AU Base Implementation Guide
4.1.1-preview - Preview Australia flag

This page is part of the AU Base Implementation Guide 4.1.1-preview based on FHIR R4. For a full list of available versions, see the Directory of published versions

Resource Profile: AU Base Immunisation

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-immunization Version: 4.1.1-preview
Standards status: Trial-use Maturity Level: 3 Computable Name: AUBaseImmunisation

Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved.

This profile defines an immunisation structure that localises core concepts, including terminology, for use in an Australian context. The purpose of this profile is to provide national level agreement on core localised concepts. This profile does not force conformance to core localised concepts. It enables implementers and modellers to make their own rules, i.e. profiling, about how to support these concepts for specific implementation needs.

Usage Notes

Potentially useful extensions:

Usage:

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..*ImmunizationAn immunisation statement in an Australian healthcare context
... statusReason 0..1CodeableConceptReason not done
Binding: https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-not-administered-3 (preferred)
... vaccineCode
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:amtVaccineCode 0..1CodingAMT Vaccine
Binding: https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1 (preferred)
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... coding:airVaccineCode 0..1CodingAIR Vaccine
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1 (required)
...... system 1..1uriIdentity of the terminology system
Fixed Value: https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats
... manufacturer 0..1Reference(Organization)Vaccine manufacturer
... route 0..1CodeableConceptHow vaccine entered body
Binding: https://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1 (preferred)
... Slices for performer 0..*BackboneElementWho performed event
Slice: Unordered, Open by pattern:function
.... performer:All Slices Content/Rules for all slices
..... function 0..1CodeableConceptWhat type of performance was done
Binding: hl7VS-providerRole - AU Extended (extensible)
.... performer:administeredBy 0..1BackboneElementImmunisation Administered By
..... function 1..1CodeableConceptAdministering role
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: AP
..... actor 1..1Reference(Practitioner | PractitionerRole | Organization)Administering performer
.... performer:approvedBy 0..1BackboneElementImmunisation Approved By
..... function 1..1CodeableConceptApprover role
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: OP
..... actor 1..1Reference(Practitioner | PractitionerRole | Organization)Approver
... reasonCode 0..*CodeableConceptWhy immunization occurred
Binding: https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1 (preferred)
... protocolApplied
.... targetDisease 0..*CodeableConceptVaccine preventatable disease being targetted
Binding: https://healthterminologies.gov.au/fhir/ValueSet/vaccination-target-disease-1 (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Immunization.statusReasonpreferredhttps://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-not-administered-3
Immunization.vaccineCode.coding:amtVaccineCodepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1
Immunization.vaccineCode.coding:airVaccineCoderequiredhttps://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1
Immunization.sitepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/immunisation-anatomical-site-1
Immunization.routepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1
Immunization.performer.functionextensibleHl7VSProviderRoleAUExtended
Immunization.reasonCodepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1
Immunization.protocolApplied.targetDiseasepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/vaccination-target-disease-1
NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..*ImmunizationAn immunisation statement in an Australian healthcare context
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codecompleted | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.

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

.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:amtVaccineCode Σ0..1CodingAMT Vaccine
Binding: https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1 (preferred)
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... coding:airVaccineCode Σ0..1CodingAIR Vaccine
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1 (required)
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats
... patient Σ1..1Reference(Patient)Who was immunized
... occurrence[x] Σ1..1Vaccine administration date
.... occurrenceDateTimedateTime
.... occurrenceStringstring
... manufacturer 0..1Reference(Organization)Vaccine manufacturer
... site 0..1CodeableConceptBody site vaccine was administered
Binding: https://healthterminologies.gov.au/fhir/ValueSet/immunisation-anatomical-site-1 (preferred)
... route 0..1CodeableConceptHow vaccine entered body
Binding: https://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1 (preferred)
... Slices for performer Σ0..*BackboneElementWho performed event
Slice: Unordered, Open by pattern:function
.... performer:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... function Σ0..1CodeableConceptWhat type of performance was done
Binding: hl7VS-providerRole - AU Extended (extensible)
..... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization)Individual or organization who was performing
.... performer:administeredBy Σ0..1BackboneElementImmunisation Administered By
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... function Σ1..1CodeableConceptAdministering role
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: AP
..... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization)Administering performer
.... performer:approvedBy Σ0..1BackboneElementImmunisation Approved By
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... function Σ1..1CodeableConceptApprover role
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: OP
..... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization)Approver
... reasonCode 0..*CodeableConceptWhy immunization occurred
Binding: https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1 (preferred)
... isSubpotent ?!Σ0..1booleanDose potency

