Implementation Guide CH VACD
2.0.0 - STU 2

This page is part of the CH VACD (R4) (v2.0.0: STU 2) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Resource Profile: CH VACD Immunization Profile

Defining URL:http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-immunization
Version:2.0.0
Name:CHVACDImmunization
Title:CH VACD Immunization Profile
Status:Active as of 2022-02-11 02:45:16+0100
Definition:

Definition of the immunization part for all documents, except recommendation request and response documents.

Publisher:HL7 Switzerland
Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-immunization

Immunization validation

An immunization can be recorded by an Practitioner or a Patient (CH VACD Extension Immunization Recorder Reference). In the case a practitioner is recorder, the immunization entry is directly validated. In the case a patient is recording an immunization, a practitioner has to validate the immunization entry.
Recorder == Patient means not validated
Recorder == PractitionerRole means validated

This can be done by changing the recorder of the immunization. This will be done by an Immunization Administration document which will replace the existing entry using the cross reference extension.

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Immunization

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..*ImmunizationCH VACD Immunization
... contained 0..1ResourceImmunization inline resource
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ch-vacd-ext-immunization-recorder-reference 0..1Reference(CH Core Patient Profile | CH Core Practitioner Role Profile | RelatedPerson)Extension to add a reference to the recorder (author) of the immunization.
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-immunization-recorder-reference
... ch-vacd-ext-cross-reference 0..1(Complex)Reference to related resource
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-cross-reference
... ch-vacd-ext-merging-conflict-entry-reference 0..*(Complex)Reference to related resource
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference
... identifier 1..*IdentifierImmunization item ID
... vaccineCode
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:swissVaccines 0..1CodingSwiss Vaccine Code
Binding: Swissmedic code for vaccine code (required)
..... coding:snomedctVaccines 0..1CodingVaccine Code by SNOMED CT
Binding: Snomed CT for vaccine code (required)
..... coding:atcClass 0..1CodingWHO ATC classification
Binding: ATC for vaccine codes (required)
..... coding:absentOrUnknownImmunization 0..1CodingAbsent Unknown Immunization
Binding: Absent or Unknown Immunization - IPS (required)
... patient 1..1Reference(CH Core Patient Profile)Patient
... encounter 0..1Reference(CH Core Encounter Profile)Encounter
... route 0..1CodeableConceptHow vaccine entered body.
Binding: Route of Administration for Immunization (extensible)
... performer
.... actor 1..1Reference(CH Core Practitioner Role Profile)The performer who applied the vaccine
... protocolApplied 1..*BackboneElementProtocol followed by the provider
.... targetDisease 1..*CodeableConceptVaccine preventatable disease being targetted
Binding: Target disease and illnesses undergone for immunization (extensible): The code for disease.


doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..*ImmunizationCH VACD Immunization
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..1ResourceImmunization inline resource
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ch-vacd-ext-immunization-recorder-reference S0..1Reference(CH Core Patient Profile | CH Core Practitioner Role Profile | RelatedPerson)Extension to add a reference to the recorder (author) of the immunization.
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-immunization-recorder-reference
... ch-vacd-ext-immunization-medication-reference S0..1Reference(CH VACD Medication For Immunization Profile)Extension to reference immunization medication resource
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-immunization-medication-reference
... ch-vacd-ext-cross-reference 0..1(Complex)Reference to related resource
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-cross-reference
... ch-vacd-ext-merging-conflict-entry-reference 0..*(Complex)Reference to related resource
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 1..*IdentifierImmunization item ID
... status ?!Σ1..1codecompleted | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.

... statusReason 0..1CodeableConceptReason not done
Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.

... vaccineCode Σ1..1CodeableConceptVaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.

