QI-Core Implementation Guide
4.1.1 - STU 4.1.1 US

This page is part of the Quality Improvement Core Framework (v4.1.1: STU 4) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: QICoreImmunizationNotDone

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunizationnotdone Version: 4.1.1
Draft as of 2018-08-22 Computable Name: QICoreImmunizationNotDone

Negation profile of Immunization for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

Usage

See the patterns page for implementation and usage patterns.

The Immunization and ImmunizationNotDone profiles represent the positive and negative statements for an immunization event. To ensure instances retrieved meet negative intent, applications should check the status element as illustrated in this example:

define ImmunizationNotDone:
  [Immunization] I
    where I.status = 'not-done'

Examples

Negation Example using a valueset reference Immunization not performed due to patient declination for religious reasons; indicates that none of the vaccines in the given "not done value set" were administered.
Negation Example using a single coded concept Immunization not performed due to patient declination for religious reasons; indicates that a specific vaccine, by code, was not administered.

Both of these example instances meet measure intent for exclusion as defined in the following example CQL: 

define "Medical Patient or System Reason for Not Administering Influenza Vaccine":
  [Immunization: "Influenza Vaccine"] NoFluVaccine
    where NoFluVaccine.recorded during "Influenza Season Including August and September of the Prior Year"
      and NoFluVaccine.status = 'not done'
      and ( NoFluVaccine.statusReason in "Medical Reason"
        or NoFluVaccine.statusReason in "Patient Reason"
        or NoFluVaccine.statusReason in "System Reason"
        or NoFluVaccine.statusReason in "Influenza Vaccination Declined"
      )

For a more complete discussion of representation of negation within QICore and quality improvement artifacts, see the Negation in QI Core topic.

Usage:

Formal Views of Profile Content

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

This structure is derived from USCoreImmunizationProfile

Summary

Mandatory: 2 elements
Must-Support: 6 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

This structure is derived from USCoreImmunizationProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization I0..*USCoreImmunizationProfileImmunization event information
ind-1: To indicate what immunization was not done, either at least one coding in the vaccineCode element or a notDoneValueSet extension shall be provided
... status S1..1codecompleted | entered-in-error | not-done
Fixed Value: not-done
... statusReason S1..1CodeableConceptReason not done
Binding: Negation Reason Codes (extensible): The reason the service was not requested

... vaccineCode SI1..1CodeableConceptVaccine Product Type (bind to CVX)
Binding: US Core Vaccine Administered Value Set (CVX) (extensible): This identifies the CVX code system

.... qicore-notDoneValueSet SI0..1canonical(ValueSet)What wasn't administered
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
... encounter 0..1Reference(QICoreEncounter)Encounter immunization was part of
... recorded S1..1dateTimeWhen the immunization was first captured in the subject's record

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization I0..*USCoreImmunizationProfileImmunization event information
ind-1: To indicate what immunization was not done, either at least one coding in the vaccineCode element or a notDoneValueSet extension shall be provided
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierBusiness identifier
... status ?!SΣ1..1codecompleted | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): Constrained list of immunizaiotn status


Fixed Value: not-done
... statusReason S1..1CodeableConceptReason not done
Binding: Negation Reason Codes (extensible): The reason the service was not requested

... vaccineCode SΣI1..1CodeableConceptVaccine Product Type (bind to CVX)
Binding: US Core Vaccine Administered Value Set (CVX) (extensible): This identifies the CVX code system

.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... qicore-notDoneValueSet SI0..1canonical(ValueSet)What wasn't administered
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
.... coding Σ0..*CodingCode defined by a terminology system
.... text Σ0..1stringPlain text representation of the concept
... patient SΣ1..1Reference(QICorePatient)Who was immunized
... encounter 0..1Reference(QICoreEncounter)Encounter immunization was part of
... occurrence[x] SΣ1..1Vaccine administration date
.... occurrenceDateTimedateTime
.... occurrenceStringstring
... recorded S1..1dateTimeWhen the immunization was first captured in the subject's record
... primarySource SΣ1..1booleanIndicates context the data was recorded in
... reportOrigin 0..1CodeableConceptIndicates the source of a secondarily reported record
Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.

... location 0..1Reference(Location)Where immunization occurred
... manufacturer 0..1Reference(Organization)Vaccine manufacturer
... lotNumber 0..1stringVaccine lot number
... expirationDate 0..1dateVaccine expiration date
... site 0..1CodeableConceptBody site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.

... route 0..1CodeableConceptHow vaccine entered body
Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.

... doseQuantity 0..1SimpleQuantityAmount of vaccine administered
... performer Σ0..*BackboneElementWho performed event
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function Σ0..1CodeableConceptWhat type of performance was done
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.

.... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization)Individual or organization who was performing
... note Σ0..*AnnotationAdditional immunization notes
... reasonCode 0..*CodeableConceptWhy immunization occurred
Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.


