QI-Core Implementation Guide
7.0.0-ballot - STU7 Ballot United States of America flag

This page is part of the Quality Improvement Core Framework (v7.0.0-ballot: STU7 (v7.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 6.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: QICore ImmunizationRecommendation

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunizationrecommendation Version: 7.0.0-ballot
Active as of 2018-08-22 Computable Name: QICoreImmunizationRecommendation

Profile of ImmunizationRecommendation for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

QI Elements:
  • patient: (QI) Who this profile is for
  • recommendation: (QI) Vaccine administration recommendations
  • recommendation.vaccineCode: (QI) Vaccine or vaccine group recommendation applies to
  • recommendation.doseNumber[x]: (QI) Recommended dose number within series
Primary code path: recommendation.vaccineCode
(PCPath) This element is the primary code path for this resource CQL Retrieve


NOTE TO BALLOT REVIEWERS:
  • US Core 7.0, and thus QI-Core 7.0, has a new approach to USCDI requirements.
    • As noted in the US Core 7.0 Must Support section, US Core 7.0 no longer highlights mandatory (cardinality 1..* or 1..1) and Must Support elements with a (USCDI) indicator as such items must be supported for interoperability.
    • Those USCDI elements that are not mandatory or Must Support now include an indicator (ADDITIONAL USCDI) in US Core. QI-Core 7.0 does not reference USCDI elements; rather, users should access US Core 7.0 to understand its implementation of USCDI version 4.
  • We invite comments about the approach and suggestions for other options that would also avoid unnecessary noise or reading load to the QI-Core profile representation.
  • Further, QI-Core 7.0 does not discuss USCDI+Quality because at the time of ballot preparation, no published version of USCDI+Quality is available. We seek reviewer advice regarding how QI-Core might address future USCDI+Quality.

Usage

See the patterns page for implementation and usage patterns.

Examples

Example of immunizationrecommendation using a vaccine code

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from ImmunizationRecommendation

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImmunizationRecommendation 0..* ImmunizationRecommendation Guidance or advice relating to an immunization
... patient 1..1 Reference(QICore Patient) (QI) Who this profile is for
... authority 0..1 Reference(QICore Organization) Who is responsible for protocol
... recommendation 1..* BackboneElement (QI) Vaccine administration recommendations
.... vaccineCode 0..* CodeableConcept (QI) Vaccine or vaccine group recommendation applies to
Binding: CVX Vaccines Administered Vaccine Set . (extensible): CVX Vaccines Administered Vaccine Set

.... doseNumber[x] 0..1 positiveInt, string (QI) Recommended dose number within series
.... supportingImmunization 0..* Reference(QICore Immunization | QICore ImmunizationEvaluation) Past immunizations supporting recommendation
.... supportingPatientInformation 0..* Reference(QICore Simple Observation | QICore AllergyIntolerance) Patient observations supporting recommendation

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ImmunizationRecommendation.recommendation.vaccineCodeextensibleCVXVaccinesAdministeredVaccineSet .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6
NameFlagsCard.TypeDescription & Constraintsdoco
.. ImmunizationRecommendation 0..* ImmunizationRecommendation Guidance or advice relating to an immunization
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... patient Σ 1..1 Reference(QICore Patient) (QI) Who this profile is for
... authority 0..1 Reference(QICore Organization) Who is responsible for protocol
... recommendation ΣC 1..* BackboneElement (QI) Vaccine administration recommendations
imr-1: One of vaccineCode or targetDisease SHALL be present
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... vaccineCode Σ 0..* CodeableConcept (QI) Vaccine or vaccine group recommendation applies to
Binding: CVX Vaccines Administered Vaccine Set . (extensible): CVX Vaccines Administered Vaccine Set


.... forecastStatus ?!Σ 1..1 CodeableConcept Vaccine recommendation status
Binding: ImmunizationRecommendationStatusCodes (example): The patient's status with respect to a vaccination protocol.

.... doseNumber[x] Σ 0..1 (QI) Recommended dose number within series
..... doseNumberPositiveInt positiveInt
..... doseNumberString string
.... supportingImmunization 0..* Reference(QICore Immunization | QICore ImmunizationEvaluation) Past immunizations supporting recommendation
.... supportingPatientInformation 0..* Reference(QICore Simple Observation | QICore AllergyIntolerance) Patient observations supporting recommendation

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ImmunizationRecommendation.recommendation.vaccineCodeextensibleCVXVaccinesAdministeredVaccineSet .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6
ImmunizationRecommendation.recommendation.forecastStatusexampleImmunizationRecommendationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-recommendation-status
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImmunizationRecommendationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationRecommendationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: 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()
dom-4errorImmunizationRecommendationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorImmunizationRecommendationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImmunizationRecommendationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
imr-1errorImmunizationRecommendation.recommendationOne of vaccineCode or targetDisease SHALL be present
: vaccineCode.exists() or targetDisease.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. ImmunizationRecommendation 0..* ImmunizationRecommendation Guidance or advice relating to an immunization
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier
... patient Σ 1..1 Reference(QICore Patient) (QI) Who this profile is for
... date Σ 1..1 dateTime Date recommendation(s) created
... authority 0..1 Reference(QICore Organization) Who is responsible for protocol
... recommendation ΣC 1..* BackboneElement (QI) Vaccine administration recommendations
imr-1: One of vaccineCode or targetDisease SHALL be present
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... vaccineCode Σ 0..* CodeableConcept (QI) Vaccine or vaccine group recommendation applies to
Binding: CVX Vaccines Administered Vaccine Set . (extensible): CVX Vaccines Administered Vaccine Set


.... targetDisease Σ 0..1 CodeableConcept Disease to be immunized against
Binding: ImmunizationRecommendationTargetDiseaseCodes (example): The disease that the recommended vaccination targets.

