AU Patient Summary Implementation Guide
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## Resource Profile: AUPSImmunization - XML Profile

Page standards status: Draft | Maturity Level: 1

XML representation of the au-ps-immunization resource profile.

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    <StructureDefinition xmlns="http://hl7.org/fhir">
      <id value="au-ps-immunization"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition au-ps-immunization</b></p><a name="au-ps-immunization"> </a><a name="hcau-ps-immunization"> </a><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-au-ps-immunization-definitions.html#Immunization">Immunization</a><a name="Immunization"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org.au/fhir/core/2.0.0-preview/StructureDefinition-au-core-immunization.html">AUCoreImmunization</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">An immunisation statement in an Australian healthcare context</span><br/><span style="font-weight:bold">This profile also complies with the profile </span><a style="font-weight:bold; font-weight:bold; font-weight:bold; font-weight:bold" href="http://hl7.org/fhir/uv/ips/STU2/StructureDefinition-Immunization-uv-ips.html">Immunization (IPS)</a></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-au-ps-immunization-definitions.html#Immunization.status">status</a><a name="Immunization.status"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">completed | entered-in-error | not-done</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-producer.html">AU PS Producer</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle" title="Obligation Codes: correctly handle">handle</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-consumer.html">AU PS Consumer</a></td></tr><tr><td style="font-size: 11px"><b>SHOULD</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-display" title="Obligation Codes: display">display</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-consumer.html">AU PS Consumer</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-au-ps-immunization-definitions.html#Immunization.vaccineCode">vaccineCode</a><a name="Immunization.vaccineCode"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/uv/ips/STU2/StructureDefinition-CodeableConcept-uv-ips.html" title="CodeableConcept">CodeableConceptIPS</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Vaccine product administered</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate" title="Obligation Codes: populate">populate</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-producer.html">AU PS Producer</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle" title="Obligation Codes: correctly handle">handle</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-consumer.html">AU PS Consumer</a></td></tr><tr><td style="font-size: 11px"><b>SHOULD</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-display" title="Obligation Codes: display">display</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-consumer.html">AU PS Consumer</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> Slices for coding<a name="Immunization.vaccineCode.coding"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Content/Rules for all slices</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1034.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-au-ps-immunization-definitions.html#Immunization.vaccineCode.coding:amtVaccineCode" title="Slice amtVaccineCode">coding:amtVaccineCode</a><a name="Immunization.vaccineCode.coding.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Code defined by a terminology system</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-producer.html">AU PS Producer</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle" title="Obligation Codes: correctly handle">handle</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-consumer.html">AU PS Consumer</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-au-ps-immunization-definitions.html#Immunization.vaccineCode.coding:airVaccineCode" title="Slice airVaccineCode">coding:airVaccineCode</a><a name="Immunization.vaccineCode.coding.3"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Code defined by a terminology system</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-producer.html">AU PS Producer</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle" title="Obligation Codes: correctly handle">handle</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-consumer.html">AU PS Consumer</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-au-ps-immunization-definitions.html#Immunization.patient">patient</a><a name="Immunization.patient"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-au-ps-patient.html">AU PS Patient</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Who was immunized</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate" title="Obligation Codes: populate">populate</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-producer.html">AU PS Producer</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle" title="Obligation Codes: correctly handle">handle</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-consumer.html">AU PS Consumer</a></td></tr><tr><td style="font-size: 11px"><b>SHOULD</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-display" title="Obligation Codes: display">display</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-consumer.html">AU PS Consumer</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-au-ps-immunization-definitions.html#Immunization.patient.reference">reference</a><a name="Immunization.patient.reference"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations and must be supported">SO</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Literal reference, Relative, internal or absolute URL</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate" title="Obligation Codes: populate">populate</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-producer.html">AU PS Producer</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle" title="Obligation Codes: correctly handle">handle</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-consumer.html">AU PS Consumer</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_choice.gif" alt="." style="background-color: white; background-color: inherit" title="Choice of Types" class="hierarchy"/> <a href="StructureDefinition-au-ps-immunization-definitions.html#Immunization.occurrence[x]">occurrence[x]</a><a name="Immunization.occurrence_x_"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Vaccine administration date</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-producer.html">AU PS Producer</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle" title="Obligation Codes: correctly handle">handle</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-consumer.html">AU PS Consumer</a></td></tr><tr><td style="font-size: 11px"><b>SHOULD</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-display" title="Obligation Codes: display">display</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-consumer.html">AU PS Consumer</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span title="Base StructureDefinition for dateTime Type: A date, date-time or partial date (e.g. just year or year + month).  If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored.                 