description: This profile represents the constraints applied to the Immunization resource by the PS-CA project to represent a record of immunization in the patient summary. It is informed by the constraints of the [Immunization IPS-UV profile](http://hl7.org/fhir/uv/ips/StructureDefinition-Immunization-uv-ips.html) and the [Canadian Baseline Profile](http://build.fhir.org/ig/HL7-Canada/ca-baseline/branches/master/StructureDefinition-profile-immunization.html) to allow for cross-border and cross-jurisdiction sharing of Medication Summary information. It 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. package_name: ca.infoway.io.psca derivation: constraint name: ImmunizationPSCA type: Immunization elements: patient: type: Reference mustSupport: true refers: ['http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/patient-ca-ps'] index: 8 elements: reference: {mustSupport: true, index: 9} required: [reference] occurrence[x]: extensions: data-absent-reason: {url: 'http://hl7.org/fhir/StructureDefinition/data-absent-reason', max: 1, type: Extension, short: 'occurrence[x] absence reason', mustSupport: true, index: 13} elements: extension: index: 12 slicing: rules: open description: Extensions are always sliced by (at least) url discriminator: - {path: url, type: value} min: null slices: data-absent-reason: match: {url: null} schema: {type: Extension, short: 'occurrence[x] absence reason', mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/data-absent-reason', index: 13} max: 1 protocolApplied: elements: targetDisease: binding: {strength: preferred, valueSet: 'http://fhir.infoway-inforoute.ca/io/psca/ValueSet/CVC-Disease'} index: 25 slicing: rules: open description: Discriminated by bound value set discriminator: - {path: $this, type: pattern} min: null slices: targetDiseaseGPSCode: match: {} schema: short: Optional slice for representing the code for a disease the vaccination is against from the SNOMED CT GPS code set. binding: {strength: required, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/targetDiseases-gps-uv-ips'} index: 26 targetDiseaseCVC: match: {} schema: short: Optional slice for representing the code for a disease the vaccination is against from the Canadian Vaccine Catalogue Disease value set. binding: {strength: required, valueSet: 'http://fhir.infoway-inforoute.ca/io/psca/ValueSet/CVC-Disease'} index: 27 site: type: CodeableConcept binding: {strength: preferred, valueSet: 'http://fhir.infoway-inforoute.ca/io/psca/ValueSet/CVC-AnatomicalSite'} index: 14 elements: coding: index: 15 slicing: rules: open description: Discriminated by bound value set discriminator: - {path: $this, type: pattern} min: null slices: siteIPS: match: {} schema: short: Optional slice for representing the site of an immunization from the IPS SNOMED CT value set. binding: {strength: required, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/target-site-uv-ips'} index: 16 siteCVC: match: {} schema: short: Optional slice for representing the site of an immunization from the Canadian Vaccine Catalogue Anatomical Site value set. binding: {strength: required, valueSet: 'http://fhir.infoway-inforoute.ca/io/psca/ValueSet/CVC-AnatomicalSite'} index: 17 HumanSubstanceAdministrationSiteV3: match: {} schema: short: The set of body locations to or through which a drug product may be administered. binding: {strength: required, valueSet: 'http://terminology.hl7.org/ValueSet/v3-HumanSubstanceAdministrationSite'} index: 18 vaccineCode: short: |- Vaccine that was administered or was to be administered. IPS-UV Note: Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent/unknown code. Other coded information can be provided as well as: the Pharmaceutical and medicinal product identifiers, when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. mustSupport: true binding: {strength: preferred, valueSet: 'http://fhir.infoway-inforoute.ca/io/psca/ValueSet/CVC-Generic'} index: 1 slicing: rules: open description: Discriminated by bound value set discriminator: - {path: $this, type: pattern} min: 1 max: 1 slices: vaccineGPSCode: match: {} schema: short: Optional slice for representing the code for vaccine from the SNOMED CT GPS code set binding: {strength: required, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/vaccines-gps-uv-ips'} index: 2 max: 1 vaccineIPSCode: match: {} schema: short: Optional slice for representing the code for vaccine from the SNOMED CT IPS code set binding: {strength: required, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips'} index: 3 max: 1 atcClass: match: {} schema: short: Optional slice for representing the vaccine code from the WHO ATC classification binding: {strength: required, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips'} index: 4 max: 1 CVCTradename: match: {} schema: short: Optional slice for representing the codes from the Canadian Vaccine Catalogue Tradenames value set. binding: {strength: required, valueSet: 'http://fhir.infoway-inforoute.ca/io/psca/ValueSet/CVC-Tradename'} index: 5 max: 1 CVCGeneric: match: {} schema: short: Optional slice for representing the codes from the Canadian Vaccine Catalogue Generic names value set. binding: {strength: required, valueSet: 'http://fhir.infoway-inforoute.ca/io/psca/ValueSet/CVC-Generic'} index: 6 max: 1 absentOrUnknownImmunization: match: {} schema: short: Optional slice for representing the codes for an Absent or Unknown Immunization mustSupport: true binding: {strength: required, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-immunizations-uv-ips'} index: 7 max: 1 route: type: CodeableConcept binding: {strength: preferred, valueSet: 'http://fhir.infoway-inforoute.ca/io/psca/ValueSet/CVC-RouteOfAdmin'} mustSupport: true index: 19 elements: coding: index: 20 slicing: rules: open description: Discriminated by bound value set discriminator: - {path: $this, type: pattern} min: null slices: routeEDQM: match: {} schema: short: Optional slice for representing the route of immunization administraction drawn from the EDQM value set. binding: {strength: required, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration'} index: 21 routeCVC: match: {} schema: short: Optional slice for representing the route of immunization administraction drawn from the Canadian Vaccine Catalogue Route of Administration value set. binding: {strength: required, valueSet: 'http://fhir.infoway-inforoute.ca/io/psca/ValueSet/CVC-RouteOfAdmin'} index: 22 RouteOfAdministrationV3: match: {} schema: short: The path the administered medication takes to get into the body or into contact with the body. binding: {strength: required, valueSet: 'http://terminology.hl7.org/ValueSet/v3-RouteOfAdministration'} index: 23 status: {mustSupport: true, index: 0} occurrence: mustSupport: true choices: [] index: 11 performer: {index: 24} package_version: 0.0.4 class: profile kind: resource url: http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/immunization-ca-ps base: http://hl7.org/fhir/StructureDefinition/Immunization version: 0.0.4 required: [vaccineCode, occurrence]