BCY Immunization Distribution Service Implementation Guide

AdverseEvent

The AdverseEvent FHIR resource is for immunization AEFI

AdverseEvent	I		AdverseEvent	Element id AdverseEvent Short description FHIR resource applies for PIR AEFI Alternate names AE Definition FHIR resource applies for PIR AEFI Data type AdverseEvent Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() Mappings rim: Entity. Role, or Act
id	Σ	1..1	string	Element id AdverseEvent.id Short description PIR Internal AEFI ID Definition PIR Internal AEFI Identifier Comments See Mappings Data type string Mappings source-PIR: IMMS.ADVERSE_EVENT.ADVERSE_EVENT_ID source-PHSL: adverseEventId
meta	Σ	1..1	Meta	There are no (further) constraints on this element Element id AdverseEvent.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	There are no (further) constraints on this element Element id AdverseEvent.meta.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.meta.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
versionId	Σ	0..1	id	Element id AdverseEvent.meta.versionId Short description Version specific identifier Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments Apply "2025.01.1". This indicates the FHIR Specs as of year 2025 January. Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
lastUpdated	Σ	0..1	instant	Element id AdverseEvent.meta.lastUpdated Short description When the resource version last changed Definition When the resource last changed - e.g. when the version changed. Comments Updated: Relax the previously crossed-out elements. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
source	Σ	0..1	uri	There are no (further) constraints on this element Element id AdverseEvent.meta.source Short description Identifies where the resource comes from Definition A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. Comments In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
profile	Σ	1..1	canonical(StructureDefinition)	Element id AdverseEvent.meta.profile Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments Apply "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AdverseEvent" Data type canonical(StructureDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
security	Σ	0..1	CodingBinding	There are no (further) constraints on this element Element id AdverseEvent.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
tag	Σ	0..1	Coding	There are no (further) constraints on this element Element id AdverseEvent.meta.tag Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id AdverseEvent.implicitRules Short description A set of rules under which this content was created Definition A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Comments Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
language		0..1	codeBinding	There are no (further) constraints on this element Element id AdverseEvent.language Short description Language of the resource content Definition The base language in which the resource is written. Comments Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
text		0..1	Narrative	There are no (further) constraints on this element Element id AdverseEvent.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Comments Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: Act.text?
contained		0..1	Resource	There are no (further) constraints on this element Element id AdverseEvent.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. Data type Resource Mappings rim: N/A
extension	I	0..*	Extension	Element id AdverseEvent.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
AEFIpublicHealthRecomm	I	0..*	Extension(Complex)	Element id AdverseEvent.extension:AEFIpublicHealthRecomm Short description Public Health Recommendation(s) for AEFI Alternate names extensions, user content Definition Public Health Recommendation(s) for AEFI Comments Version 2024.4: Send DateTime for element phrDate. Data type Extension(Complex) Extension URL http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AEFI-publicHealth-recomm Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A rim: n/a
id		0..0	string	There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
phrRecommendations	I	0..*	Extension	Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations Short description AEFI Public Health Recommendations Alternate names extensions, user content Definition AEFI Public Health Recommendations Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a source-PIR: NOCHANGE_CD_CNCPT_ID source-PHSL: pubHealthRecomm
id		0..0	string	There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value phrRecommendations Mappings rim: N/A
value[x]		1..1		There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueAnnotation			Annotation	There are no (further) constraints on this element Data type Annotation
id		0..0	string	There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations.value[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations.value[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
author[x]	Σ	0..0		There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations.value[x].author[x] Short description Individual responsible for the annotation Definition The individual responsible for making the annotation. Comments Organization is used when there's no need for specific attribution as to who made the comment. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: N/A rim: Act.participant[typeCode=AUT].role
time	Σ	0..0	dateTime	There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations.value[x].time Short description When the annotation was made Definition Indicates when this particular annotation was made. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: N/A rim: Act.effectiveTime
text	Σ	1..1	markdown	There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations.value[x].text Short description The annotation - text content (as markdown) Definition The text of the annotation in markdown format. Comments NOCHANGE_CD_CNCPT_ID EXPERTREF_CD_CNCPT_ID DETPROTANT_CD_CNCPT_ID CONTROLSETIMM_CD_CNCPT_ID NOFURTHER_CD_CNCPT_ID OTHER_CD_CNCPT_ID ACTIVEFOLLOWUP_CD_CNCPT_ID NOTHING_CD_CNCPT_ID Data type markdown Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: N/A rim: Act.text
phrDate	I	0..*	Extension	Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrDate Short description AEFI Public Health Recommendations Date Alternate names extensions, user content Definition AEFI Public Health Recommendations Date Comments See Mappings Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a source-PIR: REPORTNG.AE_EVENT_RECOMMENDATION.CREATED_ON source-PHSL: pubDate
id		0..0	string	There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrDate.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrDate.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrDate.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value phrDate Mappings rim: N/A
value[x]		1..1		There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrDate.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments See Mappings Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A source-PIR: REPORTNG.AE_EVENT_RECOMMENDATION.CREATED_ON
valueDateTime			dateTime	There are no (further) constraints on this element Data type dateTime
phrComment	I	0..*	Extension	Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrComment Short description AEFI Public Health Recommendations Comments Alternate names extensions, user content Definition AEFI Public Health Recommendations Comments Comments See Mappings Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a source-PIR: IMMUNIZATION_COMMENT.COMMENT_TEXT source-PHSL: phrComment
id		0..0	string	There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrComment.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrComment.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrComment.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value phrComment Mappings rim: N/A
value[x]		1..1		There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrComment.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments See Mappings. Only applies to adverse event recommendation comment types, i.e.,where reportng.ae_event_recommendation.ae_event_recommendation_id = immunization_comment.row_id AND comment_type = 'AE' AND comment_subtype = 'RECOMM' Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A source-PIR: IMMUNIZATION_COMMENT.COMMENT_TEXT
valueString			string	There are no (further) constraints on this element Data type string
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AEFI-publicHealth-recomm Mappings rim: N/A
value[x]		0..0		There are no (further) constraints on this element Element id AdverseEvent.extension:AEFIpublicHealthRecomm.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
identifier	Σ	1..1	Identifier	Element id AdverseEvent.identifier Short description PIR Internal AEFI ID + External AEFI ID from source system(s) Definition PIR Internal AEFI ID + External AEFI ID from source system(s) Requirements Allows identification of the adverse event as it is known by various participating systems and in a way that remains consistent across servers. Comments This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..0	string	There are no (further) constraints on this element Element id AdverseEvent.identifier.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.identifier.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
use	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id AdverseEvent.identifier.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: N/A rim: Role.code or implied by context
type	Σ	1..1	CodeableConceptBinding	There are no (further) constraints on this element Element id AdverseEvent.identifier.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.5 rim: Role.code or implied by context
id		0..0	string	There are no (further) constraints on this element Element id AdverseEvent.identifier.type.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.identifier.type.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	Σ	0..0	Coding	There are no (further) constraints on this element Element id AdverseEvent.identifier.type.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
text	Σ	1..1	string	Element id AdverseEvent.identifier.type.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments See Mappings Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText source-PIR: PANORAMAIMMZAEFIID
system	Σ	1..1	uri	Element id AdverseEvent.identifier.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments See Mappings Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType source-PIR: https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-AEFI-id
value	Σ	1..1	string	Element id AdverseEvent.identifier.value Short description The value that is unique Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments See Mappings Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value source-PIR: IMMS.ADVERSE_EVENT.ADVERSE_EVENT_ID source-PHSL: adverseEventId
period	Σ	0..0	Period	There are no (further) constraints on this element Element id AdverseEvent.identifier.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	0..0	Reference(Organization)	There are no (further) constraints on this element Element id AdverseEvent.identifier.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
