{
  "resourceType": "StructureDefinition",
  "meta": {
    "lastUpdated": "2018-05-04T08:27:39.779+00:00"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "pher"
    }
  ],
  "url": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Immunization-1",
  "version": "1.5.0",
  "name": "CareConnect-GPC-Immunization-1",
  "status": "draft",
  "date": "2024-01-22T11:39:06.3872207+00:00",
  "publisher": "HL7 UK",
  "contact": [
    {
      "name": "INTEROPen",
      "telecom": [
        {
          "system": "email",
          "value": "admin@interopen.org",
          "use": "work"
        }
      ]
    }
  ],
  "description": "This Immunization Resource describes the event of a patient being administered a vaccination or a record of a vaccination as reported by a patient, a clinician or another party and may include vaccine reaction information and what vaccination protocol was followed.",
  "purpose": "CURATED BY INTEROPen see: http://www.interopen.org/careconnect-curation-methodology/",
  "copyright": "Copyright © 2020 HL7 UK\r\n\r\nLicensed 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\r\n\r\nhttp://www.apache.org/licenses/LICENSE-2.0\r\n\r\nUnless 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.\r\n\r\nHL7® FHIR® standard Copyright © 2011+ HL7\r\n\r\nThe HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at\r\n\r\nhttps://www.hl7.org/fhir/license.html",
  "fhirVersion": "3.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Immunization",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Immunization",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Immunization.meta.profile",
        "path": "Immunization.meta.profile",
        "min": 1
      },
      {
        "id": "Immunization.extension",
        "path": "Immunization.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Immunization.extension:parentPresent",
        "path": "Immunization.extension",
        "sliceName": "parentPresent",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ParentPresent-1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Immunization.extension:parentPresent.url",
        "path": "Immunization.extension.url",
        "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ParentPresent-1"
      },
      {
        "id": "Immunization.extension:recordedDate",
        "path": "Immunization.extension",
        "sliceName": "recordedDate",
        "short": "The date that the Vaccination was recorded",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DateRecorded-1"
          }
        ]
      },
      {
        "id": "Immunization.extension:recordedDate.url",
        "path": "Immunization.extension.url",
        "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DateRecorded-1"
      },
      {
        "id": "Immunization.extension:vaccinationProcedure",
        "path": "Immunization.extension",
        "sliceName": "vaccinationProcedure",
        "short": "The procedure code describing the vaccine that was administered.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-VaccinationProcedure-1"
          }
        ]
      },
      {
        "id": "Immunization.extension:vaccinationProcedure.url",
        "path": "Immunization.extension.url",
        "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-VaccinationProcedure-1"
      },
      {
        "id": "Immunization.extension:vaccinationProcedure.valueCodeableConcept:valueCodeableConcept",
        "path": "Immunization.extension.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "Immunization.identifier",
        "path": "Immunization.identifier",
        "min": 1
      },
      {
        "id": "Immunization.identifier.system",
        "path": "Immunization.identifier.system",
        "min": 1
      },
      {
        "id": "Immunization.identifier.value",
        "path": "Immunization.identifier.value",
        "min": 1
      },
      {
        "id": "Immunization.identifier.assigner",
        "path": "Immunization.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"
          }
        ]
      },
      {
        "id": "Immunization.status",
        "path": "Immunization.status",
        "short": "completed",
        "fixedCode": "completed"
      },
      {
        "id": "Immunization.vaccineCode",
        "path": "Immunization.vaccineCode",
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "VaccineCode"
            }
          ],
          "strength": "extensible",
          "valueSetReference": {
            "reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-VaccineCode-1"
          }
        }
      },
      {
        "id": "Immunization.vaccineCode.coding",
        "path": "Immunization.vaccineCode.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Immunization.vaccineCode.coding:snomedCT",
        "path": "Immunization.vaccineCode.coding",
        "sliceName": "snomedCT",
        "max": "1"
      },
      {
        "id": "Immunization.vaccineCode.coding:snomedCT.extension",
        "path": "Immunization.vaccineCode.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Immunization.vaccineCode.coding:snomedCT.extension:snomedCTDescriptionID",
        "path": "Immunization.vaccineCode.coding.extension",
