description: Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party. package_name: fhir.r4.spirecore derivation: constraint name: SpireCoreImmunization type: Immunization elements: patient: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient'] index: 1 elements: identifier: elements: assigner: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization'] index: 2 protocolApplied: elements: authority: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization'] index: 19 elements: identifier: elements: assigner: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization'] index: 20 encounter: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Encounter', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Encounter'] index: 3 elements: identifier: elements: assigner: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization'] index: 4 note: elements: author: choices: [authorReference, authorString] index: 12 authorReference: type: Reference choiceOf: author refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson'] index: 13 authorString: {type: string, choiceOf: author, index: 14} identifier: elements: assigner: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization'] index: 0 manufacturer: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization'] index: 7 elements: identifier: elements: assigner: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization'] index: 8 reaction: elements: detail: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Observation', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Observation'] index: 17 elements: identifier: elements: assigner: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization'] index: 18 location: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Location', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Location'] index: 5 elements: identifier: elements: assigner: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization'] index: 6 performer: elements: actor: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole'] index: 9 elements: identifier: elements: assigner: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization'] index: 10 reasonReference: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Condition', 'http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'http://hl7.org/fhir/StructureDefinition/Observation', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Condition', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DiagnosticReport', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Observation'] index: 15 elements: identifier: elements: assigner: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization'] index: 16 package_version: 0.1.0-alpha class: profile kind: resource url: https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Immunization base: https://fhir.hl7.org.uk/StructureDefinition/UKCore-Immunization version: null