actuality	Σ ?!	1..1	codeBinding	Element id AdverseEvent.actuality Short description actual \| potential Definition Whether the event actually happened, or just had the potential to. Comments Apply "actual" for PIR. Data type code Binding Overall nature of the adverse event, e.g. real or potential. AdverseEventActuality (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.class
id		0..1	string	There are no (further) constraints on this element Element id AdverseEvent.actuality.id Short description xml:id (or equivalent in JSON) Definition unique id for the element within a resource (for internal references) Data type string
extension	I	1..*	Extension	Element id AdverseEvent.actuality.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
_actuality	I	1..1	Extension(Complex)	Element id AdverseEvent.actuality.extension:_actuality Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments To apply for AEFI status and delete reason Data type Extension(Complex) Extension URL http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AEFI-status-reason Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
id		0..0	string	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	1..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
AEFIstatus	I	1..1	Extension	Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus Short description AEFI Status Alternate names extensions, user content Definition AEFI Status Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
id		0..0	string	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value AEFIstatus Mappings rim: N/A
value[x]		1..1		There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data type CodeableConcept
id		0..0	string	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	Σ	1..1	Coding	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..0	string	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	Σ	1..1	uri	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments See Mappings Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem source-PIR: https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code
version	Σ	0..0	string	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	code	Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments See Mappings Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code source-PIR: ADVERSE_EVENT.STATUS_CODED_CNCPT_ID source-PHSL: status
display	Σ	0..1	string	Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments See MAppings Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName source-PIR: ADVERSE_EVENT.STATUS_CODED_CNCPT_ID source-PHSL: statusDescription
userSelected	Σ	0..0	boolean	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..0	string	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
AEFIdeleteReason	I	0..*	Extension	Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReason Short description AEFI deleted reason Alternate names extensions, user content Definition AEFI deleted reason Comments To be apply when AEFI has status = Disregard, Entered in Error or NO reason provided. See Mappings Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a source-PIR-nullReason: Other
id		0..0	string	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReason.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReason.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReason.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value AEFIdeleteReason Mappings rim: N/A
value[x]		1..1		There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReason.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueString			string	There are no (further) constraints on this element Data type string
AEFIdeleteReasonOther	I	0..*	Extension	Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReasonOther Short description AEFI deleted reason = Other, specify Alternate names extensions, user content Definition AEFI deleted reason = Other, specify Comments To be apply when AEFI status has OTHER reason or NO reason provided. See Mappings. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a source-PIR-null: unknown
id		0..0	string	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReasonOther.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReasonOther.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReasonOther.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value AEFIdeleteReasonOther Mappings rim: N/A
value[x]		1..1		There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReasonOther.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueString			string	There are no (further) constraints on this element Data type string
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AEFI-status-reason Mappings rim: N/A
value[x]		0..0		There are no (further) constraints on this element Element id AdverseEvent.actuality.extension:_actuality.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
value		0..1	System.String	There are no (further) constraints on this element Element id AdverseEvent.actuality.value Short description Primitive value for code Definition Primitive value for code Data type System.String
category	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id AdverseEvent.category Short description product-problem \| product-quality \| product-use-error \| wrong-dose \| incorrect-prescribing-information \| wrong-technique \| wrong-route-of-administration \| wrong-rate \| wrong-duration \| wrong-time \| expired-drug \| medical-device-use-error \| problem-different-manufacturer \| unsafe-physical-environment Definition The overall type of event, intended for search and filtering purposes. Data type CodeableConcept Binding Overall categorization of the event, e.g. product-related or situational. AdverseEventCategory (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.class
event	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element id AdverseEvent.event Short description Type of the event itself in relation to the subject Definition This element defines the specific type of event that occurred or that was prevented from occurring. Data type CodeableConcept Binding Detailed type of event. SNOMEDCTClinicalFindings (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.what[x]
subject	Σ	1..1	Reference(Patient \| Group \| Practitioner \| RelatedPerson)	There are no (further) constraints on this element Element id AdverseEvent.subject Short description Subject impacted by event Alternate names patient Definition This subject or group impacted by the event. Requirements Allows for exposure of biohazard (such as legionella) to a group of individuals in a hospital. Comments If AdverseEvent.resultingCondition differs among members of the group, then use Patient as the subject. Data type Reference(Patient \| Group \| Practitioner \| RelatedPerson) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.who
id		0..0	string	There are no (further) constraints on this element Element id AdverseEvent.subject.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.subject.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
reference	Σ I	1..1	string	Element id AdverseEvent.subject.reference Short description Literal reference, Relative, internal or absolute URL Definition A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Comments See Mappings Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A source-PIR: fullURL of Panorama + "Patient" + PIR Client ID
type	Σ	0..0	uriBinding	There are no (further) constraints on this element Element id AdverseEvent.subject.type Short description Type the reference refers to (e.g. "Patient") Definition The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). Comments This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Data type uri Binding Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
identifier	Σ	0..0	Identifier	There are no (further) constraints on this element Element id AdverseEvent.subject.identifier Short description Logical reference, when literal reference is not known Definition An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. Comments When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation\|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .identifier
display	Σ	0..0	string	There are no (further) constraints on this element Element id AdverseEvent.subject.display Short description Text alternative for the resource Definition Plain text narrative that identifies the resource in addition to the resource reference. Comments This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
encounter	Σ	0..1	Reference(Encounter)	There are no (further) constraints on this element Element id AdverseEvent.encounter Short description Encounter created as part of Definition The Encounter during which AdverseEvent was created or to which the creation of this record is tightly associated. Comments This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. For example, if a medication administration was considered an adverse event because it resulted in a rash, then the encounter when the medication administration was given is the context. If the patient reports the AdverseEvent during a second encounter, that second encounter is not the context. Data type Reference(Encounter) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.context
date	Σ	0..1	dateTime	There are no (further) constraints on this element Element id AdverseEvent.date Short description When the event occurred Definition The date (and perhaps time) when the adverse event occurred. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.init
detected	Σ	0..1	dateTime	There are no (further) constraints on this element Element id AdverseEvent.detected Short description When the event was detected Definition Estimated or actual date the AdverseEvent began, in the opinion of the reporter. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
recordedDate	Σ	1..1	dateTime	Element id AdverseEvent.recordedDate Short description When the event was recorded Definition The date on which the existence of the AdverseEvent was first recorded. Comments See Mappings Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.recorded source-PIR: IMMS.ADVERSE_EVENT.DATE_REPORTED source-PHSL: dateReported
resultingCondition	Σ	0..1	Reference(Condition)	There are no (further) constraints on this element Element id AdverseEvent.resultingCondition Short description Effect on the subject due to this event Definition Includes information about the reaction that occurred as a result of exposure to a substance (for example, a drug or a chemical). Data type Reference(Condition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
location	Σ	0..1	Reference(Location)	There are no (further) constraints on this element Element id AdverseEvent.location Short description Location where adverse event occurred Definition The information about where the adverse event occurred. Data type Reference(Location) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
seriousness	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element id AdverseEvent.seriousness Short description Seriousness of the event Definition Assessment whether this event was of real importance. Data type CodeableConcept Binding Overall seriousness of this event for the patient. AdverseEventSeriousness (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
severity	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id AdverseEvent.severity Short description mild \| moderate \| severe Definition Describes the severity of the adverse event, in relation to the subject. Contrast to AdverseEvent.seriousness - a severe rash might not be serious, but a mild heart problem is. Data type CodeableConcept Binding The severity of the adverse event itself, in direct relation to the subject. AdverseEventSeverity (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
