FHIR Implementation Guide for NDHM CI Build v2.0
banner

NDHM (R4), Published and maintained by NRCeS for NHA.
This version is based on the NDHM Health Data Interchange Specifications 1.0 and updated periodically.

StructureDefinition-ImmunizationRecommendation

This profile sets minimum expectations for the ImmunizationRecommendation resource to support the next immunization to be taken by patient. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile.

Examples

Formal Views of Profile Content

Description of Profiles, Differentials, and Snapshots.

The official URL for this profile is: https://nrces.in/ndhm/fhir/r4/StructureDefinition/ImmunizationRecommendation

This profile builds on ImmunizationRecommendation


Summary

Mandatory: 0 element (12 nested mandatory elements)
Must-Support: 13 elements

Structures

This structure refers to these other structures:

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImmunizationRecommendation 0..*ImmunizationRecommendationGuidance or advice relating to an immunization
... patient 1..1Reference(Patient)Who this profile is for
... authority 0..1Reference(Organization)Who is responsible for protocol
... recommendation S1..*BackboneElementVaccine administration recommendations
.... vaccineCode
..... coding S0..*CodingCode defined by a terminology system
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
..... text S0..1stringPlain text representation of the concept
.... targetDisease
..... coding S0..*CodingCode defined by a terminology system
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
..... text S0..1stringPlain text representation of the concept
.... contraindicatedVaccineCode
..... coding S0..*CodingCode defined by a terminology system
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
..... text S0..1stringPlain text representation of the concept
.... forecastStatus
..... coding S0..*CodingCode defined by a terminology system
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
..... text S0..1stringPlain text representation of the concept
.... forecastReason
..... coding S0..*CodingCode defined by a terminology system
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
..... text S0..1stringPlain text representation of the concept
.... dateCriterion
..... code
...... coding S0..*CodingCode defined by a terminology system
....... code 1..1codeSymbol in syntax defined by the system
....... display 1..1stringRepresentation defined by the system
...... text S0..1stringPlain text representation of the concept
.... supportingImmunization 0..*Reference(ImmunizationEvaluation | Immunization)Past immunizations supporting recommendation

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ImmunizationRecommendation I0..*ImmunizationRecommendationGuidance or advice relating to an immunization
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierBusiness identifier
... patient ΣI1..1Reference(Patient)Who this profile is for
... date ΣI1..1dateTimeDate recommendation(s) created
... authority I0..1Reference(Organization)Who is responsible for protocol
... recommendation SΣI1..*BackboneElementVaccine administration recommendations
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... vaccineCode ΣI0..*CodeableConceptVaccine or vaccine group recommendation applies to
Binding: VaccineAdministeredValueSet (example)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣI0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system ΣI0..1uriIdentity of the terminology system
...... version ΣI0..1stringVersion of the system - if relevant
...... code ΣI1..1codeSymbol in syntax defined by the system
...... display ΣI1..1stringRepresentation defined by the system
...... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
..... text SΣI0..1stringPlain text representation of the concept
.... targetDisease ΣI0..1CodeableConceptDisease to be immunized against
Binding: ImmunizationRecommendationTargetDiseaseCodes (example)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣI0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system ΣI0..1uriIdentity of the terminology system
...... version ΣI0..1stringVersion of the system - if relevant
...... code ΣI1..1codeSymbol in syntax defined by the system
...... display ΣI1..1stringRepresentation defined by the system
...... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
..... text SΣI0..1stringPlain text representation of the concept
.... contraindicatedVaccineCode ΣI0..*CodeableConceptVaccine which is contraindicated to fulfill the recommendation
Binding: VaccineAdministeredValueSet (example)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣI0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system ΣI0..1uriIdentity of the terminology system
...... version ΣI0..1stringVersion of the system - if relevant
...... code ΣI1..1codeSymbol in syntax defined by the system
...... display ΣI1..1stringRepresentation defined by the system
...... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
..... text SΣI0..1stringPlain text representation of the concept
.... forecastStatus ?!ΣI1..1CodeableConceptVaccine recommendation status
Binding: ImmunizationRecommendationStatusCodes (example)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣI0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system ΣI0..1uriIdentity of the terminology system
...... version ΣI0..1stringVersion of the system - if relevant
...... code ΣI1..1codeSymbol in syntax defined by the system
...... display ΣI1..1stringRepresentation defined by the system
...... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
..... text SΣI0..1stringPlain text representation of the concept
.... forecastReason ΣI0..*CodeableConceptVaccine administration status reason
Binding: ImmunizationRecommendationReasonCodes (example)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣI0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system ΣI0..1uriIdentity of the terminology system
...... version ΣI0..1stringVersion of the system - if relevant
...... code ΣI1..1codeSymbol in syntax defined by the system
...... display ΣI1..1stringRepresentation defined by the system
...... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
..... text SΣI0..1stringPlain text representation of the concept
.... dateCriterion I0..*BackboneElementDates governing proposed immunization
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code I1..1CodeableConceptType of date
Binding: ImmunizationRecommendationDateCriterionCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding SΣI0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system ΣI0..1uriIdentity of the terminology system
....... version ΣI0..1stringVersion of the system - if relevant
....... code ΣI1..1codeSymbol in syntax defined by the system
....... display ΣI1..1stringRepresentation defined by the system
....... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
...... text SΣI0..1stringPlain text representation of the concept
..... value I1..1dateTimeRecommended date
.... description I0..1stringProtocol details
.... series I0..1stringName of vaccination series
.... doseNumber[x] ΣI0..1Recommended dose number within series
..... doseNumberPositiveIntpositiveInt
..... doseNumberStringstring
.... seriesDoses[x] I0..1Recommended number of doses for immunity
..... seriesDosesPositiveIntpositiveInt
..... seriesDosesStringstring
.... supportingImmunization I0..*Reference(ImmunizationEvaluation | Immunization)Past immunizations supporting recommendation
.... supportingPatientInformation I0..*Reference(Resource)Patient observations supporting recommendation

doco Documentation for this format

Summary

Mandatory: 0 element (12 nested mandatory elements)
Must-Support: 13 elements

Structures

This structure refers to these other structures:

