FHIR Clinical Guidelines (v1.0.0) (STU1)
This page is part of the Clinical Guidelines (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
The official URL for this profile is:
http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-immunizationrecommendation
Recommendation for a particular immunization as part of the delivery of a computable clinical practice guideline
This profile builds on ImmunizationRecommendation.
This profile was published on Thu Jun 06 00:00:00 UTC 2019 as a draft by Health Level Seven, Inc. - CDS WG.
Description of Profiles, Differentials, and Snapshots.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ImmunizationRecommendation | 0..* | ImmunizationRecommendation | Guidance or advice relating to an immunization | |
  id | Σ | 0..1 | string | 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 |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 workflow-instantiatesCanonical | S | 0..1 | canonical(ActivityDefinition | Measure | OperationDefinition | PlanDefinition | Questionnaire) | Source URL: http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical |
| cpg-rationale | S | 0..1 | markdown | Explanation URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | SΣ | 0..* | Identifier | Business identifier |
 patient | SΣ | 1..1 | Reference(CPGPatient) | Who this profile is for |
| date | SΣ | 1..1 | dateTime | Date recommendation(s) created |
| authority | 0..1 | Reference(Organization) | Who is responsible for protocol | |
 recommendation | SΣI | 1..* | BackboneElement | Vaccine administration recommendations |
 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 | SΣ | 0..* | CodeableConcept | Vaccine or vaccine group recommendation applies to Binding: VaccineAdministeredValueSet (example): The type of vaccine administered. |
| 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 | ?!SΣ | 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 | S | 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 | 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(Immunization | ImmunizationEvaluation) | Past immunizations supporting recommendation | |
| supportingPatientInformation | S | 0..* | Reference(Resource) | Pertinent information |
| Documentation for this format | ||||
Differential View
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ImmunizationRecommendation | 0..* | ImmunizationRecommendation | Guidance or advice relating to an immunization | |
| id | Σ | 0..1 | string | 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 |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| workflow-instantiatesCanonical | S | 0..1 | canonical(ActivityDefinition | Measure | OperationDefinition | PlanDefinition | Questionnaire) | Source URL: http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical |
| cpg-rationale | S | 0..1 | markdown | Explanation URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | SΣ | 0..* | Identifier | Business identifier |
| patient | SΣ | 1..1 | Reference(CPGPatient) | Who this profile is for |
| date | SΣ | 1..1 | dateTime | Date recommendation(s) created |
| authority | 0..1 | Reference(Organization) | Who is responsible for protocol | |
| recommendation | SΣI | 1..* | BackboneElement | Vaccine administration recommendations |
| 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 | SΣ | 0..* | CodeableConcept | Vaccine or vaccine group recommendation applies to Binding: VaccineAdministeredValueSet (example): The type of vaccine administered. |
| 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 | ?!SΣ | 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 | S | 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 | 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(Immunization | ImmunizationEvaluation) | Past immunizations supporting recommendation | |
| supportingPatientInformation | S | 0..* | Reference(Resource) | Pertinent information |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| ImmunizationRecommendation.language | preferred | CommonLanguages Max Binding: AllLanguages |
| ImmunizationRecommendation.recommendation.vaccineCode | example | VaccineAdministeredValueSet |
| ImmunizationRecommendation.recommendation.targetDisease | example | ImmunizationRecommendationTargetDiseaseCodes |
| ImmunizationRecommendation.recommendation.contraindicatedVaccineCode | example | VaccineAdministeredValueSet |
| ImmunizationRecommendation.recommendation.forecastStatus | example | ImmunizationRecommendationStatusCodes |
| ImmunizationRecommendation.recommendation.forecastReason | example | ImmunizationRecommendationReasonCodes |
| ImmunizationRecommendation.recommendation.dateCriterion.code | example | ImmunizationRecommendationDateCriterionCodes |
| Id | Path | Details | Requirements |
| dom-2 | ImmunizationRecommendation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | ImmunizationRecommendation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : 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-4 | ImmunizationRecommendation | If 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-5 | ImmunizationRecommendation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | ImmunizationRecommendation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | ImmunizationRecommendation.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | ImmunizationRecommendation.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | ImmunizationRecommendation.extension:instantiatesCanonical | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | ImmunizationRecommendation.extension:instantiatesCanonical | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | ImmunizationRecommendation.extension:rationale | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | ImmunizationRecommendation.extension:rationale | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | ImmunizationRecommendation.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | ImmunizationRecommendation.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | ImmunizationRecommendation.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.patient | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.date | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.authority | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.recommendation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| imr-1 | ImmunizationRecommendation.recommendation | One of vaccineCode or targetDisease SHALL be present : vaccineCode.exists() or targetDisease.exists() | |
| ele-1 | ImmunizationRecommendation.recommendation.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | ImmunizationRecommendation.recommendation.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | ImmunizationRecommendation.recommendation.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | ImmunizationRecommendation.recommendation.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | ImmunizationRecommendation.recommendation.vaccineCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.recommendation.targetDisease | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.recommendation.contraindicatedVaccineCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.recommendation.forecastStatus | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.recommendation.forecastReason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.recommendation.dateCriterion | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.recommendation.dateCriterion.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | ImmunizationRecommendation.recommendation.dateCriterion.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | ImmunizationRecommendation.recommendation.dateCriterion.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | ImmunizationRecommendation.recommendation.dateCriterion.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | ImmunizationRecommendation.recommendation.dateCriterion.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.recommendation.dateCriterion.value | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.recommendation.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.recommendation.series | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.recommendation.doseNumber[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.recommendation.seriesDoses[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.recommendation.supportingImmunization | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImmunizationRecommendation.recommendation.supportingPatientInformation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
© HL7.org (Clinical Decision Support WG). hl7.fhir.uv.cpg#1.0.0 based on FHIR v4.0.1. Generated 2021-02-11.
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