<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="us-core-immunization" />
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
          <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://build.fhir.org/formats.html#table" title="The logical name of the element">Name</a>
          </th>
          <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://build.fhir.org/formats.html#table" title="Information about the use of the element">Flags</a>
          </th>
          <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://build.fhir.org/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a>
          </th>
          <th style="width: 100px" class="hierarchy">
            <a href="http://build.fhir.org/formats.html#table" title="Reference to the type of the element">Type</a>
          </th>
          <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://build.fhir.org/formats.html#table" title="Additional information about the element">Description &amp; Constraints</a>
            <span style="float: right">
              <a href="http://build.fhir.org/formats.html#table" title="Legend for this format">
                <img src="http://build.fhir.org/help16.png" alt="doco" style="background-color: inherit" />
              </a>
            </span>
          </th>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
            <a href="StructureDefinition-us-core-immunization-definitions.html#Immunization" title="The US Core Immunization Profile is based upon the core FHIR Immunization Resource and created to meet the 2015 Edition Common Clinical Data Set 'Immunizations' requirements.">Immunization</a>
            <a name="Immunization"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">0</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">*</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">US Core Immunization Profile</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy" />
            <a href="StructureDefinition-us-core-immunization-definitions.html#Immunization.status">status</a>
            <a name="Immunization.status"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">1</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">1</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#code">code</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="font-weight:bold">Binding: </span>
            <a href="http://build.fhir.org/valueset-immunization-status.html">Immunization Status Codes</a> (<a href="http://build.fhir.org/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set">required</a>)</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy" />
            <a href="StructureDefinition-us-core-immunization-definitions.html#Immunization.notGiven">notGiven</a>
            <a name="Immunization.notGiven"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">1</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">1</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#boolean">boolean</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
            <a href="StructureDefinition-us-core-immunization-definitions.html#Immunization.vaccineCode">vaccineCode</a>
            <a name="Immunization.vaccineCode"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span>
            <span style="padding: 3px" title="This element has or is affected by some invariants">I</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">1</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">1</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Vaccine Product Type (bind to CVX)<br /><span style="font-weight:bold">Binding: </span><a href="ValueSet-us-core-cvx.html">Vaccine Administered Value Set (CVX)</a> (<a href="http://build.fhir.org/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)<br /><span style="font-weight:bold">us-core-1: </span>SHOULD have a translation to the NDC value set</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy" />
            <a href="StructureDefinition-us-core-immunization-definitions.html#Immunization.patient">patient</a>
            <a name="Immunization.patient"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">1</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">1</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://build.fhir.org/references.html">Reference</a>(<a href="StructureDefinition-us-core-patient.html">US Core Patient Profile</a>)</td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy" />
            <a href="StructureDefinition-us-core-immunization-definitions.html#Immunization.date">date</a>
            <a name="Immunization.date"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#dateTime">dateTime</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy" />
            <a href="StructureDefinition-us-core-immunization-definitions.html#Immunization.primarySource">primarySource</a>
            <a name="Immunization.primarySource"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">1</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">1</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#boolean">boolean</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr>
          <td colspan="5" class="hierarchy">
            <br />
            <a href="http://build.fhir.org/formats.html#table" title="Legend for this format">