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImmunizationRecommendation 0..*ImmunizationRecommendationGuidance or advice relating to an immunization
... patient 1..1Reference(Patient)Who this profile is for
... authority 0..1Reference(Organization)Who is responsible for protocol
... recommendation S1..*BackboneElementVaccine administration recommendations
.... vaccineCode
..... coding S0..*CodingCode defined by a terminology system
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
..... text S0..1stringPlain text representation of the concept
.... targetDisease
..... coding S0..*CodingCode defined by a terminology system
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
..... text S0..1stringPlain text representation of the concept
.... contraindicatedVaccineCode
..... coding S0..*CodingCode defined by a terminology system
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
..... text S0..1stringPlain text representation of the concept
.... forecastStatus
..... coding S0..*CodingCode defined by a terminology system
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
..... text S0..1stringPlain text representation of the concept
.... forecastReason
..... coding S0..*CodingCode defined by a terminology system
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
..... text S0..1stringPlain text representation of the concept
.... dateCriterion
..... code
...... coding S0..*CodingCode defined by a terminology system
....... code 1..1codeSymbol in syntax defined by the system
....... display 1..1stringRepresentation defined by the system
...... text S0..1stringPlain text representation of the concept
.... supportingImmunization 0..*Reference(ImmunizationEvaluation | Immunization)Past immunizations supporting recommendation

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImmunizationRecommendation I0..*ImmunizationRecommendationGuidance or advice relating to an immunization
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierBusiness identifier
... patient ΣI1..1Reference(Patient)Who this profile is for
... date ΣI1..1dateTimeDate recommendation(s) created
... authority I0..1Reference(Organization)Who is responsible for protocol
... recommendation SΣI1..*BackboneElementVaccine administration recommendations
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... vaccineCode ΣI0..*CodeableConceptVaccine or vaccine group recommendation applies to
Binding: VaccineAdministeredValueSet (example)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣI0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system ΣI0..1uriIdentity of the terminology system
...... version ΣI0..1stringVersion of the system - if relevant
...... code ΣI1..1codeSymbol in syntax defined by the system
...... display ΣI1..1stringRepresentation defined by the system
...... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
..... text SΣI0..1stringPlain text representation of the concept
.... targetDisease ΣI0..1CodeableConceptDisease to be immunized against
Binding: ImmunizationRecommendationTargetDiseaseCodes (example)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣI0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system ΣI0..1uriIdentity of the terminology system
...... version ΣI0..1stringVersion of the system - if relevant
...... code ΣI1..1codeSymbol in syntax defined by the system
...... display ΣI1..1stringRepresentation defined by the system
...... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
..... text SΣI0..1stringPlain text representation of the concept
.... contraindicatedVaccineCode ΣI0..*CodeableConceptVaccine which is contraindicated to fulfill the recommendation
Binding: VaccineAdministeredValueSet (example)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣI0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system ΣI0..1uriIdentity of the terminology system
...... version ΣI0..1stringVersion of the system - if relevant
...... code ΣI1..1codeSymbol in syntax defined by the system
...... display ΣI1..1stringRepresentation defined by the system
...... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
..... text SΣI0..1stringPlain text representation of the concept
.... forecastStatus ?!ΣI1..1CodeableConceptVaccine recommendation status
Binding: ImmunizationRecommendationStatusCodes (example)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣI0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system ΣI0..1uriIdentity of the terminology system
...... version ΣI0..1stringVersion of the system - if relevant
...... code ΣI1..1codeSymbol in syntax defined by the system
...... display ΣI1..1stringRepresentation defined by the system
...... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
..... text SΣI0..1stringPlain text representation of the concept
.... forecastReason ΣI0..*CodeableConceptVaccine administration status reason
Binding: ImmunizationRecommendationReasonCodes (example)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣI0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system ΣI0..1uriIdentity of the terminology system
...... version ΣI0..1stringVersion of the system - if relevant
...... code ΣI1..1codeSymbol in syntax defined by the system
...... display ΣI1..1stringRepresentation defined by the system
...... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
..... text SΣI0..1stringPlain text representation of the concept
.... dateCriterion I0..*BackboneElementDates governing proposed immunization
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code I1..1CodeableConceptType of date
Binding: ImmunizationRecommendationDateCriterionCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding SΣI0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system ΣI0..1uriIdentity of the terminology system
....... version ΣI0..1stringVersion of the system - if relevant
....... code ΣI1..1codeSymbol in syntax defined by the system
....... display ΣI1..1stringRepresentation defined by the system
....... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
...... text SΣI0..1stringPlain text representation of the concept
..... value I1..1dateTimeRecommended date
.... description I0..1stringProtocol details
.... series I0..1stringName of vaccination series
.... doseNumber[x] ΣI0..1Recommended dose number within series
..... doseNumberPositiveIntpositiveInt
..... doseNumberStringstring
.... seriesDoses[x] I0..1Recommended number of doses for immunity
..... seriesDosesPositiveIntpositiveInt
..... seriesDosesStringstring
.... supportingImmunization I0..*Reference(ImmunizationEvaluation | Immunization)Past immunizations supporting recommendation
.... supportingPatientInformation I0..*Reference(Resource)Patient observations supporting recommendation

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron