<StructureDefinition xmlns="http://hl7.org/fhir">
  <meta>
    <lastUpdated value="2018-05-04T09:27:39.779+01:00" />
  </meta>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pher" />
  </extension>
  <url value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Immunization-1" />
  <version value="1.5.0" />
  <name value="CareConnect-GPC-Immunization-1" />
  <status value="draft" />
  <date value="2024-01-22T11:39:06.3872207+00:00" />
  <publisher value="HL7 UK" />
  <contact>
    <name value="INTEROPen" />
    <telecom>
      <system value="email" />
      <value value="admin@interopen.org" />
      <use value="work" />
    </telecom>
  </contact>
  <description value="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 value="CURATED BY INTEROPen see: http://www.interopen.org/careconnect-curation-methodology/" />
  <copyright value="Copyright © 2020 HL7 UK&#xD;&#xA;&#xD;&#xA;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&#xD;&#xA;&#xD;&#xA;http://www.apache.org/licenses/LICENSE-2.0&#xD;&#xA;&#xD;&#xA;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.&#xD;&#xA;&#xD;&#xA;HL7® FHIR® standard Copyright © 2011+ HL7&#xD;&#xA;&#xD;&#xA;The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at&#xD;&#xA;&#xD;&#xA;https://www.hl7.org/fhir/license.html" />
  <fhirVersion value="3.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Immunization" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Immunization" />
  <derivation value="constraint" />
  <differential>
    <element id="Immunization.meta.profile">
      <path value="Immunization.meta.profile" />
      <min value="1" />
    </element>
    <element id="Immunization.extension">
      <path value="Immunization.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Immunization.extension:parentPresent">
      <path value="Immunization.extension" />
      <sliceName value="parentPresent" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ParentPresent-1" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Immunization.extension:parentPresent.url">
      <path value="Immunization.extension.url" />
      <fixedUri value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ParentPresent-1" />
    </element>
    <element id="Immunization.extension:recordedDate">
      <path value="Immunization.extension" />
      <sliceName value="recordedDate" />
      <short value="The date that the Vaccination was recorded" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DateRecorded-1" />
      </type>
    </element>
    <element id="Immunization.extension:recordedDate.url">
      <path value="Immunization.extension.url" />
      <fixedUri value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DateRecorded-1" />
    </element>
    <element id="Immunization.extension:vaccinationProcedure">
      <path value="Immunization.extension" />
      <sliceName value="vaccinationProcedure" />
      <short value="The procedure code describing the vaccine that was administered." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-VaccinationProcedure-1" />
      </type>
    </element>
    <element id="Immunization.extension:vaccinationProcedure.url">
      <path value="Immunization.extension.url" />
      <fixedUri value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-VaccinationProcedure-1" />
    </element>
    <element id="Immunization.extension:vaccinationProcedure.valueCodeableConcept:valueCodeableConcept">
      <path value="Immunization.extension.valueCodeableConcept" />
      <sliceName value="valueCodeableConcept" />
      <type>
        <code value="CodeableConcept" />
      </type>
    </element>
    <element id="Immunization.identifier">
      <path value="Immunization.identifier" />
      <min value="1" />
    </element>
    <element id="Immunization.identifier.system">
      <path value="Immunization.identifier.system" />
      <min value="1" />
    </element>
    <element id="Immunization.identifier.value">
      <path value="Immunization.identifier.value" />
      <min value="1" />
    </element>
    <element id="Immunization.identifier.assigner">
      <path value="Immunization.identifier.assigner" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" />
      </type>
    </element>
    <element id="Immunization.status">
      <path value="Immunization.status" />
      <short value="completed" />
      <fixedCode value="completed" />
    </element>
    <element id="Immunization.vaccineCode">
      <path value="Immunization.vaccineCode" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="VaccineCode" />
        </extension>
        <strength value="extensible" />
        <valueSetReference>
          <reference value="https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-VaccineCode-1" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Immunization.vaccineCode.coding">
      <path value="Immunization.vaccineCode.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Immunization.vaccineCode.coding:snomedCT">
      <path value="Immunization.vaccineCode.coding" />
      <sliceName value="snomedCT" />
      <max value="1" />
    </element>
    <element id="Immunization.vaccineCode.coding:snomedCT.extension">
      <path value="Immunization.vaccineCode.coding.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Immunization.vaccineCode.coding:snomedCT.extension:snomedCTDescriptionID">
      <path value="Immunization.vaccineCode.coding.extension" />
      <sliceName value="snomedCTDescriptionID" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid" />
      </type>
    </element>