        "sliceName": "snomedCTDescriptionID",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
          }
        ]
      },
      {
        "id": "Immunization.vaccineCode.coding:snomedCT.system",
        "path": "Immunization.vaccineCode.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Immunization.vaccineCode.coding:snomedCT.version",
        "path": "Immunization.vaccineCode.coding.version",
        "max": "0"
      },
      {
        "id": "Immunization.vaccineCode.coding:snomedCT.code",
        "path": "Immunization.vaccineCode.coding.code",
        "min": 1
      },
      {
        "id": "Immunization.vaccineCode.coding:snomedCT.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Immunization.vaccineCode.coding.display",
        "min": 1
      },
      {
        "id": "Immunization.patient",
        "path": "Immunization.patient",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1"
          }
        ]
      },
      {
        "id": "Immunization.encounter",
        "path": "Immunization.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Immunization.date",
        "path": "Immunization.date",
        "mustSupport": true
      },
      {
        "id": "Immunization.primarySource",
        "path": "Immunization.primarySource",
        "defaultValueBoolean": true
      },
      {
        "id": "Immunization.reportOrigin",
        "path": "Immunization.reportOrigin",
        "mustSupport": true
      },
      {
        "id": "Immunization.location",
        "path": "Immunization.location",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Location-1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Immunization.manufacturer",
        "path": "Immunization.manufacturer",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Immunization.lotNumber",
        "path": "Immunization.lotNumber",
        "mustSupport": true
      },
      {
        "id": "Immunization.expirationDate",
        "path": "Immunization.expirationDate",
        "mustSupport": true
      },
      {
        "id": "Immunization.site",
        "path": "Immunization.site",
        "mustSupport": true
      },
      {
        "id": "Immunization.site.coding",
        "path": "Immunization.site.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Immunization.site.coding:snomedCT",
        "path": "Immunization.site.coding",
        "sliceName": "snomedCT",
        "max": "1"
      },
      {
        "id": "Immunization.site.coding:snomedCT.extension",
        "path": "Immunization.site.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Immunization.site.coding:snomedCT.extension:snomedCTDescriptionID",
        "path": "Immunization.site.coding.extension",
        "sliceName": "snomedCTDescriptionID",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
          }
        ]
      },
      {
        "id": "Immunization.site.coding:snomedCT.extension:snomedCTDescriptionID.url",
        "path": "Immunization.site.coding.extension.url",
        "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
      },
      {
        "id": "Immunization.site.coding:snomedCT.system",
        "path": "Immunization.site.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Immunization.site.coding:snomedCT.code",
        "path": "Immunization.site.coding.code",
        "min": 1
      },
      {
        "id": "Immunization.site.coding:snomedCT.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Immunization.site.coding.display",
        "min": 1
      },
      {
        "id": "Immunization.route",
        "path": "Immunization.route",
        "mustSupport": true
      },
      {
        "id": "Immunization.route.coding",
        "path": "Immunization.route.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Immunization.route.coding:snomedCT",
        "path": "Immunization.route.coding",
        "sliceName": "snomedCT",
        "max": "1",
        "binding": {
          "strength": "example",
          "description": "A code from the SNOMED Clinical Terminology UK coding system that describes the e-Prescribing route of administration.",
          "valueSetReference": {
            "reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-MedicationDosageRoute-1"
          }
        }
      },
      {
        "id": "Immunization.route.coding:snomedCT.extension",
        "path": "Immunization.route.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Immunization.route.coding:snomedCT.extension:snomedCTDescriptionID",
        "path": "Immunization.route.coding.extension",
        "sliceName": "snomedCTDescriptionID",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
          }
        ]
      },
      {
        "id": "Immunization.route.coding:snomedCT.extension:snomedCTDescriptionID.url",
        "path": "Immunization.route.coding.extension.url",
        "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
      },
      {
        "id": "Immunization.route.coding:snomedCT.system",
        "path": "Immunization.route.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Immunization.route.coding:snomedCT.code",
        "path": "Immunization.route.coding.code",
        "min": 1
      },
      {
        "id": "Immunization.route.coding:snomedCT.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Immunization.route.coding.display",
