description: A set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement.
package_name: NHSDigital.FHIR.STU3
derivation: constraint
name: CareConnect-ITK-DM-Immunization-Composition-1
type: Composition
elements:
  encounter:
    type: Reference
    mustSupport: true
    refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Encounter-1']
    index: 22
    elements:
      reference: {index: 23}
    required: [reference]
  section:
    index: 38
    elements:
      code: {index: 39}
    slicing:
      rules: closed
      ordered: false
      discriminator:
      - {path: code.coding.code, type: value}
      min: 1
      slices:
        eligibilityCriteria:
          match:
            code:
              coding: {code: '61871000000107'}
          schema:
            short: Patients eligibility for treatment.
            index: 106
            elements:
              title: {short: Eligibility Criteria, index: 107}
              code:
                index: 108
                elements:
                  coding:
                    index: 109
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 110
                      version: {index: 111}
                      code:
                        pattern: {type: Code, value: '61871000000107'}
                        index: 112
                      display:
                        pattern: {type: String, value: Eligibility for treatment}
                        index: 113
                      userSelected: {index: 114}
                    required: [display, system, code]
                  text: {index: 115}
                required: [coding]
              text: {index: 116}
              mode: {index: 117}
              orderedBy: {index: 118}
              entry: {index: 119}
              emptyReason: {index: 120}
              section: {index: 121}
            required: [text, title, code]
        patientDemographics:
          match:
            code:
              coding: {code: '886731000000109'}
          schema:
            short: Patient demographic information including the patient's next of kin and carer information.
            _required: true
            index: 186
            elements:
              title: {short: Patient Demographics, index: 187}
              code:
                index: 188
                elements:
                  coding:
                    index: 189
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 190
                      version: {index: 191}
                      code:
                        pattern: {type: Code, value: '886731000000109'}
                        index: 192
                      display:
                        pattern: {type: String, value: Patient demographics}
                        index: 193
                      userSelected: {index: 194}
                    required: [display, system, code]
                required: [coding]
              text: {index: 195}
              mode: {index: 196}
              orderedBy: {index: 197}
              entry:
                type: Reference
                refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1']
                index: 198
                elements:
                  reference: {index: 199}
                required: [reference]
              emptyReason: {index: 200}
              section: {index: 201}
            required: [entry, text, title, code]
        vaccinations:
          match:
            code:
              coding: {code: '1102181000000102'}
          schema:
            short: Information relating to the vaccines administered on the patient.
            _required: true
            index: 154
            elements:
              title: {short: Vaccinations, index: 155}
              code:
                index: 156
                elements:
                  coding:
                    index: 157
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 158
                      version: {index: 159}
                      code:
                        pattern: {type: Code, value: '1102181000000102'}
                        index: 160
                      display:
                        pattern: {type: String, value: Immunisations}
                        index: 161
                      userSelected: {index: 162}
                    required: [display, system, code]
                  text: {index: 163}
                required: [coding]
              mode: {index: 164}
              orderedBy: {index: 165}
              entry:
                type: Reference
                refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-DM-Immunization-1']
                index: 166
                elements:
                  reference: {index: 167}
                required: [reference]
              emptyReason: {index: 168}
              section: {index: 169}
            required: [entry, title, code]
        distributionList:
          match:
            code:
              coding: {code: '887261000000109'}
          schema:
            mustSupport: true
            index: 89
            elements:
              title: {short: Distribution list, index: 90}
              code:
                index: 91
                elements:
                  coding:
                    index: 92
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 93
                      version: {index: 94}
                      code:
                        pattern: {type: Code, value: '887261000000109'}
                        index: 95
                      display:
                        pattern: {type: String, value: Distribution list}
                        index: 96
                      userSelected: {index: 97}
                    required: [display, system, code]
                  text: {index: 98}
                required: [coding]
              text: {index: 99}
              mode: {index: 100}
              orderedBy: {index: 101}
              entry:
                type: Reference
                refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-RelatedPerson-1', 'https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Attachment-Binary-1', 'https://fhir.nhs.uk/STU3/StructureDefinition/ITK-RelatedPerson-1']
                index: 102
                elements:
                  reference: {index: 103}
                required: [reference]
              emptyReason: {index: 104}
              section: {index: 105}
            required: [text, title, code]
        allergiesAndAdverseReactions:
          match:
            code:
              coding: {code: '886921000000105'}
          schema:
            short: Summarised table of Allergies and Intolerance relating to the patient.
            index: 40
            elements:
              title: {short: Allergies and Adverse Reactions, index: 41}
              code:
                index: 42
                elements:
                  coding:
                    index: 43
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 44
                      version: {index: 45}
                      code:
                        pattern: {type: Code, value: '886921000000105'}
                        index: 46
                      display:
                        pattern: {type: String, value: Allergies and adverse reactions}
                        index: 47
                      userSelected: {index: 48}
                    required: [display, system, code]
                  text: {index: 49}
                required: [coding]
              text: {index: 50}
              mode: {index: 51}
              orderedBy: {index: 52}
              entry:
                type: Reference
                refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Allergy-List-1', 'https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Attachment-Binary-1']
                index: 53
                elements:
                  reference: {index: 54}
                required: [reference]
              emptyReason: {index: 55}
              section: {index: 56}
            required: [text, title, code]
        history:
          match:
            code:
              coding: {code: '717121000000105'}
          schema:
            short: Relevant past medical, surgical and mental health history.
            index: 139
            elements:
              title: {short: History, index: 140}
              code:
                index: 141
                elements:
                  coding:
                    index: 142
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 143
                      version: {index: 144}
                      code:
                        pattern: {type: Code, value: '717121000000105'}
                        index: 145
                      display:
                        pattern: {type: String, value: History}
                        index: 146
                      userSelected: {index: 147}
                    required: [display, system, code]
                required: [coding]
              text: {index: 148}
              mode: {index: 149}
              orderedBy: {index: 150}
              entry: {index: 151}
              emptyReason: {index: 152}
              section: {index: 153}
            required: [text, title, code]
        attendanceDetails:
          match:
            code:
              coding: {code: '1077881000000105'}
          schema:
            short: Information relating to the patients attendance.
            mustSupport: true
            index: 57
            elements:
              title: {short: Attendance Details, index: 58}
              code:
                index: 59
                elements:
                  coding:
                    index: 60
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 61
                      version: {index: 62}
                      code:
                        pattern: {type: Code, value: '1077881000000105'}
                        index: 63
                      display:
                        pattern: {type: String, value: Attendance details}
                        index: 64
                      userSelected: {index: 65}
                    required: [display, system, code]
                  text: {index: 66}
                required: [coding]
              text: {index: 67}
              mode: {index: 68}
              orderedBy: {index: 69}
              entry:
                type: Reference
                refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Encounter-1']
                index: 70
                elements:
                  reference: {index: 71}
                required: [reference]
              emptyReason: {index: 72}
              section: {index: 73}
            required: [entry, text, title, code]
        consent:
          match:
            code:
              coding: {code: '61861000000100'}
          schema:
            short: Information on patients consent for treatment and information sharing guidance.
            mustSupport: true
            index: 74
            elements:
              title: {short: Consent, index: 75}
              code:
                index: 76
                elements:
                  coding:
                    index: 77
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 78
                      version: {index: 79}
                      code:
                        pattern: {type: Code, value: '61861000000100'}
                        index: 80
                      display:
                        pattern: {type: String, value: Consent}
                        index: 81
                      userSelected: {index: 82}
                    required: [display, system, code]
                  text: {index: 83}
                required: [coding]
              mode: {index: 84}
              orderedBy: {index: 85}
              entry: {index: 86}
              emptyReason: {index: 87}
              section: {index: 88}
            required: [title, code]
        informationAndAdviceGiven:
          match:
            code:
              coding: {code: '1052951000000105'}
          schema:
            short: Information or advice given.
            index: 170
            elements:
              title: {short: Information and Advice given, index: 171}
              code:
                index: 172
                elements:
                  coding:
                    index: 173
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 174
                      version: {index: 175}
                      code:
                        pattern: {type: Code, value: '1052951000000105'}
                        index: 176
                      display:
                        pattern: {type: String, value: Information and advice given}
                        index: 177
                      userSelected: {index: 178}
                    required: [display, system, code]
                  text: {index: 179}
                required: [coding]
              text: {index: 180}
              mode: {index: 181}
              orderedBy: {index: 182}
              entry: {index: 183}
              emptyReason: {index: 184}
              section: {index: 185}
            required: [text, title, code]
        referralDetails:
          match:
            code:
              coding: {code: '886721000000107'}
          schema:
            short: Details of the individual or team who referred the patient.
