<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="02bfa3ad-4130-4ac6-a64e-a4f34fffb6a3" />
  <meta>
    <versionId value="26" />
    <lastUpdated value="2026-05-04T23:00:55.1282856+00:00" />
  </meta>
  <url value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Immunization" />
  <name value="Immunization" />
  <status value="draft" />
  <date value="2022-02-04T19:50:20.0867005+00:00" />
  <fhirVersion value="4.0.1" />
  <mapping>
    <identity value="workflow" />
    <uri value="http://hl7.org/fhir/workflow" />
    <name value="Workflow Pattern" />
  </mapping>
  <mapping>
    <identity value="v2" />
    <uri value="http://hl7.org/v2" />
    <name value="HL7 v2 Mapping" />
  </mapping>
  <mapping>
    <identity value="rim" />
    <uri value="http://hl7.org/v3" />
    <name value="RIM Mapping" />
  </mapping>
  <mapping>
    <identity value="w5" />
    <uri value="http://hl7.org/fhir/fivews" />
    <name value="FiveWs Pattern Mapping" />
  </mapping>
  <mapping>
    <identity value="cda" />
    <uri value="http://hl7.org/v3/cda" />
    <name value="CDA (R2)" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="Immunization" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Immunization" />
  <derivation value="constraint" />
  <differential>
    <element id="Immunization">
      <path value="Immunization" />
      <short value="FHIR resource applies for PIR Immunization History" />
      <definition value="FHIR resource applies for PIR Immunization History" />
    </element>
    <element id="Immunization.id">
      <path value="Immunization.id" />
      <short value="PIR Internal Immunization ID" />
      <definition value="PIR Internal Immunization ID" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="source-PIR" />
        <map value="PIR Imms ID" />
      </mapping>
      <mapping>
        <identity value="source-PHSL" />
        <map value="immunizationId" />
      </mapping>
    </element>
    <element id="Immunization.meta">
      <path value="Immunization.meta" />
      <min value="1" />
    </element>
    <element id="Immunization.meta.versionId">
      <path value="Immunization.meta.versionId" />
      <comment value="Apply &quot;2025.01.1&quot;.  This indicates the FHIR Specs as of year 2025 Jan." />
    </element>
    <element id="Immunization.meta.lastUpdated">
      <path value="Immunization.meta.lastUpdated" />
      <comment value="Updated: Relax the previously crossed-out elements." />
    </element>
    <element id="Immunization.meta.profile">
      <path value="Immunization.meta.profile" />
      <comment value="Use 'http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Immunization'" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Immunization.meta.security">
      <path value="Immunization.meta.security" />
      <max value="1" />
    </element>
    <element id="Immunization.meta.tag">
      <path value="Immunization.meta.tag" />
      <max value="1" />
    </element>
    <element id="Immunization.contained">
      <path value="Immunization.contained" />
      <max value="1" />
    </element>
    <element id="Immunization.extension">
      <path value="Immunization.extension" />
      <min value="2" />
    </element>
    <element id="Immunization.extension:antigenDose">
      <path value="Immunization.extension" />
      <sliceName value="antigenDose" />
      <short value="Antgien(s) + Antigen Dose Number + Antigen Dose Status associated with the Agent administered" />
      <definition value="Antgien(s) + Antigen Dose Number + Antigen Dose Status associated with the Agent administered" />
      <type>
        <code value="Extension" />
        <profile value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/immz-antigen" />
      </type>
    </element>
    <element id="Immunization.extension:pIRIdentifierExtension">
      <path value="Immunization.extension" />
      <sliceName value="pIRIdentifierExtension" />
      <type>
        <code value="Extension" />
        <profile value="https://ehealth.bc.ca/fhir/StructureDefinition/bcy-ids-pir-identifier" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Immunization.extension:pIRLockSeqNumberExtension">
      <path value="Immunization.extension" />
      <sliceName value="pIRLockSeqNumberExtension" />
