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.
package_name: gpc.stu3.fhir-assets
derivation: constraint
name: CareConnect-GPC-Immunization-1
type: Immunization
elements:
  patient:
    type: Reference
    refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1']
    index: 23
  explanation:
    elements:
      reason: {mustSupport: true, index: 61}
      reasonNotGiven: {mustSupport: true, index: 62}
  reportOrigin: {mustSupport: true, index: 27}
  date: {mustSupport: true, index: 25}
  meta:
    elements:
      profile: {index: 0}
    required: [profile]
  site:
    mustSupport: true
    index: 32
    elements:
      coding:
        index: 33
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            snomedCT:
              match: {system: 'http://snomed.info/sct'}
              schema:
                index: 34
                extensions:
                  snomedCTDescriptionID:
                    url: h
                    type: Extension
                    index: 36
                    elements:
                      url:
                        pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                        index: 37
                elements:
                  extension:
                    index: 35
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: null
                      slices:
                        snomedCTDescriptionID:
                          match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                          schema:
                            type: Extension
                            url: h
                            index: 36
                            elements:
                              url:
                                pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                                index: 37
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 38
                  code: {index: 39}
                  display: {index: 40}
                required: [display, system, code]
  encounter:
    type: Reference
    mustSupport: true
    refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1']
    index: 24
  vaccineCode:
    index: 14
    elements:
      coding:
        index: 15
        slicing:
          rules: open
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            snomedCT:
              match: {system: 'http://snomed.info/sct'}
              schema:
                index: 16
                extensions:
                  snomedCTDescriptionID: {url: h, type: Extension, index: 18}
                elements:
                  extension:
                    index: 17
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: null
                      slices:
                        snomedCTDescriptionID:
                          match: {url: null}
                          schema: {type: Extension, url: h, index: 18}
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 19
                  version: {index: 20}
                  code: {index: 21}
                  display: {index: 22}
                required: [display, system, code]
  vaccinationProtocol:
    elements:
      doseSequence: {index: 64}
      description: {mustSupport: true, index: 65}
      authority:
        type: Reference
        refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1']
        index: 66
      seriesDoses: {mustSupport: true, index: 67}
      targetDisease:
        elements:
          coding:
            index: 68
            slicing:
              rules: open
              ordered: false
              discriminator:
              - {path: system, type: value}
              min: null
              slices:
                snomedCT:
                  match: {system: 'http://snomed.info/sct'}
                  schema:
                    index: 69
                    extensions:
                      snomedCTDescriptionID:
                        url: h
                        type: Extension
                        index: 71
                        elements:
                          url:
                            pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                            index: 72
                    elements:
                      extension:
                        index: 70
                        slicing:
                          rules: open
                          discriminator:
                          - {path: url, type: value}
                          min: null
                          slices:
                            snomedCTDescriptionID:
                              match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                              schema:
                                type: Extension
                                url: h
                                index: 71
                                elements:
                                  url:
                                    pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                                    index: 72
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 73
                      code: {index: 74}
                      display: {index: 75}
                    required: [display, system, code]
      doseStatus:
        elements:
          coding:
            elements:
              system: {index: 76}
              code:
                pattern: {type: Code, value: count}
                index: 77
              display: {index: 78}
            required: [display, system, code]
    required: [doseSequence]
  doseQuantity: {mustSupport: true, index: 50}
  route:
    mustSupport: true
    index: 41
    elements:
      coding:
        index: 42
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            snomedCT:
              match: {system: 'http://snomed.info/sct'}
              schema:
                index: 43
                extensions:
                  snomedCTDescriptionID:
                    url: h
                    type: Extension
                    index: 45
                    elements:
                      url:
                        pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                        index: 46
                elements:
                  extension:
                    index: 44
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: null
                      slices:
                        snomedCTDescriptionID:
                          match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                          schema:
                            type: Extension
                            url: h
                            index: 45
                            elements:
                              url:
                                pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                                index: 46
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 47
                  code: {index: 48}
                  display: {index: 49}
                required: [display, system, code]
  note:
    mustSupport: true
    index: 54
    elements:
      author:
        choices: [authorReference, authorString, authorReference, authorReference]
        index: 56
      authorReference:
        type: Reference
        choiceOf: author
        refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1']
        index: 59
      authorString: {type: string, choiceOf: author, index: 58}
  extension:
    index: 1
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        parentPresent:
          match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ParentPresent-1'}
          schema:
            type: Extension
            mustSupport: true
            url: h
            index: 2
            elements:
              url:
                pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ParentPresent-1'}
                index: 3
        recordedDate:
          match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DateRecorded-1'}
          schema:
            type: Extension
            short: The date that the Vaccination was recorded
            url: h
            index: 4
            elements:
              url:
                pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DateRecorded-1'}
                index: 5
        vaccinationProcedure:
          match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-VaccinationProcedure-1'}
          schema:
            type: Extension
            short: The procedure code describing the vaccine that was administered.
            url: h
            index: 6
            elements:
              url:
                pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-VaccinationProcedure-1'}
                index: 7
              valueCodeableConcept:
                type: CodeableConcept
                index: 8
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {type: CodeableConcept, index: 8}
  primarySource: {defaultValueBoolean: true, index: 26}
  status:
    short: completed
    pattern: {type: Code, value: completed}
    index: 13
  lotNumber: {mustSupport: true, index: 30}
  identifier:
    index: 9
    elements:
      system: {index: 10}
      value: {index: 11}
      assigner:
        type: Reference
        refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1']
        index: 12
    required: [value, system]
  practitioner:
    mustSupport: true
    index: 51
    elements:
      role: {mustSupport: true, index: 52}
      actor:
        type: Reference
        refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1']
        index: 53
  manufacturer:
    type: Reference
    mustSupport: true
    refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1']
    index: 29
  reaction:
    elements:
      detail:
        type: Reference
        refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1']
        index: 63
  location:
    type: Reference
    mustSupport: true
    refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Location-1']
    index: 28
  expirationDate: {mustSupport: true, index: 31}
package_version: 1.1.1
extensions:
  parentPresent:
    url: h
    type: Extension
    mustSupport: true
    index: 2
    elements:
      url:
        pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ParentPresent-1'}
        index: 3
  recordedDate:
    url: h
    type: Extension
    short: The date that the Vaccination was recorded
    index: 4
    elements:
      url:
        pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DateRecorded-1'}
        index: 5
  vaccinationProcedure:
    url: h
    type: Extension
    short: The procedure code describing the vaccine that was administered.
    index: 6
    elements:
      url:
        pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-VaccinationProcedure-1'}
        index: 7
      valueCodeableConcept:
        type: CodeableConcept
        index: 8
        slicing:
          slices:
            valueCodeableConcept:
              match: {}
              schema: {type: CodeableConcept, index: 8}
class: profile
kind: resource
url: https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Immunization-1
base: http://hl7.org/fhir/StructureDefinition/Immunization
version: 1.5.0
required: [identifier]