NAPKON-BIH\Covid Vaccination

NAPKONBIH - Local Development build (v0.1.0). See the Directory of published versions

Resource Profile: Covid Vaccination

Defining URL:

https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/covid-vaccination

Version:

0.1.0

Name:

CovidVaccination

Title:

Covid Vaccination

Status:

Active as of 2021-10-19T22:00:24+00:00

Definition:

COVID-19 vaccination event

Publisher:

BIH @ Charité

Source Resource:

XML / JSON / Turtle

The official URL for this profile is:

https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/covid-vaccination

Formal Views of Profile Content

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

Text Summary
Differential Table
Snapshot Table
Snapshot Table (Must Support)
All

This structure is derived from Immunization

Summary

Mandatory: 3 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

This structure is derived from Immunization

Name	Flags	Card.	Type	Description & Constraints
Immunization	I	0..*	Immunization	Immunization event information immunization-status-reason-if-not-done: If status is set to #not-done, a statusReason must be supplied
statusReason		0..1	CodeableConcept	Reason not done Binding: covid-vaccination-contraindications (required)
vaccineCode
coding:napkon		0..*	Coding	Code defined by a terminology system Binding: CovidVaccinationCodes (required)
lotNumber	SI	0..1	string	Vaccine lot number must-exist-if-vaccination-performed: This item must be specified if the vaccination was performed
reasonCode	SI	1..1	CodeableConcept	Why immunization occurred Binding: Covid Vaccination Reasons (required) codeable-concept-text-present-if-code-other: If codeableConcept.coding is set to SNOMED CT 'Other (qualifier value)', a string in codeableConcept.text must be supplied to identify the value of 'other'
reaction
detail		0..1	Reference(Vaccination Injection Site Pain Rest \| Vaccination Injection Site Pain Movement \| Vaccination Injection Site Erythema \| Vaccination Injection Site Swelling \| Body Temperature After Vaccination \| Allergic Reaction To Vaccination)	Additional information on reaction
protocolApplied		1..*	BackboneElement	Protocol followed by the provider
targetDisease		1..*	CodeableConcept	Vaccine preventatable disease being targetted Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20210731
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 840539006
display		1..1	string	Representation defined by the system Fixed Value: Disease caused by Severe acute respiratory syndrome coronavirus 2 (disorder)
doseNumberPositiveInt		1..1	positiveInt	Dose number within series
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Immunization	I	0..*	Immunization	Immunization event information immunization-status-reason-if-not-done: If status is set to #not-done, a statusReason must be supplied
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
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
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: covid-vaccination-contraindications (required)
vaccineCode	SΣ	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
Slices for 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 pattern:$this
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system Binding: VaccinesSNOMED (extensible): SNOMED Vaccine Codes Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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:atc	SΣ	0..1	Coding	Code defined by a terminology system Binding: VaccinesATC (extensible): ATC Vaccine Codes Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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:pzn	SΣ	0..1	Coding	Code defined by a terminology system Binding: PZN (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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:absentOrUnknownImmunization	SΣ	0..1	Coding	Code defined by a terminology system Binding: Absent or Unknown Immunization - IPS (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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:napkon	Σ	0..*	Coding	Code defined by a terminology system Binding: CovidVaccinationCodes (required)
text	Σ	0..1	string	Plain text representation of the concept
patient	SΣI	1..1	Reference(Patient)	Who was immunized
encounter	I	0..1	Reference(Encounter)	Encounter immunization was part of
Slices for occurrence[x]	SΣ	1..1		Vaccine administration date Slice: Unordered, Open by type:$this
occurrenceDateTime			dateTime
occurrenceString			string
occurrence[x]:occurrenceDateTime	SΣ	0..1	dateTime	Vaccine administration date
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	I	0..1	Reference(Location)	Where immunization occurred
manufacturer	I	0..1	Reference(Organization)	Vaccine manufacturer
lotNumber	SI	0..1	string	Vaccine lot number must-exist-if-vaccination-performed: This item must be specified if the vaccination was performed
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.