    <element id="Immunization.vaccineCode.coding:snomedCT.system">
      <path value="Immunization.vaccineCode.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
    </element>
    <element id="Immunization.vaccineCode.coding:snomedCT.version">
      <path value="Immunization.vaccineCode.coding.version" />
      <max value="0" />
    </element>
    <element id="Immunization.vaccineCode.coding:snomedCT.code">
      <path value="Immunization.vaccineCode.coding.code" />
      <min value="1" />
    </element>
    <element id="Immunization.vaccineCode.coding:snomedCT.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Immunization.vaccineCode.coding.display" />
      <min value="1" />
    </element>
    <element id="Immunization.patient">
      <path value="Immunization.patient" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1" />
      </type>
    </element>
    <element id="Immunization.encounter">
      <path value="Immunization.encounter" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Immunization.date">
      <path value="Immunization.date" />
      <mustSupport value="true" />
    </element>
    <element id="Immunization.primarySource">
      <path value="Immunization.primarySource" />
      <defaultValueBoolean value="true" />
    </element>
    <element id="Immunization.reportOrigin">
      <path value="Immunization.reportOrigin" />
      <mustSupport value="true" />
    </element>
    <element id="Immunization.location">
      <path value="Immunization.location" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Location-1" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Immunization.manufacturer">
      <path value="Immunization.manufacturer" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Immunization.lotNumber">
      <path value="Immunization.lotNumber" />
      <mustSupport value="true" />
    </element>
    <element id="Immunization.expirationDate">
      <path value="Immunization.expirationDate" />
      <mustSupport value="true" />
    </element>
    <element id="Immunization.site">
      <path value="Immunization.site" />
      <mustSupport value="true" />
    </element>
    <element id="Immunization.site.coding">
      <path value="Immunization.site.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
    </element>
    <element id="Immunization.site.coding:snomedCT">
      <path value="Immunization.site.coding" />
      <sliceName value="snomedCT" />
      <max value="1" />
    </element>
    <element id="Immunization.site.coding:snomedCT.extension">
      <path value="Immunization.site.coding.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Immunization.site.coding:snomedCT.extension:snomedCTDescriptionID">
      <path value="Immunization.site.coding.extension" />
      <sliceName value="snomedCTDescriptionID" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" />
      </type>
    </element>
    <element id="Immunization.site.coding:snomedCT.extension:snomedCTDescriptionID.url">
      <path value="Immunization.site.coding.extension.url" />
      <fixedUri value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" />
    </element>
    <element id="Immunization.site.coding:snomedCT.system">
      <path value="Immunization.site.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
    </element>
    <element id="Immunization.site.coding:snomedCT.code">
      <path value="Immunization.site.coding.code" />
      <min value="1" />
    </element>
    <element id="Immunization.site.coding:snomedCT.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Immunization.site.coding.display" />
      <min value="1" />
    </element>
    <element id="Immunization.route">
      <path value="Immunization.route" />
      <mustSupport value="true" />
    </element>
    <element id="Immunization.route.coding">
      <path value="Immunization.route.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
    </element>
    <element id="Immunization.route.coding:snomedCT">
      <path value="Immunization.route.coding" />
      <sliceName value="snomedCT" />
      <max value="1" />
      <binding>
        <strength value="example" />
        <description value="A code from the SNOMED Clinical Terminology UK coding system that describes the e-Prescribing route of administration." />
        <valueSetReference>
          <reference value="https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-MedicationDosageRoute-1" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Immunization.route.coding:snomedCT.extension">
      <path value="Immunization.route.coding.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Immunization.route.coding:snomedCT.extension:snomedCTDescriptionID">
      <path value="Immunization.route.coding.extension" />
      <sliceName value="snomedCTDescriptionID" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" />
      </type>
    </element>
    <element id="Immunization.route.coding:snomedCT.extension:snomedCTDescriptionID.url">
      <path value="Immunization.route.coding.extension.url" />
      <fixedUri value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" />
    </element>
    <element id="Immunization.route.coding:snomedCT.system">
      <path value="Immunization.route.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
    </element>
    <element id="Immunization.route.coding:snomedCT.code">
      <path value="Immunization.route.coding.code" />
      <min value="1" />
    </element>
    <element id="Immunization.route.coding:snomedCT.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Immunization.route.coding.display" />