outcome	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id AdverseEvent.outcome Short description resolved \| recovering \| ongoing \| resolvedWithSequelae \| fatal \| unknown Definition Describes the type of outcome from the adverse event. Data type CodeableConcept Binding TODO (and should this be required?). AdverseEventOutcome (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
recorder	Σ	0..1	Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson)	There are no (further) constraints on this element Element id AdverseEvent.recorder Short description Who recorded the adverse event Definition Information on who recorded the adverse event. May be the patient or a practitioner. Data type Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.author
contributor	Σ	0..1	Reference(Practitioner \| PractitionerRole \| Device)	There are no (further) constraints on this element Element id AdverseEvent.contributor Short description Who was involved in the adverse event or the potential adverse event Definition Parties that may or should contribute or have contributed information to the adverse event, which can consist of one or more activities. Such information includes information leading to the decision to perform the activity and how to perform the activity (e.g. consultant), information that the activity itself seeks to reveal (e.g. informant of clinical history), or information about what activity was performed (e.g. informant witness). Data type Reference(Practitioner \| PractitionerRole \| Device) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
suspectEntity	Σ	1..*	BackboneElement	Element id AdverseEvent.suspectEntity Short description The suspected agent causing the adverse event Definition Describes the vaccine that is suspected to have caused the adverse event. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..0	string	Element id AdverseEvent.suspectEntity.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Comments Apply PIR: IMMS.AE_VACCINATION.IMMUNIZATION_ID Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.suspectEntity.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.suspectEntity.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
instance	Σ	1..1	Reference(Immunization \| Procedure \| Substance \| Medication \| MedicationAdministration \| MedicationStatement \| Device)	There are no (further) constraints on this element Element id AdverseEvent.suspectEntity.instance Short description Refers to the specific entity that caused the adverse event Alternate names Substance or Medication or Device Definition Identifies the actual instance of what caused the adverse event. May be a substance, medication, medication administration, medication statement or a device. Data type Reference(Immunization \| Procedure \| Substance \| Medication \| MedicationAdministration \| MedicationStatement \| Device) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..0	string	There are no (further) constraints on this element Element id AdverseEvent.suspectEntity.instance.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id AdverseEvent.suspectEntity.instance.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
reference	Σ I	1..1	string	Element id AdverseEvent.suspectEntity.instance.reference Short description Reference the resourceImmunization with the AEFI vaccine Definition Reference the resourceImmunization with the AEFI vaccine Comments See Mappings Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A source-PIR: fullURL of Panorama + 'Immunization' + (PIR Imms ID) source-PHSL: adverseEventAssociatedImmsId
type	Σ	0..0	uriBinding	There are no (further) constraints on this element Element id AdverseEvent.suspectEntity.instance.type Short description Type the reference refers to (e.g. "Patient") Definition The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). Comments This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Data type uri Binding Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
identifier	Σ	0..0	Identifier	There are no (further) constraints on this element Element id AdverseEvent.suspectEntity.instance.identifier Short description Logical reference, when literal reference is not known Definition An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. Comments When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation\|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .identifier
display	Σ	0..0	string	There are no (further) constraints on this element Element id AdverseEvent.suspectEntity.instance.display Short description Text alternative for the resource Definition Plain text narrative that identifies the resource in addition to the resource reference. Comments This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
causality	Σ	0..0	BackboneElement	There are no (further) constraints on this element Element id AdverseEvent.suspectEntity.causality Short description Information on the possible cause of the event Definition Information on the possible cause of the event. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
subjectMedicalHistory	Σ	0..1	Reference(Condition \| Observation \| AllergyIntolerance \| FamilyMemberHistory \| Immunization \| Procedure \| Media \| DocumentReference)	There are no (further) constraints on this element Element id AdverseEvent.subjectMedicalHistory Short description AdverseEvent.subjectMedicalHistory Definition AdverseEvent.subjectMedicalHistory. Data type Reference(Condition \| Observation \| AllergyIntolerance \| FamilyMemberHistory \| Immunization \| Procedure \| Media \| DocumentReference) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
referenceDocument	Σ	0..1	Reference(DocumentReference)	There are no (further) constraints on this element Element id AdverseEvent.referenceDocument Short description AdverseEvent.referenceDocument Definition AdverseEvent.referenceDocument. Data type Reference(DocumentReference) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
study	Σ	0..1	Reference(ResearchStudy)	There are no (further) constraints on this element Element id AdverseEvent.study Short description AdverseEvent.study Definition AdverseEvent.study. Data type Reference(ResearchStudy) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`

AdverseEvent
Definition	FHIR resource applies for PIR AEFI
Cardinality	0...*
Alias	AE
Invariants	dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management text.`div`.exists()
Mappings	rim: Entity. Role, or Act
AdverseEvent.id
Definition	PIR Internal AEFI Identifier
Cardinality	1...1
Type	string
Summary	True
Comments	See Mappings
Mappings	source-PIR: IMMS.ADVERSE_EVENT.ADVERSE_EVENT_ID source-PHSL: adverseEventId
AdverseEvent.meta
Definition	The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Cardinality	1...1
Type	Meta
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.meta.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
AdverseEvent.meta.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.meta.versionId
Definition	The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
Cardinality	0...1
Type	id
Summary	True
Comments	Apply "2025.01.1". This indicates the FHIR Specs as of year 2025 January.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.meta.lastUpdated
Definition	When the resource last changed - e.g. when the version changed.
Cardinality	0...1
Type	instant
Summary	True
Comments	Updated: Relax the previously crossed-out elements.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.meta.source
Definition	A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Cardinality	0...1
Type	uri
Summary	True
Comments	In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.meta.profile
Definition	A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).
Cardinality	1...1
Type	canonical(StructureDefinition)
Summary	True
Comments	Apply "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AdverseEvent"
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.meta.security
Definition	Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Cardinality	0...1
Type	Coding
Binding	Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible)
Summary	True
Comments	The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.meta.tag
Definition	Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Cardinality	0...1
Type	Coding
Binding	Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example)
Summary	True
Comments	The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.implicitRules
Definition	A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Cardinality	0...1
Type	uri
Modifier	True
Summary	True
Comments	Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.language
Definition	The base language in which the resource is written.
Cardinality	0...1
Type	code
Binding	A human language. CommonLanguages (preferred)
Comments	Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.text
Definition	A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Cardinality	0...1
Type	Narrative
Alias	narrative, html, xhtml, display
Comments	Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: Act.text?
AdverseEvent.contained
Definition	These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Cardinality	0...1
Type	Resource
Alias	inline resources, anonymous resources, contained resources
Comments	This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Mappings	rim: N/A
AdverseEvent.extension
Definition	May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
AdverseEvent.extension:AEFIpublicHealthRecomm
Definition	Public Health Recommendation(s) for AEFI
Cardinality	0...*
Type	Extension(Complex)
Alias	extensions, user content
Comments	Version 2024.4: Send DateTime for element phrDate.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A rim: n/a
AdverseEvent.extension:AEFIpublicHealthRecomm.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
AdverseEvent.extension:AEFIpublicHealthRecomm.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations
Definition	AEFI Public Health Recommendations
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a source-PIR: NOCHANGE_CD_CNCPT_ID source-PHSL: pubHealthRecomm
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	phrRecommendations
Mappings	rim: N/A
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	Annotation
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations.value[x].id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations.value[x].extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations.value[x].author[x]
Definition	The individual responsible for making the annotation.
Cardinality	0...0
Type	Reference(Practitioner \| Patient \| RelatedPerson \| Organization)
Summary	True
Comments	Organization is used when there's no need for specific attribution as to who made the comment.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: N/A rim: Act.participant[typeCode=AUT].role
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations.value[x].time
Definition	Indicates when this particular annotation was made.
Cardinality	0...0
Type	dateTime
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: N/A rim: Act.effectiveTime
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations.value[x].text
Definition	The text of the annotation in markdown format.