route		0..1	CodeableConcept	How vaccine entered body Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.
doseQuantity	I	0..1	SimpleQuantity	Amount of vaccine administered
performer	Σ	0..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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	ΣI	1..1	Reference(Practitioner \| PractitionerRole \| Organization)	Individual or organization who was performing
note	Σ	0..*	Annotation	Additional immunization notes
reasonCode	SI	1..1	CodeableConcept	Why immunization occurred Binding: Covid Vaccination Reasons (required) codeable-concept-text-present-if-code-other: If codeableConcept.coding is set to SNOMED CT 'Other (qualifier value)', a string in codeableConcept.text must be supplied to identify the value of 'other'
reasonReference	I	0..*	Reference(Condition \| 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	I	0..*	BackboneElement	Educational material presented to patient
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date		0..1	dateTime	When reaction started
detail	I	0..1	Reference(Vaccination Injection Site Pain Rest \| Vaccination Injection Site Pain Movement \| Vaccination Injection Site Erythema \| Vaccination Injection Site Swelling \| Body Temperature After Vaccination \| Allergic Reaction To Vaccination)	Additional information on reaction
reported		0..1	boolean	Indicates self-reported reaction
protocolApplied	S	1..*	BackboneElement	Protocol followed by the provider
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
series		0..1	string	Name of vaccine series
authority	I	0..1	Reference(Organization)	Who is responsible for publishing the recommendations
targetDisease	S	1..*	CodeableConcept	Vaccine preventatable disease being targetted Binding: https://fhir.kbv.de/ValueSet/KBV_VS_MIO_Vaccination_TargetDisease (extensible): The vaccine preventable disease the dose is being administered for. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20210731
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 840539006
display		1..1	string	Representation defined by the system Fixed Value: Disease caused by Severe acute respiratory syndrome coronavirus 2 (disorder)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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
Slices for doseNumber[x]		1..1	positiveInt	Dose number within series Slice: Unordered, Closed by type:$this
doseNumber[x]:doseNumberPositiveInt		1..1	positiveInt	Dose number within series
seriesDoses[x]		0..1		Recommended number of doses for immunity
seriesDosesPositiveInt			positiveInt
seriesDosesString			string
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Immunization	I	0..*	Immunization	Immunization event information immunization-status-reason-if-not-done: If status is set to #not-done, a statusReason must be supplied
vaccineCode	Σ	1..1	CodeableConcept	Vaccine product administered Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.
coding:snomed	Σ	0..1	Coding	Code defined by a terminology system Binding: VaccinesSNOMED (extensible): SNOMED Vaccine Codes Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:atc	Σ	0..1	Coding	Code defined by a terminology system Binding: VaccinesATC (extensible): ATC Vaccine Codes Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
coding:pzn	Σ	0..1	Coding	Code defined by a terminology system Binding: PZN (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
coding:absentOrUnknownImmunization	Σ	0..1	Coding	Code defined by a terminology system Binding: Absent or Unknown Immunization - IPS (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
patient	ΣI	1..1	Reference(Patient)	Who was immunized
Slices for occurrence[x]	Σ	1..1		Vaccine administration date Slice: Unordered, Open by type:$this
occurrenceDateTime			dateTime
occurrenceString			string
occurrence[x]:occurrenceDateTime	Σ	0..1	dateTime	Vaccine administration date
lotNumber	I	0..1	string	Vaccine lot number must-exist-if-vaccination-performed: This item must be specified if the vaccination was performed
reasonCode	I	1..1	CodeableConcept	Why immunization occurred Binding: Covid Vaccination Reasons (required) codeable-concept-text-present-if-code-other: If codeableConcept.coding is set to SNOMED CT 'Other (qualifier value)', a string in codeableConcept.text must be supplied to identify the value of 'other'
protocolApplied		1..*	BackboneElement	Protocol followed by the provider
targetDisease		1..*	CodeableConcept	Vaccine preventatable disease being targetted Binding: https://fhir.kbv.de/ValueSet/KBV_VS_MIO_Vaccination_TargetDisease (extensible): The vaccine preventable disease the dose is being administered for. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20210731
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 840539006
display		1..1	string	Representation defined by the system Fixed Value: Disease caused by Severe acute respiratory syndrome coronavirus 2 (disorder)
coding	Σ	1..1	Coding	Code defined by a terminology system
Documentation for this format