      <min value="1" />
    </element>
    <element id="Immunization.doseQuantity">
      <path value="Immunization.doseQuantity" />
      <mustSupport value="true" />
    </element>
    <element id="Immunization.practitioner">
      <path value="Immunization.practitioner" />
      <mustSupport value="true" />
    </element>
    <element id="Immunization.practitioner.role">
      <path value="Immunization.practitioner.role" />
      <mustSupport value="true" />
    </element>
    <element id="Immunization.practitioner.actor">
      <path value="Immunization.practitioner.actor" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" />
      </type>
    </element>
    <element id="Immunization.note">
      <path value="Immunization.note" />
      <mustSupport value="true" />
    </element>
    <element id="Immunization.note.author[x]">
      <path value="Immunization.note.author[x]" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
      </type>
      <type>
        <code value="string" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1" />
      </type>
    </element>
    <element id="Immunization.explanation.reason">
      <path value="Immunization.explanation.reason" />
      <mustSupport value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImmunizationReason" />
        </extension>
        <strength value="example" />
        <valueSetReference>
          <reference value="https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-ImmunizationExplanationReason-2" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Immunization.explanation.reasonNotGiven">
      <path value="Immunization.explanation.reasonNotGiven" />
      <mustSupport value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="NoImmunizationReason" />
        </extension>
        <strength value="extensible" />
        <valueSetReference>
          <reference value="https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-ReasonImmunizationNotAdministered-1" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Immunization.reaction.detail">
      <path value="Immunization.reaction.detail" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" />
      </type>
    </element>
    <element id="Immunization.vaccinationProtocol.doseSequence">
      <path value="Immunization.vaccinationProtocol.doseSequence" />
      <min value="1" />
    </element>
    <element id="Immunization.vaccinationProtocol.description">
      <path value="Immunization.vaccinationProtocol.description" />
      <mustSupport value="true" />
    </element>
    <element id="Immunization.vaccinationProtocol.authority">
      <path value="Immunization.vaccinationProtocol.authority" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" />
      </type>
    </element>
    <element id="Immunization.vaccinationProtocol.seriesDoses">
      <path value="Immunization.vaccinationProtocol.seriesDoses" />
      <mustSupport value="true" />
    </element>
    <element id="Immunization.vaccinationProtocol.targetDisease.coding">
      <path value="Immunization.vaccinationProtocol.targetDisease.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
    </element>
    <element id="Immunization.vaccinationProtocol.targetDisease.coding:snomedCT">
      <path value="Immunization.vaccinationProtocol.targetDisease.coding" />
      <sliceName value="snomedCT" />
      <max value="1" />
    </element>
    <element id="Immunization.vaccinationProtocol.targetDisease.coding:snomedCT.extension">
      <path value="Immunization.vaccinationProtocol.targetDisease.coding.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Immunization.vaccinationProtocol.targetDisease.coding:snomedCT.extension:snomedCTDescriptionID">
      <path value="Immunization.vaccinationProtocol.targetDisease.coding.extension" />
      <sliceName value="snomedCTDescriptionID" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" />
      </type>
    </element>
    <element id="Immunization.vaccinationProtocol.targetDisease.coding:snomedCT.extension:snomedCTDescriptionID.url">
      <path value="Immunization.vaccinationProtocol.targetDisease.coding.extension.url" />
      <fixedUri value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" />
    </element>
    <element id="Immunization.vaccinationProtocol.targetDisease.coding:snomedCT.system">
      <path value="Immunization.vaccinationProtocol.targetDisease.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
    </element>
    <element id="Immunization.vaccinationProtocol.targetDisease.coding:snomedCT.code">
      <path value="Immunization.vaccinationProtocol.targetDisease.coding.code" />
      <min value="1" />
    </element>
    <element id="Immunization.vaccinationProtocol.targetDisease.coding:snomedCT.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Immunization.vaccinationProtocol.targetDisease.coding.display" />
      <min value="1" />
    </element>
    <element id="Immunization.vaccinationProtocol.doseStatus.coding.system">
      <path value="Immunization.vaccinationProtocol.doseStatus.coding.system" />
      <min value="1" />
    </element>
    <element id="Immunization.vaccinationProtocol.doseStatus.coding.code">
      <path value="Immunization.vaccinationProtocol.doseStatus.coding.code" />
      <min value="1" />
      <fixedCode value="count" />
    </element>
    <element id="Immunization.vaccinationProtocol.doseStatus.coding.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Immunization.vaccinationProtocol.doseStatus.coding.display" />
      <min value="1" />
    </element>
  </differential>
</StructureDefinition>