... reasonReference 0..*Reference(Condition | Observation | DiagnosticReport)Why immunization occurred
... isSubpotent ?!Σ0..1booleanDose potency
... subpotentReason 0..*CodeableConceptReason for being subpotent
Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.


... education I0..*BackboneElementEducational material presented to patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... documentType 0..1stringEducational material document identifier
.... reference 0..1uriEducational material reference pointer
.... publicationDate 0..1dateTimeEducational material publication date
.... presentationDate 0..1dateTimeEducational material presentation date
... programEligibility 0..*CodeableConceptPatient eligibility for a vaccination program
Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.


... fundingSource 0..1CodeableConceptFunding source for the vaccine
Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.

... reaction 0..*BackboneElementDetails of a reaction that follows immunization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... date 0..1dateTimeWhen reaction started
.... detail 0..1Reference(Observation)Additional information on reaction
.... reported 0..1booleanIndicates self-reported reaction
... protocolApplied 0..*BackboneElementProtocol followed by the provider
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... series 0..1stringName of vaccine series
.... authority 0..1Reference(Organization)Who is responsible for publishing the recommendations
.... targetDisease 0..*CodeableConceptVaccine preventatable disease being targetted
Binding: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.


.... doseNumber[x] 1..1Dose number within series
..... doseNumberPositiveIntpositiveInt
..... doseNumberStringstring
.... seriesDoses[x] 0..1Recommended number of doses for immunity
..... seriesDosesPositiveIntpositiveInt
..... seriesDosesStringstring

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization I0..*USCoreImmunizationProfileImmunization event information
ind-1: To indicate what immunization was not done, either at least one coding in the vaccineCode element or a notDoneValueSet extension shall be provided
... status ?!Σ1..1codecompleted | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): Constrained list of immunizaiotn status


Fixed Value: not-done
... statusReason 1..1CodeableConceptReason not done
Binding: Negation Reason Codes (extensible): The reason the service was not requested

... vaccineCode ΣI1..1CodeableConceptVaccine Product Type (bind to CVX)
Binding: US Core Vaccine Administered Value Set (CVX) (extensible): This identifies the CVX code system

.... qicore-notDoneValueSet I0..1canonical(ValueSet)What wasn't administered
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
... occurrence[x] Σ1..1Vaccine administration date
.... occurrenceDateTimedateTime
.... occurrenceStringstring
... recorded 1..1dateTimeWhen the immunization was first captured in the subject's record
... primarySource Σ1..1booleanIndicates context the data was recorded in

doco Documentation for this format

This structure is derived from USCoreImmunizationProfile

Summary

Mandatory: 2 elements
Must-Support: 6 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from USCoreImmunizationProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization I0..*USCoreImmunizationProfileImmunization event information
ind-1: To indicate what immunization was not done, either at least one coding in the vaccineCode element or a notDoneValueSet extension shall be provided
... status S1..1codecompleted | entered-in-error | not-done
Fixed Value: not-done
... statusReason S1..1CodeableConceptReason not done
Binding: Negation Reason Codes (extensible): The reason the service was not requested

... vaccineCode SI1..1CodeableConceptVaccine Product Type (bind to CVX)
Binding: US Core Vaccine Administered Value Set (CVX) (extensible): This identifies the CVX code system

.... qicore-notDoneValueSet SI0..1canonical(ValueSet)What wasn't administered
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
... encounter 0..1Reference(QICoreEncounter)Encounter immunization was part of
... recorded S1..1dateTimeWhen the immunization was first captured in the subject's record

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization I0..*USCoreImmunizationProfileImmunization event information
ind-1: To indicate what immunization was not done, either at least one coding in the vaccineCode element or a notDoneValueSet extension shall be provided
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierBusiness identifier
... status ?!SΣ1..1codecompleted | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): Constrained list of immunizaiotn status


Fixed Value: not-done
... statusReason S1..1CodeableConceptReason not done
Binding: Negation Reason Codes (extensible): The reason the service was not requested

... vaccineCode SΣI1..1CodeableConceptVaccine Product Type (bind to CVX)
Binding: US Core Vaccine Administered Value Set (CVX) (extensible): This identifies the CVX code system

.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... qicore-notDoneValueSet SI0..1canonical(ValueSet)What wasn't administered
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
.... coding Σ0..*CodingCode defined by a terminology system
.... text Σ0..1stringPlain text representation of the concept
... patient SΣ1..1Reference(QICorePatient)Who was immunized
... encounter 0..1Reference(QICoreEncounter)Encounter immunization was part of
... occurrence[x] SΣ1..1Vaccine administration date
.... occurrenceDateTimedateTime
.... occurrenceStringstring
... recorded S1..1dateTimeWhen the immunization was first captured in the subject's record
... primarySource SΣ1..1booleanIndicates context the data was recorded in
... reportOrigin 0..1CodeableConceptIndicates the source of a secondarily reported record
Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.

