<status value="active" /> <experimental value="false" /> <date value="2026-02-06" /> <publisher value="NHS Wales" /> <copyright value="2026 NHS Wales." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Immunization" /> <baseDefinition value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Immunization" /> <derivation value="constraint" /> <differential> <element id="Immunization.extension:parentPresent"> <path value="Immunization.extension" /> <sliceName value="parentPresent" /> <mustSupport value="false" /> </element> <element id="Immunization.extension:vaccinationProcedure"> <path value="Immunization.extension" /> <sliceName value="vaccinationProcedure" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-VaccinationProcedure" /> </binding> </element> <element id="Immunization.extension:immunizationBasedOnR5"> <path value="Immunization.extension" /> <sliceName value="immunizationBasedOnR5" /> <type> <code value="Extension" /> <profile value="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-Immunization.basedOn" /> </type> <isModifier value="false" /> </element> <element id="Immunization.extension:administeredProduct"> <path value="Immunization.extension" /> <sliceName value="administeredProduct" /> <type> <code value="Extension" /> <profile value="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-AdministeredProduct" /> </type> <isModifier value="false" /> </element> <element id="Immunization.extension:forecastCreationSource"> <path value="Immunization.extension" /> <sliceName value="forecastCreationSource" /> <type> <code value="Extension" /> <profile value="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-ForecastCreationSource" /> </type> <isModifier value="false" /> </element> <element id="Immunization.extension:dateProcedureLastUpdated"> <path value="Immunization.extension" /> <sliceName value="dateProcedureLastUpdated" /> <type> <code value="Extension" /> <profile value="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DateProcedureLastUpdated" /> </type> <isModifier value="false" /> </element> <element id="Immunization.identifier"> <path value="Immunization.identifier" /> <mustSupport value="true" /> </element> <element id="Immunization.identifier.system"> <path value="Immunization.identifier.system" /> <min value="1" /> </element> <element id="Immunization.identifier.value"> <path value="Immunization.identifier.value" /> <min value="1" /> </element> <element id="Immunization.statusReason"> <path value="Immunization.statusReason" /> <mustSupport value="true" /> </element> <element id="Immunization.statusReason.coding"> <path value="Immunization.statusReason.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Immunization.statusReason.coding.system"> <path value="Immunization.statusReason.coding.system" /> <min value="1" /> </element> <element id="Immunization.statusReason.coding.code"> <path value="Immunization.statusReason.coding.code" /> <min value="1" /> </element> <element id="Immunization.statusReason.coding.display"> <path value="Immunization.statusReason.coding.display" /> <min value="1" /> </element> <element id="Immunization.vaccineCode.coding"> <path value="Immunization.vaccineCode.coding" /> <mustSupport value="true" /> </element> <element id="Immunization.vaccineCode.coding.system"> <path value="Immunization.vaccineCode.coding.system" /> <min value="1" /> </element> <element id="Immunization.vaccineCode.coding.code"> <path value="Immunization.vaccineCode.coding.code" /> <min value="1" /> </element> <element id="Immunization.vaccineCode.coding.display"> <path value="Immunization.vaccineCode.coding.display" /> <min value="1" /> </element> <element id="Immunization.patient"> <path value="Immunization.patient" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Patient" /> </type> </element> <element id="Immunization.patient.identifier.system"> <path value="Immunization.patient.identifier.system" /> <min value="1" /> <fixedUri value="https://fhir.nhs.uk/Id/nhs-number" /> </element> <element id="Immunization.patient.identifier.value"> <path value="Immunization.patient.identifier.value" /> <min value="1" /> </element> <element id="Immunization.encounter"> <path value="Immunization.encounter" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Encounter" /> </type> </element> <element id="Immunization.occurrence[x]"> <path value="Immunization.occurrence[x]" /> <type> <code value="dateTime" /> </type> </element> <element id="Immunization.recorded"> <path value="Immunization.recorded" /> <mustSupport value="true" /> </element> <element id="Immunization.reportOrigin"> <path value="Immunization.reportOrigin" /> <mustSupport value="true" /> </element> <element id="Immunization.location"> <path value="Immunization.location" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Location" /> </type> <mustSupport value="true" /> </element> <element id="Immunization.manufacturer"> <path value="Immunization.manufacturer" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization" /> </type> </element> <element id="Immunization.manufacturer.display"> <path value="Immunization.manufacturer.display" /> <min value="1" /> </element> <element id="Immunization.expirationDate"> <path value="Immunization.expirationDate" /> <mustSupport value="true" /> </element> <element id="Immunization.site"> <path value="Immunization.site" /> <mustSupport value="true" /> </element> <element id="Immunization.site.coding"> <path value="Immunization.site.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Immunization.site.coding.code"> <path value="Immunization.site.coding.code" /> <min value="1" /> </element> <element id="Immunization.site.coding.display"> <path value="Immunization.site.coding.display" /> <min value="1" /> </element> <element id="Immunization.route"> <path value="Immunization.route" /> <mustSupport value="true" /> </element> <element id="Immunization.performer"> <path value="Immunization.performer" /> <mustSupport value="true" /> </element> <element id="Immunization.performer.actor"> <path value="Immunization.performer.actor" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Practitioner" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PractitionerRole" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization" /> </type> </element> <element id="Immunization.performer.actor.type"> <path value="Immunization.performer.actor.type" /> <min value="1" /> </element> <element id="Immunization.performer.actor.identifier.system"> <path value="Immunization.performer.actor.identifier.system" /> <min value="1" /> </element> <element id="Immunization.performer.actor.identifier.value"> <path value="Immunization.performer.actor.identifier.value" /> <min value="1" /> </element> <element id="Immunization.note.author[x]"> <path value="Immunization.note.author[x]" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Practitioner" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Patient" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-RelatedPerson" /> </type> <type> <code value="string" /> </type> </element> <element id="Immunization.reasonCode"> <path value="Immunization.reasonCode" /> <mustSupport value="true" /> </element> <element id="Immunization.reasonCode.coding"> <path value="Immunization.reasonCode.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Immunization.reasonCode.coding.system"> <path value="Immunization.reasonCode.coding.system" /> <min value="1" /> </element> <element id="Immunization.reasonCode.coding.code"> <path value="Immunization.reasonCode.coding.code" /> <min value="1" /> </element> <element id="Immunization.reasonCode.coding.display"> <path value="Immunization.reasonCode.coding.display" /> <min value="1" /> </element> <element id="Immunization.reasonReference"> <path value="Immunization.reasonReference" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Condition" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Observation" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-DiagnosticReport" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-ImmunizationRecommendation" /> </type> </element> <element id="Immunization.reaction.detail"> <path value="Immunization.reaction.detail" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Observation" /> </type> </element> <element id="Immunization.protocolApplied"> <path value="Immunization.protocolApplied" /> <mustSupport value="true" /> </element> <element id="Immunization.protocolApplied.authority"> <path value="Immunization.protocolApplied.authority" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization" /> </type> </element> <element id="Immunization.protocolApplied.targetDisease"> <path value="Immunization.protocolApplied.targetDisease" /> <mustSupport value="true" /> <binding> <strength value="example" /> <description value="(work in progress) The vaccine preventable disease the dose is being administered for." /> </binding> </element> </differential> </StructureDefinition>