Finnish Implementation Guide for SMART App Launch
2.0.0-rc1 - ballot

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## Resource Profile: FI SMART Immunization

Official URL: https://hl7.fi/fhir/finnish-smart/StructureDefinition/fi-smart-immunization | Version: 2.0.0-rc1
Draft as of 2025-02-06 | Computable Name: FiSMARTImmunization

This is the Finnish patient facing profile for the Immunization resource.

Usage:

- This Resource Profile is not used by any profiles in this Implementation Guide

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Immunization |  | 0..* | FiBaseImmunization | Immunization event information This profile also imposes the profile IPA-Immunization dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension |  |  |  | Content/Rules for all slices
vaccinationRecorder |  | 0..1 | Reference(FI Base Practitioner) | Vaccination recorder may not be the same person who performed the addministration. URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/vaccination-recorder ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status | ?!Σ | 1..1 | code | completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. ele-1: All FHIR elements must have a @value or children
vaccineCode | Σ | 1..1 | CodeableConcept | Vaccine product administered Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered. ele-1: All FHIR elements must have a @value or children
Slices for coding | Σ | 0..* | Coding | Defining administered product or substance by using ATC or VNR code. Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:ATC | Σ | 0..1 | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system | Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: urn:oid:1.2.246.537.6.32
coding:VNR | Σ | 0..1 | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system | Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: urn:oid:1.2.246.537.6.55
patient | Σ | 1..1 | Reference(FI Base Patient) | Who was immunized ele-1: All FHIR elements must have a @value or children
occurrence[x] | Σ | 1..1 |  | Vaccine administration date ele-1: All FHIR elements must have a @value or children
occurrenceDateTime |  |  | dateTime |
occurrenceString |  |  | string |
isSubpotent | ?!Σ | 0..1 | boolean | Dose potency ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Immunization.status | required | ImmunizationStatusCodes `http://hl7.org/fhir/ValueSet/immunization-status|4.0.1` from the FHIR Standard
Immunization.vaccineCode | example | VaccineAdministeredValueSet `http://hl7.org/fhir/ValueSet/vaccine-code` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Immunization | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Immunization | 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 | error | Immunization | 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 | error | Immunization | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Immunization | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from FiBaseImmunization

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Immunization |  | 0..* | FiBaseImmunization | Immunization event information This profile also imposes the profile IPA-Immunization
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Immunization |  | 0..* | FiBaseImmunization | Immunization event information This profile also imposes the profile IPA-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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
vaccinationRecorder |  | 0..1 | Reference(FI Base Practitioner) | Vaccination recorder may not be the same person who performed the addministration. URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/vaccination-recorder
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | Business identifier
status | ?!Σ | 1..1 | code | completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
statusReason |  | 0..1 | CodeableConcept | Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.
vaccineCode | Σ | 1..1 | CodeableConcept | Vaccine product administered Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Defining administered product or substance by using ATC or VNR code. Slice: Unordered, Open by value:system
coding:ATC | Σ | 0..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.246.537.6.32
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:VNR | Σ | 0..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.246.537.6.55
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Insert product name.
patient | Σ | 1..1 | Reference(FI Base Patient) | Who was immunized
encounter |  | 0..1 | Reference(FI Base Encounter) | Encounter immunization was part of
occurrence[x] | Σ | 1..1 |  | Vaccine administration date
occurrenceDateTime |  |  | dateTime |
occurrenceString |  |  | string |
recorded |  | 0..1 | dateTime | When the immunization was first captured in the subject's record
primarySource | Σ | 0..1 | boolean | Indicates context the data was recorded in
reportOrigin |  | 0..1 | CodeableConcept | Indicates 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..1 | Reference(FI Base Location) | Where immunization occurred
manufacturer |  | 0..1 | Reference(FI Base Organization) | Vaccine manufacturer
lotNumber |  | 0..1 | string | Vaccine lot number
expirationDate |  | 0..1 | date | Vaccine expiration date
site |  | 0..1 | CodeableConcept | Body site vaccine was administered Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:Vaccination-site | Σ | 0..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.246.537.6.110
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
route |  | 0..1 | CodeableConcept | How vaccine entered body Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:Vaccination-route | Σ | 0..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.246.537.6.111
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
doseQuantity |  | 0..1 | SimpleQuantity | Amount of vaccine administered
performer | Σ | 0..* | BackboneElement | Who performed event
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
function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
actor | Σ | 1..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Organization) | Individual or organization who was performing
note | Σ | 0..* | Annotation | Additional immunization notes
reasonCode |  | 0..* | CodeableConcept | Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
reasonReference |  | 0..* | Reference(FI Base Condition | FI Base Observation | DiagnosticReport) | Why immunization occurred
isSubpotent | ?!Σ | 0..1 | boolean | Dose potency
subpotentReason |  | 0..* | CodeableConcept | Reason for being subpotent Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.
education | C | 0..* | BackboneElement | Educational material presented to patient imm-1: One of documentType or reference 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
documentType |  | 0..1 | string | Educational material document identifier
reference |  | 0..1 | uri | Educational material reference pointer
publicationDate |  | 0..1 | dateTime | Educational material publication date
presentationDate |  | 0..1 | dateTime | Educational material presentation date
programEligibility |  | 0..* | CodeableConcept | Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.
fundingSource |  | 0..1 | CodeableConcept | Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
reaction |  | 0..* | BackboneElement | Details of a reaction that follows 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
date |  | 0..1 | dateTime | When reaction started
detail |  | 0..1 | Reference(FI Base Observation) | Reference to contained Observation resource. The contained Observation has relevant diagnose codes.
reported |  | 0..1 | boolean | Indicates self-reported reaction
protocolApplied |  | 0..* | BackboneElement | Protocol followed by the provider
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
series |  | 0..1 | string | Name of vaccine series
authority |  | 0..1 | Reference(FI Base Organization) | Who is responsible for publishing the recommendations
targetDisease |  | 0..* | CodeableConcept | Vaccine preventatable disease being targetted Binding: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Vaccine preventatable disease being targetted defined by using THL code system Slice: Unordered, Open by value:system
coding:THL-code | Σ | 0..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.246.537.6.609
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
doseNumber[x] |  | 1..1 |  | Dose number within series
doseNumberPositiveInt |  |  | positiveInt |
doseNumberString |  |  | string |
seriesDoses[x] |  | 0..1 |  | Recommended number of doses for immunity
seriesDosesPositiveInt |  |  | positiveInt |
seriesDosesString |  |  | string |
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Immunization.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Immunization.status | required | ImmunizationStatusCodes `http://hl7.org/fhir/ValueSet/immunization-status|4.0.1` from the FHIR Standard
Immunization.statusReason | example | ImmunizationStatusReasonCodes `http://hl7.org/fhir/ValueSet/immunization-status-reason` from the FHIR Standard
Immunization.vaccineCode | example | VaccineAdministeredValueSet `http://hl7.org/fhir/ValueSet/vaccine-code` from the FHIR Standard
Immunization.reportOrigin | example | ImmunizationOriginCodes `http://hl7.org/fhir/ValueSet/immunization-origin` from the FHIR Standard
Immunization.site | example | CodesForImmunizationSiteOfAdministration `http://hl7.org/fhir/ValueSet/immunization-site` from the FHIR Standard
Immunization.route | example | ImmunizationRouteCodes `http://hl7.org/fhir/ValueSet/immunization-route` from the FHIR Standard
Immunization.performer.function | extensible | ImmunizationFunctionCodes `http://hl7.org/fhir/ValueSet/immunization-function` from the FHIR Standard
Immunization.reasonCode | example | ImmunizationReasonCodes `http://hl7.org/fhir/ValueSet/immunization-reason` from the FHIR Standard
Immunization.subpotentReason | example | ImmunizationSubpotentReason `http://hl7.org/fhir/ValueSet/immunization-subpotent-reason` from the FHIR Standard
Immunization.programEligibility | example | ImmunizationProgramEligibility `http://hl7.org/fhir/ValueSet/immunization-program-eligibility` from the FHIR Standard
Immunization.fundingSource | example | ImmunizationFundingSource `http://hl7.org/fhir/ValueSet/immunization-funding-source` from the FHIR Standard
Immunization.protocolApplied.targetDisease | example | ImmunizationTargetDiseaseCodes `http://hl7.org/fhir/ValueSet/immunization-target-disease` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Immunization | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Immunization | 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 | error | Immunization | 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 | error | Immunization | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Immunization | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
imm-1 | error | Immunization.education | One of documentType or reference SHALL be present : documentType.exists() or reference.exists() |