      <type>
        <code value="Extension" />
        <profile value="https://ehealth.bc.ca/fhir/StructureDefinition/bcy-ids-pir-lock-sequence-number" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Immunization.identifier">
      <path value="Immunization.identifier" />
      <short value="PIR internal Immunization Identifier + External Immunization ID from source system(s)" />
      <definition value="PIR Immunization Identifier(s) which include Panorama Internal Immunization ID, External Immunization ID from different source systems)." />
      <min value="1" />
    </element>
    <element id="Immunization.identifier.type">
      <path value="Immunization.identifier.type" />
      <min value="1" />
    </element>
    <element id="Immunization.identifier.type.id">
      <path value="Immunization.identifier.type.id" />
      <max value="0" />
    </element>
    <element id="Immunization.identifier.type.coding">
      <path value="Immunization.identifier.type.coding" />
      <max value="0" />
    </element>
    <element id="Immunization.identifier.type.text">
      <path value="Immunization.identifier.type.text" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="source-PIR" />
        <map value="PANORAMAIMMZID'" />
      </mapping>
      <mapping>
        <identity value="source-NHA" />
        <map value="NHACEDARIMMS" />
      </mapping>
      <mapping>
        <identity value="source-VCH" />
        <map value="VCHPARISIMMS" />
      </mapping>
      <mapping>
        <identity value="source-FHA" />
        <map value="FHAPARISIMMS" />
      </mapping>
      <mapping>
        <identity value="source-PNet" />
        <map value="PHARMANETIMMS" />
      </mapping>
      <mapping>
        <identity value="source-CznSub" />
        <map value="CZNSUBIMMSID" />
      </mapping>
      <mapping>
        <identity value="source-immsBC" />
        <map value="HEALTHCONNECT" />
      </mapping>
      <mapping>
        <identity value="source-eForms" />
        <map value="EFORMIMMSID" />
      </mapping>
    </element>
    <element id="Immunization.identifier.system">
      <path value="Immunization.identifier.system" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="source-PIR" />
        <map value="https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-id" />
      </mapping>
      <mapping>
        <identity value="source-NHA" />
        <map value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-nha" />
      </mapping>
      <mapping>
        <identity value="source-FHA" />
        <map value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-fha" />
      </mapping>
      <mapping>
        <identity value="source-VCH" />
        <map value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-vcha" />
      </mapping>
      <mapping>
        <identity value="source-PNet" />
        <map value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-pharmanet-document-number" />
      </mapping>
      <mapping>
        <identity value="source-CznSub" />
        <map value="https://ehealthbc.ca/NamingSystem/ca-bc-citizen-submission" />
      </mapping>
      <mapping>
        <identity value="source-eForms" />
        <map value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-eForm" />
      </mapping>
      <mapping>
        <identity value="source-immsBC" />
        <map value="https://ehealthbc.ca/NamingSystem/ca-bc-health-connect" />
      </mapping>
    </element>
    <element id="Immunization.identifier.value">
      <path value="Immunization.identifier.value" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="source-PIR" />
        <map value="PIR Immunization ID" />
      </mapping>
      <mapping>
        <identity value="source-FHA" />
        <map value="FHA PARIS Immunization ID" />
      </mapping>
      <mapping>
        <identity value="source-NHA" />
        <map value="NHA CeDaR Immunization ID" />
      </mapping>
      <mapping>
        <identity value="source-VCH" />
        <map value="VCH PARIS Immunization ID" />
      </mapping>
      <mapping>
        <identity value="source-PNet" />
        <map value="PharmaNet Immunization ID" />
      </mapping>
      <mapping>
        <identity value="source-PHSL" />
