<status value="draft" /> <date value="2017-12-21" /> <publisher value="THL" /> <description value="Immunization profile for Trillium 2, unplanned care scenario, core profile." /> <purpose value="Immunization basic IPS profile for Trillium 2" /> <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"> <path value="Immunization" /> <definition value="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. If it describes a reported information the details about the assertion (e.g. who did the assertion, when was done) can be optionally documented in the in the statement extension." /> </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:statementDetails"> <path value="Immunization.extension" /> <sliceName value="statementDetails" /> <type> <code value="Extension" /> <profile value="http://trilliumbridge.eu/fhir/StructureDefinition/statement-uv-trillium2" /> </type> </element> <element id="Immunization.vaccineCode"> <path value="Immunization.vaccineCode" /> <definition value="Vaccine that was administered or was to be administered. Several kinds of vaccine product coding could be provided . The IPS requires that at least the Vaccine for type of disease is documented; other coded information that identify / classify the administered product (e.g. the medicinal prodoct or the product class), including IDMP identifiers, can be recorded as well." /> </element> <element id="Immunization.vaccineCode.coding"> <path value="Immunization.vaccineCode.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <description value="One slice per system of representation of vaccines. Supports vaccine classifications and medicinal products identifiers and classes. When the IDMP identifiers will be concretely available for usage this element will be used for conveying the Medicinal Product Identifier (MPID). For the time being, it could be optionally used for conveying jurisdictional or agreed cross jurisdictional product code." /> <rules value="open" /> </slicing> <type> <code value="Coding" /> <profile value="http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips" /> </type> </element> <element id="Immunization.vaccineCode.coding:vaccineType"> <path value="Immunization.vaccineCode.coding" /> <sliceName value="vaccineType" /> <short value="Vaccine for type of disease" /> <definition value="The type of vaccine for particular disease or diseases against which the patient has been immunised." /> <min value="1" /> <max value="1" /> <type> <code value="Coding" /> <profile value="http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips" /> </type> <mustSupport value="true" /> </element> <element id="Immunization.vaccineCode.coding:pharmaceuticalProduct-L1"> <path value="Immunization.vaccineCode.coding" /> <sliceName value="pharmaceuticalProduct-L1" /> <short value="Pharmaceutical Product Identifier, Level 1" /> <definition value="IDMP PhPID Level 1 (Implies ingredients) or any equivalent Pharmaceutical Product identifier. Pharmaceutical Product Identifier (PhPID): Uniquely identifies medicinal product based on the generic composition, such as ingredients and route of administration, separate from any other details such as regulatory authorisation, organisation, packaging or naming. The PhPID can be specified at various levels of detail for a given Pharmaceutical Product." /> <type> <code value="Coding" /> <profile value="http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips" /> </type> </element> <element id="Immunization.vaccineCode.coding:pharmaceuticalProduct-L2"> <path value="Immunization.vaccineCode.coding" /> <sliceName value="pharmaceuticalProduct-L2" /> <short value="Pharmaceutical Product Identifier, Level 2" /> <definition value="IDMP PhPID Level 2 (Implies ingredients and strength) or any equivalent Pharmaceutical Product identifier. Pharmaceutical Product Identifier (PhPID): Uniquely identifies medicinal product based on the generic composition, such as ingredients and route of administration, separate from any other details such as regulatory authorisation, organisation, packaging or naming. The PhPID can be specified at various levels of detail for a given Pharmaceutical Product." /> <type> <code value="Coding" /> <profile value="http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips" /> </type> </element> <element id="Immunization.vaccineCode.coding:pharmaceuticalProduct-L3"> <path value="Immunization.vaccineCode.coding" /> <sliceName value="pharmaceuticalProduct-L3" /> <short value="Pharmaceutical Product Identifier, Level 3" /> <definition value="IDMP PhPID Level 3 (Implies ingredients and dose form) or any equivalent Pharmaceutical Product identifier. Pharmaceutical Product Identifier (PhPID): Uniquely identifies medicinal product based on the generic composition, such as ingredients and route of administration, separate from any other details such as regulatory authorisation, organisation, packaging or naming. The PhPID can be specified at various levels of detail for a given Pharmaceutical Product." /> <type> <code value="Coding" /> <profile value="http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips" /> </type> </element> <element id="Immunization.vaccineCode.coding:pharmaceuticalProduct-L4"> <path value="Immunization.vaccineCode.coding" /> <sliceName value="pharmaceuticalProduct-L4" /> <short value="Pharmaceutical Product Identifier, Level 4" /> <definition value="IDMP PhPID Level 4 (Implies ingredients, strength, and dose form) or any equivalent Pharmaceutical Product identifier. Pharmaceutical Product Identifier (PhPID): Uniquely identifies medicinal product based on the generic composition, such as ingredients and route of administration, separate from any other details such as regulatory authorisation, organisation, packaging or naming. The PhPID can be specified at various levels of detail for a given Pharmaceutical Product." /> <type> <code value="Coding" /> <profile value="http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips" /> </type> </element> <element id="Immunization.vaccineCode.coding:medicinalProduct"> <path value="Immunization.vaccineCode.coding" /> <sliceName value="medicinalProduct" /> <short value="Medicinal Product Identifier" /> <definition value="IDMP Medicinal Product Identifier (MPID) or any equivalent Medicinal Product Identifier. IDMP MPID uniquely identifies a Medicinal Product, reflecting (but not replacing) any other authorisation numbers allocated by a regulator. MPID implies one (set of) PhPID. The MPID shall use a common segment pattern related to a Medicinal Product, which when each segment is valued shall define a specific MPID concept. The pattern is: • a) Country code segment (ISO 3166-1 alpha-2 code elements); • b) Marketing Authorization Holder (Organization Identifier) code segment; • c) Medicinal Product code segment (Unique Medicinal Product Identifier). • Any change of the values related to these three code segments shall result in the assignment of a new MPID." /> <type> <code value="Coding" /> <profile value="http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips" /> </type> </element> <element id="Immunization.vaccineCode.coding:packagedProduct"> <path value="Immunization.vaccineCode.coding" /> <sliceName value="packagedProduct" /> <short value="Packaged Medicinal Product Identifier" /> <definition value="IDMP Packaged Medicinal Product Identifier or any equivalent Packaged Medicinal Product Identifier. Uniquely identifies a Medicinal Product based on its packaging. This implies one MPID can be associated with more than one PCID, if the same Medicinal Product has more than one type of package; The PCID shall use a common segment pattern related to a package of a Medicinal Product, which when each segment is valued, shall define a specific PCID concept. The pattern is: • a) MPID for the Medicinal Product • b) package description code segment, which refers to a unique identifier for each package." /> <type> <code value="Coding" /> <profile value="http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips" /> </type> </element> <element id="Immunization.vaccineCode.coding:class"> <path value="Immunization.vaccineCode.coding" /> <sliceName value="class" /> <short value="Product classification or cluster" /> <definition value="Any classification or cluster of products such as ATC, SNOMED VMP or national classification of products" /> <type> <code value="Coding" /> <profile value="http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips" /> </type> </element> <element id="Immunization.encounter"> <path value="Immunization.encounter" /> <max value="0" /> </element> <element id="Immunization.date"> <path value="Immunization.date" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Immunization.reportOrigin"> <path value="Immunization.reportOrigin" /> <max value="0" /> </element> <element id="Immunization.location"> <path value="Immunization.location" /> <max value="0" /> </element> <element id="Immunization.manufacturer"> <path value="Immunization.manufacturer" /> <max value="0" /> </element> <element id="Immunization.manufacturer.reference"> <path value="Immunization.manufacturer.reference" /> <max