International Patient Summary Implementation Guide
1.0.0 - STU 1

This page is part of the International Patient Summary Implementation Guide (v1.0.0: STU 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

StructureDefinition: ImmunizationUvIps

This profile represents the constraints applied to the Immunization resource by the International Patient Summary (IPS) FHIR Implementation Guide. A record of an immunization is represented in the patient summary as an instance of an Immunization resource constrained by this profile.

It describes the event of a patient being administered a vaccination or a record of a vaccination as reported by a patient, a clinician or another party.

The official URL for this profile is: 

http://hl7.org/fhir/uv/ips/StructureDefinition/Immunization-uv-ips

Formal Views of Profile Content

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

This structure is derived from Immunization

Summary

Mandatory: 3 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Immunization.vaccineCode is sliced based on the value of pattern:$this
  • The element Immunization.protocolApplied.targetDisease is sliced based on the value of pattern:$this

This structure is derived from Immunization

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization S0..*ImmunizationImmunization event information
... status S1..1codecompleted | entered-in-error | not-done
... vaccineCode S1..1(Slice Definition)Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product.
Slice: Unordered, Open by pattern:$this
Binding: Vaccines - IPS (preferred)
.... vaccineCode:vaccineGPSCode S0..1CodeableConceptCode for vaccine from the SNOMED CT GPS code set
Binding: Vaccines (GPS) - IPS (required)
.... vaccineCode:atcClass S0..1CodeableConceptWHO ATC classification
Binding: WHO ATC - IPS (required)
.... vaccineCode:absentOrUnknownImmunization S0..1CodeableConceptAbsent Unknown Immunization
Binding: Absent or Unknown Immunization - IPS (required)
... patient S1..1Reference(Patient (IPS))Who was immunized
.... reference S1..1stringLiteral reference, Relative, internal or absolute URL
.... data-absent-reason S0..1codeoccurrence[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
... site 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Target Site - IPS (preferred)
... route S0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Medicine Route of Administration - IPS (preferred)
... performer S0..1BackboneElementWho performed event
.... actor S1..1Reference(Practitioner | PractitionerRole | Organization)Individual or organization who was performing
... protocolApplied 0..*BackboneElementProtocol followed by the provider
.... targetDisease 0..*(Slice Definition)Vaccine preventatable disease being targetted
Slice: Unordered, Open by pattern:$this
Binding: Vaccine Target Diseases - IPS (preferred)
..... targetDisease:targetDiseaseGPSCode S0..1CodeableConceptCode for a disease the vaccination is against from the SNOMED CT GPS code set.
Binding: Vaccine Target Diseases (GPS) - IPS (required)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization SI0..*ImmunizationImmunization event information
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier I0..*IdentifierBusiness identifier
... status ?!SΣI1..1codecompleted | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required)
... statusReason I0..1CodeableConceptReason not done
Binding: ImmunizationStatusReasonCodes (example)
... vaccineCode SΣI1..1(Slice Definition)Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product.
Slice: Unordered, Open by pattern:$this
Binding: Vaccines - IPS (preferred)
.... vaccineCode:vaccineGPSCode SΣI0..1CodeableConceptCode for vaccine from the SNOMED CT GPS code set
Binding: Vaccines (GPS) - IPS (required)
.... vaccineCode:atcClass SΣI0..1CodeableConceptWHO ATC classification
Binding: WHO ATC - IPS (required)
.... vaccineCode:absentOrUnknownImmunization SΣI0..1CodeableConceptAbsent Unknown Immunization
Binding: Absent or Unknown Immunization - IPS (required)
... patient SΣI1..1Reference(Patient (IPS))Who was immunized
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣI1..1stringLiteral reference, Relative, internal or absolute URL