This structure is derived from FiBaseImmunization

Summary

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Immunization |  | 0..* | FiBaseImmunization | Immunization event information This profile also imposes the profile IPA-Immunization dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension |  |  |  | Content/Rules for all slices
vaccinationRecorder |  | 0..1 | Reference(FI Base Practitioner) | Vaccination recorder may not be the same person who performed the addministration. URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/vaccination-recorder ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status | ?!Σ | 1..1 | code | completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. ele-1: All FHIR elements must have a @value or children
vaccineCode | Σ | 1..1 | CodeableConcept | Vaccine product administered Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered. ele-1: All FHIR elements must have a @value or children
Slices for coding | Σ | 0..* | Coding | Defining administered product or substance by using ATC or VNR code. Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:ATC | Σ | 0..1 | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system | Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: urn:oid:1.2.246.537.6.32
coding:VNR | Σ | 0..1 | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system | Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: urn:oid:1.2.246.537.6.55
patient | Σ | 1..1 | Reference(FI Base Patient) | Who was immunized ele-1: All FHIR elements must have a @value or children
occurrence[x] | Σ | 1..1 |  | Vaccine administration date ele-1: All FHIR elements must have a @value or children
occurrenceDateTime |  |  | dateTime |
occurrenceString |  |  | string |
isSubpotent | ?!Σ | 0..1 | boolean | Dose potency ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Immunization.status | required | ImmunizationStatusCodes `http://hl7.org/fhir/ValueSet/immunization-status|4.0.1` from the FHIR Standard
Immunization.vaccineCode | example | VaccineAdministeredValueSet `http://hl7.org/fhir/ValueSet/vaccine-code` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Immunization | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Immunization | 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 | error | Immunization | 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 | error | Immunization | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Immunization | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

