Finnish Base Profiles
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Finnish Base Profiles - Local Development build (v1.0.1-cibuild) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Fi Base Immunization

Official URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-immunization Version: 1.0.1-cibuild
Draft as of 2024-09-08 Computable Name: FiBaseImmunization

This is a base profile for Finnish Immunization resource.

Scope and usage

This profile sets minimum expectations for the Immunization resource. It identifies which core elements, extensions, vocabularies, and value sets could be present in the resource when using this profile. It provides the floor for standards development for specific use cases.

IPA Immunization profile limitations

Finnish base immunization profile is based on the IPA immunization profile which imposes some further constraints on the base Immunization resource.

Vaccination Recorder extension

In some cases the practitioner who performed the addministration is not be the same person who recorded the action. For these cases the vaccinationRecorder extension is created. Recorder is not required information when recording vaccination to the Kanta's Patient Data Repository or Hilmo system but it may be an essential information for EHR.

Finnish National Vaccination Register

All vaccinations in Finland are recorded into Kanta's Patient Data Repository and Hilmo system. Eventually these system determine the required information, at least when recording vaccination. It is highly recommended to familiarize onself with the specification when applying this profile although all of the fields may not be relevant in given use case.

ATC and VNR codes

See also the terminology section of Medication Codes in this guide.

Usage:

Formal Views of Profile Content

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

This structure is derived from IPAImmunization

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization IPAImmunization
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... vaccinationRecorder 0..1 Reference(FI Base Practitioner) Vaccination recorder may not be the same person who performed the addministration.
URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/vaccination-recorder
... vaccineCode
.... Slices for coding 0..* Coding Defining administered product or substance by using ATC or VNR code.
Slice: Unordered, Open by value:system
..... coding:ATC 0..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.32
..... coding:VNR 0..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.55
.... text 0..1 string Insert product name.
... patient 1..1 Reference(FI Base Patient) Who was immunized
... location 0..1 Reference(FI Base Location) Where immunization occurred
... manufacturer 0..1 Reference(FI Base Organization) Vaccine manufacturer
... site
.... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:Vaccination-site 0..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.110
... route
.... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:Vaccination-route 0..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.111
... performer
.... actor 1..1 Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Organization) Individual or organization who was performing
... reasonReference 0..* Reference(FI Base Condition | FI Base Observation | DiagnosticReport) Why immunization occurred
... reaction
.... detail 0..1 Reference(FI Base Observation) Reference to contained Observation resource. The contained Observation has relevant diagnose codes.
... protocolApplied
.... authority 0..1 Reference(FI Base Organization) Who is responsible for publishing the recommendations
.... targetDisease
..... Slices for coding 0..* Coding Vaccine preventatable disease being targetted defined by using THL code system
Slice: Unordered, Open by value:system
...... coding:THL-code 0..1 Coding Code defined by a terminology system
....... system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.609

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..* IPAImmunization Immunization event information
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... vaccinationRecorder 0..1 Reference(FI Base Practitioner) Vaccination recorder may not be the same person who performed the addministration.
URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/vaccination-recorder
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... statusReason S 0..1 CodeableConcept Reason not done
Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.

... vaccineCode SΣ 1..1 CodeableConcept Vaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.

.... Slices for coding Σ 0..* Coding Defining administered product or substance by using ATC or VNR code.
Slice: Unordered, Open by value:system
..... coding:ATC Σ 0..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.32
..... coding:VNR Σ 0..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.55
.... text Σ 0..1 string Insert product name.
... patient SΣ 1..1 Reference(FI Base Patient) Who was immunized
... encounter 0..1 Reference(FI Base Encounter) Encounter immunization was part of
... occurrence[x] SΣ 1..1 Vaccine administration date
.... occurrenceDateTime dateTime
.... occurrenceString string
... location 0..1 Reference(FI Base Location) Where immunization occurred
... manufacturer 0..1 Reference(FI Base Organization) Vaccine manufacturer
... reasonReference 0..* Reference(FI Base Condition | FI Base Observation | DiagnosticReport) Why immunization occurred
... isSubpotent ?!Σ 0..1 boolean Dose potency

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Immunization.statusrequiredImmunizationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-status|4.0.1
from the FHIR Standard
Immunization.statusReasonexampleImmunizationStatusReasonCodes
http://hl7.org/fhir/ValueSet/immunization-status-reason
from the FHIR Standard
Immunization.vaccineCodeexampleVaccineAdministeredValueSet
http://hl7.org/fhir/ValueSet/vaccine-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..* IPAImmunization Immunization event information
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... vaccinationRecorder 0..1 Reference(FI Base Practitioner) Vaccination recorder may not be the same person who performed the addministration.
URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/vaccination-recorder
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business identifier
... status ?!SΣ 1..1 code completed | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.