        <map value="immunizationId" />
      </mapping>
    </element>
    <element id="Immunization.status">
      <path value="Immunization.status" />
      <short value="completed | entered-in-error |" />
      <definition value="Indicates the current status of the immunization record." />
      <comment value="IDS sends &quot;completed&quot; or &quot;entered-in-error&quot; immunization records only." />
    </element>
    <element id="Immunization.vaccineCode">
      <path value="Immunization.vaccineCode" />
      <definition value="Vaccine that was administered." />
    </element>
    <element id="Immunization.vaccineCode.id">
      <path value="Immunization.vaccineCode.id" />
      <max value="0" />
    </element>
    <element id="Immunization.vaccineCode.coding">
      <path value="Immunization.vaccineCode.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="$this" />
        </discriminator>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <min value="1" />
    </element>
    <element id="Immunization.vaccineCode.coding.id">
      <path value="Immunization.vaccineCode.coding.id" />
      <max value="0" />
    </element>
    <element id="Immunization.vaccineCode.coding:AgentNVC">
      <path value="Immunization.vaccineCode.coding" />
      <sliceName value="AgentNVC" />
      <short value="Agent administered" />
      <definition value="Agent code and name  in NVC" />
      <max value="1" />
      <binding>
        <strength value="required" />
        <valueSet value="https://nvc-cnv.canada.ca/fhir/v2/ValueSet/Generic" />
      </binding>
    </element>
    <element id="Immunization.vaccineCode.coding:AgentNVC.id">
      <path value="Immunization.vaccineCode.coding.id" />
      <max value="0" />
    </element>
    <element id="Immunization.vaccineCode.coding:AgentNVC.system">
      <path value="Immunization.vaccineCode.coding.system" />
      <comment value="See Mappings" />
      <min value="1" />
      <patternUri value="http://snomed.info/sct" />
      <mapping>
        <identity value="code-NVC" />
        <map value="https://nvc-cnv.canada.ca" />
      </mapping>
      <mapping>
        <identity value="code-SNOMED" />
        <map value="http://snomed.info/sct" />
      </mapping>
    </element>
    <element id="Immunization.vaccineCode.coding:AgentNVC.version">
      <path value="Immunization.vaccineCode.coding.version" />
      <max value="0" />
    </element>
    <element id="Immunization.vaccineCode.coding:AgentNVC.code">
      <path value="Immunization.vaccineCode.coding.code" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="source-PIR" />
        <map value="BCYREPORTING.RBCY_FN_GET_CONCEPT_CODE(H33_VACCINATION_MASTER_ASIIS_VACC_CODE)" />
      </mapping>
      <mapping>
        <identity value="source-PHSL" />
        <map value="immunizationAgentCode" />
      </mapping>
    </element>
    <element id="Immunization.vaccineCode.coding:AgentNVC.display">
      <path value="Immunization.vaccineCode.coding.display" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="source-PIR" />
        <map value="REPORTING.GET_ITERM_DESC(H33_VACCINATION_MASTER_ASIIS_VACC_CODE)" />
      </mapping>
      <mapping>
        <identity value="source-PHSL" />
        <map value="immunizationAgentDescription" />
      </mapping>
    </element>
    <element id="Immunization.vaccineCode.coding:AgentNVC.userSelected">
      <path value="Immunization.vaccineCode.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Immunization.vaccineCode.coding:AgentPIR">
      <path value="Immunization.vaccineCode.coding" />
      <sliceName value="AgentPIR" />
      <min value="1" />
      <max value="1" />
      <binding>
        <strength value="example" />
        <valueSet value="http://ehealth.bc.ca" />
      </binding>
    </element>
    <element id="Immunization.vaccineCode.coding:AgentPIR.id">
      <path value="Immunization.vaccineCode.coding.id" />
      <max value="0" />
    </element>
    <element id="Immunization.vaccineCode.coding:AgentPIR.system">
      <path value="Immunization.vaccineCode.coding.system" />
      <comment value="See Mappings" />
      <min value="1" />
      <patternUri value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
      <mapping>