              <img src="http://build.fhir.org/help16.png" alt="doco" style="background-color: inherit" /> Documentation for this format</a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <url value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" />
  <version value="1.0.0" />
  <name value="US  Core Immunization Profile" />
  <status value="draft" />
  <date value="2016-08-01" />
  <publisher value="HL7 US Realm Steering Committee" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://www.healthit.gov" />
    </telecom>
  </contact>
  <fhirVersion value="3.1.0" />
  <mapping>
    <identity value="quick" />
    <uri value="http://unknown.org/QUICK" />
    <name value="QUICK" />
  </mapping>
  <mapping>
    <identity value="argonaut-dq-dstu2" />
    <uri value="http://unknown.org/Argonaut DQ DSTU2" />
    <name value="Argonaut DQ DSTU2" />
  </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/w5" />
    <name value="W5 Mapping" />
  </mapping>
  <mapping>
    <identity value="workflow" />
    <uri value="http://hl7.org/fhir/workflow" />
    <name value="Workflow 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="US Core Immunization Profile" />
      <definition value="The US Core Immunization Profile is based upon the core FHIR Immunization Resource and created to meet the 2015 Edition Common Clinical Data Set 'Immunizations' requirements." />
      <mustSupport value="false" />
      <isModifier value="false" />
      <mapping>
        <identity value="quick" />
        <map value="ImmunizationPerformanceOccurrence" />
      </mapping>
      <mapping>
        <identity value="argonaut-dq-dstu2" />
        <map value="Immunization" />
      </mapping>
      <mapping>
        <identity value="quick" />
        <map value="ImmunizationPerformanceOccurrence" />
      </mapping>
    </element>
    <element id="Immunization.status">
      <path value="Immunization.status" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="code" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <binding>
        <strength value="required" />
        <description value="Constrained list of immunizaiotn status" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/immunization-status" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="argonaut-dq-dstu2" />
        <map value="Immunization.status" />
      </mapping>
    </element>
    <element id="Immunization.notGiven">
      <path value="Immunization.notGiven" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="boolean" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <mapping>
        <identity value="argonaut-dq-dstu2" />
        <map value="Immunization.wasNotGiven" />
      </mapping>
    </element>
    <element id="Immunization.vaccineCode">
      <path value="Immunization.vaccineCode" />
      <short value="Vaccine Product Type (bind to CVX)" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <key value="us-core-1" />
        <severity value="warning" />
        <human value="SHOULD have a translation to the NDC value set" />
        <expression value="coding.where(system='http://hl7.org/fhir/sid/ndc').empty()" />
        <xpath value="not(exists(f:coding/f:system[@value='http://hl7.org/fhir/sid/ndc']))" />
      </constraint>
      <mustSupport value="true" />
      <isModifier value="false" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/us/core/ValueSet/us-core-cvx" />
          </valueReference>
        </extension>
        <strength value="extensible" />
        <description value="The CVX (vaccine administered) code system" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/us/core/ValueSet/us-core-cvx" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="quick" />
        <map value="vaccine" />
      </mapping>
      <mapping>
        <identity value="argonaut-dq-dstu2" />
        <map value="Immunization.vaccineCode" />
      </mapping>
      <mapping>
        <identity value="quick" />
        <map value="vaccine" />
      </mapping>
    </element>
    <element id="Immunization.patient">
      <path value="Immunization.patient" />
      <alias value="Patient" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <mapping>
        <identity value="quick" />
        <map value="subject" />
      </mapping>
      <mapping>
        <identity value="argonaut-dq-dstu2" />
        <map value="Immunization.patient" />
      </mapping>
      <mapping>
        <identity value="quick" />
        <map value="subject" />
      </mapping>
    </element>
    <element id="Immunization.date">
      <path value="Immunization.date" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <mapping>
        <identity value="quick" />
        <map value="performanceTime" />
      </mapping>
      <mapping>
        <identity value="argonaut-dq-dstu2" />
        <map value="Immunization.date" />
      </mapping>
      <mapping>
        <identity value="quick" />
        <map value="performanceTime" />
      </mapping>
    </element>
    <element id="Immunization.primarySource">
      <path value="Immunization.primarySource" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="boolean" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <mapping>
        <identity value="quick" />
        <map value="reported" />
      </mapping>
      <mapping>
        <identity value="argonaut-dq-dstu2" />
        <map value="Immunization.reported" />
      </mapping>
      <mapping>
        <identity value="quick" />
        <map value="reported" />
      </mapping>
    </element>
  </differential>
</StructureDefinition>