.... contraindicatedVaccineCode Σ 0..* CodeableConcept Vaccine which is contraindicated to fulfill the recommendation
Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.


.... forecastStatus ?!Σ 1..1 CodeableConcept Vaccine recommendation status
Binding: ImmunizationRecommendationStatusCodes (example): The patient's status with respect to a vaccination protocol.

.... forecastReason Σ 0..* CodeableConcept Vaccine administration status reason
Binding: ImmunizationRecommendationReasonCodes (example): The reason for the patient's status with respect to a vaccination protocol.


.... dateCriterion 0..* BackboneElement Dates governing proposed immunization
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Type of date
Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).

..... value 1..1 dateTime Recommended date
.... description 0..1 string Protocol details
.... series 0..1 string Name of vaccination series
.... doseNumber[x] Σ 0..1 (QI) Recommended dose number within series
..... doseNumberPositiveInt positiveInt
..... doseNumberString string
.... seriesDoses[x] 0..1 Recommended number of doses for immunity
..... seriesDosesPositiveInt positiveInt
..... seriesDosesString string
.... supportingImmunization 0..* Reference(QICore Immunization | QICore ImmunizationEvaluation) Past immunizations supporting recommendation
.... supportingPatientInformation 0..* Reference(QICore Simple Observation | QICore AllergyIntolerance) Patient observations supporting recommendation

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ImmunizationRecommendation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ImmunizationRecommendation.recommendation.vaccineCodeextensibleCVXVaccinesAdministeredVaccineSet .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6
ImmunizationRecommendation.recommendation.targetDiseaseexampleImmunizationRecommendationTargetDiseaseCodes
http://hl7.org/fhir/ValueSet/immunization-recommendation-target-disease
from the FHIR Standard
ImmunizationRecommendation.recommendation.contraindicatedVaccineCodeexampleVaccineAdministeredValueSet
http://hl7.org/fhir/ValueSet/vaccine-code
from the FHIR Standard
ImmunizationRecommendation.recommendation.forecastStatusexampleImmunizationRecommendationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-recommendation-status
from the FHIR Standard
ImmunizationRecommendation.recommendation.forecastReasonexampleImmunizationRecommendationReasonCodes
http://hl7.org/fhir/ValueSet/immunization-recommendation-reason
from the FHIR Standard
ImmunizationRecommendation.recommendation.dateCriterion.codeexampleImmunizationRecommendationDateCriterionCodes
http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImmunizationRecommendationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationRecommendationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: 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()
dom-4errorImmunizationRecommendationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorImmunizationRecommendationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImmunizationRecommendationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
imr-1errorImmunizationRecommendation.recommendationOne of vaccineCode or targetDisease SHALL be present
: vaccineCode.exists() or targetDisease.exists()

Differential View

This structure is derived from ImmunizationRecommendation

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImmunizationRecommendation 0..* ImmunizationRecommendation Guidance or advice relating to an immunization
... patient 1..1 Reference(QICore Patient) (QI) Who this profile is for
... authority 0..1 Reference(QICore Organization) Who is responsible for protocol
... recommendation 1..* BackboneElement (QI) Vaccine administration recommendations
.... vaccineCode 0..* CodeableConcept (QI) Vaccine or vaccine group recommendation applies to
Binding: CVX Vaccines Administered Vaccine Set . (extensible): CVX Vaccines Administered Vaccine Set

.... doseNumber[x] 0..1 positiveInt, string (QI) Recommended dose number within series
.... supportingImmunization 0..* Reference(QICore Immunization | QICore ImmunizationEvaluation) Past immunizations supporting recommendation
.... supportingPatientInformation 0..* Reference(QICore Simple Observation | QICore AllergyIntolerance) Patient observations supporting recommendation

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ImmunizationRecommendation.recommendation.vaccineCodeextensibleCVXVaccinesAdministeredVaccineSet .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImmunizationRecommendation 0..* ImmunizationRecommendation Guidance or advice relating to an immunization
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... patient Σ 1..1 Reference(QICore Patient) (QI) Who this profile is for
... authority 0..1 Reference(QICore Organization) Who is responsible for protocol
... recommendation ΣC 1..* BackboneElement (QI) Vaccine administration recommendations
imr-1: One of vaccineCode or targetDisease SHALL be present
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... vaccineCode Σ 0..* CodeableConcept (QI) Vaccine or vaccine group recommendation applies to
Binding: CVX Vaccines Administered Vaccine Set . (extensible): CVX Vaccines Administered Vaccine Set


.... forecastStatus ?!Σ 1..1 CodeableConcept Vaccine recommendation status
Binding: ImmunizationRecommendationStatusCodes (example): The patient's status with respect to a vaccination protocol.