        <identity value="code-PIR" />
        <map value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
      </mapping>
    </element>
    <element id="Immunization.vaccineCode.coding:AgentPIR.version">
      <path value="Immunization.vaccineCode.coding.version" />
      <max value="0" />
    </element>
    <element id="Immunization.vaccineCode.coding:AgentPIR.code">
      <path value="Immunization.vaccineCode.coding.code" />
      <min value="1" />
    </element>
    <element id="Immunization.vaccineCode.coding:AgentPIR.display">
      <path value="Immunization.vaccineCode.coding.display" />
      <min value="1" />
    </element>
    <element id="Immunization.vaccineCode.coding:AgentPIR.userSelected">
      <path value="Immunization.vaccineCode.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Immunization.vaccineCode.coding:Tradename">
      <path value="Immunization.vaccineCode.coding" />
      <sliceName value="Tradename" />
      <short value="Tradename administered" />
      <definition value="Tradename of agent administered" />
      <comment value="Tradename of agent administered" />
      <max value="1" />
      <binding>
        <strength value="required" />
        <valueSet value="https://nvc-cnv.canada.ca/fhir/v2/ValueSet/Tradename" />
      </binding>
    </element>
    <element id="Immunization.vaccineCode.coding:Tradename.id">
      <path value="Immunization.vaccineCode.coding.id" />
      <max value="0" />
    </element>
    <element id="Immunization.vaccineCode.coding:Tradename.system">
      <path value="Immunization.vaccineCode.coding.system" />
      <comment value="See Mappings" />
      <min value="1" />
      <patternUri value="http://snomed.info/sct" />
      <mapping>
        <identity value="code-CVC" />
        <map value="https://cvc.canimmunize.ca" />
      </mapping>
      <mapping>
        <identity value="code-SNOMED" />
        <map value="http://snomed.info/sct" />
      </mapping>
    </element>
    <element id="Immunization.vaccineCode.coding:Tradename.version">
      <path value="Immunization.vaccineCode.coding.version" />
      <max value="0" />
    </element>
    <element id="Immunization.vaccineCode.coding:Tradename.code">
      <path value="Immunization.vaccineCode.coding.code" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="source-PIR" />
        <map value="BCYREPORTNG.RBCY_FN_GET_CONCEPT_CODE (H33_VACCINATION_MASTER.ASIIS_VACC_CODE)" />
      </mapping>
      <mapping>
        <identity value="source-PHSL" />
        <map value="tradeName" />
      </mapping>
    </element>
    <element id="Immunization.vaccineCode.coding:Tradename.display">
      <path value="Immunization.vaccineCode.coding.display" />
      <comment value="See Mappings" />
      <mapping>
        <identity value="source-PIR" />
        <map value="REPORTNG.GET_ITERM_DESC(H33_VACCINATION_MASTER.ASIIS_VACC_CODE)" />
      </mapping>
    </element>
    <element id="Immunization.vaccineCode.coding:Tradename.userSelected">
      <path value="Immunization.vaccineCode.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Immunization.vaccineCode.text">
      <path value="Immunization.vaccineCode.text" />
      <comment value="See Mappings" />
      <mapping>
        <identity value="source-PIR" />
        <map value="immunizationAgentCombineDescription" />
      </mapping>
      <mapping>
        <identity value="source-PHSL" />
        <map value="immunizationAgentCombineDescription" />
      </mapping>
    </element>
    <element id="Immunization.patient.id">
      <path value="Immunization.patient.id" />
      <max value="0" />
    </element>
    <element id="Immunization.patient.reference">
      <path value="Immunization.patient.reference" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="source-PIR" />
        <map value="fullURL of Panorama + &quot;Patient'+PIR Client ID" />
      </mapping>
    </element>
    <element id="Immunization.patient.type">
      <path value="Immunization.patient.type" />
      <max value="0" />
    </element>
    <element id="Immunization.patient.identifier">
      <path value="Immunization.patient.identifier" />
      <max value="0" />
    </element>
    <element id="Immunization.patient.display">