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

... vaccineCode SΣ 1..1 CodeableConcept Vaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Defining administered product or substance by using ATC or VNR code.
Slice: Unordered, Open by value:system
..... coding:ATC Σ 0..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.32
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:VNR Σ 0..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.55
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Insert product name.
... patient SΣ 1..1 Reference(FI Base Patient) Who was immunized
... encounter 0..1 Reference(FI Base Encounter) Encounter immunization was part of
... occurrence[x] SΣ 1..1 Vaccine administration date
.... occurrenceDateTime dateTime
.... occurrenceString string
... recorded 0..1 dateTime When the immunization was first captured in the subject's record
... primarySource Σ 0..1 boolean Indicates context the data was recorded in
... reportOrigin 0..1 CodeableConcept Indicates 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..1 Reference(FI Base Location) Where immunization occurred
... manufacturer 0..1 Reference(FI Base Organization) Vaccine manufacturer
... lotNumber 0..1 string Vaccine lot number
... expirationDate 0..1 date Vaccine expiration date
... site 0..1 CodeableConcept Body site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:Vaccination-site Σ 0..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.110
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... route 0..1 CodeableConcept How vaccine entered body
Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:Vaccination-route Σ 0..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.111
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... doseQuantity 0..1 SimpleQuantity Amount of vaccine administered
... performer Σ 0..* BackboneElement Who performed event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function Σ 0..1 CodeableConcept What type of performance was done
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.

.... actor Σ 1..1 Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Organization) Individual or organization who was performing
... note Σ 0..* Annotation Additional immunization notes
... reasonCode 0..* CodeableConcept Why immunization occurred
Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.


... reasonReference 0..* Reference(FI Base Condition | FI Base Observation | DiagnosticReport) Why immunization occurred
... isSubpotent ?!Σ 0..1 boolean Dose potency
... subpotentReason 0..* CodeableConcept Reason for being subpotent
Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.


... education C 0..* BackboneElement Educational material presented to patient
imm-1: One of documentType or reference SHALL be present
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... documentType 0..1 string Educational material document identifier
.... reference 0..1 uri Educational material reference pointer
.... publicationDate 0..1 dateTime Educational material publication date
.... presentationDate 0..1 dateTime Educational material presentation date
... programEligibility 0..* CodeableConcept Patient eligibility for a vaccination program
Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.


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

... reaction 0..* BackboneElement Details of a reaction that follows immunization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... date 0..1 dateTime When reaction started
.... detail 0..1 Reference(FI Base Observation) Reference to contained Observation resource. The contained Observation has relevant diagnose codes.
.... reported 0..1 boolean Indicates self-reported reaction
... protocolApplied 0..* BackboneElement Protocol followed by the provider
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... series 0..1 string Name of vaccine series
.... authority 0..1 Reference(FI Base Organization) Who is responsible for publishing the recommendations
.... targetDisease 0..* CodeableConcept Vaccine preventatable disease being targetted
Binding: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.


..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 0..* Coding Vaccine preventatable disease being targetted defined by using THL code system
Slice: Unordered, Open by value:system
...... coding:THL-code Σ 0..1 Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.609
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... doseNumber[x] 1..1 Dose number within series
..... doseNumberPositiveInt positiveInt
..... doseNumberString string
.... seriesDoses[x] 0..1 Recommended number of doses for immunity
..... seriesDosesPositiveInt positiveInt
..... seriesDosesString string

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Immunization.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Immunization.statusrequiredImmunizationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-status|4.0.1
from the FHIR Standard
Immunization.statusReasonexampleImmunizationStatusReasonCodes
http://hl7.org/fhir/ValueSet/immunization-status-reason
from the FHIR Standard
Immunization.vaccineCodeexampleVaccineAdministeredValueSet
http://hl7.org/fhir/ValueSet/vaccine-code
from the FHIR Standard
Immunization.reportOriginexampleImmunizationOriginCodes
http://hl7.org/fhir/ValueSet/immunization-origin
from the FHIR Standard
Immunization.siteexampleCodesForImmunizationSiteOfAdministration
http://hl7.org/fhir/ValueSet/immunization-site
from the FHIR Standard
Immunization.routeexampleImmunizationRouteCodes
http://hl7.org/fhir/ValueSet/immunization-route
from the FHIR Standard
Immunization.performer.functionextensibleImmunizationFunctionCodes
http://hl7.org/fhir/ValueSet/immunization-function
from the FHIR Standard
Immunization.reasonCodeexampleImmunizationReasonCodes
http://hl7.org/fhir/ValueSet/immunization-reason
from the FHIR Standard
Immunization.subpotentReasonexampleImmunizationSubpotentReason
http://hl7.org/fhir/ValueSet/immunization-subpotent-reason
from the FHIR Standard
Immunization.programEligibilityexampleImmunizationProgramEligibility
http://hl7.org/fhir/ValueSet/immunization-program-eligibility
from the FHIR Standard
Immunization.fundingSourceexampleImmunizationFundingSource
http://hl7.org/fhir/ValueSet/immunization-funding-source
from the FHIR Standard
Immunization.protocolApplied.targetDiseaseexampleImmunizationTargetDiseaseCodes
http://hl7.org/fhir/ValueSet/immunization-target-disease
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
imm-1errorImmunization.educationOne of documentType or reference SHALL be present
: documentType.exists() or reference.exists()