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Immunization.statusrequiredImmunizationStatusCodes
Immunization.statusReasonpreferredhttps://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-not-administered-3
Immunization.vaccineCodeexampleVaccineAdministeredValueSet
Immunization.vaccineCode.coding:amtVaccineCodepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1
Immunization.vaccineCode.coding:airVaccineCoderequiredhttps://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1
Immunization.sitepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/immunisation-anatomical-site-1
Immunization.routepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1
Immunization.performer.functionextensibleHl7VSProviderRoleAUExtended
Immunization.performer:administeredBy.functionextensiblePattern: AP
Immunization.performer:approvedBy.functionextensiblePattern: OP
Immunization.reasonCodepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1

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..*ImmunizationAn immunisation statement in an Australian healthcare context
... id Σ0..1idLogical 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): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierBusiness identifier
... 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: https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-not-administered-3 (preferred)
... vaccineCode Σ1..1CodeableConceptVaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.

.... id 0..1stringUnique id for inter-element referencing
.... 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:system
..... coding:amtVaccineCode Σ0..1CodingAMT Vaccine
Binding: https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1 (preferred)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:airVaccineCode Σ0..1CodingAIR Vaccine
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1 (required)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... patient Σ1..1Reference(Patient)Who was immunized
... encounter 0..1Reference(Encounter)Encounter immunization was part of
... 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: https://healthterminologies.gov.au/fhir/ValueSet/immunisation-anatomical-site-1 (preferred)
... route 0..1CodeableConceptHow vaccine entered body
Binding: https://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1 (preferred)
... doseQuantity 0..1SimpleQuantityAmount of vaccine administered
... Slices for performer Σ0..*BackboneElementWho performed event
Slice: Unordered, Open by pattern:function
.... performer:All Slices Content/Rules for all slices
..... 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: hl7VS-providerRole - AU Extended (extensible)
..... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization)Individual or organization who was performing
.... performer:administeredBy Σ0..1BackboneElementImmunisation Administered By
..... 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 Σ1..1CodeableConceptAdministering role
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: AP
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization)Administering performer
.... performer:approvedBy Σ0..1BackboneElementImmunisation Approved By
..... 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 Σ1..1CodeableConceptApprover role
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: OP
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization)Approver
... note Σ0..*AnnotationAdditional immunization notes
... reasonCode 0..*CodeableConceptWhy immunization occurred
Binding: https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1 (preferred)
... 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 C0..*BackboneElementEducational material presented to patient
.... 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 0..*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 0..*CodeableConceptVaccine preventatable disease being targetted
Binding: https://healthterminologies.gov.au/fhir/ValueSet/vaccination-target-disease-1 (preferred)
.... 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

Terminology Bindings

PathConformanceValueSet / Code
Immunization.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Immunization.statusrequiredImmunizationStatusCodes
Immunization.statusReasonpreferredhttps://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-not-administered-3
Immunization.vaccineCodeexampleVaccineAdministeredValueSet
Immunization.vaccineCode.coding:amtVaccineCodepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1
Immunization.vaccineCode.coding:airVaccineCoderequiredhttps://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1
Immunization.reportOriginexampleImmunizationOriginCodes
Immunization.sitepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/immunisation-anatomical-site-1
Immunization.routepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1
Immunization.performer.functionextensibleHl7VSProviderRoleAUExtended
Immunization.performer:administeredBy.functionextensiblePattern: AP
Immunization.performer:approvedBy.functionextensiblePattern: OP
Immunization.reasonCodepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1
Immunization.subpotentReasonexampleImmunizationSubpotentReason
Immunization.programEligibilityexampleImmunizationProgramEligibility
Immunization.fundingSourceexampleImmunizationFundingSource
Immunization.protocolApplied.targetDiseasepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/vaccination-target-disease-1

Constraints

IdGradePath(s)DetailsRequirements
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()

