly"/>
</item>
<item>
<linkId value="Immunization.doseQuantity.value"/>
<text value="value:"/>
<type value="decimal"/>
<required value="false"/>
<repeats value="false"/>
</item>
<item>
<linkId value="Immunization.doseQuantity.units"/>
<text value="units:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
<item>
<linkId value="Immunization.doseQuantity.code"/>
<text value="coded units:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
<item>
<linkId value="Immunization.doseQuantity.system"/>
<text value="units system:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<linkId value="Immunization.performer"/>
<text value="Who performed event"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.performer-flyover"/>
<text value="Indicates who performed the immunization event."/>
<type value="display"/>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="string"/>
</extension>
<linkId value="Immunization.performer.id"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.performer.id-flyover"/>
<text value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.performer.id.value"/>
<text value="Unique id for inter-element referencing"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<linkId value="Immunization.performer.extension"/>
<text value="Additional content defined by implementations"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.performer.extension-flyover"/>
<text value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, 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. 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."/>
<type value="display"/>
</item>
</item>
<item>
<linkId value="Immunization.performer.modifierExtension"/>
<text value="Extensions that cannot be ignored even if unrecognized"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.performer.modifierExtension-flyover"/>
<text value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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."/>
<type value="display"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="CodeableConcept"/>
</extension>
<linkId value="Immunization.performer.function"/>
<text value="What type of performance was done"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.performer.function-flyover"/>
<text value="Describes the type of performance (e.g. ordering provider, administering provider, etc.)."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.performer.function.coding"/>
<text value="code:"/>
<type value="coding"/>
<required value="false"/>
<repeats value="false"/>
<answerConstraint value="optionsOnly"/>
</item>
<item>
<linkId value="Immunization.performer.function.text"/>
<text value="text:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="Reference"/>
</extension>
<linkId value="Immunization.performer.actor"/>
<type value="group"/>
<required value="true"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.performer.actor-flyover"/>
<text value="The practitioner or organization who performed the action. When the individual practitioner who performed the action is known, it is best to send."/>
<type value="display"/>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource">
<valueCode value="Practitioner, PractitionerRole, Organization, Patient, RelatedPerson"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter">
<valueString value="subject=$subj&patient=$subj&encounter=$encounter"/>
</extension>
<linkId value="Immunization.performer.actor.value"/>
<text value="Individual or organization who was performing"/>
<type value="reference"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="Annotation"/>
</extension>
<linkId value="Immunization.note"/>
<text value="Additional immunization notes"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.note-flyover"/>
<text value="Extra information about the immunization that is not conveyed by the other attributes."/>
<type value="display"/>
</item>
</item>
<item>
<linkId value="Immunization.reason"/>
<text value="Why immunization occurred"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.reason-flyover"/>
<text value="Describes why the immunization occurred in coded or textual form, or Indicates another resource (Condition, Observation or DiagnosticReport) whose existence justifies this immunization."/>
<type value="display"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="boolean"/>
</extension>
<linkId value="Immunization.isSubpotent"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.isSubpotent-flyover"/>
<text value="Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent. Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.isSubpotent.value"/>
<text value="Dose potency"/>
<type value="boolean"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="CodeableConcept"/>
</extension>
<linkId value="Immunization.subpotentReason"/>
<text value="Reason for being subpotent"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.subpotentReason-flyover"/>
<text value="Reason why a dose is considered to be subpotent."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.subpotentReason.coding"/>
<text value="code:"/>
<type value="coding"/>
<required value="false"/>
<repeats value="false"/>
<answerConstraint value="optionsOnly"/>
</item>
<item>
<linkId value="Immunization.subpotentReason.text"/>
<text value="text:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<linkId value="Immunization.programEligibility"/>
<text value="Patient eligibility for a specific vaccination program"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.programEligibility-flyover"/>
<text value="Indicates a patient's eligibility for a funding program."/>
<type value="display"/>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="string"/>
</extension>
<linkId value="Immunization.programEligibility.id"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.programEligibility.id-flyover"/>