value="0" /> </element> <element id="Immunization.manufacturer.identifier"> <path value="Immunization.manufacturer.identifier" /> <max value="0" /> </element> <element id="Immunization.lotNumber"> <path value="Immunization.lotNumber" /> <max value="0" /> </element> <element id="Immunization.expirationDate"> <path value="Immunization.expirationDate" /> <max value="0" /> </element> <element id="Immunization.site"> <path value="Immunization.site" /> <max value="0" /> </element> <element id="Immunization.site.coding"> <path value="Immunization.site.coding" /> <type> <code value="Coding" /> <profile value="http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips" /> </type> </element> <element id="Immunization.route"> <path value="Immunization.route" /> <max value="0" /> </element> <element id="Immunization.route.coding"> <path value="Immunization.route.coding" /> <type> <code value="Coding" /> <profile value="http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips" /> </type> </element> <element id="Immunization.doseQuantity"> <path value="Immunization.doseQuantity" /> <max value="0" /> </element> <element id="Immunization.practitioner"> <path value="Immunization.practitioner" /> <max value="0" /> </element> <element id="Immunization.practitioner.role"> <path value="Immunization.practitioner.role" /> <max value="0" /> </element> <element id="Immunization.note"> <path value="Immunization.note" /> <max value="0" /> </element> <element id="Immunization.note.author[x]"> <path value="Immunization.note.author[x]" /> <max value="0" /> </element> <element id="Immunization.note.time"> <path value="Immunization.note.time" /> <max value="0" /> </element> <element id="Immunization.explanation"> <path value="Immunization.explanation" /> <max value="0" /> </element> <element id="Immunization.explanation.reason"> <path value="Immunization.explanation.reason" /> <max value="0" /> </element> <element id="Immunization.explanation.reasonNotGiven"> <path value="Immunization.explanation.reasonNotGiven" /> <max value="1" /> </element> <element id="Immunization.explanation.reasonNotGiven.coding"> <path value="Immunization.explanation.reasonNotGiven.coding" /> <type> <code value="Coding" /> <profile value="http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips" /> </type> </element> <element id="Immunization.reaction"> <path value="Immunization.reaction" /> <max value="0" /> </element> <element id="Immunization.reaction.date"> <path value="Immunization.reaction.date" /> <max value="0" /> </element> <element id="Immunization.reaction.detail.reference"> <path value="Immunization.reaction.detail.reference" /> <max value="0" /> </element> <element id="Immunization.reaction.detail.identifier"> <path value="Immunization.reaction.detail.identifier" /> <max value="0" /> </element> <element id="Immunization.reaction.reported"> <path value="Immunization.reaction.reported" /> <max value="0" /> </element> <element id="Immunization.vaccinationProtocol"> <path value="Immunization.vaccinationProtocol" /> <max value="1" /> </element> <element id="Immunization.vaccinationProtocol.doseSequence"> <path value="Immunization.vaccinationProtocol.doseSequence" /> <max value="0" /> </element> <element id="Immunization.vaccinationProtocol.description"> <path value="Immunization.vaccinationProtocol.description" /> <max value="0" /> </element> <element id="Immunization.vaccinationProtocol.authority"> <path value="Immunization.vaccinationProtocol.authority" /> <max value="0" /> </element> <element id="Immunization.vaccinationProtocol.series"> <path value="Immunization.vaccinationProtocol.series" /> <max value="0" /> </element> <element id="Immunization.vaccinationProtocol.seriesDoses"> <path value="Immunization.vaccinationProtocol.seriesDoses" /> <max value="0" /> </element> <element id="Immunization.vaccinationProtocol.targetDisease.coding"> <path value="Immunization.vaccinationProtocol.targetDisease.coding" /> <type> <code value="Coding" /> <profile value="http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips" /> </type> </element> <element id="Immunization.vaccinationProtocol.doseStatus.coding"> <path value="Immunization.vaccinationProtocol.doseStatus.coding" /> <type> <code value="Coding" /> <profile value="http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips" /> </type> </element> <element id="Immunization.vaccinationProtocol.doseStatusReason"> <path value="Immunization.vaccinationProtocol.doseStatusReason" /> <max value="0" /> </element> </differential> </StructureDefinition>