{
  "resourceType": "StructureDefinition",
  "id": "profile-immunizationrecommendation",
  "url": "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-immunizationrecommendation",
  "version": "0.2.2",
  "name": "ImmunizationRecommendationProfile",
  "title": "ImmunizationRecommendation Profile",
  "status": "draft",
  "date": "2026-01-09",
  "publisher": "HL7 Canada - FHIR Implementation Work Group",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://infocentral.infoway-inforoute.ca/en/collaboration/wg/fhir-implementations"
        }
      ]
    }
  ],
  "description": "Proposed constraints and extensions on the ImmunizationRecommendation resource.  Generated as a first step toward creating a set of Canadian Baseline FHIR profiles.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "CA"
        }
      ]
    }
  ],
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "ImmunizationRecommendation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "ImmunizationRecommendation",
        "path": "ImmunizationRecommendation",
        "short": "ImmunizationRecommendation Profile",
        "definition": "The ImmunizationRecommendation Profile is based upon the core FHIR ImmunizationRecommendation Resource"
      },
      {
        "id": "ImmunizationRecommendation.patient",
        "path": "ImmunizationRecommendation.patient",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient"
            ]
          }
        ]
      },
      {
        "id": "ImmunizationRecommendation.authority",
        "path": "ImmunizationRecommendation.authority",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization"
            ]
          }
        ]
      },
      {
        "id": "ImmunizationRecommendation.recommendation.vaccineCode",
        "path": "ImmunizationRecommendation.recommendation.vaccineCode",
        "comment": "CA Core Usage Notes: the assumption is that ImmunizationRecommendation (forecast) is always on the level of a generic vaccine code and/or target disease. TBD: to confirm that there is no use case when an ImmunizationRecommendation needs to be on the vaccine tradename level (e.g. there is no sitation when a 2nd dose has to be of the same tradename as the 1st dose).",
        "binding": {
          "strength": "preferred",
          "valueSet": "https://cvc.canimmunize.ca/v3/ValueSet/Generic"
        }
      },
      {
        "id": "ImmunizationRecommendation.recommendation.vaccineCode.coding",
        "path": "ImmunizationRecommendation.recommendation.vaccineCode.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            },
            {
              "type": "value",
              "path": "code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "ImmunizationRecommendation.recommendation.vaccineCode.coding:Generic",
        "path": "ImmunizationRecommendation.recommendation.vaccineCode.coding",
        "sliceName": "Generic",
        "comment": "CA Baseline Usage Notes: either a Generic code or a Tradename code or both have to be present.",
        "max": "1",
        "binding": {
          "strength": "preferred",
          "valueSet": "https://cvc.canimmunize.ca/v3/ValueSet/Generic"
        }
      },
      {
        "id": "ImmunizationRecommendation.recommendation.vaccineCode.coding:Tradename",
        "path": "ImmunizationRecommendation.recommendation.vaccineCode.coding",
        "sliceName": "Tradename",
        "comment": "CA Baseline Usage Notes: either a Generic code or a Tradename code or both have to be present.",
        "max": "1",
        "binding": {
          "strength": "preferred",
          "valueSet": "https://cvc.canimmunize.ca/v3/ValueSet/Tradename"
        }
      },
      {
        "id": "ImmunizationRecommendation.recommendation.targetDisease",
        "path": "ImmunizationRecommendation.recommendation.targetDisease",
        "binding": {
          "strength": "preferred",
          "valueSet": "https://cvc.canimmunize.ca/v3/ValueSet/Disease"
        }
      },
      {
        "id": "ImmunizationRecommendation.recommendation.forecastStatus",
        "path": "ImmunizationRecommendation.recommendation.forecastStatus",
        "binding": {
          "strength": "preferred",
          "valueSet": "https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus"
        }
      },
      {
        "id": "ImmunizationRecommendation.recommendation.supportingImmunization",
        "path": "ImmunizationRecommendation.recommendation.supportingImmunization",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-immunization",
              "http://hl7.org/fhir/StructureDefinition/ImmunizationEvaluation"
            ]
          }
        ]
      }
    ]
  }
}