Cardinality	1...1
Type	markdown
Summary	True
Comments	NOCHANGE_CD_CNCPT_ID EXPERTREF_CD_CNCPT_ID DETPROTANT_CD_CNCPT_ID CONTROLSETIMM_CD_CNCPT_ID NOFURTHER_CD_CNCPT_ID OTHER_CD_CNCPT_ID ACTIVEFOLLOWUP_CD_CNCPT_ID NOTHING_CD_CNCPT_ID
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: N/A rim: Act.text
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrDate
Definition	AEFI Public Health Recommendations Date
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a source-PIR: REPORTNG.AE_EVENT_RECOMMENDATION.CREATED_ON source-PHSL: pubDate
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrDate.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrDate.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrDate.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	phrDate
Mappings	rim: N/A
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrDate.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	dateTime
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A source-PIR: REPORTNG.AE_EVENT_RECOMMENDATION.CREATED_ON
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrComment
Definition	AEFI Public Health Recommendations Comments
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a source-PIR: IMMUNIZATION_COMMENT.COMMENT_TEXT source-PHSL: phrComment
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrComment.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrComment.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrComment.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	phrComment
Mappings	rim: N/A
AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrComment.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	string
Comments	See Mappings. Only applies to adverse event recommendation comment types, i.e.,where reportng.ae_event_recommendation.ae_event_recommendation_id = immunization_comment.row_id AND comment_type = 'AE' AND comment_subtype = 'RECOMM'
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A source-PIR: IMMUNIZATION_COMMENT.COMMENT_TEXT
AdverseEvent.extension:AEFIpublicHealthRecomm.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AEFI-publicHealth-recomm
Mappings	rim: N/A
AdverseEvent.extension:AEFIpublicHealthRecomm.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...0
Type	base64Binary
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
AdverseEvent.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Alias	extensions, user content
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
AdverseEvent.identifier
Definition	PIR Internal AEFI ID + External AEFI ID from source system(s)
Cardinality	1...1
Type	Identifier
Summary	True
Requirements	Allows identification of the adverse event as it is known by various participating systems and in a way that remains consistent across servers.
Comments	This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.identifier.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
AdverseEvent.identifier.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.identifier.use
Definition	The purpose of this identifier.
Cardinality	0...0
Type	code
Binding	Identifies the purpose for this identifier, if known . IdentifierUse (required)
Modifier	True
Summary	True
Requirements	Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Comments	Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: N/A rim: Role.code or implied by context
AdverseEvent.identifier.type
Definition	A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Cardinality	1...1
Type	CodeableConcept
Binding	A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)
Summary	True
Requirements	Allows users to make use of identifiers when the identifier system is not known.
Comments	This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CX.5 rim: Role.code or implied by context
AdverseEvent.identifier.type.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
AdverseEvent.identifier.type.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.identifier.type.coding
Definition	A reference to a code defined by a terminology system.
Cardinality	0...0
Type	Coding
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
AdverseEvent.identifier.type.text
Definition	A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Cardinality	1...1
Type	string
Summary	True
Requirements	The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText source-PIR: PANORAMAIMMZAEFIID
AdverseEvent.identifier.system
Definition	Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Cardinality	1...1
Type	uri
Summary	True
Requirements	There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Examples	General http://www.acme.com/identifiers/patient
Mappings	v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType source-PIR: https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-AEFI-id
AdverseEvent.identifier.value
Definition	The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Cardinality	1...1
Type	string
Summary	True
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Examples	General 123456
Mappings	v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value source-PIR: IMMS.ADVERSE_EVENT.ADVERSE_EVENT_ID source-PHSL: adverseEventId
AdverseEvent.identifier.period
Definition	Time period during which identifier is/was valid for use.
Cardinality	0...0
Type	Period
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
AdverseEvent.identifier.assigner
Definition	Organization that issued/manages the identifier.
Cardinality	0...0
Type	Reference(Organization)
Summary	True
Comments	The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
AdverseEvent.actuality
Definition	Whether the event actually happened, or just had the potential to.
Cardinality	1...1
Type	code
Binding	Overall nature of the adverse event, e.g. real or potential. AdverseEventActuality (required)
Modifier	True
Summary	True
Comments	Apply "actual" for PIR.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.class
AdverseEvent.actuality.id
Definition	unique id for the element within a resource (for internal references)
Cardinality	0...1
Type	string
AdverseEvent.actuality.extension
Definition	May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	1...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
AdverseEvent.actuality.extension:_actuality
Definition	Optional Extension Element - found in all resources.
Cardinality	1...1
Type	Extension(Complex)
Alias	extensions, user content
Comments	To apply for AEFI status and delete reason
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
AdverseEvent.actuality.extension:_actuality.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
AdverseEvent.actuality.extension:_actuality.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	1...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus
Definition	AEFI Status
Cardinality	1...1
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	AEFIstatus
Mappings	rim: N/A
AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	CodeableConcept
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding
Definition	A reference to a code defined by a terminology system.
Cardinality	1...1
Type	Coding
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	1...1
Type	uri
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem source-PIR: https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code
AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...0
Type	string
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	1...1
Type	code
Summary	True
Requirements	Need to refer to a particular code in the system.
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code source-PIR: ADVERSE_EVENT.STATUS_CODED_CNCPT_ID source-PHSL: status
AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Comments	See MAppings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName source-PIR: ADVERSE_EVENT.STATUS_CODED_CNCPT_ID source-PHSL: statusDescription
AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...0
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].text
Definition	A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Cardinality	0...0
Type	string
Summary	True
Requirements	The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments	Very often the text is the same as a displayName of one of the codings.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReason
Definition	AEFI deleted reason
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	To be apply when AEFI has status = Disregard, Entered in Error or NO reason provided. See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a source-PIR-nullReason: Other
AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReason.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReason.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReason.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	AEFIdeleteReason
Mappings	rim: N/A
AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReason.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	string
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReasonOther
Definition	AEFI deleted reason = Other, specify
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	To be apply when AEFI status has OTHER reason or NO reason provided. See Mappings.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a source-PIR-null: unknown
AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReasonOther.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReasonOther.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReasonOther.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	AEFIdeleteReasonOther
Mappings	rim: N/A
AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReasonOther.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	string
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
AdverseEvent.actuality.extension:_actuality.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AEFI-status-reason
Mappings	rim: N/A
AdverseEvent.actuality.extension:_actuality.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...0
Type	base64Binary
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
AdverseEvent.actuality.value
Definition	Primitive value for code
Cardinality	0...1
Type	System.String
AdverseEvent.category
Definition	The overall type of event, intended for search and filtering purposes.
Cardinality	0...1
Type	CodeableConcept
Binding	Overall categorization of the event, e.g. product-related or situational. AdverseEventCategory (extensible)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.class
AdverseEvent.event
Definition	This element defines the specific type of event that occurred or that was prevented from occurring.
Cardinality	0...1
Type	CodeableConcept
Binding	Detailed type of event. SNOMEDCTClinicalFindings (example)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.what[x]
AdverseEvent.subject
Definition	This subject or group impacted by the event.
Cardinality	1...1
Type	Reference(Patient \| Group \| Practitioner \| RelatedPerson)
Summary	True
Alias	patient
Requirements	Allows for exposure of biohazard (such as legionella) to a group of individuals in a hospital.
Comments	If AdverseEvent.resultingCondition differs among members of the group, then use Patient as the subject.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.who
AdverseEvent.subject.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
AdverseEvent.subject.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.subject.reference
Definition	A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Cardinality	1...1
Type	string
Summary	True
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A source-PIR: fullURL of Panorama + "Patient" + PIR Client ID
AdverseEvent.subject.type
Definition	The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Cardinality	0...0
Type	uri
Binding	Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible)
Summary	True
Comments	This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
AdverseEvent.subject.identifier
Definition	An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Cardinality	0...0
Type	Identifier
Summary	True
Comments	When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation\|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .identifier
AdverseEvent.subject.display
Definition	Plain text narrative that identifies the resource in addition to the resource reference.
Cardinality	0...0
Type	string
Summary	True
Comments	This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
AdverseEvent.encounter
Definition	The Encounter during which AdverseEvent was created or to which the creation of this record is tightly associated.