.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:swissVaccines Σ0..1CodingSwiss Vaccine Code
Binding: Swissmedic code for vaccine code (required)
..... coding:snomedctVaccines Σ0..1CodingVaccine Code by SNOMED CT
Binding: Snomed CT for vaccine code (required)
..... coding:atcClass Σ0..1CodingWHO ATC classification
Binding: ATC for vaccine codes (required)
..... coding:absentOrUnknownImmunization Σ0..1CodingAbsent Unknown Immunization
Binding: Absent or Unknown Immunization - IPS (required)
.... text Σ0..1stringPlain text representation of the concept
... patient Σ1..1Reference(CH Core Patient Profile)Patient
... encounter 0..1Reference(CH Core Encounter Profile)Encounter
... occurrence[x] Σ1..1Vaccine administration date
.... occurrenceDateTimedateTime
.... occurrenceStringstring
... recorded 0..1dateTimeWhen the immunization was first captured in the subject's record
... primarySource Σ0..1booleanIndicates context the data was recorded in
... reportOrigin 0..1CodeableConceptIndicates the source of a secondarily reported record
Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.

... location 0..1Reference(Location)Where immunization occurred
... manufacturer 0..1Reference(Organization)Vaccine manufacturer
... lotNumber 0..1stringVaccine lot number
... expirationDate 0..1dateVaccine expiration date
... site 0..1CodeableConceptBody site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.

... route 0..1CodeableConceptHow vaccine entered body.
Binding: Route of Administration for Immunization (extensible)
... doseQuantity 0..1SimpleQuantityAmount of vaccine administered
... performer Σ0..*BackboneElementWho performed event
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function Σ0..1CodeableConceptWhat type of performance was done
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.

.... actor Σ1..1Reference(CH Core Practitioner Role Profile)The performer who applied the vaccine
... note Σ0..*AnnotationAdditional immunization notes
... reasonCode 0..*CodeableConceptWhy immunization occurred
Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.


... reasonReference 0..*Reference(Condition | Observation | DiagnosticReport)Why immunization occurred
... isSubpotent ?!Σ0..1booleanDose potency
... subpotentReason 0..*CodeableConceptReason for being subpotent
Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.


... education I0..*BackboneElementEducational material presented to patient
imm-1: One of documentType or reference SHALL be present
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... documentType 0..1stringEducational material document identifier
.... reference 0..1uriEducational material reference pointer
.... publicationDate 0..1dateTimeEducational material publication date
.... presentationDate 0..1dateTimeEducational material presentation date
... programEligibility 0..*CodeableConceptPatient eligibility for a vaccination program
Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.


... fundingSource 0..1CodeableConceptFunding source for the vaccine
Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.

... reaction 0..*BackboneElementDetails of a reaction that follows immunization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... date 0..1dateTimeWhen reaction started
.... detail 0..1Reference(Observation)Additional information on reaction
.... reported 0..1booleanIndicates self-reported reaction
... protocolApplied 1..*BackboneElementProtocol followed by the provider
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... series 0..1stringName of vaccine series
.... authority 0..1Reference(Organization)Who is responsible for publishing the recommendations
.... targetDisease 1..*CodeableConceptVaccine preventatable disease being targetted
Binding: Target disease and illnesses undergone for immunization (extensible): The code for disease.


.... doseNumber[x] 1..1Dose number within series
..... doseNumberPositiveIntpositiveInt
..... doseNumberStringstring
.... seriesDoses[x] 0..1Recommended number of doses for immunity
..... seriesDosesPositiveIntpositiveInt
..... seriesDosesStringstring

doco Documentation for this format

Differential View

This structure is derived from Immunization

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..*ImmunizationCH VACD Immunization
... contained 0..1ResourceImmunization inline resource
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ch-vacd-ext-immunization-recorder-reference 0..1Reference(CH Core Patient Profile | CH Core Practitioner Role Profile | RelatedPerson)Extension to add a reference to the recorder (author) of the immunization.
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-immunization-recorder-reference
... ch-vacd-ext-cross-reference 0..1(Complex)Reference to related resource
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-cross-reference
... ch-vacd-ext-merging-conflict-entry-reference 0..*(Complex)Reference to related resource
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference
... identifier 1..*IdentifierImmunization item ID
... vaccineCode
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:swissVaccines 0..1CodingSwiss Vaccine Code
Binding: Swissmedic code for vaccine code (required)
..... coding:snomedctVaccines 0..1CodingVaccine Code by SNOMED CT
Binding: Snomed CT for vaccine code (required)
..... coding:atcClass 0..1CodingWHO ATC classification
Binding: ATC for vaccine codes (required)
..... coding:absentOrUnknownImmunization 0..1CodingAbsent Unknown Immunization
Binding: Absent or Unknown Immunization - IPS (required)
... patient 1..1Reference(CH Core Patient Profile)Patient
... encounter 0..1Reference(CH Core Encounter Profile)Encounter
... route 0..1CodeableConceptHow vaccine entered body.
Binding: Route of Administration for Immunization (extensible)
... performer
.... actor 1..1Reference(CH Core Practitioner Role Profile)The performer who applied the vaccine
... protocolApplied 1..*BackboneElementProtocol followed by the provider
.... targetDisease 1..*CodeableConceptVaccine preventatable disease being targetted
Binding: Target disease and illnesses undergone for immunization (extensible): The code for disease.


doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..*ImmunizationCH VACD Immunization
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..1ResourceImmunization inline resource
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ch-vacd-ext-immunization-recorder-reference S0..1Reference(CH Core Patient Profile | CH Core Practitioner Role Profile | RelatedPerson)Extension to add a reference to the recorder (author) of the immunization.
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-immunization-recorder-reference
... ch-vacd-ext-immunization-medication-reference S0..1Reference(CH VACD Medication For Immunization Profile)Extension to reference immunization medication resource
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-immunization-medication-reference
... ch-vacd-ext-cross-reference 0..1(Complex)Reference to related resource
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-cross-reference
... ch-vacd-ext-merging-conflict-entry-reference 0..*(Complex)Reference to related resource
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 1..*IdentifierImmunization item ID
... status ?!Σ1..1codecompleted | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.

... statusReason 0..1CodeableConceptReason not done
Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.

... vaccineCode Σ1..1CodeableConceptVaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.

.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:swissVaccines Σ0..1CodingSwiss Vaccine Code
Binding: Swissmedic code for vaccine code (required)
..... coding:snomedctVaccines Σ0..1CodingVaccine Code by SNOMED CT
Binding: Snomed CT for vaccine code (required)
..... coding:atcClass Σ0..1CodingWHO ATC classification
Binding: ATC for vaccine codes (required)
..... coding:absentOrUnknownImmunization Σ0..1CodingAbsent Unknown Immunization
Binding: Absent or Unknown Immunization - IPS (required)
.... text Σ0..1stringPlain text representation of the concept
... patient Σ1..1Reference(CH Core Patient Profile)Patient
... encounter 0..1Reference(CH Core Encounter Profile)Encounter
... occurrence[x] Σ1..1Vaccine administration date
.... occurrenceDateTimedateTime
.... occurrenceStringstring
... recorded 0..1dateTimeWhen the immunization was first captured in the subject's record
... primarySource Σ0..1booleanIndicates context the data was recorded in
... reportOrigin 0..1CodeableConceptIndicates the source of a secondarily reported record
Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.

... location 0..1Reference(Location)Where immunization occurred
... manufacturer 0..1Reference(Organization)Vaccine manufacturer
... lotNumber 0..1stringVaccine lot number
... expirationDate 0..1dateVaccine expiration date
... site 0..1CodeableConceptBody site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.

... route 0..1CodeableConceptHow vaccine entered body.
Binding: Route of Administration for Immunization (extensible)
... doseQuantity 0..1SimpleQuantityAmount of vaccine administered
... performer Σ0..*BackboneElementWho performed event
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function Σ0..1CodeableConceptWhat type of performance was done
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.

.... actor Σ1..1Reference(CH Core Practitioner Role Profile)The performer who applied the vaccine
... note Σ0..*AnnotationAdditional immunization notes
... reasonCode 0..*CodeableConceptWhy immunization occurred
Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.


... reasonReference 0..*Reference(Condition | Observation | DiagnosticReport)Why immunization occurred
... isSubpotent ?!Σ0..1booleanDose potency
... subpotentReason 0..*CodeableConceptReason for being subpotent
Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.


... education I0..*BackboneElementEducational material presented to patient
imm-1: One of documentType or reference SHALL be present
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... documentType 0..1stringEducational material document identifier
.... reference 0..1uriEducational material reference pointer
.... publicationDate 0..1dateTimeEducational material publication date
.... presentationDate 0..1dateTimeEducational material presentation date
... programEligibility 0..*CodeableConceptPatient eligibility for a vaccination program
Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.