            mustSupport: true
            index: 202
            elements:
              title: {short: Referral Details, index: 203}
              code:
                index: 204
                elements:
                  coding:
                    index: 205
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 206
                      version: {index: 207}
                      code:
                        pattern: {type: Code, value: '886721000000107'}
                        index: 208
                      display:
                        pattern: {type: String, value: Referral details}
                        index: 209
                      userSelected: {index: 210}
                    required: [display, system, code]
                required: [coding]
              text: {index: 211}
              mode: {index: 212}
              orderedBy: {index: 213}
              entry:
                type: Reference
                refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1']
                index: 214
                elements:
                  reference: {index: 215}
                required: [reference]
              emptyReason: {index: 216}
              section: {index: 217}
            required: [text, code]
        gpPractice:
          match:
            code:
              coding: {code: '886711000000101'}
          schema:
            short: Information realting to the patients registered GP Practice.
            _required: true
            index: 122
            elements:
              title: {short: GP Practice, index: 123}
              code:
                index: 124
                elements:
                  coding:
                    index: 125
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 126
                      version: {index: 127}
                      code:
                        pattern: {type: Code, value: '886711000000101'}
                        index: 128
                      display:
                        pattern: {type: String, value: GP practice}
                        index: 129
                      userSelected: {index: 130}
                    required: [display, system, code]
                  text: {index: 131}
                required: [coding]
              text: {index: 132}
              mode: {index: 133}
              orderedBy: {index: 134}
              entry:
                type: Reference
                refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1']
                index: 135
                elements:
                  reference: {index: 136}
                required: [reference]
              emptyReason: {index: 137}
              section: {index: 138}
            required: [entry, text, title, code]
  attester:
    index: 27
    elements:
      party:
        type: Reference
        refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1']
        index: 28
  type:
    short: Kind of composition
    index: 9
    elements:
      coding:
        elements:
          system: {index: 10}
          version: {index: 11}
          code: {index: 12}
          display: {index: 13}
          userSelected: {index: 14}
        required: [display, system, code]
  author:
    type: Reference
    refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1', 'https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Device-1']
    index: 24
    elements:
      reference: {index: 25}
    required: [reference]
  extension:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        careSettingTypeExtension:
          match: {url: null}
          schema: {type: Extension, url: h, index: 1}
          min: 1
          max: 1
  event: {index: 37}
  custodian:
    type: Reference
    mustSupport: true
    refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1']
    index: 29
    elements:
      reference: {index: 30}
    required: [reference]
  class:
    elements:
      coding:
        elements:
          system: {index: 15}
          version: {index: 16}
          code: {index: 17}
          display: {index: 18}
          userSelected: {index: 19}
        required: [display, system, code]
  identifier:
    index: 2
    elements:
      use: {index: 3}
      type: {index: 4}
      system: {index: 5}
      value: {short: Contains a UUID, index: 6}
      period: {index: 7}
      assigner:
        type: Reference
        refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1']
        index: 8
    required: [value, system]
  relatesTo:
    index: 31
    elements:
      code:
        pattern: {type: Code, value: replaces}
        index: 32
      target:
        choices: [targetIdentifier, targetReference]
        index: 34
      targetIdentifier: {type: Identifier, choiceOf: target, index: 35}
      targetReference:
        type: Reference
        choiceOf: target
        refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-DM-Immunization-Composition-1']
        index: 36
  subject:
    type: Reference
    refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1']
    index: 20
    elements:
      reference: {index: 21}
    required: [reference]
  confidentiality: {index: 26}
package_version: 1.0.0
extensions:
  careSettingTypeExtension: {url: h, min: 1, max: 1, type: Extension, index: 1}
class: profile
kind: resource
url: https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-DM-Immunization-Composition-1
base: http://hl7.org/fhir/StructureDefinition/Composition
version: 1.4.0
required: [section, identifier]