Cardinality	0...1
Type	Reference(Encounter)
Summary	True
Comments	This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. For example, if a medication administration was considered an adverse event because it resulted in a rash, then the encounter when the medication administration was given is the context. If the patient reports the AdverseEvent during a second encounter, that second encounter is not the context.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.context
AdverseEvent.date
Definition	The date (and perhaps time) when the adverse event occurred.
Cardinality	0...1
Type	dateTime
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.init
AdverseEvent.detected
Definition	Estimated or actual date the AdverseEvent began, in the opinion of the reporter.
Cardinality	0...1
Type	dateTime
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.recordedDate
Definition	The date on which the existence of the AdverseEvent was first recorded.
Cardinality	1...1
Type	dateTime
Summary	True
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.recorded source-PIR: IMMS.ADVERSE_EVENT.DATE_REPORTED source-PHSL: dateReported
AdverseEvent.resultingCondition
Definition	Includes information about the reaction that occurred as a result of exposure to a substance (for example, a drug or a chemical).
Cardinality	0...1
Type	Reference(Condition)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.location
Definition	The information about where the adverse event occurred.
Cardinality	0...1
Type	Reference(Location)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.seriousness
Definition	Assessment whether this event was of real importance.
Cardinality	0...1
Type	CodeableConcept
Binding	Overall seriousness of this event for the patient. AdverseEventSeriousness (example)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.severity
Definition	Describes the severity of the adverse event, in relation to the subject. Contrast to AdverseEvent.seriousness - a severe rash might not be serious, but a mild heart problem is.
Cardinality	0...1
Type	CodeableConcept
Binding	The severity of the adverse event itself, in direct relation to the subject. AdverseEventSeverity (required)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.outcome
Definition	Describes the type of outcome from the adverse event.
Cardinality	0...1
Type	CodeableConcept
Binding	TODO (and should this be required?). AdverseEventOutcome (required)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.recorder
Definition	Information on who recorded the adverse event. May be the patient or a practitioner.
Cardinality	0...1
Type	Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.author
AdverseEvent.contributor
Definition	Parties that may or should contribute or have contributed information to the adverse event, which can consist of one or more activities. Such information includes information leading to the decision to perform the activity and how to perform the activity (e.g. consultant), information that the activity itself seeks to reveal (e.g. informant of clinical history), or information about what activity was performed (e.g. informant witness).
Cardinality	0...1
Type	Reference(Practitioner \| PractitionerRole \| Device)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.suspectEntity
Definition	Describes the vaccine that is suspected to have caused the adverse event.
Cardinality	1...*
Type	BackboneElement
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.suspectEntity.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Comments	Apply PIR: IMMS.AE_VACCINATION.IMMUNIZATION_ID
Mappings	rim: n/a
AdverseEvent.suspectEntity.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.suspectEntity.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
AdverseEvent.suspectEntity.instance
Definition	Identifies the actual instance of what caused the adverse event. May be a substance, medication, medication administration, medication statement or a device.
Cardinality	1...1
Type	Reference(Immunization \| Procedure \| Substance \| Medication \| MedicationAdministration \| MedicationStatement \| Device)
Summary	True
Alias	Substance or Medication or Device
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.suspectEntity.instance.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
AdverseEvent.suspectEntity.instance.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.suspectEntity.instance.reference
Definition	Reference the resourceImmunization with the AEFI vaccine
Cardinality	1...1
Type	string
Summary	True
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A source-PIR: fullURL of Panorama + 'Immunization' + (PIR Imms ID) source-PHSL: adverseEventAssociatedImmsId
AdverseEvent.suspectEntity.instance.type
Definition	The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Cardinality	0...0
Type	uri
Binding	Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible)
Summary	True
Comments	This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
AdverseEvent.suspectEntity.instance.identifier
Definition	An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Cardinality	0...0
Type	Identifier
Summary	True
Comments	When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation\|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .identifier
AdverseEvent.suspectEntity.instance.display
Definition	Plain text narrative that identifies the resource in addition to the resource reference.
Cardinality	0...0
Type	string
Summary	True
Comments	This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
AdverseEvent.suspectEntity.causality
Definition	Information on the possible cause of the event.
Cardinality	0...0
Type	BackboneElement
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.suspectEntity.causality.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
AdverseEvent.suspectEntity.causality.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
AdverseEvent.suspectEntity.causality.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
AdverseEvent.suspectEntity.causality.assessment
Definition	Assessment of if the entity caused the event.
Cardinality	0...1
Type	CodeableConcept
Binding	Codes for the assessment of whether the entity caused the event. AdverseEventCausalityAssessment (example)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.suspectEntity.causality.productRelatedness
Definition	AdverseEvent.suspectEntity.causalityProductRelatedness.
Cardinality	0...1
Type	string
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.suspectEntity.causality.author
Definition	AdverseEvent.suspectEntity.causalityAuthor.
Cardinality	0...1
Type	Reference(Practitioner \| PractitionerRole)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.suspectEntity.causality.method
Definition	ProbabilityScale \| Bayesian \| Checklist.
Cardinality	0...1
Type	CodeableConcept
Binding	TODO. AdverseEventCausalityMethod (example)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.subjectMedicalHistory
Definition	AdverseEvent.subjectMedicalHistory.
Cardinality	0...1
Type	Reference(Condition \| Observation \| AllergyIntolerance \| FamilyMemberHistory \| Immunization \| Procedure \| Media \| DocumentReference)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.referenceDocument
Definition	AdverseEvent.referenceDocument.
Cardinality	0...1
Type	Reference(DocumentReference)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
AdverseEvent.study
Definition	AdverseEvent.study.