Differential View

This structure is derived from FiBaseImmunization

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Immunization |  | 0..* | FiBaseImmunization | Immunization event information This profile also imposes the profile IPA-Immunization
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Immunization |  | 0..* | FiBaseImmunization | Immunization event information This profile also imposes the profile IPA-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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
vaccinationRecorder |  | 0..1 | Reference(FI Base Practitioner) | Vaccination recorder may not be the same person who performed the addministration. URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/vaccination-recorder
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | Business identifier
status | ?!Σ | 1..1 | code | completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
statusReason |  | 0..1 | CodeableConcept | Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.
vaccineCode | Σ | 1..1 | CodeableConcept | Vaccine product administered Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Defining administered product or substance by using ATC or VNR code. Slice: Unordered, Open by value:system
coding:ATC | Σ | 0..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.246.537.6.32
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:VNR | Σ | 0..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.246.537.6.55
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Insert product name.
patient | Σ | 1..1 | Reference(FI Base Patient) | Who was immunized
encounter |  | 0..1 | Reference(FI Base Encounter) | Encounter immunization was part of
occurrence[x] | Σ | 1..1 |  | Vaccine administration date
occurrenceDateTime |  |  | dateTime |
occurrenceString |  |  | string |
recorded |  | 0..1 | dateTime | When the immunization was first captured in the subject's record
primarySource | Σ | 0..1 | boolean | Indicates context the data was recorded in
reportOrigin |  | 0..1 | CodeableConcept | Indicates 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..1 | Reference(FI Base Location) | Where immunization occurred
manufacturer |  | 0..1 | Reference(FI Base Organization) | Vaccine manufacturer
lotNumber |  | 0..1 | string | Vaccine lot number
expirationDate |  | 0..1 | date | Vaccine expiration date
site |  | 0..1 | CodeableConcept | Body site vaccine was administered Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:Vaccination-site | Σ | 0..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.246.537.6.110
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
route |  | 0..1 | CodeableConcept | How vaccine entered body Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:Vaccination-route | Σ | 0..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.246.537.6.111
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
doseQuantity |  | 0..1 | SimpleQuantity | Amount of vaccine administered
performer | Σ | 0..* | BackboneElement | Who performed event
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
function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
actor | Σ | 1..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Organization) | Individual or organization who was performing
note | Σ | 0..* | Annotation | Additional immunization notes
reasonCode |  | 0..* | CodeableConcept | Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
reasonReference |  | 0..* | Reference(FI Base Condition | FI Base Observation | DiagnosticReport) | Why immunization occurred
isSubpotent | ?!Σ | 0..1 | boolean | Dose potency
subpotentReason |  | 0..* | CodeableConcept | Reason for being subpotent Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.
education | C | 0..* | BackboneElement | Educational material presented to patient imm-1: One of documentType or reference 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
documentType |  | 0..1 | string | Educational material document identifier
reference |  | 0..1 | uri | Educational material reference pointer
publicationDate |  | 0..1 | dateTime | Educational material publication date
presentationDate |  | 0..1 | dateTime | Educational material presentation date
programEligibility |  | 0..* | CodeableConcept | Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.
fundingSource |  | 0..1 | CodeableConcept | Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
reaction |  | 0..* | BackboneElement | Details of a reaction that follows 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
date |  | 0..1 | dateTime | When reaction started
detail |  | 0..1 | Reference(FI Base Observation) | Reference to contained Observation resource. The contained Observation has relevant diagnose codes.
reported |  | 0..1 | boolean | Indicates self-reported reaction
protocolApplied |  | 0..* | BackboneElement | Protocol followed by the provider
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
series |  | 0..1 | string | Name of vaccine series
authority |  | 0..1 | Reference(FI Base Organization) | Who is responsible for publishing the recommendations
targetDisease |  | 0..* | CodeableConcept | Vaccine preventatable disease being targetted Binding: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Vaccine preventatable disease being targetted defined by using THL code system Slice: Unordered, Open by value:system
coding:THL-code | Σ | 0..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.246.537.6.609
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
doseNumber[x] |  | 1..1 |  | Dose number within series
doseNumberPositiveInt |  |  | positiveInt |
doseNumberString |  |  | string |
seriesDoses[x] |  | 0..1 |  | Recommended number of doses for immunity
seriesDosesPositiveInt |  |  | positiveInt |
seriesDosesString |  |  | string |
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Immunization.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Immunization.status | required | ImmunizationStatusCodes `http://hl7.org/fhir/ValueSet/immunization-status|4.0.1` from the FHIR Standard
Immunization.statusReason | example | ImmunizationStatusReasonCodes `http://hl7.org/fhir/ValueSet/immunization-status-reason` from the FHIR Standard
Immunization.vaccineCode | example | VaccineAdministeredValueSet `http://hl7.org/fhir/ValueSet/vaccine-code` from the FHIR Standard
Immunization.reportOrigin | example | ImmunizationOriginCodes `http://hl7.org/fhir/ValueSet/immunization-origin` from the FHIR Standard
Immunization.site | example | CodesForImmunizationSiteOfAdministration `http://hl7.org/fhir/ValueSet/immunization-site` from the FHIR Standard
Immunization.route | example | ImmunizationRouteCodes `http://hl7.org/fhir/ValueSet/immunization-route` from the FHIR Standard
Immunization.performer.function | extensible | ImmunizationFunctionCodes `http://hl7.org/fhir/ValueSet/immunization-function` from the FHIR Standard
Immunization.reasonCode | example | ImmunizationReasonCodes `http://hl7.org/fhir/ValueSet/immunization-reason` from the FHIR Standard
Immunization.subpotentReason | example | ImmunizationSubpotentReason `http://hl7.org/fhir/ValueSet/immunization-subpotent-reason` from the FHIR Standard
Immunization.programEligibility | example | ImmunizationProgramEligibility `http://hl7.org/fhir/ValueSet/immunization-program-eligibility` from the FHIR Standard
Immunization.fundingSource | example | ImmunizationFundingSource `http://hl7.org/fhir/ValueSet/immunization-funding-source` from the FHIR Standard
Immunization.protocolApplied.targetDisease | example | ImmunizationTargetDiseaseCodes `http://hl7.org/fhir/ValueSet/immunization-target-disease` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Immunization | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Immunization | 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 | error | Immunization | 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 | error | Immunization | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Immunization | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
imm-1 | error | Immunization.education | One of documentType or reference SHALL be present : documentType.exists() or reference.exists() |

This structure is derived from FiBaseImmunization

Summary

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