.... type ΣI0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier ΣI0..1IdentifierLogical reference, when literal reference is not known
.... display ΣI0..1stringText alternative for the resource
... encounter I0..1Reference(Encounter)Encounter immunization was part of
... occurrence[x] SΣI1..1Vaccine administration date
.... occurrence[x]:All Types Content/Rules for all Types
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... data-absent-reason SI0..1codeoccurrence[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
.... occurrenceDateTimedateTime
.... occurrenceStringstring
... recorded I0..1dateTimeWhen the immunization was first captured in the subject's record
... primarySource ΣI0..1booleanIndicates context the data was recorded in
... reportOrigin I0..1CodeableConceptIndicates the source of a secondarily reported record
Binding: ImmunizationOriginCodes (example)
... location I0..1Reference(Location)Where immunization occurred
... manufacturer I0..1Reference(Organization)Vaccine manufacturer
... lotNumber I0..1stringVaccine lot number
... expirationDate I0..1dateVaccine expiration date
... site SI0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Target Site - IPS (preferred)
... route SI0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Medicine Route of Administration - IPS (preferred)
... doseQuantity I0..1SimpleQuantityAmount of vaccine administered
... performer SΣI0..1BackboneElementWho performed event
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function ΣI0..1CodeableConceptWhat type of performance was done
Binding: ImmunizationFunctionCodes (extensible)
.... actor SΣI1..1Reference(Practitioner | PractitionerRole | Organization)Individual or organization who was performing
... note ΣI0..*AnnotationAdditional immunization notes
... reasonCode I0..*CodeableConceptWhy immunization occurred
Binding: ImmunizationReasonCodes (example)
... reasonReference I0..*Reference(Condition | Observation | DiagnosticReport)Why immunization occurred
... isSubpotent ?!ΣI0..1booleanDose potency
... subpotentReason I0..*CodeableConceptReason for being subpotent
Binding: ImmunizationSubpotentReason (example)
... education I0..*BackboneElementEducational material presented to patient
imm-1: One of documentType or reference SHALL be present
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... documentType I0..1stringEducational material document identifier
.... reference I0..1uriEducational material reference pointer
.... publicationDate I0..1dateTimeEducational material publication date
.... presentationDate I0..1dateTimeEducational material presentation date
... programEligibility I0..*CodeableConceptPatient eligibility for a vaccination program
Binding: ImmunizationProgramEligibility (example)
... fundingSource I0..1CodeableConceptFunding source for the vaccine
Binding: ImmunizationFundingSource (example)
... reaction I0..*BackboneElementDetails of a reaction that follows immunization
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... date I0..1dateTimeWhen reaction started
.... detail I0..1Reference(Observation)Additional information on reaction
.... reported I0..1booleanIndicates self-reported reaction
... protocolApplied I0..*BackboneElementProtocol followed by the provider
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... series I0..1stringName of vaccine series
.... authority I0..1Reference(Organization)Who is responsible for publishing the recommendations
.... targetDisease I0..*(Slice Definition)Vaccine preventatable disease being targetted
Slice: Unordered, Open by pattern:$this
Binding: Vaccine Target Diseases - IPS (preferred)
..... targetDisease:targetDiseaseGPSCode SI0..1CodeableConceptCode for a disease the vaccination is against from the SNOMED CT GPS code set.
Binding: Vaccine Target Diseases (GPS) - IPS (required)
.... doseNumber[x] I1..1Dose number within series
..... doseNumberPositiveIntpositiveInt
..... doseNumberStringstring
.... seriesDoses[x] I0..1Recommended number of doses for immunity
..... seriesDosesPositiveIntpositiveInt
..... seriesDosesStringstring