This structure is derived from Immunization

Summary

Mandatory: 0 element (4 nested mandatory elements)
Fixed Value: 2 elements

Slices

This structure defines the following Slices:

  • The element Immunization.vaccineCode.coding is sliced based on the value of value:system
  • The element Immunization.performer is sliced based on the value of pattern:function

Maturity: 3

Differential View

This structure is derived from Immunization

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..*ImmunizationAn immunisation statement in an Australian healthcare context
... statusReason 0..1CodeableConceptReason not done
Binding: https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-not-administered-3 (preferred)
... vaccineCode
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:amtVaccineCode 0..1CodingAMT Vaccine
Binding: https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1 (preferred)
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... coding:airVaccineCode 0..1CodingAIR Vaccine
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1 (required)
...... system 1..1uriIdentity of the terminology system
Fixed Value: https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats
... manufacturer 0..1Reference(Organization)Vaccine manufacturer
... route 0..1CodeableConceptHow vaccine entered body
Binding: https://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1 (preferred)
... Slices for performer 0..*BackboneElementWho performed event
Slice: Unordered, Open by pattern:function
.... performer:All Slices Content/Rules for all slices
..... function 0..1CodeableConceptWhat type of performance was done
Binding: hl7VS-providerRole - AU Extended (extensible)
.... performer:administeredBy 0..1BackboneElementImmunisation Administered By
..... function 1..1CodeableConceptAdministering role
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: AP
..... actor 1..1Reference(Practitioner | PractitionerRole | Organization)Administering performer
.... performer:approvedBy 0..1BackboneElementImmunisation Approved By
..... function 1..1CodeableConceptApprover role
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: OP
..... actor 1..1Reference(Practitioner | PractitionerRole | Organization)Approver
... reasonCode 0..*CodeableConceptWhy immunization occurred
Binding: https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1 (preferred)
... protocolApplied
.... targetDisease 0..*CodeableConceptVaccine preventatable disease being targetted
Binding: https://healthterminologies.gov.au/fhir/ValueSet/vaccination-target-disease-1 (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Immunization.statusReasonpreferredhttps://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-not-administered-3
Immunization.vaccineCode.coding:amtVaccineCodepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1
Immunization.vaccineCode.coding:airVaccineCoderequiredhttps://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1
Immunization.sitepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/immunisation-anatomical-site-1
Immunization.routepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1
Immunization.performer.functionextensibleHl7VSProviderRoleAUExtended
Immunization.reasonCodepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1
Immunization.protocolApplied.targetDiseasepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/vaccination-target-disease-1

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..*ImmunizationAn immunisation statement in an Australian healthcare context
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codecompleted | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.

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

.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:amtVaccineCode Σ0..1CodingAMT Vaccine
Binding: https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1 (preferred)
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... coding:airVaccineCode Σ0..1CodingAIR Vaccine
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1 (required)
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats
... patient Σ1..1Reference(Patient)Who was immunized
... occurrence[x] Σ1..1Vaccine administration date
.... occurrenceDateTimedateTime
.... occurrenceStringstring
... manufacturer 0..1Reference(Organization)Vaccine manufacturer
... site 0..1CodeableConceptBody site vaccine was administered
Binding: https://healthterminologies.gov.au/fhir/ValueSet/immunisation-anatomical-site-1 (preferred)
... route 0..1CodeableConceptHow vaccine entered body
Binding: https://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1 (preferred)
... Slices for performer Σ0..*BackboneElementWho performed event
Slice: Unordered, Open by pattern:function
.... performer:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... function Σ0..1CodeableConceptWhat type of performance was done
Binding: hl7VS-providerRole - AU Extended (extensible)
..... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization)Individual or organization who was performing
.... performer:administeredBy Σ0..1BackboneElementImmunisation Administered By
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... function Σ1..1CodeableConceptAdministering role
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: AP
..... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization)Administering performer
.... performer:approvedBy Σ0..1BackboneElementImmunisation Approved By
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... function Σ1..1CodeableConceptApprover role
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: OP
..... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization)Approver
... reasonCode 0..*CodeableConceptWhy immunization occurred
Binding: https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1 (preferred)
... isSubpotent ?!Σ0..1booleanDose potency