Dates SHALL be valid dates.">occurrenceDateTime</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span title="Base StructureDefinition for string Type: A sequence of Unicode characters">occurrenceString</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-au-ps-immunization-definitions.html#Immunization.primarySource">primarySource</a><a name="Immunization.primarySource"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Indicates context the data was recorded in</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-producer.html">AU PS Producer</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle" title="Obligation Codes: correctly handle">handle</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-consumer.html">AU PS Consumer</a></td></tr><tr><td style="font-size: 11px"><b>SHOULD</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-display" title="Obligation Codes: display">display</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-consumer.html">AU PS Consumer</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-au-ps-immunization-definitions.html#Immunization.lotNumber">lotNumber</a><a name="Immunization.lotNumber"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Vaccine lot number</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-producer.html">AU PS Producer</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle" title="Obligation Codes: correctly handle">handle</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-consumer.html">AU PS Consumer</a></td></tr><tr><td style="font-size: 11px"><b>SHOULD</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-display" title="Obligation Codes: display">display</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-consumer.html">AU PS Consumer</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-au-ps-immunization-definitions.html#Immunization.note">note</a><a name="Immunization.note"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#Annotation">Annotation</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Additional immunization notes</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-producer.html">AU PS Producer</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle" title="Obligation Codes: correctly handle">handle</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-consumer.html">AU PS Consumer</a></td></tr><tr><td style="font-size: 11px"><b>SHOULD</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-display" title="Obligation Codes: display">display</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-au-ps-actor-consumer.html">AU PS Consumer</a></td></tr></table></td></tr>
    <tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="1"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-compliesWithProfile">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/ips/StructureDefinition/Immunization-uv-ips"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="draft">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="http://hl7.org.au/fhir/ps/ImplementationGuide/hl7.fhir.au.ps"/>
          </extension>
        </valueCode>
      </extension>
      <url
           value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization"/>
      <version value="0.5.0-preview"/>
      <name value="AUPSImmunization"/>
      <title value="AU PS Immunization"/>
      <status value="active"/>
      <date value="2025-12-03T03:25:00+00:00"/>
      <publisher value="HL7 Australia"/>
      <contact>
        <name value="HL7 Australia FHIR Work Group"/>
        <telecom>
          <system value="url"/>
          <value value="https://confluence.hl7.org/display/HAFWG"/>
          <use value="work"/>
        </telecom>
      </contact>
      <description
                   value="This profile sets minimum expectations for an Immunization resource in the context of a patient summary in an Australian context. It is based on the [AU Core Immunization](https://build.fhir.org/ig/hl7au/au-fhir-core/StructureDefinition-au-core-immunization.html) profile, and applies the additional requirements from [Immunization (IPS)](http://hl7.org/fhir/uv/ips/StructureDefinition/Immunization-uv-ips)."/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="AU"/>
        </coding>
      </jurisdiction>
      <copyright
                 value="Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved."/>
      <fhirVersion value="4.0.1"/>
      <mapping>
        <identity value="workflow"/>
        <uri value="http://hl7.org/fhir/workflow"/>
        <name value="Workflow Pattern"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <uri value="http://hl7.org/v2"/>
        <name value="HL7 v2 Mapping"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <uri value="http://hl7.org/v3"/>
        <name value="RIM Mapping"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <uri value="http://hl7.org/fhir/fivews"/>
        <name value="FiveWs Pattern Mapping"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <uri value="http://hl7.org/v3/cda"/>
        <name value="CDA (R2)"/>
      </mapping>
      <kind value="resource"/>
      <abstract value="false"/>
      <type value="Immunization"/>
      <baseDefinition
                      value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization"/>
      <derivation value="constraint"/>
      <snapshot>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
          <valueString value="2.0.0-preview"/>
        </extension>
        <element id="Immunization">
          <path value="Immunization"/>
          <short
                 value="An immunisation statement in an Australian healthcare context"/>
          <definition
                      value="Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Immunization"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <constraint>
            <key value="dom-2"/>
            <severity value="error"/>
            <human
                   value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
            <expression value="contained.contained.empty()"/>
            <xpath value="not(parent::f:contained and f:contained)"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <constraint>
            <key value="dom-3"/>
            <severity value="error"/>
            <human
                   value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"/>
            <expression
                        value="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()"/>
            <xpath
                   value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <constraint>
            <key value="dom-4"/>
            <severity value="error"/>
            <human
                   value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
            <expression
                        value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
            <xpath
                   value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <constraint>
            <key value="dom-5"/>
            <severity value="error"/>
            <human
                   value="If a resource is contained in another resource, it SHALL NOT have a security label"/>
            <expression value="contained.meta.security.empty()"/>
            <xpath value="not(exists(f:contained/*/f:meta/f:security))"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <constraint>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
