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