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Immunization.statusrequiredImmunizationStatusCodes
Immunization.statusReasonpreferredhttps://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-not-administered-3
Immunization.vaccineCodeexampleVaccineAdministeredValueSet
Immunization.vaccineCode.coding:amtVaccineCodepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1
Immunization.vaccineCode.coding:airVaccineCoderequiredhttps://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1
Immunization.sitepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/immunisation-anatomical-site-1
Immunization.routepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1
Immunization.performer.functionextensibleHl7VSProviderRoleAUExtended
Immunization.performer:administeredBy.functionextensiblePattern: AP
Immunization.performer:approvedBy.functionextensiblePattern: OP
Immunization.reasonCodepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1

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..*ImmunizationAn immunisation statement in an Australian healthcare context
... id Σ0..1idLogical 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): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierBusiness identifier
... 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: https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-not-administered-3 (preferred)
... vaccineCode Σ1..1CodeableConceptVaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.

.... id 0..1stringUnique id for inter-element referencing
.... 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:system
..... coding:amtVaccineCode Σ0..1CodingAMT Vaccine
Binding: https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1 (preferred)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:airVaccineCode Σ0..1CodingAIR Vaccine
Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1 (required)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... patient Σ1..1Reference(Patient)Who was immunized
... encounter 0..1Reference(Encounter)Encounter immunization was part of
... 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: https://healthterminologies.gov.au/fhir/ValueSet/immunisation-anatomical-site-1 (preferred)
... route 0..1CodeableConceptHow vaccine entered body
Binding: https://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1 (preferred)
... doseQuantity 0..1SimpleQuantityAmount of vaccine administered
... Slices for performer Σ0..*BackboneElementWho performed event
Slice: Unordered, Open by pattern:function
.... performer:All Slices Content/Rules for all slices
..... 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: hl7VS-providerRole - AU Extended (extensible)
..... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization)Individual or organization who was performing
.... performer:administeredBy Σ0..1BackboneElementImmunisation Administered By
..... 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 Σ1..1CodeableConceptAdministering role
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: AP
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization)Administering performer
.... performer:approvedBy Σ0..1BackboneElementImmunisation Approved By
..... 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 Σ1..1CodeableConceptApprover role
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: OP
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization)Approver
... note Σ0..*AnnotationAdditional immunization notes
... reasonCode 0..*CodeableConceptWhy immunization occurred
Binding: https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1 (preferred)
... 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 C0..*BackboneElementEducational material presented to patient
.... 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 0..*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 0..*CodeableConceptVaccine preventatable disease being targetted
Binding: https://healthterminologies.gov.au/fhir/ValueSet/vaccination-target-disease-1 (preferred)
.... 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

Terminology Bindings

PathConformanceValueSet / Code
Immunization.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Immunization.statusrequiredImmunizationStatusCodes
Immunization.statusReasonpreferredhttps://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-not-administered-3
Immunization.vaccineCodeexampleVaccineAdministeredValueSet
Immunization.vaccineCode.coding:amtVaccineCodepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1
Immunization.vaccineCode.coding:airVaccineCoderequiredhttps://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1
Immunization.reportOriginexampleImmunizationOriginCodes
Immunization.sitepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/immunisation-anatomical-site-1
Immunization.routepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1
Immunization.performer.functionextensibleHl7VSProviderRoleAUExtended
Immunization.performer:administeredBy.functionextensiblePattern: AP
Immunization.performer:approvedBy.functionextensiblePattern: OP
Immunization.reasonCodepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1
Immunization.subpotentReasonexampleImmunizationSubpotentReason
Immunization.programEligibilityexampleImmunizationProgramEligibility
Immunization.fundingSourceexampleImmunizationFundingSource
Immunization.protocolApplied.targetDiseasepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/vaccination-target-disease-1

Constraints

IdGradePath(s)DetailsRequirements
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()

This structure is derived from Immunization

Summary

Mandatory: 0 element (4 nested mandatory elements)
Fixed Value: 2 elements

Slices

This structure defines the following Slices:

  • The element Immunization.vaccineCode.coding is sliced based on the value of value:system
  • The element Immunization.performer is sliced based on the value of pattern:function

Maturity: 3

 

Other representations of profile: CSV, Excel, Schematron