<text value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.programEligibility.id.value"/>
<text value="Unique id for inter-element referencing"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<linkId value="Immunization.programEligibility.extension"/>
<text value="Additional content defined by implementations"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.programEligibility.extension-flyover"/>
<text value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, 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. 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."/>
<type value="display"/>
</item>
</item>
<item>
<linkId value="Immunization.programEligibility.modifierExtension"/>
<text value="Extensions that cannot be ignored even if unrecognized"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.programEligibility.modifierExtension-flyover"/>
<text value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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."/>
<type value="display"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="CodeableConcept"/>
</extension>
<linkId value="Immunization.programEligibility.program"/>
<text value="The program that eligibility is declared for"/>
<type value="group"/>
<required value="true"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.programEligibility.program-flyover"/>
<text value="Indicates which program the patient had their eligility evaluated for."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.programEligibility.program.coding"/>
<text value="code:"/>
<type value="coding"/>
<required value="false"/>
<repeats value="false"/>
<answerConstraint value="optionsOnly"/>
</item>
<item>
<linkId value="Immunization.programEligibility.program.text"/>
<text value="text:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="CodeableConcept"/>
</extension>
<linkId value="Immunization.programEligibility.programStatus"/>
<text value="The patient's eligibility status for the program"/>
<type value="group"/>
<required value="true"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.programEligibility.programStatus-flyover"/>
<text value="Indicates the patient's eligility status for for a specific payment program."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.programEligibility.programStatus.coding"/>
<text value="code:"/>
<type value="coding"/>
<required value="false"/>
<repeats value="false"/>
<answerConstraint value="optionsOnly"/>
</item>
<item>
<linkId value="Immunization.programEligibility.programStatus.text"/>
<text value="text:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="CodeableConcept"/>
</extension>
<linkId value="Immunization.fundingSource"/>
<text value="Funding source for the vaccine"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.fundingSource-flyover"/>
<text value="Indicates the source of the vaccine actually administered. This may be different than the patient eligibility (e.g. the patient may be eligible for a publically purchased vaccine but due to inventory issues, vaccine purchased with private funds was actually administered)."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.fundingSource.coding"/>
<text value="code:"/>
<type value="coding"/>
<required value="false"/>
<repeats value="false"/>
<answerConstraint value="optionsOnly"/>
</item>
<item>
<linkId value="Immunization.fundingSource.text"/>
<text value="text:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<linkId value="Immunization.reaction"/>
<text value="Details of a reaction that follows immunization"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<linkId value="Immunization.reaction-display"/>
<text 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."/>
<type value="display"/>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.reaction-flyover"/>
<text value="Categorical data indicating that an adverse event is associated in time to an immunization."/>
<type value="display"/>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="string"/>
</extension>
<linkId value="Immunization.reaction.id"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.reaction.id-flyover"/>
<text value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.reaction.id.value"/>
<text value="Unique id for inter-element referencing"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<linkId value="Immunization.reaction.extension"/>
<text value="Additional content defined by implementations"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.reaction.extension-flyover"/>
<text value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, 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. 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."/>
<type value="display"/>
</item>
</item>
<item>
<linkId value="Immunization.reaction.modifierExtension"/>
<text value="Extensions that cannot be ignored even if unrecognized"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.reaction.modifierExtension-flyover"/>
<text value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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."/>
<type value="display"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="datetime"/>
</extension>
<linkId value="Immunization.reaction.date"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.reaction.date-flyover"/>
<text value="Date of reaction to the immunization."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.reaction.date.value"/>
<text value="When reaction started"/>
<type value="dateTime"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<linkId value="Immunization.reaction.manifestation"/>
<text value="Additional information on reaction"/>
<type value="group"/>
<required value="false"/>