doco Documentation for this format

This structure is derived from Immunization

Summary

Mandatory: 3 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Immunization.vaccineCode is sliced based on the value of pattern:$this
  • The element Immunization.protocolApplied.targetDisease is sliced based on the value of pattern:$this

Differential View

This structure is derived from Immunization

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization S0..*ImmunizationImmunization event information
... status S1..1codecompleted | entered-in-error | not-done
... vaccineCode S1..1(Slice Definition)Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product.
Slice: Unordered, Open by pattern:$this
Binding: Vaccines - IPS (preferred)
.... vaccineCode:vaccineGPSCode S0..1CodeableConceptCode for vaccine from the SNOMED CT GPS code set
Binding: Vaccines (GPS) - IPS (required)
.... vaccineCode:atcClass S0..1CodeableConceptWHO ATC classification
Binding: WHO ATC - IPS (required)
.... vaccineCode:absentOrUnknownImmunization S0..1CodeableConceptAbsent Unknown Immunization
Binding: Absent or Unknown Immunization - IPS (required)
... patient S1..1Reference(Patient (IPS))Who was immunized
.... reference S1..1stringLiteral reference, Relative, internal or absolute URL
.... data-absent-reason S0..1codeoccurrence[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
... site 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Target Site - IPS (preferred)
... route S0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Medicine Route of Administration - IPS (preferred)
... performer S0..1BackboneElementWho performed event
.... actor S1..1Reference(Practitioner | PractitionerRole | Organization)Individual or organization who was performing
... protocolApplied 0..*BackboneElementProtocol followed by the provider
.... targetDisease 0..*(Slice Definition)Vaccine preventatable disease being targetted
Slice: Unordered, Open by pattern:$this
Binding: Vaccine Target Diseases - IPS (preferred)
..... targetDisease:targetDiseaseGPSCode S0..1CodeableConceptCode for a disease the vaccination is against from the SNOMED CT GPS code set.
Binding: Vaccine Target Diseases (GPS) - IPS (required)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization SI0..*ImmunizationImmunization event information
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier I0..*IdentifierBusiness identifier
... status ?!SΣI1..1codecompleted | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required)
... statusReason I0..1CodeableConceptReason not done
Binding: ImmunizationStatusReasonCodes (example)
... vaccineCode SΣI1..1(Slice Definition)Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product.
Slice: Unordered, Open by pattern:$this
Binding: Vaccines - IPS (preferred)
.... vaccineCode:vaccineGPSCode SΣI0..1CodeableConceptCode for vaccine from the SNOMED CT GPS code set
Binding: Vaccines (GPS) - IPS (required)
.... vaccineCode:atcClass SΣI0..1CodeableConceptWHO ATC classification
Binding: WHO ATC - IPS (required)
.... vaccineCode:absentOrUnknownImmunization SΣI0..1CodeableConceptAbsent Unknown Immunization
Binding: Absent or Unknown Immunization - IPS (required)
... patient SΣI1..1Reference(Patient (IPS))Who was immunized
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣI1..1stringLiteral reference, Relative, internal or absolute URL
.... type ΣI0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier ΣI0..1IdentifierLogical reference, when literal reference is not known
.... display ΣI0..1stringText alternative for the resource
... encounter I0..1Reference(Encounter)Encounter immunization was part of
... occurrence[x] SΣI1..1Vaccine administration date
.... occurrence[x]:All Types Content/Rules for all Types
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... data-absent-reason SI0..1codeoccurrence[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
.... occurrenceDateTimedateTime
.... occurrenceStringstring
... recorded I0..1dateTimeWhen the immunization was first captured in the subject's record
... primarySource ΣI0..1booleanIndicates context the data was recorded in
... reportOrigin I0..1CodeableConceptIndicates the source of a secondarily reported record
Binding: ImmunizationOriginCodes (example)
... location I0..1Reference(Location)Where immunization occurred
... manufacturer I0..1Reference(Organization)Vaccine manufacturer
... lotNumber I0..1stringVaccine lot number
... expirationDate I0..1dateVaccine expiration date
... site SI0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Target Site - IPS (preferred)
... route SI0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Medicine Route of Administration - IPS (preferred)
... doseQuantity I0..1SimpleQuantityAmount of vaccine administered
... performer SΣI0..1BackboneElementWho performed event
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function ΣI0..1CodeableConceptWhat type of performance was done
Binding: ImmunizationFunctionCodes (extensible)
.... actor SΣI1..1Reference(Practitioner | PractitionerRole | Organization)Individual or organization who was performing
... note ΣI0..*AnnotationAdditional immunization notes
... reasonCode I0..*CodeableConceptWhy immunization occurred
Binding: ImmunizationReasonCodes (example)
... reasonReference I0..*Reference(Condition | Observation | DiagnosticReport)Why immunization occurred
... isSubpotent ?!ΣI0..1booleanDose potency
... subpotentReason I0..*CodeableConceptReason for being subpotent
Binding: ImmunizationSubpotentReason (example)
... education I0..*BackboneElementEducational material presented to patient
imm-1: One of documentType or reference SHALL be present
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... documentType I0..1stringEducational material document identifier
.... reference I0..1uriEducational material reference pointer
.... publicationDate I0..1dateTimeEducational material publication date
.... presentationDate I0..1dateTimeEducational material presentation date
... programEligibility I0..*CodeableConceptPatient eligibility for a vaccination program
Binding: ImmunizationProgramEligibility (example)
... fundingSource I0..1CodeableConceptFunding source for the vaccine
Binding: ImmunizationFundingSource (example)
... reaction I0..*BackboneElementDetails of a reaction that follows immunization
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... date I0..1dateTimeWhen reaction started
.... detail I0..1Reference(Observation)Additional information on reaction
.... reported I0..1booleanIndicates self-reported reaction
... protocolApplied I0..*BackboneElementProtocol followed by the provider
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... series I0..1stringName of vaccine series
.... authority I0..1Reference(Organization)Who is responsible for publishing the recommendations
.... targetDisease I0..*(Slice Definition)Vaccine preventatable disease being targetted
Slice: Unordered, Open by pattern:$this
Binding: Vaccine Target Diseases - IPS (preferred)
..... targetDisease:targetDiseaseGPSCode SI0..1CodeableConceptCode for a disease the vaccination is against from the SNOMED CT GPS code set.
Binding: Vaccine Target Diseases (GPS) - IPS (required)
.... doseNumber[x] I1..1Dose number within series
..... doseNumberPositiveIntpositiveInt
..... doseNumberStringstring
.... seriesDoses[x] I0..1Recommended number of doses for immunity
..... seriesDosesPositiveIntpositiveInt
..... seriesDosesStringstring

