{
  "description": null,
  "_filename": "ImmunizationEHR.json",
  "package_name": "ca.on.ir.r4",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "ImmunizationEHR",
  "abstract": false,
  "type": "Immunization",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "Immunization EHR",
  "package_version": "1.0.0-draft2",
  "status": "draft",
  "id": "026d6043-d473-42c9-a265-bdaa85db8e3d",
  "kind": "resource",
  "url": "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-immunization",
  "version": "1.0.0",
  "differential": {
    "element": [ {
      "id": "Immunization",
      "path": "Immunization",
      "constraint": [ {
        "key": "potency-check-1",
        "human": "If the dose is not subpotent, a reason shall not be provided.",
        "source": "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-immunization",
        "severity": "error",
        "expression": "isSubpotent = true or subpotentReason.empty()"
      } ],
      "mustSupport": true
    }, {
      "id": "Immunization.meta",
      "min": 1,
      "path": "Immunization.meta",
      "mustSupport": true
    }, {
      "id": "Immunization.meta.versionId",
      "min": 1,
      "path": "Immunization.meta.versionId",
      "mustSupport": true
    }, {
      "id": "Immunization.meta.lastUpdated",
      "min": 1,
      "path": "Immunization.meta.lastUpdated",
      "mustSupport": true
    }, {
      "id": "Immunization.extension:basedOn",
      "max": "1",
      "min": 0,
      "path": "Immunization.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/event-basedOn" ]
      } ],
      "sliceName": "basedOn",
      "mustSupport": true
    }, {
      "id": "Immunization.extension:basedOn.value[x]",
      "min": 1,
      "path": "Immunization.extension.value[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-medicationRequest" ]
      } ]
    }, {
      "path": "Immunization.extension",
      "min": 0,
      "isModifier": false,
      "short": "Indicates if the administration is clinically valid",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/ext-immunization-isValid" ]
      } ],
      "mustSupport": true,
      "sliceName": "isValid",
      "max": "1",
      "id": "Immunization.extension:isValid"
    }, {
      "path": "Immunization.extension",
      "min": 0,
      "isModifier": false,
      "short": "Marketing authorization holder (manufacturer)",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/ext-immunization-marketAuthorizationHolder" ]
      } ],
      "mustSupport": true,
      "sliceName": "marketAuthorizationHolder",
      "max": "1",
      "id": "Immunization.extension:marketAuthorizationHolder"
    }, {
      "id": "Immunization.extension:marketAuthorizationHolder.value[x]",
      "max": "1",
      "min": 0,
      "path": "Immunization.extension.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "extensible",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/immunizationmarketauthorizationholdercode"
      },
      "mustSupport": true
    }, {
      "id": "Immunization.extension:marketAuthorizationHolder.value[x].coding",
      "min": 1,
      "path": "Immunization.extension.value[x].coding",
      "mustSupport": true
    }, {
      "id": "Immunization.extension:marketAuthorizationHolder.value[x].coding.system",
      "min": 1,
      "path": "Immunization.extension.value[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Immunization.extension:marketAuthorizationHolder.value[x].coding.code",
      "min": 1,
      "path": "Immunization.extension.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Immunization.extension:marketAuthorizationHolder.value[x].coding.display",
      "path": "Immunization.extension.value[x].coding.display",
      "mustSupport": true
    }, {
      "id": "Immunization.identifier",
      "max": "1",
      "min": 1,
      "path": "Immunization.identifier",
      "mustSupport": true
    }, {
      "id": "Immunization.identifier.system",
      "min": 1,
      "path": "Immunization.identifier.system",
      "mustSupport": true
    }, {
      "id": "Immunization.identifier.value",
      "min": 1,
      "path": "Immunization.identifier.value",
      "mustSupport": true
    }, {
      "id": "Immunization.status",
      "path": "Immunization.status",
      "mustSupport": true
    }, {
      "id": "Immunization.vaccineCode",
      "path": "Immunization.vaccineCode",
      "binding": {
        "strength": "preferred",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/vaccineadministeredtradenamecode",
        "extension": [ {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "https://fhir.infoway-inforoute.ca/ValueSet/passiveadministeredimmunizingagentcode"
          }, {
            "url": "key",
            "valueId": "passiveAdministered"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "https://fhir.infoway-inforoute.ca/ValueSet/vaccinehistoricalnamecode"
          }, {
            "url": "key",
            "valueId": "vaccineHistorical"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "https://fhir.infoway-inforoute.ca/ValueSet/passivehistoricalimmunizingagentcode"
          }, {
            "url": "key",
            "valueId": "passiveHistorical"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "https://fhir.infoway-inforoute.ca/ValueSet/DIN"
          }, {
            "url": "key",
            "valueId": "din"
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Immunization.vaccineCode.coding",
      "max": "1",
      "min": 1,
      "path": "Immunization.vaccineCode.coding",
      "mustSupport": true
    }, {
      "id": "Immunization.vaccineCode.coding.system",
      "max": "1",
      "min": 1,
      "path": "Immunization.vaccineCode.coding.system",
      "mustSupport": true
    }, {
      "id": "Immunization.vaccineCode.coding.code",
      "max": "1",
      "min": 1,
      "path": "Immunization.vaccineCode.coding.code",
      "mustSupport": true
    }, {
      "id": "Immunization.vaccineCode.coding.display",
      "max": "1",
      "min": 1,
      "path": "Immunization.vaccineCode.coding.display",
      "mustSupport": true
    }, {
      "id": "Immunization.vaccineCode.text",
      "path": "Immunization.vaccineCode.text",
      "mustSupport": true
    }, {