      <path value="Immunization.patient.display" />
      <max value="0" />
    </element>
    <element id="Immunization.occurrence[x]">
      <path value="Immunization.occurrence[x]" />
      <definition value="Date vaccine administered" />
      <comment value="See Mappings" />
      <type>
        <code value="dateTime" />
      </type>
      <mapping>
        <identity value="source-PIR" />
        <map value="imms.h33_vaccination_master.vacc_date" />
      </mapping>
      <mapping>
        <identity value="source-PHSL" />
        <map value="vaccDate" />
      </mapping>
    </element>
    <element id="Immunization.occurrence[x].extension:_occurrenceDateTime">
      <path value="Immunization.occurrence[x].extension" />
      <sliceName value="_occurrenceDateTime" />
      <short value="Estimated Flag for Vaccination Date" />
      <definition value="Estimated Flag for Vaccination Date" />
      <comment value="See Mappings" />
      <type>
        <code value="Extension" />
        <profile value="https://ehealthontario.ca/API/FHIR/StructureDefinition/ca-on-extension-estimated-date" />
      </type>
      <mapping>
        <identity value="source-PHSL" />
        <map value="VM.VACC_DATE_ESTIMATED_IND = 'Y" />
      </mapping>
      <mapping>
        <identity value="source-PHSL" />
        <map value="note=&quot;E&quot;" />
      </mapping>
    </element>
    <element id="Immunization.occurrence[x].extension:_occurrenceDateTime.value[x]">
      <path value="Immunization.occurrence[x].extension.value[x]" />
      <comment value="Apply PIR: H33_VACCINATION_MASTER.VACC_DATE" />
    </element>
    <element id="Immunization.location">
      <path value="Immunization.location" />
      <short value="Immunization Service Delivery Location (SDL)" />
      <definition value="Immunization Service Delivery Location (SDL)" />
      <comment value="See Mappings" />
      <mapping>
        <identity value="source-PHSL" />
        <map value="serviceDeliveryLocationName" />
      </mapping>
      <mapping>
        <identity value="source-PIR" />
        <map value="H33_VACCINATION_MASTER.location_id" />
      </mapping>
    </element>
    <element id="Immunization.location.id">
      <path value="Immunization.location.id" />
      <max value="0" />
    </element>
    <element id="Immunization.location.reference">
      <path value="Immunization.location.reference" />
      <comment value="fullURL of Panorama + 'Location' + PIR Loc ID + 'org' + PIR Imms Org ID" />
      <min value="1" />
    </element>
    <element id="Immunization.location.type">
      <path value="Immunization.location.type" />
      <max value="0" />
    </element>
    <element id="Immunization.location.identifier">
      <path value="Immunization.location.identifier" />
      <max value="0" />
    </element>
    <element id="Immunization.location.display">
      <path value="Immunization.location.display" />
      <max value="0" />
    </element>
    <element id="Immunization.lotNumber">
      <path value="Immunization.lotNumber" />
      <comment value="See Mappings" />
      <mapping>
        <identity value="source-PIR" />
        <map value="INV_PRODUCT_LOT_INFO.LOT_NUMBER" />
      </mapping>
      <mapping>
        <identity value="source-PHSL" />
        <map value="lotNumber" />
      </mapping>
    </element>
    <element id="Immunization.site.id">
      <path value="Immunization.site.id" />
      <max value="0" />
    </element>
    <element id="Immunization.site.coding.id">
      <path value="Immunization.site.coding.id" />
      <max value="0" />
    </element>
    <element id="Immunization.site.coding.system">
      <path value="Immunization.site.coding.system" />
      <comment value="Use 'http://snomed.info/sct''" />
    </element>
    <element id="Immunization.site.coding.version">
      <path value="Immunization.site.coding.version" />
      <max value="0" />
    </element>
    <element id="Immunization.site.coding.code">
      <path value="Immunization.site.coding.code" />
      <comment value="Apply SNOMED code" />
    </element>
    <element id="Immunization.site.coding.userSelected">
      <path value="Immunization.site.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Immunization.site.text">
