UK Core Implementation Guide STU3 Sequence

Please note:

This version of the UK Core is for C&TA Sprint 7 Review.
This version is not suitable for implementation. Other versions are available on the UK Core Version History Guide
Please follow the guidance on the Contact Us page if you need any assistance.
A summary of changes is available on the STU3 Sequence Change Log

StructureDefinition Extension-UKCore-VaccinationProcedure

Canonical_URL	Description	Profile_Purpose
https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-VaccinationProcedure	This describes the immunization procedure code.	This extension extends the Immunization resource to support the exchange of an immunization procedure code.

Context of Use

Immunization

Tree View

Extension	I		Extension	Element Id Extension Short description An extension to hold an immunization procedure code Definition An extension to hold an immunization procedure code. 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 rim:N/A
url		1..1	System.StringFixed Value	Element Id Extension.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 System.String Fixed Value https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-VaccinationProcedure Mappings rim:N/A
value[x]		1..1	Binding	Element Id Extension.value[x] Short description A code from the SNOMED Clinical Terminology UK coding system to record a vaccination procedure Definition A code from the SNOMED Clinical Terminology UK coding system to record a vaccination procedure. Binding UKCoreVaccinationProcedure (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	Data Type CodeableConcept

Table View

Extension		..1
Extension.url		..
Extension.value[x]	CodeableConcept	1..

XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-VaccinationProcedure" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-VaccinationProcedure" />
    <version value="2.2.0" />
    <name value="ExtensionUKCoreVaccinationProcedure" />
    <title value="Extension UK Core Vaccination Procedure" />
    <status value="active" />
    <date value="2022-12-16" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="ukcore@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <description value="This describes the immunization procedure code." />
    <purpose value="This extension extends the Immunization resource to support the exchange of an immunization procedure code." />
    <copyright value="Copyright &#169; 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the &quot;License&quot;); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an &quot;AS IS&quot; BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7&#174; FHIR&#174; standard Copyright &#169; 2011+ HL7 The HL7&#174; FHIR&#174; standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html." />
    <fhirVersion value="4.0.1" />
    <mapping>
        <identity value="rim" />
        <uri value="http://hl7.org/v3" />
        <name value="RIM Mapping" />
    </mapping>
    <kind value="complex-type" />
    <abstract value="false" />
    <context>
        <type value="element" />
        <expression value="Immunization" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="An extension to hold an immunization procedure code" />
            <definition value="An extension to hold an immunization procedure code." />
            <max value="1" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-VaccinationProcedure" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="A code from the SNOMED Clinical Terminology UK coding system to record a vaccination procedure" />
            <definition value="A code from the SNOMED Clinical Terminology UK coding system to record a vaccination procedure." />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <strength value="preferred" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-VaccinationProcedure" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-VaccinationProcedure",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-VaccinationProcedure",
    "version": "2.2.0",
    "name": "ExtensionUKCoreVaccinationProcedure",
    "title": "Extension UK Core Vaccination Procedure",
    "status": "active",
    "date": "2022-12-16",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "ukcore@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        }
    ],
    "description": "This describes the immunization procedure code.",
    "purpose": "This extension extends the Immunization resource to support the exchange of an immunization procedure code.",
    "copyright": "Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        }
    ],
    "kind": "complex-type",
    "abstract": false,
    "context":  [
        {
            "type": "element",
            "expression": "Immunization"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "An extension to hold an immunization procedure code",
                "definition": "An extension to hold an immunization procedure code.",
                "max": "1"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-VaccinationProcedure"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "A code from the SNOMED Clinical Terminology UK coding system to record a vaccination procedure",
                "definition": "A code from the SNOMED Clinical Terminology UK coding system to record a vaccination procedure.",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "strength": "preferred",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-VaccinationProcedure"
                }
            }
        ]
    }
}

Examples

Vaccination Procedure- An example to illustrate the extension for a vaccination procedure.
Example UKCore-Extension-VaccinationProcedure

Covid Vaccination Procedure
- An example to illustrate the extension for a vaccination procedure for COVID.
Example UKCore-Extension-VaccinationProcedure-COVID

Extension Specific Guidance

Whilst there is a binding within this extension to a ValueSet UKCore-VaccinationProcedure , an additional ValueSet UKCore-VaccinationProcedureSupplementary is available that essentially extends the UKCore-VaccinationProcedure ValueSet with SNOMED CT concepts that some systems may have used in the past on record entries that may also be relevant to the population of the UKCore-VaccinationProcedure extension within Immunization profile instances.