Cardinality	0...1
Type	Reference(ResearchStudy)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`

<StructureDefinition xmlns="http://hl7.org/fhir">
    <url value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AdverseEvent" />
    <name value="AdverseEvent" />
    <status value="draft" />
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="AdverseEvent" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/AdverseEvent" />
    <derivation value="constraint" />
    <differential>
        <element id="AdverseEvent">
            <path value="AdverseEvent" />
            <short value="FHIR resource applies for PIR AEFI" />
            <definition value="FHIR resource applies for PIR AEFI" />
        </element>
        <element id="AdverseEvent.id">
            <path value="AdverseEvent.id" />
            <short value="PIR Internal AEFI ID" />
            <definition value="PIR Internal AEFI Identifier" />
            <comment value="See Mappings" />
            <min value="1" />
            <mapping>
                <identity value="source-PIR" />
                <map value="IMMS.ADVERSE_EVENT.ADVERSE_EVENT_ID" />
            </mapping>
            <mapping>
                <identity value="source-PHSL" />
                <map value="adverseEventId" />
            </mapping>
        </element>
        <element id="AdverseEvent.meta">
            <path value="AdverseEvent.meta" />
            <min value="1" />
        </element>
        <element id="AdverseEvent.meta.versionId">
            <path value="AdverseEvent.meta.versionId" />
            <comment value="Apply &quot;2025.01.1&quot;.  This indicates the FHIR Specs as of year 2025 January." />
        </element>
        <element id="AdverseEvent.meta.lastUpdated">
            <path value="AdverseEvent.meta.lastUpdated" />
            <comment value="Updated: Relax the previously crossed-out elements." />
        </element>
        <element id="AdverseEvent.meta.profile">
            <path value="AdverseEvent.meta.profile" />
            <comment value="Apply &quot;http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AdverseEvent&quot;" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="AdverseEvent.meta.security">
            <path value="AdverseEvent.meta.security" />
            <max value="1" />
        </element>
        <element id="AdverseEvent.meta.tag">
            <path value="AdverseEvent.meta.tag" />
            <max value="1" />
        </element>
        <element id="AdverseEvent.contained">
            <path value="AdverseEvent.contained" />
            <max value="1" />
        </element>
        <element id="AdverseEvent.extension:AEFIpublicHealthRecomm">
            <path value="AdverseEvent.extension" />
            <sliceName value="AEFIpublicHealthRecomm" />
            <short value="Public Health Recommendation(s) for AEFI" />
            <definition value="Public Health Recommendation(s) for AEFI" />
            <type>
                <code value="Extension" />
                <profile value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AEFI-publicHealth-recomm" />
            </type>
        </element>
        <element id="AdverseEvent.extension:AEFIpublicHealthRecomm.id">
            <path value="AdverseEvent.extension.id" />
            <max value="0" />
        </element>
        <element id="AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations">
            <path value="AdverseEvent.extension.extension" />
            <sliceName value="phrRecommendations" />
            <mapping>
                <identity value="source-PIR" />
                <map value="NOCHANGE_CD_CNCPT_ID" />
            </mapping>
            <mapping>
                <identity value="source-PHSL" />
                <map value="pubHealthRecomm" />
            </mapping>
        </element>
        <element id="AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrDate">
            <path value="AdverseEvent.extension.extension" />
            <sliceName value="phrDate" />
            <comment value="See Mappings" />
            <mapping>
                <identity value="source-PIR" />
                <map value="REPORTNG.AE_EVENT_RECOMMENDATION.CREATED_ON" />
            </mapping>
            <mapping>
                <identity value="source-PHSL" />
                <map value="pubDate" />
            </mapping>
        </element>
        <element id="AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrComment">
            <path value="AdverseEvent.extension.extension" />
            <sliceName value="phrComment" />
            <comment value="See Mappings" />
            <mapping>
                <identity value="source-PIR" />
                <map value="IMMUNIZATION_COMMENT.COMMENT_TEXT" />
            </mapping>
            <mapping>
                <identity value="source-PHSL" />
                <map value="phrComment" />
            </mapping>
        </element>
        <element id="AdverseEvent.identifier">
            <path value="AdverseEvent.identifier" />
            <short value="PIR Internal AEFI ID + External AEFI ID from source system(s)" />
            <definition value="PIR Internal AEFI ID + External AEFI ID from source system(s)" />
            <min value="1" />
        </element>
        <element id="AdverseEvent.identifier.id">
            <path value="AdverseEvent.identifier.id" />
            <max value="0" />
        </element>
        <element id="AdverseEvent.identifier.use">
            <path value="AdverseEvent.identifier.use" />
            <max value="0" />
        </element>
        <element id="AdverseEvent.identifier.type">
            <path value="AdverseEvent.identifier.type" />
            <min value="1" />
        </element>
        <element id="AdverseEvent.identifier.type.id">
            <path value="AdverseEvent.identifier.type.id" />
            <max value="0" />
        </element>
        <element id="AdverseEvent.identifier.type.coding">
            <path value="AdverseEvent.identifier.type.coding" />
            <max value="0" />
        </element>
        <element id="AdverseEvent.identifier.type.text">
            <path value="AdverseEvent.identifier.type.text" />
            <comment value="See Mappings" />
            <min value="1" />
            <mapping>
                <identity value="source-PIR" />
                <map value="PANORAMAIMMZAEFIID" />
            </mapping>
        </element>
        <element id="AdverseEvent.identifier.system">
            <path value="AdverseEvent.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-AEFI-id" />
            </mapping>
        </element>
        <element id="AdverseEvent.identifier.value">
            <path value="AdverseEvent.identifier.value" />
            <comment value="See Mappings" />
            <min value="1" />
            <mapping>
                <identity value="source-PIR" />
                <map value="IMMS.ADVERSE_EVENT.ADVERSE_EVENT_ID" />
            </mapping>
            <mapping>
                <identity value="source-PHSL" />
                <map value="adverseEventId" />
            </mapping>
        </element>
        <element id="AdverseEvent.identifier.period">
            <path value="AdverseEvent.identifier.period" />
            <max value="0" />
        </element>
        <element id="AdverseEvent.identifier.assigner">
            <path value="AdverseEvent.identifier.assigner" />
            <max value="0" />
        </element>
        <element id="AdverseEvent.actuality">
            <path value="AdverseEvent.actuality" />
            <definition value="Whether the event actually happened, or just had the potential to." />
            <comment value="Apply &quot;actual&quot; for PIR." />
        </element>
        <element id="AdverseEvent.actuality.extension">
            <path value="AdverseEvent.actuality.extension" />
            <min value="1" />
        </element>
        <element id="AdverseEvent.actuality.extension:_actuality">
            <path value="AdverseEvent.actuality.extension" />
            <sliceName value="_actuality" />
            <min value="1" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AEFI-status-reason" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="AdverseEvent.actuality.extension:_actuality.extension">
            <path value="AdverseEvent.actuality.extension.extension" />
            <min value="1" />
        </element>
        <element id="AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus">
            <path value="AdverseEvent.actuality.extension.extension" />
            <sliceName value="AEFIstatus" />
            <short value="AEFI Status" />
            <definition value="AEFI Status" />
            <min value="1" />
        </element>
        <element id="AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x]">
            <path value="AdverseEvent.actuality.extension.extension.value[x]" />
        </element>
        <element id="AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding">
            <path value="AdverseEvent.actuality.extension.extension.value[x].coding" />
        </element>
        <element id="AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding.code">
            <path value="AdverseEvent.actuality.extension.extension.value[x].coding.code" />
            <comment value="See Mappings" />
            <mapping>
                <identity value="source-PIR" />
                <map value="ADVERSE_EVENT.STATUS_CODED_CNCPT_ID" />
            </mapping>
            <mapping>
                <identity value="source-PHSL" />
                <map value="status" />
            </mapping>
        </element>
        <element id="AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding.display">
            <path value="AdverseEvent.actuality.extension.extension.value[x].coding.display" />
            <comment value="See MAppings" />
            <mapping>
                <identity value="source-PIR" />
                <map value="ADVERSE_EVENT.STATUS_CODED_CNCPT_ID" />
            </mapping>
            <mapping>
                <identity value="source-PHSL" />
                <map value="statusDescription" />
            </mapping>
        </element>
        <element id="AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReason">
            <path value="AdverseEvent.actuality.extension.extension" />
            <sliceName value="AEFIdeleteReason" />
            <short value="AEFI deleted reason" />
            <definition value="AEFI deleted reason" />
            <comment value="To be apply when AEFI has status = Disregard, Entered in Error or NO reason provided.  See Mappings" />
            <mapping>
                <identity value="source-PIR-nullReason" />
                <map value="Other" />
            </mapping>
        </element>
        <element id="AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReasonOther">
            <path value="AdverseEvent.actuality.extension.extension" />
            <sliceName value="AEFIdeleteReasonOther" />
            <short value="AEFI deleted reason = Other, specify" />
            <definition value="AEFI deleted reason = Other, specify" />
            <comment value="To be apply when AEFI status has OTHER reason or NO reason provided.  See Mappings." />
            <mapping>
                <identity value="source-PIR-null" />
                <map value="unknown" />
            </mapping>
        </element>
        <element id="AdverseEvent.category">
            <path value="AdverseEvent.category" />
            <max value="1" />
        </element>
        <element id="AdverseEvent.subject.id">
            <path value="AdverseEvent.subject.id" />
            <max value="0" />
        </element>
        <element id="AdverseEvent.subject.reference">