... fundingSource 0..1CodeableConceptFunding source for the vaccine
Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.

... reaction 0..*BackboneElementDetails of a reaction that follows immunization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... date 0..1dateTimeWhen reaction started
.... detail 0..1Reference(Observation)Additional information on reaction
.... reported 0..1booleanIndicates self-reported reaction
... protocolApplied 1..*BackboneElementProtocol followed by the provider
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... series 0..1stringName of vaccine series
.... authority 0..1Reference(Organization)Who is responsible for publishing the recommendations
.... targetDisease 1..*CodeableConceptVaccine preventatable disease being targetted
Binding: Target disease and illnesses undergone for immunization (extensible): The code for disease.


.... doseNumber[x] 1..1Dose number within series
..... doseNumberPositiveIntpositiveInt
..... doseNumberStringstring
.... seriesDoses[x] 0..1Recommended number of doses for immunity
..... seriesDosesPositiveIntpositiveInt
..... seriesDosesStringstring

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Immunization.languagepreferredCommonLanguages
Max Binding: AllLanguages
Immunization.statusrequiredImmunizationStatusCodes
Immunization.statusReasonexampleImmunizationStatusReasonCodes
Immunization.vaccineCodeexampleVaccineAdministeredValueSet
Immunization.vaccineCode.coding:swissVaccinesrequiredSwissVaccines
Immunization.vaccineCode.coding:snomedctVaccinesrequiredSnomedCTForVaccineCode
Immunization.vaccineCode.coding:atcClassrequiredATCForVaccineCode
Immunization.vaccineCode.coding:absentOrUnknownImmunizationrequiredNoImmunizationInfoUvIps
Immunization.reportOriginexampleImmunizationOriginCodes
Immunization.siteexampleCodesForImmunizationSiteOfAdministration
Immunization.routeextensibleRouteOfAdministrationImmunization
Immunization.performer.functionextensibleImmunizationFunctionCodes
Immunization.reasonCodeexampleImmunizationReasonCodes
Immunization.subpotentReasonexampleImmunizationSubpotentReason
Immunization.programEligibilityexampleImmunizationProgramEligibility
Immunization.fundingSourceexampleImmunizationFundingSource
Immunization.protocolApplied.targetDiseaseextensibleTargetDiseasesAndIllnessesUndergoneForImmunization

Constraints

IdGradePathDetailsRequirements
dom-2errorImmunizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeImmunizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorImmunization.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.extension:recorderAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.extension:recorderMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.extension:medicationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.extension:medicationMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.extension:relatesToAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.extension:relatesToMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.extension:conflictAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.extension:conflictMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.statusReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.vaccineCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.vaccineCode.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.vaccineCode.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.vaccineCode.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.vaccineCode.coding:swissVaccinesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.vaccineCode.coding:snomedctVaccinesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.vaccineCode.coding:atcClassAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.vaccineCode.coding:absentOrUnknownImmunizationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.vaccineCode.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.patientAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.occurrence[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.recordedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.primarySourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.reportOriginAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.locationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.manufacturerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.lotNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.expirationDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.siteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.routeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.doseQuantityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.performerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.performer.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.performer.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.performer.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.performer.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.performer.functionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.performer.actorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.reasonCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.reasonReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.isSubpotentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.subpotentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.educationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
imm-1errorImmunization.educationOne of documentType or reference SHALL be present
: documentType.exists() or reference.exists()
ele-1errorImmunization.education.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.education.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.education.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.education.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.education.documentTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.education.referenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.education.publicationDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.education.presentationDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.programEligibilityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.fundingSourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.reactionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.reaction.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.reaction.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.reaction.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.reaction.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.reaction.dateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.reaction.detailAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.reaction.reportedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.protocolAppliedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.protocolApplied.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.protocolApplied.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.protocolApplied.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImmunization.protocolApplied.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImmunization.protocolApplied.seriesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.protocolApplied.authorityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.protocolApplied.targetDiseaseAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.protocolApplied.doseNumber[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImmunization.protocolApplied.seriesDoses[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())