This structure is derived from Immunization

Summary

Mandatory: 3 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from Immunization

Name	Flags	Card.	Type	Description & Constraints
Immunization	I	0..*	Immunization	Immunization event information immunization-status-reason-if-not-done: If status is set to #not-done, a statusReason must be supplied
statusReason		0..1	CodeableConcept	Reason not done Binding: covid-vaccination-contraindications (required)
vaccineCode
coding:napkon		0..*	Coding	Code defined by a terminology system Binding: CovidVaccinationCodes (required)
lotNumber	SI	0..1	string	Vaccine lot number must-exist-if-vaccination-performed: This item must be specified if the vaccination was performed
reasonCode	SI	1..1	CodeableConcept	Why immunization occurred Binding: Covid Vaccination Reasons (required) codeable-concept-text-present-if-code-other: If codeableConcept.coding is set to SNOMED CT 'Other (qualifier value)', a string in codeableConcept.text must be supplied to identify the value of 'other'
reaction
detail		0..1	Reference(Vaccination Injection Site Pain Rest \| Vaccination Injection Site Pain Movement \| Vaccination Injection Site Erythema \| Vaccination Injection Site Swelling \| Body Temperature After Vaccination \| Allergic Reaction To Vaccination)	Additional information on reaction
protocolApplied		1..*	BackboneElement	Protocol followed by the provider
targetDisease		1..*	CodeableConcept	Vaccine preventatable disease being targetted Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20210731
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 840539006
display		1..1	string	Representation defined by the system Fixed Value: Disease caused by Severe acute respiratory syndrome coronavirus 2 (disorder)
doseNumberPositiveInt		1..1	positiveInt	Dose number within series
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Immunization	I	0..*	Immunization	Immunization event information immunization-status-reason-if-not-done: If status is set to #not-done, a statusReason must be supplied
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
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
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: covid-vaccination-contraindications (required)
vaccineCode	SΣ	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
Slices for 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 pattern:$this
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system Binding: VaccinesSNOMED (extensible): SNOMED Vaccine Codes Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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:atc	SΣ	0..1	Coding	Code defined by a terminology system Binding: VaccinesATC (extensible): ATC Vaccine Codes Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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:pzn	SΣ	0..1	Coding	Code defined by a terminology system Binding: PZN (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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:absentOrUnknownImmunization	SΣ	0..1	Coding	Code defined by a terminology system Binding: Absent or Unknown Immunization - IPS (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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:napkon	Σ	0..*	Coding	Code defined by a terminology system Binding: CovidVaccinationCodes (required)
text	Σ	0..1	string	Plain text representation of the concept
patient	SΣI	1..1	Reference(Patient)	Who was immunized
encounter	I	0..1	Reference(Encounter)	Encounter immunization was part of
Slices for occurrence[x]	SΣ	1..1		Vaccine administration date Slice: Unordered, Open by type:$this
occurrenceDateTime			dateTime
occurrenceString			string
occurrence[x]:occurrenceDateTime	SΣ	0..1	dateTime	Vaccine administration date
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	I	0..1	Reference(Location)	Where immunization occurred
manufacturer	I	0..1	Reference(Organization)	Vaccine manufacturer
lotNumber	SI	0..1	string	Vaccine lot number must-exist-if-vaccination-performed: This item must be specified if the vaccination was performed