            <path value="AdverseEvent.subject.reference" />
            <comment value="See Mappings" />
            <min value="1" />
            <mapping>
                <identity value="source-PIR" />
                <map value="fullURL of Panorama + &quot;Patient&quot; + PIR Client ID" />
            </mapping>
        </element>
        <element id="AdverseEvent.subject.type">
            <path value="AdverseEvent.subject.type" />
            <max value="0" />
        </element>
        <element id="AdverseEvent.subject.identifier">
            <path value="AdverseEvent.subject.identifier" />
            <max value="0" />
        </element>
        <element id="AdverseEvent.subject.display">
            <path value="AdverseEvent.subject.display" />
            <max value="0" />
        </element>
        <element id="AdverseEvent.recordedDate">
            <path value="AdverseEvent.recordedDate" />
            <comment value="See Mappings" />
            <min value="1" />
            <mapping>
                <identity value="source-PIR" />
                <map value="IMMS.ADVERSE_EVENT.DATE_REPORTED" />
            </mapping>
            <mapping>
                <identity value="source-PHSL" />
                <map value="dateReported" />
            </mapping>
        </element>
        <element id="AdverseEvent.resultingCondition">
            <path value="AdverseEvent.resultingCondition" />
            <max value="1" />
        </element>
        <element id="AdverseEvent.contributor">
            <path value="AdverseEvent.contributor" />
            <max value="1" />
        </element>
        <element id="AdverseEvent.suspectEntity">
            <path value="AdverseEvent.suspectEntity" />
            <definition value="Describes the vaccine that is suspected to have caused the adverse event." />
            <min value="1" />
        </element>
        <element id="AdverseEvent.suspectEntity.id">
            <path value="AdverseEvent.suspectEntity.id" />
            <comment value="Apply PIR: IMMS.AE_VACCINATION.IMMUNIZATION_ID" />
            <max value="0" />
        </element>
        <element id="AdverseEvent.suspectEntity.instance.id">
            <path value="AdverseEvent.suspectEntity.instance.id" />
            <max value="0" />
        </element>
        <element id="AdverseEvent.suspectEntity.instance.reference">
            <path value="AdverseEvent.suspectEntity.instance.reference" />
            <short value="Reference the resourceImmunization with the AEFI vaccine" />
            <definition value="Reference the resourceImmunization with the AEFI vaccine" />
            <comment value="See Mappings" />
            <min value="1" />
            <mapping>
                <identity value="source-PIR" />
                <map value="fullURL of Panorama + &#39;Immunization&#39; + (PIR Imms ID)" />
            </mapping>
            <mapping>
                <identity value="source-PHSL" />
                <map value="adverseEventAssociatedImmsId" />
            </mapping>
        </element>
        <element id="AdverseEvent.suspectEntity.instance.type">
            <path value="AdverseEvent.suspectEntity.instance.type" />
            <max value="0" />
        </element>
        <element id="AdverseEvent.suspectEntity.instance.identifier">
            <path value="AdverseEvent.suspectEntity.instance.identifier" />
            <max value="0" />
        </element>
        <element id="AdverseEvent.suspectEntity.instance.display">
            <path value="AdverseEvent.suspectEntity.instance.display" />
            <max value="0" />
        </element>
        <element id="AdverseEvent.suspectEntity.causality">
            <path value="AdverseEvent.suspectEntity.causality" />
            <max value="0" />
        </element>
        <element id="AdverseEvent.subjectMedicalHistory">
            <path value="AdverseEvent.subjectMedicalHistory" />
            <max value="1" />
        </element>
        <element id="AdverseEvent.referenceDocument">
            <path value="AdverseEvent.referenceDocument" />
            <max value="1" />
        </element>
        <element id="AdverseEvent.study">
            <path value="AdverseEvent.study" />
            <max value="1" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AdverseEvent",
    "name": "AdverseEvent",
    "status": "draft",
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "AdverseEvent",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/AdverseEvent",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "AdverseEvent",
                "path": "AdverseEvent",
                "short": "FHIR resource applies for PIR AEFI",
                "definition": "FHIR resource applies for PIR AEFI"
            },
            {
                "id": "AdverseEvent.id",
                "path": "AdverseEvent.id",
                "short": "PIR Internal AEFI ID",
                "definition": "PIR Internal AEFI Identifier",
                "comment": "See Mappings",
                "min": 1,
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "IMMS.ADVERSE_EVENT.ADVERSE_EVENT_ID"
                    },
                    {
                        "identity": "source-PHSL",
                        "map": "adverseEventId"
                    }
                ]
            },
            {
                "id": "AdverseEvent.meta",
                "path": "AdverseEvent.meta",
                "min": 1
            },
            {
                "id": "AdverseEvent.meta.versionId",
                "path": "AdverseEvent.meta.versionId",
                "comment": "Apply \"2025.01.1\".  This indicates the FHIR Specs as of year 2025 January."
            },
            {
                "id": "AdverseEvent.meta.lastUpdated",
                "path": "AdverseEvent.meta.lastUpdated",
                "comment": "Updated: Relax the previously crossed-out elements."
            },
            {
                "id": "AdverseEvent.meta.profile",
                "path": "AdverseEvent.meta.profile",
                "comment": "Apply \"http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AdverseEvent\"",
                "min": 1,
                "max": "1"
            },
            {
                "id": "AdverseEvent.meta.security",
                "path": "AdverseEvent.meta.security",
                "max": "1"
            },
            {
                "id": "AdverseEvent.meta.tag",
                "path": "AdverseEvent.meta.tag",
                "max": "1"
            },
            {
                "id": "AdverseEvent.contained",
                "path": "AdverseEvent.contained",
                "max": "1"
            },
            {
                "id": "AdverseEvent.extension:AEFIpublicHealthRecomm",
                "path": "AdverseEvent.extension",
                "sliceName": "AEFIpublicHealthRecomm",
                "short": "Public Health Recommendation(s) for AEFI",
                "definition": "Public Health Recommendation(s) for AEFI",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AEFI-publicHealth-recomm"
                        ]
                    }
                ]
            },
            {
                "id": "AdverseEvent.extension:AEFIpublicHealthRecomm.id",
                "path": "AdverseEvent.extension.id",
                "max": "0"
            },
            {
                "id": "AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrRecommendations",
                "path": "AdverseEvent.extension.extension",
                "sliceName": "phrRecommendations",
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "NOCHANGE_CD_CNCPT_ID"
                    },
                    {
                        "identity": "source-PHSL",
                        "map": "pubHealthRecomm"
                    }
                ]
            },
            {
                "id": "AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrDate",
                "path": "AdverseEvent.extension.extension",
                "sliceName": "phrDate",
                "comment": "See Mappings",
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "REPORTNG.AE_EVENT_RECOMMENDATION.CREATED_ON"
                    },
                    {
                        "identity": "source-PHSL",
                        "map": "pubDate"
                    }
                ]
            },
            {
                "id": "AdverseEvent.extension:AEFIpublicHealthRecomm.extension:phrComment",
                "path": "AdverseEvent.extension.extension",
                "sliceName": "phrComment",
                "comment": "See Mappings",
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "IMMUNIZATION_COMMENT.COMMENT_TEXT"
                    },
                    {
                        "identity": "source-PHSL",
                        "map": "phrComment"
                    }
                ]
            },
            {
                "id": "AdverseEvent.identifier",
                "path": "AdverseEvent.identifier",
                "short": "PIR Internal AEFI ID + External AEFI ID from source system(s)",
                "definition": "PIR Internal AEFI ID + External AEFI ID from source system(s)",
                "min": 1
            },
            {
                "id": "AdverseEvent.identifier.id",
                "path": "AdverseEvent.identifier.id",
                "max": "0"
            },
            {
                "id": "AdverseEvent.identifier.use",
                "path": "AdverseEvent.identifier.use",
                "max": "0"
            },
            {
                "id": "AdverseEvent.identifier.type",
                "path": "AdverseEvent.identifier.type",
                "min": 1
            },
            {
                "id": "AdverseEvent.identifier.type.id",
                "path": "AdverseEvent.identifier.type.id",
                "max": "0"
            },
            {
                "id": "AdverseEvent.identifier.type.coding",
                "path": "AdverseEvent.identifier.type.coding",
                "max": "0"
            },
            {
                "id": "AdverseEvent.identifier.type.text",
                "path": "AdverseEvent.identifier.type.text",
                "comment": "See Mappings",
                "min": 1,
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "PANORAMAIMMZAEFIID"
                    }
                ]
            },
            {
                "id": "AdverseEvent.identifier.system",
                "path": "AdverseEvent.identifier.system",
                "comment": "See Mappings",
                "min": 1,
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-AEFI-id"
                    }
                ]
            },
            {
                "id": "AdverseEvent.identifier.value",
                "path": "AdverseEvent.identifier.value",
                "comment": "See Mappings",
                "min": 1,
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "IMMS.ADVERSE_EVENT.ADVERSE_EVENT_ID"
                    },
                    {
                        "identity": "source-PHSL",
                        "map": "adverseEventId"
                    }
                ]
            },
            {
                "id": "AdverseEvent.identifier.period",
                "path": "AdverseEvent.identifier.period",
                "max": "0"
            },
            {
                "id": "AdverseEvent.identifier.assigner",
                "path": "AdverseEvent.identifier.assigner",
                "max": "0"
            },
            {
                "id": "AdverseEvent.actuality",
                "path": "AdverseEvent.actuality",
                "definition": "Whether the event actually happened, or just had the potential to.",
                "comment": "Apply \"actual\" for PIR."