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

Terminology Bindings

PathConformanceValueSet
Immunization.languagepreferredCommonLanguages
Max Binding: AllLanguages
Immunization.statusrequiredImmunizationStatusCodes
Immunization.statusReasonexampleImmunizationStatusReasonCodes
Immunization.vaccineCodepreferredVaccinesUvIps
Immunization.vaccineCode:vaccineGPSCoderequiredVaccinesGpsUvIps
Immunization.vaccineCode:atcClassrequiredWhoAtcUvIps
Immunization.vaccineCode:absentOrUnknownImmunizationrequiredNoImmunizationInfoUvIps
Immunization.patient.typeextensibleResourceType
Immunization.reportOriginexampleImmunizationOriginCodes
Immunization.sitepreferredTargetSiteCodeUvIps
Immunization.routepreferredRouteOfAdminUvIps
Immunization.performer.functionextensibleImmunizationFunctionCodes
Immunization.reasonCodeexampleImmunizationReasonCodes
Immunization.subpotentReasonexampleImmunizationSubpotentReason
Immunization.programEligibilityexampleImmunizationProgramEligibility
Immunization.fundingSourceexampleImmunizationFundingSource
Immunization.protocolApplied.targetDiseasepreferredTargetDiseasesUvIps
Immunization.protocolApplied.targetDisease:targetDiseaseGPSCoderequiredTargetDiseasesGpsUvIps

Constraints

Constraints

IdPathDetailsRequirements
dom-2ImmunizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3ImmunizationIf 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-4ImmunizationIf 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-5ImmunizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6ImmunizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1Immunization.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Immunization.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Immunization.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Immunization.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Immunization.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.statusReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.vaccineCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.vaccineCode:vaccineGPSCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.vaccineCode:atcClassAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.vaccineCode:absentOrUnknownImmunizationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.patientAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.patient.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Immunization.patient.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Immunization.patient.referenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.patient.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.patient.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.patient.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.occurrence[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.occurrence[x].extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Immunization.occurrence[x].extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Immunization.occurrence[x].extension:data-absent-reasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Immunization.occurrence[x].extension:data-absent-reasonMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Immunization.recordedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.primarySourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.reportOriginAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.locationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.manufacturerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.lotNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.expirationDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.siteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.routeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.doseQuantityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.performerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.performer.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Immunization.performer.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Immunization.performer.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Immunization.performer.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Immunization.performer.functionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.performer.actorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.reasonCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.reasonReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.isSubpotentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.subpotentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.educationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
imm-1Immunization.educationOne of documentType or reference SHALL be present
: documentType.exists() or reference.exists()
ele-1Immunization.education.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Immunization.education.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Immunization.education.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Immunization.education.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Immunization.education.documentTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.education.referenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.education.publicationDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.education.presentationDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.programEligibilityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.fundingSourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.reactionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.reaction.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Immunization.reaction.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Immunization.reaction.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Immunization.reaction.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Immunization.reaction.dateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.reaction.detailAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.reaction.reportedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.protocolAppliedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.protocolApplied.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Immunization.protocolApplied.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Immunization.protocolApplied.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Immunization.protocolApplied.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Immunization.protocolApplied.seriesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.protocolApplied.authorityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.protocolApplied.targetDiseaseAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.protocolApplied.targetDisease:targetDiseaseGPSCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.protocolApplied.doseNumber[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Immunization.protocolApplied.seriesDoses[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())