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.
route		0..1	CodeableConcept	How vaccine entered body Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.
doseQuantity	I	0..1	SimpleQuantity	Amount of vaccine administered
performer	Σ	0..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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	ΣI	1..1	Reference(Practitioner \| PractitionerRole \| Organization)	Individual or organization who was performing
note	Σ	0..*	Annotation	Additional immunization notes
reasonCode	SI	1..1	CodeableConcept	Why immunization occurred Binding: Covid Vaccination Reasons (required) codeable-concept-text-present-if-code-other: If codeableConcept.coding is set to SNOMED CT 'Other (qualifier value)', a string in codeableConcept.text must be supplied to identify the value of 'other'
reasonReference	I	0..*	Reference(Condition \| 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	I	0..*	BackboneElement	Educational material presented to patient
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date		0..1	dateTime	When reaction started
detail	I	0..1	Reference(Vaccination Injection Site Pain Rest \| Vaccination Injection Site Pain Movement \| Vaccination Injection Site Erythema \| Vaccination Injection Site Swelling \| Body Temperature After Vaccination \| Allergic Reaction To Vaccination)	Additional information on reaction
reported		0..1	boolean	Indicates self-reported reaction
protocolApplied	S	1..*	BackboneElement	Protocol followed by the provider
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
series		0..1	string	Name of vaccine series
authority	I	0..1	Reference(Organization)	Who is responsible for publishing the recommendations
targetDisease	S	1..*	CodeableConcept	Vaccine preventatable disease being targetted Binding: https://fhir.kbv.de/ValueSet/KBV_VS_MIO_Vaccination_TargetDisease (extensible): The vaccine preventable disease the dose is being administered for. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20210731
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 840539006
display		1..1	string	Representation defined by the system Fixed Value: Disease caused by Severe acute respiratory syndrome coronavirus 2 (disorder)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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
Slices for doseNumber[x]		1..1	positiveInt	Dose number within series Slice: Unordered, Closed by type:$this
doseNumber[x]:doseNumberPositiveInt		1..1	positiveInt	Dose number within series
seriesDoses[x]		0..1		Recommended number of doses for immunity
seriesDosesPositiveInt			positiveInt
seriesDosesString			string
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet / Code
Immunization.language	preferred	CommonLanguages Max Binding: AllLanguages
Immunization.status	required	ImmunizationStatusCodes
Immunization.statusReason	required	CovidVaccinationContraindications
Immunization.vaccineCode	example	VaccineAdministeredValueSet
Immunization.vaccineCode.coding:snomed	extensible	Pattern: SNOMED CT code null
Immunization.vaccineCode.coding:atc	extensible	Pattern: null
Immunization.vaccineCode.coding:pzn	required	Pattern: null
Immunization.vaccineCode.coding:absentOrUnknownImmunization	required	Pattern: null
Immunization.vaccineCode.coding:napkon	required	CovidVaccinationCodes
Immunization.reportOrigin	example	ImmunizationOriginCodes
Immunization.site	example	CodesForImmunizationSiteOfAdministration
Immunization.route	example	ImmunizationRouteCodes
Immunization.performer.function	extensible	ImmunizationFunctionCodes
Immunization.reasonCode	required	CovidVaccinationReasons
Immunization.subpotentReason	example	ImmunizationSubpotentReason
Immunization.programEligibility	example	ImmunizationProgramEligibility
Immunization.fundingSource	example	ImmunizationFundingSource
Immunization.protocolApplied.targetDisease	extensible	Pattern: SNOMED CT code 840539006("Disease caused by Severe acute respiratory syndrome coronavirus 2 (disorder)")