        "min": 1
      },
      {
        "id": "Immunization.doseQuantity",
        "path": "Immunization.doseQuantity",
        "mustSupport": true
      },
      {
        "id": "Immunization.practitioner",
        "path": "Immunization.practitioner",
        "mustSupport": true
      },
      {
        "id": "Immunization.practitioner.role",
        "path": "Immunization.practitioner.role",
        "mustSupport": true
      },
      {
        "id": "Immunization.practitioner.actor",
        "path": "Immunization.practitioner.actor",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1"
          }
        ]
      },
      {
        "id": "Immunization.note",
        "path": "Immunization.note",
        "mustSupport": true
      },
      {
        "id": "Immunization.note.author[x]",
        "path": "Immunization.note.author[x]",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
          },
          {
            "code": "string"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1"
          }
        ]
      },
      {
        "id": "Immunization.explanation.reason",
        "path": "Immunization.explanation.reason",
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ImmunizationReason"
            }
          ],
          "strength": "example",
          "valueSetReference": {
            "reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-ImmunizationExplanationReason-2"
          }
        }
      },
      {
        "id": "Immunization.explanation.reasonNotGiven",
        "path": "Immunization.explanation.reasonNotGiven",
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "NoImmunizationReason"
            }
          ],
          "strength": "extensible",
          "valueSetReference": {
            "reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-ReasonImmunizationNotAdministered-1"
          }
        }
      },
      {
        "id": "Immunization.reaction.detail",
        "path": "Immunization.reaction.detail",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1"
          }
        ]
      },
      {
        "id": "Immunization.vaccinationProtocol.doseSequence",
        "path": "Immunization.vaccinationProtocol.doseSequence",
        "min": 1
      },
      {
        "id": "Immunization.vaccinationProtocol.description",
        "path": "Immunization.vaccinationProtocol.description",
        "mustSupport": true
      },
      {
        "id": "Immunization.vaccinationProtocol.authority",
        "path": "Immunization.vaccinationProtocol.authority",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"
          }
        ]
      },
      {
        "id": "Immunization.vaccinationProtocol.seriesDoses",
        "path": "Immunization.vaccinationProtocol.seriesDoses",
        "mustSupport": true
      },
      {
        "id": "Immunization.vaccinationProtocol.targetDisease.coding",
        "path": "Immunization.vaccinationProtocol.targetDisease.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Immunization.vaccinationProtocol.targetDisease.coding:snomedCT",
        "path": "Immunization.vaccinationProtocol.targetDisease.coding",
        "sliceName": "snomedCT",
        "max": "1"
      },
      {
        "id": "Immunization.vaccinationProtocol.targetDisease.coding:snomedCT.extension",
        "path": "Immunization.vaccinationProtocol.targetDisease.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Immunization.vaccinationProtocol.targetDisease.coding:snomedCT.extension:snomedCTDescriptionID",
        "path": "Immunization.vaccinationProtocol.targetDisease.coding.extension",
        "sliceName": "snomedCTDescriptionID",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
          }
        ]
      },
      {
        "id": "Immunization.vaccinationProtocol.targetDisease.coding:snomedCT.extension:snomedCTDescriptionID.url",
        "path": "Immunization.vaccinationProtocol.targetDisease.coding.extension.url",
        "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
      },
      {
        "id": "Immunization.vaccinationProtocol.targetDisease.coding:snomedCT.system",
        "path": "Immunization.vaccinationProtocol.targetDisease.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Immunization.vaccinationProtocol.targetDisease.coding:snomedCT.code",
        "path": "Immunization.vaccinationProtocol.targetDisease.coding.code",
        "min": 1
      },
      {
        "id": "Immunization.vaccinationProtocol.targetDisease.coding:snomedCT.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Immunization.vaccinationProtocol.targetDisease.coding.display",
        "min": 1
      },
      {
        "id": "Immunization.vaccinationProtocol.doseStatus.coding.system",
        "path": "Immunization.vaccinationProtocol.doseStatus.coding.system",
        "min": 1
      },
      {
        "id": "Immunization.vaccinationProtocol.doseStatus.coding.code",
        "path": "Immunization.vaccinationProtocol.doseStatus.coding.code",
        "min": 1,
        "fixedCode": "count"
      },
      {
        "id": "Immunization.vaccinationProtocol.doseStatus.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Immunization.vaccinationProtocol.doseStatus.coding.display",
        "min": 1
      }
    ]
  }
}