      <path value="Immunization.site.text" />
      <max value="0" />
    </element>
    <element id="Immunization.route.id">
      <path value="Immunization.route.id" />
      <max value="0" />
    </element>
    <element id="Immunization.route.coding.id">
      <path value="Immunization.route.coding.id" />
      <max value="0" />
    </element>
    <element id="Immunization.route.coding.system">
      <path value="Immunization.route.coding.system" />
      <comment value="Use 'http://snomed.info/sct'" />
    </element>
    <element id="Immunization.route.coding.version">
      <path value="Immunization.route.coding.version" />
      <max value="0" />
    </element>
    <element id="Immunization.route.coding.code">
      <path value="Immunization.route.coding.code" />
      <comment value="Apply SNOMED code" />
    </element>
    <element id="Immunization.route.coding.userSelected">
      <path value="Immunization.route.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Immunization.route.text">
      <path value="Immunization.route.text" />
      <max value="0" />
    </element>
    <element id="Immunization.doseQuantity.id">
      <path value="Immunization.doseQuantity.id" />
      <max value="0" />
    </element>
    <element id="Immunization.doseQuantity.value">
      <path value="Immunization.doseQuantity.value" />
      <comment value="See Mappings" />
      <mapping>
        <identity value="source-PIR" />
        <map value="H33_VACCINATION_MASTER.CC_VOLUME" />
      </mapping>
      <mapping>
        <identity value="source-PHSL" />
        <map value="dosage" />
      </mapping>
    </element>
    <element id="Immunization.doseQuantity.unit">
      <path value="Immunization.doseQuantity.unit" />
      <comment value="See Mappings" />
      <mapping>
        <identity value="source-PIR" />
        <map value="H33_VACCINATION_MASTER.DOSAGE_UOM_CNCPT_ID" />
      </mapping>
      <mapping>
        <identity value="source-PHSL" />
        <map value="dosageUOMDescription" />
      </mapping>
    </element>
    <element id="Immunization.doseQuantity.system">
      <path value="Immunization.doseQuantity.system" />
      <max value="0" />
    </element>
    <element id="Immunization.doseQuantity.code">
      <path value="Immunization.doseQuantity.code" />
      <max value="0" />
    </element>
    <element id="Immunization.performer.actor">
      <path value="Immunization.performer.actor" />
      <short value="Provider who administered the vaccine" />
      <definition value="Provider who administered the vaccine" />
    </element>
    <element id="Immunization.performer.actor.reference">
      <path value="Immunization.performer.actor.reference" />
      <comment value="fullURL of Panorama + 'Practitioner' + PIR Provider ID" />
    </element>
    <element id="Immunization.note">
      <path value="Immunization.note" />
      <comment value="See Mappings" />
      <mapping>
        <identity value="source-PIR" />
        <map value="IMMUNIZATION_COMMENT.COMMENT_TEXT" />
      </mapping>
      <mapping>
        <identity value="source-PHSL" />
        <map value="commentText" />
      </mapping>
    </element>
    <element id="Immunization.note.extension">
      <path value="Immunization.note.extension" />
      <min value="2" />
    </element>
    <element id="Immunization.note.extension:pIRIdentifierExtension">
      <path value="Immunization.note.extension" />
      <sliceName value="pIRIdentifierExtension" />
      <type>
        <code value="Extension" />
        <profile value="https://ehealth.bc.ca/fhir/StructureDefinition/bcy-ids-pir-identifier" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Immunization.note.extension:pIRLockSeqNumberExtension">
      <path value="Immunization.note.extension" />
      <sliceName value="pIRLockSeqNumberExtension" />
      <type>
        <code value="Extension" />
        <profile value="https://ehealth.bc.ca/fhir/StructureDefinition/bcy-ids-pir-lock-sequence-number" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Immunization.reasonCode">
      <path value="Immunization.reasonCode" />
      <max value="1" />
    </element>
    <element id="Immunization.reasonReference">
      <path value="Immunization.reasonReference" />
      <max value="1" />