Differential View

This structure is derived from IPAImmunization

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization IPAImmunization
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... vaccinationRecorder 0..1 Reference(FI Base Practitioner) Vaccination recorder may not be the same person who performed the addministration.
URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/vaccination-recorder
... vaccineCode
.... Slices for coding 0..* Coding Defining administered product or substance by using ATC or VNR code.
Slice: Unordered, Open by value:system
..... coding:ATC 0..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.32
..... coding:VNR 0..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.55
.... text 0..1 string Insert product name.
... patient 1..1 Reference(FI Base Patient) Who was immunized
... location 0..1 Reference(FI Base Location) Where immunization occurred
... manufacturer 0..1 Reference(FI Base Organization) Vaccine manufacturer
... site
.... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:Vaccination-site 0..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.110
... route
.... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:Vaccination-route 0..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.111
... performer
.... actor 1..1 Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Organization) Individual or organization who was performing
... reasonReference 0..* Reference(FI Base Condition | FI Base Observation | DiagnosticReport) Why immunization occurred
... reaction
.... detail 0..1 Reference(FI Base Observation) Reference to contained Observation resource. The contained Observation has relevant diagnose codes.
... protocolApplied
.... authority 0..1 Reference(FI Base Organization) Who is responsible for publishing the recommendations
.... targetDisease
..... Slices for coding 0..* Coding Vaccine preventatable disease being targetted defined by using THL code system
Slice: Unordered, Open by value:system
...... coding:THL-code 0..1 Coding Code defined by a terminology system
....... system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.609

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..* IPAImmunization Immunization event information
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... vaccinationRecorder 0..1 Reference(FI Base Practitioner) Vaccination recorder may not be the same person who performed the addministration.
URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/vaccination-recorder
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... statusReason S 0..1 CodeableConcept Reason not done
Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.

... vaccineCode SΣ 1..1 CodeableConcept Vaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.

.... Slices for coding Σ 0..* Coding Defining administered product or substance by using ATC or VNR code.
Slice: Unordered, Open by value:system
..... coding:ATC Σ 0..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.32
..... coding:VNR Σ 0..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.55
.... text Σ 0..1 string Insert product name.
... patient SΣ 1..1 Reference(FI Base Patient) Who was immunized
... encounter 0..1 Reference(FI Base Encounter) Encounter immunization was part of
... occurrence[x] SΣ 1..1 Vaccine administration date
.... occurrenceDateTime dateTime
.... occurrenceString string
... location 0..1 Reference(FI Base Location) Where immunization occurred
... manufacturer 0..1 Reference(FI Base Organization) Vaccine manufacturer
... reasonReference 0..* Reference(FI Base Condition | FI Base Observation | DiagnosticReport) Why immunization occurred
... isSubpotent ?!Σ 0..1 boolean Dose potency

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Immunization.statusrequiredImmunizationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-status|4.0.1
from the FHIR Standard
Immunization.statusReasonexampleImmunizationStatusReasonCodes
http://hl7.org/fhir/ValueSet/immunization-status-reason
from the FHIR Standard
Immunization.vaccineCodeexampleVaccineAdministeredValueSet
http://hl7.org/fhir/ValueSet/vaccine-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..* IPAImmunization Immunization event information
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... vaccinationRecorder 0..1 Reference(FI Base Practitioner) Vaccination recorder may not be the same person who performed the addministration.
URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/vaccination-recorder
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business identifier
... status ?!SΣ 1..1 code completed | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.