Constraints

Id	Path	Details	Requirements
dom-2	Immunization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-4	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-3	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-6	Immunization	A resource should have narrative for robust management : text.`div`.exists()
dom-5	Immunization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
immunization-status-reason-if-not-done	Immunization	If status is set to #not-done, a statusReason must be supplied : (status = 'not-done') implies statusReason.exists()
ele-1	Immunization.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Immunization.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Immunization.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Immunization.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Immunization.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.statusReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Immunization.vaccineCode.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Immunization.vaccineCode.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:snomed	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:snomed.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Immunization.vaccineCode.coding:snomed.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Immunization.vaccineCode.coding:snomed.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:snomed.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:snomed.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:snomed.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:snomed.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:atc	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:atc.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Immunization.vaccineCode.coding:atc.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Immunization.vaccineCode.coding:atc.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:atc.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:atc.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:atc.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:atc.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:pzn	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:pzn.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Immunization.vaccineCode.coding:pzn.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Immunization.vaccineCode.coding:pzn.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:pzn.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:pzn.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:pzn.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:pzn.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:absentOrUnknownImmunization	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:absentOrUnknownImmunization.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Immunization.vaccineCode.coding:absentOrUnknownImmunization.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Immunization.vaccineCode.coding:absentOrUnknownImmunization.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:absentOrUnknownImmunization.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:absentOrUnknownImmunization.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:absentOrUnknownImmunization.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:absentOrUnknownImmunization.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.coding:napkon	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.vaccineCode.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.patient	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ref-1	Immunization.patient	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
ele-1	Immunization.encounter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ref-1	Immunization.encounter	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
ele-1	Immunization.occurrence[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.occurrence[x]:occurrenceDateTime	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.recorded	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.primarySource	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.reportOrigin	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.location	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ref-1	Immunization.location	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
ele-1	Immunization.manufacturer	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ref-1	Immunization.manufacturer	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
ele-1	Immunization.lotNumber	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
must-exist-if-vaccination-performed	Immunization.lotNumber	This item must be specified if the vaccination was performed : (status = 'completed') implies $this.exists()
ele-1	Immunization.expirationDate	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.site	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.route	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.doseQuantity	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
qty-3	Immunization.doseQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	Immunization.doseQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()
ele-1	Immunization.performer	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.performer.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Immunization.performer.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Immunization.performer.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Immunization.performer.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Immunization.performer.function	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.performer.actor	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ref-1	Immunization.performer.actor	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
ele-1	Immunization.note	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.reasonCode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
codeable-concept-text-present-if-code-other	Immunization.reasonCode	If codeableConcept.coding is set to SNOMED CT 'Other (qualifier value)', a string in codeableConcept.text must be supplied to identify the value of 'other' : (coding.system = 'http://snomed.info/sct' and coding.code = '74964007') implies text.exists()
ele-1	Immunization.reasonReference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ref-1	Immunization.reasonReference	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
ele-1	Immunization.isSubpotent	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.subpotentReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.education	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
imm-1	Immunization.education	One of documentType or reference SHALL be present : documentType.exists() or reference.exists()
ele-1	Immunization.education.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Immunization.education.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Immunization.education.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Immunization.education.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Immunization.education.documentType	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.education.reference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.education.publicationDate	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.education.presentationDate	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.programEligibility	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.fundingSource	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.reaction	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.reaction.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Immunization.reaction.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Immunization.reaction.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Immunization.reaction.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Immunization.reaction.date	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.reaction.detail	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ref-1	Immunization.reaction.detail	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
ele-1	Immunization.reaction.reported	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.protocolApplied	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.protocolApplied.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Immunization.protocolApplied.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Immunization.protocolApplied.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Immunization.protocolApplied.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Immunization.protocolApplied.series	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.protocolApplied.authority	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ref-1	Immunization.protocolApplied.authority	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
ele-1	Immunization.protocolApplied.targetDisease	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.protocolApplied.targetDisease.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Immunization.protocolApplied.targetDisease.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Immunization.protocolApplied.targetDisease.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.protocolApplied.targetDisease.coding.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Immunization.protocolApplied.targetDisease.coding.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Immunization.protocolApplied.targetDisease.coding.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.protocolApplied.targetDisease.coding.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.protocolApplied.targetDisease.coding.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.protocolApplied.targetDisease.coding.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.protocolApplied.targetDisease.coding.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.protocolApplied.targetDisease.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.protocolApplied.doseNumber[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.protocolApplied.doseNumber[x]:doseNumberPositiveInt	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Immunization.protocolApplied.seriesDoses[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())