<status value="draft" /> <date value="2026-01-09" /> <publisher value="HL7 Canada - FHIR Implementation Work Group" /> <contact> <telecom> <system value="url" /> <value value="https://infocentral.infoway-inforoute.ca/en/collaboration/wg/fhir-implementations" /> </telecom> </contact> <description value="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 value="urn:iso:std:iso:3166" /> <code value="CA" /> </coding> </jurisdiction> <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> <kind value="resource" /> <abstract value="false" /> <type value="ImmunizationRecommendation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation" /> <derivation value="constraint" /> <differential> <element id="ImmunizationRecommendation"> <path value="ImmunizationRecommendation" /> <short value="ImmunizationRecommendation Profile" /> <definition value="The ImmunizationRecommendation Profile is based upon the core FHIR ImmunizationRecommendation Resource" /> </element> <element id="ImmunizationRecommendation.patient"> <path value="ImmunizationRecommendation.patient" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient" /> </type> </element> <element id="ImmunizationRecommendation.authority"> <path value="ImmunizationRecommendation.authority" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization" /> </type> </element> <element id="ImmunizationRecommendation.recommendation.vaccineCode"> <path value="ImmunizationRecommendation.recommendation.vaccineCode" /> <comment value="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 value="preferred" /> <valueSet value="https://cvc.canimmunize.ca/v3/ValueSet/Generic" /> </binding> </element> <element id="ImmunizationRecommendation.recommendation.vaccineCode.coding"> <path value="ImmunizationRecommendation.recommendation.vaccineCode.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="ImmunizationRecommendation.recommendation.vaccineCode.coding:Generic"> <path value="ImmunizationRecommendation.recommendation.vaccineCode.coding" /> <sliceName value="Generic" /> <comment value="CA Baseline Usage Notes: either a Generic code or a Tradename code or both have to be present." /> <max value="1" /> <binding> <strength value="preferred" /> <valueSet value="https://cvc.canimmunize.ca/v3/ValueSet/Generic" /> </binding> </element> <element id="ImmunizationRecommendation.recommendation.vaccineCode.coding:Tradename"> <path value="ImmunizationRecommendation.recommendation.vaccineCode.coding" /> <sliceName value="Tradename" /> <comment value="CA Baseline Usage Notes: either a Generic code or a Tradename code or both have to be present." /> <max value="1" /> <binding> <strength value="preferred" /> <valueSet value="https://cvc.canimmunize.ca/v3/ValueSet/Tradename" /> </binding> </element> <element id="ImmunizationRecommendation.recommendation.targetDisease"> <path value="ImmunizationRecommendation.recommendation.targetDisease" /> <binding> <strength value="preferred" /> <valueSet value="https://cvc.canimmunize.ca/v3/ValueSet/Disease" /> </binding> </element> <element id="ImmunizationRecommendation.recommendation.forecastStatus"> <path value="ImmunizationRecommendation.recommendation.forecastStatus" /> <binding> <strength value="preferred" /> <valueSet value="https://cvc.canimmunize.ca/v3/ValueSet/ForecastStatus" /> </binding> </element> <element id="ImmunizationRecommendation.recommendation.supportingImmunization"> <path value="ImmunizationRecommendation.recommendation.supportingImmunization" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-immunization" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationEvaluation" /> </type> </element> </differential> </StructureDefinition>