<repeats value="false"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.reaction.manifestation-flyover"/>
<text value="Details of the reaction."/>
<type value="display"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="boolean"/>
</extension>
<linkId value="Immunization.reaction.reported"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.reaction.reported-flyover"/>
<text value="Self-reported indicator."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.reaction.reported.value"/>
<text value="Indicates self-reported reaction"/>
<type value="boolean"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
</item>
<item>
<linkId value="Immunization.protocolApplied"/>
<text value="Protocol followed by the provider"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.protocolApplied-flyover"/>
<text value="The protocol (set of recommendations) being followed by the provider who administered the dose."/>
<type value="display"/>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="string"/>
</extension>
<linkId value="Immunization.protocolApplied.id"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.protocolApplied.id-flyover"/>
<text value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.protocolApplied.id.value"/>
<text value="Unique id for inter-element referencing"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<linkId value="Immunization.protocolApplied.extension"/>
<text value="Additional content defined by implementations"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.protocolApplied.extension-flyover"/>
<text value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, 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. 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."/>
<type value="display"/>
</item>
</item>
<item>
<linkId value="Immunization.protocolApplied.modifierExtension"/>
<text value="Extensions that cannot be ignored even if unrecognized"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.protocolApplied.modifierExtension-flyover"/>
<text value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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."/>
<type value="display"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="string"/>
</extension>
<linkId value="Immunization.protocolApplied.series"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.protocolApplied.series-flyover"/>
<text value="One possible path to achieve presumed immunity against a disease - within the context of an authority."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.protocolApplied.series.value"/>
<text value="Name of vaccine series"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="Reference"/>
</extension>
<linkId value="Immunization.protocolApplied.authority"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.protocolApplied.authority-flyover"/>
<text value="Indicates the authority who published the protocol (e.g. ACIP) that is being followed."/>
<type value="display"/>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource">
<valueCode value="Organization"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter">
<valueString value="subject=$subj&patient=$subj&encounter=$encounter"/>
</extension>
<linkId value="Immunization.protocolApplied.authority.value"/>
<text value="Who is responsible for publishing the recommendations"/>
<type value="reference"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="CodeableConcept"/>
</extension>
<linkId value="Immunization.protocolApplied.targetDisease"/>
<text value="Vaccine preventatable disease being targeted"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.protocolApplied.targetDisease-flyover"/>
<text value="The vaccine preventable disease the dose is being administered against."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.protocolApplied.targetDisease.coding"/>
<text value="code:"/>
<type value="coding"/>
<required value="false"/>
<repeats value="false"/>
<answerConstraint value="optionsOnly"/>
</item>
<item>
<linkId value="Immunization.protocolApplied.targetDisease.text"/>
<text value="text:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="string"/>
</extension>
<linkId value="Immunization.protocolApplied.doseNumber"/>
<type value="group"/>
<required value="true"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.protocolApplied.doseNumber-flyover"/>
<text value="Nominal position in a series as intended by the practitioner administering the dose. The use of an integer is preferred if known. Text should only be used in cases where an integer is not available (such as when documenting a recurring booster dose)."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.protocolApplied.doseNumber.value"/>
<text value="Dose number within series"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
<valueInteger value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
<valueString value="string"/>
</extension>
<linkId value="Immunization.protocolApplied.seriesDoses"/>
<type value="group"/>
<required value="false"/>
<repeats value="true"/>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="flyover"/>
<display value="Fly-over"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="Immunization.protocolApplied.seriesDoses-flyover"/>
<text value="The recommended number of doses to achieve immunity as intended by the practitioner administering the dose. The use of an integer is preferred if known."/>
<type value="display"/>
</item>
<item>
<linkId value="Immunization.protocolApplied.seriesDoses.value"/>
<text value="Recommended number of doses for immunity"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</item>
</item>
</item>
</item>
</Questionnaire>
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 hl7.fhir.core#5.0.0 generated on Sun, Mar 26, 2023 15:25+1100.
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