{
  "resourceType": "StructureDefinition",
  "id": "il-core-immunization",
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1
    }
  ],
  "url": "http://fhir.health.gov.il/StructureDefinition/il-core-immunization",
  "version": "0.21.0",
  "name": "ILCoreImmunization",
  "title": "ILCore Immunization Profile",
  "status": "active",
  "date": "2026-03-23",
  "publisher": "Israel Core Team",
  "contact": [
    {
      "telecom": [
        {
          "system": "email",
          "value": "tal.primak@moh.gov.il"
        }
      ]
    }
  ],
  "description": "Israel Core proposed constraints and extensions on the Immunization Resource",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Immunization",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Immunization",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Immunization",
        "path": "Immunization",
        "short": "ILCore Immunization Profile",
        "definition": "Israel Core proposed constraints and extensions on the Immunization resource profile.",
        "constraint": [
          {
            "key": "il-immunization-lot-number",
            "severity": "error",
            "human": "Immunization.lotNumber SHALL have a value if Immunization.primarySource is TRUE.",
            "expression": "primarySource=true implies lotNumber.exists()",
            "source": "http://fhir.health.gov.il/StructureDefinition/il-core-immunization"
          }
        ]
      },
      {
        "id": "Immunization.identifier",
        "path": "Immunization.identifier",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-identifier"
            ]
          }
        ]
      },
      {
        "id": "Immunization.status",
        "path": "Immunization.status",
        "mustSupport": true
      },
      {
        "id": "Immunization.statusReason",
        "path": "Immunization.statusReason",
        "example": [
          {
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "310376006",
                  "system": "http://snomed.info/sct",
                  "display": "Immunization consent not given"
                }
              ]
            },
            "label": "Valid Example"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://fhir.health.gov.il/ValueSet/reason-not-done"
        }
      },
      {
        "id": "Immunization.vaccineCode",
        "path": "Immunization.vaccineCode",
        "mustSupport": true
      },
      {
        "id": "Immunization.vaccineCode.coding",
        "path": "Immunization.vaccineCode.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Immunization.vaccineCode.coding:vaccine",
        "path": "Immunization.vaccineCode.coding",
        "sliceName": "vaccine",
        "min": 1,
        "max": "1",
        "example": [
          {
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "346313005",
                  "system": "http://snomed.info/sct",
                  "display": "Allergen extract vaccines"
                }
              ]
            },
            "label": "Valid Example"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://fhir.health.gov.il/ValueSet/vaccine-code"
        }
      },
      {
        "id": "Immunization.vaccineCode.coding:product",
        "path": "Immunization.vaccineCode.coding",
        "sliceName": "product",
        "min": 0,
        "max": "1",
        "example": [
          {
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "J07AC",
                  "system": "http://www.whocc.no/atc",
                  "display": "Anthrax vaccines"
                }
              ]
            },
            "label": "Valid Example"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://fhir.health.gov.il/ValueSet/vaccine-product-code"
        }
      },
      {
        "id": "Immunization.patient",
        "path": "Immunization.patient",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Immunization.encounter",
        "path": "Immunization.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-encounter"
            ]
          }
        ]
      },
      {
        "id": "Immunization.occurrence[x]",
        "path": "Immunization.occurrence[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "Immunization.occurrence[x]:occurrenceDateTime",
        "path": "Immunization.occurrence[x]",
        "sliceName": "occurrenceDateTime",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Immunization.primarySource",
        "path": "Immunization.primarySource",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Immunization.location",
        "path": "Immunization.location",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-location"
            ]
          }
        ]
      },
      {
        "id": "Immunization.manufacturer",
        "path": "Immunization.manufacturer",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-organization"
            ]
          }
        ]
      },
      {
        "id": "Immunization.lotNumber",
        "path": "Immunization.lotNumber",
        "mustSupport": true
      },
      {
        "id": "Immunization.site",
        "path": "Immunization.site",
        "example": [
          {
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "368208006",
                  "system": "http://snomed.info/sct",
                  "display": "Left upper arm structure (body structure)"
                }
              ]
            },
            "label": "Valid Example"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://fhir.health.gov.il/ValueSet/immunization-body-site"
        }
      },
      {
        "id": "Immunization.route",
        "path": "Immunization.route",
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/ValueSet/immunization-route"
        }
      },
      {
        "id": "Immunization.performer.actor",
        "path": "Immunization.performer.actor",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner",
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role",
              "http://fhir.health.gov.il/StructureDefinition/il-core-organization"
            ]
          }
        ]
      },
      {
        "id": "Immunization.reasonReference",
        "path": "Immunization.reasonReference",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-condition",
              "http://fhir.health.gov.il/StructureDefinition/il-core-observation",
              "http://fhir.health.gov.il/StructureDefinition/il-core-diagnostic-report"
            ]
          }
        ]
      },
      {
        "id": "Immunization.reaction.detail",
        "path": "Immunization.reaction.detail",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-immunization-reaction-observation"
            ]
          }
        ]
      },
      {
        "id": "Immunization.protocolApplied.targetDisease",
        "path": "Immunization.protocolApplied.targetDisease",
        "binding": {
          "strength": "preferred",
          "valueSet": "http://fhir.health.gov.il/ValueSet/target-disease"
        }
      }
    ]
  }
}