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

... vaccineCode SΣ 1..1 CodeableConcept Vaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Defining administered product or substance by using ATC or VNR code.
Slice: Unordered, Open by value:system
..... coding:ATC Σ 0..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.32
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:VNR Σ 0..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.55
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Insert product name.
... patient SΣ 1..1 Reference(FI Base Patient) Who was immunized
... encounter 0..1 Reference(FI Base Encounter) Encounter immunization was part of
... occurrence[x] SΣ 1..1 Vaccine administration date
.... occurrenceDateTime dateTime
.... occurrenceString string
... recorded 0..1 dateTime When the immunization was first captured in the subject's record
... primarySource Σ 0..1 boolean Indicates context the data was recorded in
... reportOrigin 0..1 CodeableConcept Indicates 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..1 Reference(FI Base Location) Where immunization occurred
... manufacturer 0..1 Reference(FI Base Organization) Vaccine manufacturer
... lotNumber 0..1 string Vaccine lot number
... expirationDate 0..1 date Vaccine expiration date
... site 0..1 CodeableConcept Body site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:Vaccination-site Σ 0..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.110
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... route 0..1 CodeableConcept How vaccine entered body
Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:Vaccination-route Σ 0..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.111
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... doseQuantity 0..1 SimpleQuantity Amount of vaccine administered
... performer Σ 0..* BackboneElement Who performed event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function Σ 0..1 CodeableConcept What type of performance was done
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.

.... actor Σ 1..1 Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Organization) Individual or organization who was performing
... note Σ 0..* Annotation Additional immunization notes
... reasonCode 0..* CodeableConcept Why immunization occurred
Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.


... reasonReference 0..* Reference(FI Base Condition | FI Base Observation | DiagnosticReport) Why immunization occurred
... isSubpotent ?!Σ 0..1 boolean Dose potency
... subpotentReason 0..* CodeableConcept Reason for being subpotent
Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.


... education C 0..* BackboneElement Educational material presented to patient
imm-1: One of documentType or reference SHALL be present
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... documentType 0..1 string Educational material document identifier
.... reference 0..1 uri Educational material reference pointer
.... publicationDate 0..1 dateTime Educational material publication date
.... presentationDate 0..1 dateTime Educational material presentation date
... programEligibility 0..* CodeableConcept Patient eligibility for a vaccination program
Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.


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

... reaction 0..* BackboneElement Details of a reaction that follows immunization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... date 0..1 dateTime When reaction started
.... detail 0..1 Reference(FI Base Observation) Reference to contained Observation resource. The contained Observation has relevant diagnose codes.
.... reported 0..1 boolean Indicates self-reported reaction
... protocolApplied 0..* BackboneElement Protocol followed by the provider
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... series 0..1 string Name of vaccine series
.... authority 0..1 Reference(FI Base Organization) Who is responsible for publishing the recommendations
.... targetDisease 0..* CodeableConcept Vaccine preventatable disease being targetted
Binding: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.


..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 0..* Coding Vaccine preventatable disease being targetted defined by using THL code system
Slice: Unordered, Open by value:system
...... coding:THL-code Σ 0..1 Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.246.537.6.609
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... doseNumber[x] 1..1 Dose number within series
..... doseNumberPositiveInt positiveInt
..... doseNumberString string
.... seriesDoses[x] 0..1 Recommended number of doses for immunity
..... seriesDosesPositiveInt positiveInt
..... seriesDosesString string

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Immunization.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Immunization.statusrequiredImmunizationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-status|4.0.1
from the FHIR Standard
Immunization.statusReasonexampleImmunizationStatusReasonCodes
http://hl7.org/fhir/ValueSet/immunization-status-reason
from the FHIR Standard
Immunization.vaccineCodeexampleVaccineAdministeredValueSet
http://hl7.org/fhir/ValueSet/vaccine-code
from the FHIR Standard
Immunization.reportOriginexampleImmunizationOriginCodes
http://hl7.org/fhir/ValueSet/immunization-origin
from the FHIR Standard
Immunization.siteexampleCodesForImmunizationSiteOfAdministration
http://hl7.org/fhir/ValueSet/immunization-site
from the FHIR Standard
Immunization.routeexampleImmunizationRouteCodes
http://hl7.org/fhir/ValueSet/immunization-route
from the FHIR Standard
Immunization.performer.functionextensibleImmunizationFunctionCodes
http://hl7.org/fhir/ValueSet/immunization-function
from the FHIR Standard
Immunization.reasonCodeexampleImmunizationReasonCodes
http://hl7.org/fhir/ValueSet/immunization-reason
from the FHIR Standard
Immunization.subpotentReasonexampleImmunizationSubpotentReason
http://hl7.org/fhir/ValueSet/immunization-subpotent-reason
from the FHIR Standard
Immunization.programEligibilityexampleImmunizationProgramEligibility
http://hl7.org/fhir/ValueSet/immunization-program-eligibility
from the FHIR Standard
Immunization.fundingSourceexampleImmunizationFundingSource
http://hl7.org/fhir/ValueSet/immunization-funding-source
from the FHIR Standard
Immunization.protocolApplied.targetDiseaseexampleImmunizationTargetDiseaseCodes
http://hl7.org/fhir/ValueSet/immunization-target-disease
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
imm-1errorImmunization.educationOne of documentType or reference SHALL be present
: documentType.exists() or reference.exists()

 

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