      "id": "Immunization.patient",
      "path": "Immunization.patient",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Immunization.patient.reference",
      "min": 1,
      "path": "Immunization.patient.reference",
      "mustSupport": true
    }, {
      "id": "Immunization.occurrence[x]",
      "path": "Immunization.occurrence[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "mustSupport": true
    }, {
      "id": "Immunization.recorded",
      "path": "Immunization.recorded",
      "mustSupport": true
    }, {
      "id": "Immunization.location",
      "path": "Immunization.location",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-location" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Immunization.location.reference",
      "path": "Immunization.location.reference",
      "mustSupport": true
    }, {
      "id": "Immunization.location.display",
      "path": "Immunization.location.display",
      "mustSupport": true
    }, {
      "id": "Immunization.lotNumber",
      "path": "Immunization.lotNumber",
      "mustSupport": true
    }, {
      "id": "Immunization.expirationDate",
      "path": "Immunization.expirationDate",
      "mustSupport": true
    }, {
      "id": "Immunization.site",
      "path": "Immunization.site",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/immunizationadministrationanatomicalsitecode"
      },
      "mustSupport": true
    }, {
      "id": "Immunization.site.coding",
      "max": "1",
      "min": 1,
      "path": "Immunization.site.coding",
      "mustSupport": true
    }, {
      "id": "Immunization.site.coding.system",
      "max": "1",
      "min": 1,
      "path": "Immunization.site.coding.system",
      "mustSupport": true
    }, {
      "id": "Immunization.site.coding.code",
      "max": "1",
      "min": 1,
      "path": "Immunization.site.coding.code",
      "mustSupport": true
    }, {
      "id": "Immunization.site.coding.display",
      "max": "1",
      "min": 1,
      "path": "Immunization.site.coding.display",
      "mustSupport": true
    }, {
      "id": "Immunization.site.text",
      "path": "Immunization.site.text",
      "mustSupport": true
    }, {
      "id": "Immunization.route",
      "path": "Immunization.route",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/immunizationrouteofadministrationcode"
      },
      "mustSupport": true
    }, {
      "id": "Immunization.route.coding",
      "max": "1",
      "min": 1,
      "path": "Immunization.route.coding",
      "mustSupport": true
    }, {
      "id": "Immunization.route.coding.system",
      "max": "1",
      "min": 1,
      "path": "Immunization.route.coding.system",
      "mustSupport": true
    }, {
      "id": "Immunization.route.coding.code",
      "max": "1",
      "min": 1,
      "path": "Immunization.route.coding.code",
      "mustSupport": true
    }, {
      "id": "Immunization.route.coding.display",
      "max": "1",
      "min": 1,
      "path": "Immunization.route.coding.display",
      "mustSupport": true
    }, {
      "id": "Immunization.route.text",
      "path": "Immunization.route.text",
      "mustSupport": true
    }, {
      "id": "Immunization.doseQuantity",
      "path": "Immunization.doseQuantity",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/prescriptiondosequantityunit"
      },
      "mustSupport": true
    }, {
      "id": "Immunization.doseQuantity.value",
      "min": 1,
      "path": "Immunization.doseQuantity.value",
      "mustSupport": true
    }, {
      "id": "Immunization.doseQuantity.unit",
      "min": 1,
      "path": "Immunization.doseQuantity.unit",
      "mustSupport": true
    }, {
      "id": "Immunization.doseQuantity.system",
      "path": "Immunization.doseQuantity.system",
      "mustSupport": true
    }, {
      "id": "Immunization.performer",
      "path": "Immunization.performer",
      "mustSupport": true
    }, {
      "id": "Immunization.performer.actor",
      "path": "Immunization.performer.actor",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitionerRole", "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitioner" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Immunization.performer.actor.reference",
      "min": 1,
      "path": "Immunization.performer.actor.reference",
      "mustSupport": true
    }, {
      "id": "Immunization.reasonCode",
      "path": "Immunization.reasonCode",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://ontariohealth.ca/fhir/immunization/ValueSet/immunization-reason-code"
      },
      "mustSupport": true
    }, {
      "id": "Immunization.reasonCode.coding",
      "max": "1",
      "min": 1,
      "path": "Immunization.reasonCode.coding",
      "mustSupport": true
    }, {
      "id": "Immunization.reasonCode.coding.system",
      "max": "1",
      "min": 1,
      "path": "Immunization.reasonCode.coding.system",
      "mustSupport": true
    }, {
      "id": "Immunization.reasonCode.coding.code",
      "max": "1",
      "min": 1,
      "path": "Immunization.reasonCode.coding.code",
      "mustSupport": true
    }, {
      "id": "Immunization.reasonCode.coding.display",
      "max": "1",
      "min": 1,
      "path": "Immunization.reasonCode.coding.display",
      "mustSupport": true
    }, {
      "id": "Immunization.fundingSource",
      "path": "Immunization.fundingSource",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/drug-service-coverage"
      },
      "mustSupport": true
    }, {
      "id": "Immunization.fundingSource.coding",
      "max": "1",
      "min": 1,
      "path": "Immunization.fundingSource.coding",
      "mustSupport": true
    }, {
      "id": "Immunization.fundingSource.coding.system",
      "max": "1",
      "min": 1,
      "path": "Immunization.fundingSource.coding.system",
      "mustSupport": true
    }, {
      "id": "Immunization.fundingSource.coding.code",
      "max": "1",
      "min": 1,
      "path": "Immunization.fundingSource.coding.code",
      "mustSupport": true
    }, {
      "id": "Immunization.fundingSource.coding.display",
      "max": "1",
      "min": 1,
      "path": "Immunization.fundingSource.coding.display",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Immunization"
}