            },
            {
                "id": "AdverseEvent.actuality.extension",
                "path": "AdverseEvent.actuality.extension",
                "min": 1
            },
            {
                "id": "AdverseEvent.actuality.extension:_actuality",
                "path": "AdverseEvent.actuality.extension",
                "sliceName": "_actuality",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AEFI-status-reason"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "AdverseEvent.actuality.extension:_actuality.extension",
                "path": "AdverseEvent.actuality.extension.extension",
                "min": 1
            },
            {
                "id": "AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus",
                "path": "AdverseEvent.actuality.extension.extension",
                "sliceName": "AEFIstatus",
                "short": "AEFI Status",
                "definition": "AEFI Status",
                "min": 1
            },
            {
                "id": "AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x]",
                "path": "AdverseEvent.actuality.extension.extension.value[x]"
            },
            {
                "id": "AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding",
                "path": "AdverseEvent.actuality.extension.extension.value[x].coding"
            },
            {
                "id": "AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding.code",
                "path": "AdverseEvent.actuality.extension.extension.value[x].coding.code",
                "comment": "See Mappings",
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "ADVERSE_EVENT.STATUS_CODED_CNCPT_ID"
                    },
                    {
                        "identity": "source-PHSL",
                        "map": "status"
                    }
                ]
            },
            {
                "id": "AdverseEvent.actuality.extension:_actuality.extension:AEFIstatus.value[x].coding.display",
                "path": "AdverseEvent.actuality.extension.extension.value[x].coding.display",
                "comment": "See MAppings",
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "ADVERSE_EVENT.STATUS_CODED_CNCPT_ID"
                    },
                    {
                        "identity": "source-PHSL",
                        "map": "statusDescription"
                    }
                ]
            },
            {
                "id": "AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReason",
                "path": "AdverseEvent.actuality.extension.extension",
                "sliceName": "AEFIdeleteReason",
                "short": "AEFI deleted reason",
                "definition": "AEFI deleted reason",
                "comment": "To be apply when AEFI has status = Disregard, Entered in Error or NO reason provided.  See Mappings",
                "mapping":  [
                    {
                        "identity": "source-PIR-nullReason",
                        "map": "Other"
                    }
                ]
            },
            {
                "id": "AdverseEvent.actuality.extension:_actuality.extension:AEFIdeleteReasonOther",
                "path": "AdverseEvent.actuality.extension.extension",
                "sliceName": "AEFIdeleteReasonOther",
                "short": "AEFI deleted reason = Other, specify",
                "definition": "AEFI deleted reason = Other, specify",
                "comment": "To be apply when AEFI status has OTHER reason or NO reason provided.  See Mappings.",
                "mapping":  [
                    {
                        "identity": "source-PIR-null",
                        "map": "unknown"
                    }
                ]
            },
            {
                "id": "AdverseEvent.category",
                "path": "AdverseEvent.category",
                "max": "1"
            },
            {
                "id": "AdverseEvent.subject.id",
                "path": "AdverseEvent.subject.id",
                "max": "0"
            },
            {
                "id": "AdverseEvent.subject.reference",
                "path": "AdverseEvent.subject.reference",
                "comment": "See Mappings",
                "min": 1,
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "fullURL of Panorama + \"Patient\" + PIR Client ID"
                    }
                ]
            },
            {
                "id": "AdverseEvent.subject.type",
                "path": "AdverseEvent.subject.type",
                "max": "0"
            },
            {
                "id": "AdverseEvent.subject.identifier",
                "path": "AdverseEvent.subject.identifier",
                "max": "0"
            },
            {
                "id": "AdverseEvent.subject.display",
                "path": "AdverseEvent.subject.display",
                "max": "0"
            },
            {
                "id": "AdverseEvent.recordedDate",
                "path": "AdverseEvent.recordedDate",
                "comment": "See Mappings",
                "min": 1,
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "IMMS.ADVERSE_EVENT.DATE_REPORTED"
                    },
                    {
                        "identity": "source-PHSL",
                        "map": "dateReported"
                    }
                ]
            },
            {
                "id": "AdverseEvent.resultingCondition",
                "path": "AdverseEvent.resultingCondition",
                "max": "1"
            },
            {
                "id": "AdverseEvent.contributor",
                "path": "AdverseEvent.contributor",
                "max": "1"
            },
            {
                "id": "AdverseEvent.suspectEntity",
                "path": "AdverseEvent.suspectEntity",
                "definition": "Describes the vaccine that is suspected to have caused the adverse event.",
                "min": 1
            },
            {
                "id": "AdverseEvent.suspectEntity.id",
                "path": "AdverseEvent.suspectEntity.id",
                "comment": "Apply PIR: IMMS.AE_VACCINATION.IMMUNIZATION_ID",
                "max": "0"
            },
            {
                "id": "AdverseEvent.suspectEntity.instance.id",
                "path": "AdverseEvent.suspectEntity.instance.id",
                "max": "0"
            },
            {
                "id": "AdverseEvent.suspectEntity.instance.reference",
                "path": "AdverseEvent.suspectEntity.instance.reference",
                "short": "Reference the resourceImmunization with the AEFI vaccine",
                "definition": "Reference the resourceImmunization with the AEFI vaccine",
                "comment": "See Mappings",
                "min": 1,
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "fullURL of Panorama + 'Immunization' + (PIR Imms ID)"
                    },
                    {
                        "identity": "source-PHSL",
                        "map": "adverseEventAssociatedImmsId"
                    }
                ]
            },
            {
                "id": "AdverseEvent.suspectEntity.instance.type",
                "path": "AdverseEvent.suspectEntity.instance.type",
                "max": "0"
            },
            {
                "id": "AdverseEvent.suspectEntity.instance.identifier",
                "path": "AdverseEvent.suspectEntity.instance.identifier",
                "max": "0"
            },
            {
                "id": "AdverseEvent.suspectEntity.instance.display",
                "path": "AdverseEvent.suspectEntity.instance.display",
                "max": "0"
            },
            {
                "id": "AdverseEvent.suspectEntity.causality",
                "path": "AdverseEvent.suspectEntity.causality",
                "max": "0"
            },
            {
                "id": "AdverseEvent.subjectMedicalHistory",
                "path": "AdverseEvent.subjectMedicalHistory",
                "max": "1"
            },
            {
                "id": "AdverseEvent.referenceDocument",
                "path": "AdverseEvent.referenceDocument",
                "max": "1"
            },
            {
                "id": "AdverseEvent.study",
                "path": "AdverseEvent.study",
                "max": "1"
            }
        ]
    }
}