    </element>
    <element id="Immunization.isSubpotent">
      <path value="Immunization.isSubpotent" />
      <definition value="Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent.  If dose potency has been overriden, set to &quot;true&quot;." />
      <comment value="See Mappings" />
      <mapping>
        <identity value="source-PIR" />
        <map value="PIR imms.vaccine_status.status" />
        <comment value="If invalid, &quot;1350752&quot;" />
      </mapping>
      <mapping>
        <identity value="source-PHSL" />
        <map value="note=&quot;O&quot;" />
      </mapping>
    </element>
    <element id="Immunization.subpotentReason">
      <path value="Immunization.subpotentReason" />
      <short value="Reason + Status for being subpotent" />
      <definition value="Reason why a dose is considered to be subpotent and Status." />
      <comment value="See Mappings" />
      <mapping>
        <identity value="source-PIR" />
        <map value="imms.vaccine_status.status_reason" />
      </mapping>
    </element>
    <element id="Immunization.subpotentReason.coding">
      <path value="Immunization.subpotentReason.coding" />
      <min value="1" />
    </element>
    <element id="Immunization.subpotentReason.text">
      <path value="Immunization.subpotentReason.text" />
      <comment value="To be applied when vaccine status = &quot;FI&quot; Forecaster Invalid.&#xD;&#xA;PIR Forecaster invalidated the imms record for the following possible reasons:&#xD;&#xA;1. Non-WHO approved tradename&#xD;&#xA;2. Administered prior to eligibility – interval or age &#xD;&#xA;3. Additional dose resulting from use of multi-antigen agent&#xD;&#xA;4. Client administered with same agent on same day" />
    </element>
    <element id="Immunization.education">
      <path value="Immunization.education" />
      <max value="1" />
    </element>
    <element id="Immunization.programEligibility">
      <path value="Immunization.programEligibility" />
      <max value="1" />
    </element>
    <element id="Immunization.reaction">
      <path value="Immunization.reaction" />
      <max value="1" />
    </element>
    <element id="Immunization.protocolApplied">
      <path value="Immunization.protocolApplied" />
      <short value="Dose Number or Revised Dose Number" />
      <definition value="Dose Number or Revised Dose Number" />
    </element>
    <element id="Immunization.protocolApplied.id">
      <path value="Immunization.protocolApplied.id" />
      <max value="0" />
    </element>
    <element id="Immunization.protocolApplied.series">
      <path value="Immunization.protocolApplied.series" />
      <max value="0" />
    </element>
    <element id="Immunization.protocolApplied.authority">
      <path value="Immunization.protocolApplied.authority" />
      <max value="0" />
    </element>
    <element id="Immunization.protocolApplied.targetDisease">
      <path value="Immunization.protocolApplied.targetDisease" />
      <max value="0" />
    </element>
    <element id="Immunization.protocolApplied.doseNumber[x]">
      <path value="Immunization.protocolApplied.doseNumber[x]" />
      <definition value="Nominal position in a series based on Antigen." />
      <comment value="Dose Number based on Antigen Level.  See Mappings" />
      <type>
        <code value="string" />
      </type>
      <mapping>
        <identity value="source-PIR" />
        <map value="BCYREPORTNG.RBCY_FN_GET_AGENT_DOSE_NUM(VM.IMMUNIZATION_ID)" />
      </mapping>
      <mapping>
        <identity value="source-PHSL" />
        <map value="agentDoseNumber" />
      </mapping>
    </element>
    <element id="Immunization.protocolApplied.doseNumber[x].extension:_doseNumber">
      <path value="Immunization.protocolApplied.doseNumber[x].extension" />
      <sliceName value="_doseNumber" />
      <short value="Revised Dose Number + Reason + comments" />
      <definition value="Revised Dose Number + Reason + comments" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/immz-revise-dose" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Immunization.protocolApplied.seriesDoses[x]">
      <path value="Immunization.protocolApplied.seriesDoses[x]" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>