.... doseNumber[x] Σ 0..1 (QI) Recommended dose number within series
..... doseNumberPositiveInt positiveInt
..... doseNumberString string
.... supportingImmunization 0..* Reference(QICore Immunization | QICore ImmunizationEvaluation) Past immunizations supporting recommendation
.... supportingPatientInformation 0..* Reference(QICore Simple Observation | QICore AllergyIntolerance) Patient observations supporting recommendation

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ImmunizationRecommendation.recommendation.vaccineCodeextensibleCVXVaccinesAdministeredVaccineSet .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6
ImmunizationRecommendation.recommendation.forecastStatusexampleImmunizationRecommendationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-recommendation-status
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImmunizationRecommendationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationRecommendationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: 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()
dom-4errorImmunizationRecommendationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorImmunizationRecommendationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImmunizationRecommendationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
imr-1errorImmunizationRecommendation.recommendationOne of vaccineCode or targetDisease SHALL be present
: vaccineCode.exists() or targetDisease.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImmunizationRecommendation 0..* ImmunizationRecommendation Guidance or advice relating to an immunization
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier
... patient Σ 1..1 Reference(QICore Patient) (QI) Who this profile is for
... date Σ 1..1 dateTime Date recommendation(s) created
... authority 0..1 Reference(QICore Organization) Who is responsible for protocol
... recommendation ΣC 1..* BackboneElement (QI) Vaccine administration recommendations
imr-1: One of vaccineCode or targetDisease SHALL be present
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... vaccineCode Σ 0..* CodeableConcept (QI) Vaccine or vaccine group recommendation applies to
Binding: CVX Vaccines Administered Vaccine Set . (extensible): CVX Vaccines Administered Vaccine Set


.... targetDisease Σ 0..1 CodeableConcept Disease to be immunized against
Binding: ImmunizationRecommendationTargetDiseaseCodes (example): The disease that the recommended vaccination targets.

.... contraindicatedVaccineCode Σ 0..* CodeableConcept Vaccine which is contraindicated to fulfill the recommendation
Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.


.... forecastStatus ?!Σ 1..1 CodeableConcept Vaccine recommendation status
Binding: ImmunizationRecommendationStatusCodes (example): The patient's status with respect to a vaccination protocol.

.... forecastReason Σ 0..* CodeableConcept Vaccine administration status reason
Binding: ImmunizationRecommendationReasonCodes (example): The reason for the patient's status with respect to a vaccination protocol.


.... dateCriterion 0..* BackboneElement Dates governing proposed immunization
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Type of date
Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).

..... value 1..1 dateTime Recommended date
.... description 0..1 string Protocol details
.... series 0..1 string Name of vaccination series
.... doseNumber[x] Σ 0..1 (QI) Recommended dose number within series
..... doseNumberPositiveInt positiveInt
..... doseNumberString string
.... seriesDoses[x] 0..1 Recommended number of doses for immunity
..... seriesDosesPositiveInt positiveInt
..... seriesDosesString string
.... supportingImmunization 0..* Reference(QICore Immunization | QICore ImmunizationEvaluation) Past immunizations supporting recommendation
.... supportingPatientInformation 0..* Reference(QICore Simple Observation | QICore AllergyIntolerance) Patient observations supporting recommendation

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ImmunizationRecommendation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ImmunizationRecommendation.recommendation.vaccineCodeextensibleCVXVaccinesAdministeredVaccineSet .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6
ImmunizationRecommendation.recommendation.targetDiseaseexampleImmunizationRecommendationTargetDiseaseCodes
http://hl7.org/fhir/ValueSet/immunization-recommendation-target-disease
from the FHIR Standard
ImmunizationRecommendation.recommendation.contraindicatedVaccineCodeexampleVaccineAdministeredValueSet
http://hl7.org/fhir/ValueSet/vaccine-code
from the FHIR Standard
ImmunizationRecommendation.recommendation.forecastStatusexampleImmunizationRecommendationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-recommendation-status
from the FHIR Standard
ImmunizationRecommendation.recommendation.forecastReasonexampleImmunizationRecommendationReasonCodes
http://hl7.org/fhir/ValueSet/immunization-recommendation-reason
from the FHIR Standard
ImmunizationRecommendation.recommendation.dateCriterion.codeexampleImmunizationRecommendationDateCriterionCodes
http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImmunizationRecommendationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationRecommendationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: 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()
dom-4errorImmunizationRecommendationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorImmunizationRecommendationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImmunizationRecommendationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
imr-1errorImmunizationRecommendation.recommendationOne of vaccineCode or targetDisease SHALL be present
: vaccineCode.exists() or targetDisease.exists()

 

Other representations of profile: CSV, Excel, Schematron