... location 0..1Reference(Location)Where immunization occurred
... manufacturer 0..1Reference(Organization)Vaccine manufacturer
... lotNumber 0..1stringVaccine lot number
... expirationDate 0..1dateVaccine expiration date
... site 0..1CodeableConceptBody site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.

... route 0..1CodeableConceptHow vaccine entered body
Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.

... doseQuantity 0..1SimpleQuantityAmount of vaccine administered
... performer Σ0..*BackboneElementWho performed event
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function Σ0..1CodeableConceptWhat type of performance was done
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.

.... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization)Individual or organization who was performing
... note Σ0..*AnnotationAdditional immunization notes
... reasonCode 0..*CodeableConceptWhy immunization occurred
Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.


... reasonReference 0..*Reference(Condition | Observation | DiagnosticReport)Why immunization occurred
... isSubpotent ?!Σ0..1booleanDose potency
... subpotentReason 0..*CodeableConceptReason for being subpotent
Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.


... education I0..*BackboneElementEducational material presented to patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... documentType 0..1stringEducational material document identifier
.... reference 0..1uriEducational material reference pointer
.... publicationDate 0..1dateTimeEducational material publication date
.... presentationDate 0..1dateTimeEducational material presentation date
... programEligibility 0..*CodeableConceptPatient eligibility for a vaccination program
Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.


... fundingSource 0..1CodeableConceptFunding source for the vaccine
Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.

... reaction 0..*BackboneElementDetails of a reaction that follows immunization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... date 0..1dateTimeWhen reaction started
.... detail 0..1Reference(Observation)Additional information on reaction
.... reported 0..1booleanIndicates self-reported reaction
... protocolApplied 0..*BackboneElementProtocol followed by the provider
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... series 0..1stringName of vaccine series
.... authority 0..1Reference(Organization)Who is responsible for publishing the recommendations
.... targetDisease 0..*CodeableConceptVaccine preventatable disease being targetted
Binding: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.


.... doseNumber[x] 1..1Dose number within series
..... doseNumberPositiveIntpositiveInt
..... doseNumberStringstring
.... seriesDoses[x] 0..1Recommended number of doses for immunity
..... seriesDosesPositiveIntpositiveInt
..... seriesDosesStringstring

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
Immunization.languagepreferredCommonLanguages
Max Binding: AllLanguages
Immunization.statusrequiredFixed Value: not-done
Immunization.statusReasonextensibleNegationReasonCodes
Immunization.vaccineCodeextensibleUSCoreVaccineAdministeredValueSetCvx
Immunization.reportOriginexampleImmunizationOriginCodes
Immunization.siteexampleCodesForImmunizationSiteOfAdministration
Immunization.routeexampleImmunizationRouteCodes
Immunization.performer.functionextensibleImmunizationFunctionCodes
Immunization.reasonCodeexampleImmunizationReasonCodes
Immunization.subpotentReasonexampleImmunizationSubpotentReason
Immunization.programEligibilityexampleImmunizationProgramEligibility
Immunization.fundingSourceexampleImmunizationFundingSource
Immunization.protocolApplied.targetDiseaseexampleImmunizationTargetDiseaseCodes

Constraints

IdGradePathDetailsRequirements
dom-2errorImmunizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationIf 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-4errorImmunizationIf 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-5errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeImmunizationA resource should have narrative for robust management
: text.`div`.exists()
ind-1errorImmunizationTo indicate what immunization was not done, either at least one coding in the vaccineCode element or a notDoneValueSet extension shall be provided
: vaccineCode.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor vaccineCode.coding.exists()
ele-1errorImmunization.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.statusReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.vaccineCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
us-core-1Best PracticeImmunization.vaccineCodeSHOULD have a translation to the NDC value set
: coding.where(system='http://hl7.org/fhir/sid/ndc').empty()
ele-1errorImmunization.vaccineCode.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.vaccineCode.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.vaccineCode.extension:notDoneValueSetAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.vaccineCode.extension:notDoneValueSetMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.vaccineCode.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.vaccineCode.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.patientAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.occurrence[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.recordedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.primarySourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.reportOriginAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.locationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.manufacturerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.lotNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.expirationDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.siteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.routeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.doseQuantityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.performerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.performer.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.performer.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.performer.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.performer.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.performer.functionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.performer.actorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.reasonCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.reasonReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.isSubpotentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.subpotentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.educationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
imm-1errorImmunization.educationOne of documentType or reference SHALL be present
: documentType.exists() or reference.exists()
ele-1errorImmunization.education.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.education.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.education.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.education.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.education.documentTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.education.referenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.education.publicationDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.education.presentationDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.programEligibilityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.fundingSourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.reactionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.reaction.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.reaction.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.reaction.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.reaction.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.reaction.dateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.reaction.detailAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.reaction.reportedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.protocolAppliedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.protocolApplied.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.protocolApplied.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.protocolApplied.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.protocolApplied.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.protocolApplied.seriesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.protocolApplied.authorityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.protocolApplied.targetDiseaseAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.protocolApplied.doseNumber[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.protocolApplied.seriesDoses[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())