              <valueBoolean value="true"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
              <valueMarkdown
                             value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/>
            </extension>
            <key value="dom-6"/>
            <severity value="warning"/>
            <human
                   value="A resource should have narrative for robust management"/>
            <expression value="text.`div`.exists()"/>
            <xpath value="exists(f:text/h:div)"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="Entity. Role, or Act"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="VXU_V04"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="SubstanceAdministration"/>
          </mapping>
        </element>
        <element id="Immunization.id">
          <path value="Immunization.id"/>
          <short value="Logical id of this artifact"/>
          <definition
                      value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
          <comment
                   value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="id"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="true"/>
        </element>
        <element id="Immunization.meta">
          <path value="Immunization.meta"/>
          <short value="Metadata about the resource"/>
          <definition
                      value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.meta"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Meta"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
        </element>
        <element id="Immunization.implicitRules">
          <path value="Immunization.implicitRules"/>
          <short value="A set of rules under which this content was created"/>
          <definition
                      value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/>
          <comment
                   value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.implicitRules"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/>
          <isSummary value="true"/>
        </element>
        <element id="Immunization.language">
          <path value="Immunization.language"/>
          <short value="Language of the resource content"/>
          <definition
                      value="The base language in which the resource is written."/>
          <comment
                   value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.language"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
              <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="Language"/>
            </extension>
            <strength value="preferred"/>
            <description value="A human language."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/languages|4.0.1"/>
          </binding>
        </element>
        <element id="Immunization.text">
          <path value="Immunization.text"/>
          <short value="Text summary of the resource, for human interpretation"/>
          <definition
                      value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
          <comment
                   value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded information is added later."/>
          <alias value="narrative"/>
          <alias value="html"/>
          <alias value="xhtml"/>
          <alias value="display"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="DomainResource.text"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Narrative"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="Act.text?"/>
          </mapping>
        </element>
        <element id="Immunization.contained">
          <path value="Immunization.contained"/>
          <short value="Contained, inline Resources"/>
          <definition
                      value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
          <comment
                   value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/>
          <alias value="inline resources"/>
          <alias value="anonymous resources"/>
          <alias value="contained resources"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DomainResource.contained"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Resource"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.extension">
          <path value="Immunization.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <rules value="open"/>
          </slicing>
          <short value="Extension"/>
          <definition value="An Extension"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DomainResource.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
        </element>
        <element id="Immunization.extension:vaccineVialSerialNumber">
          <path value="Immunization.extension"/>
          <sliceName value="vaccineVialSerialNumber"/>
          <short value="Vaccine vial serial number"/>
          <definition
                      value="Serial number for the vial of vaccine used in an administration."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="DomainResource.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
            <profile
                     value="http://hl7.org.au/fhir/StructureDefinition/vaccine-serial-number"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
        </element>
        <element id="Immunization.modifierExtension">
          <path value="Immunization.modifierExtension"/>
          <short value="Extensions that cannot be ignored"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <requirements
                        value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DomainResource.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.identifier">
          <path value="Immunization.identifier"/>
          <short value="Business identifier"/>
          <definition
                      value="A unique identifier assigned to this immunization record."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Immunization.identifier"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Identifier"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.identifier"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.identifier"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".id"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map
                 value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id"/>
          </mapping>
        </element>
        <element id="Immunization.status">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHOULD:display"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <path value="Immunization.status"/>
          <short value="completed | entered-in-error | not-done"/>
          <definition
                      value="Indicates the current status of the immunization event."/>
          <comment
                   value="Will generally be set to show that the immunization has been completed or not done.  This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Immunization.status"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="true"/>
          <isModifierReason
                            value="This element is labeled as a modifier because it is a status element that contains statuses entered-in-error and not-done which means that the resource should not be treated as valid"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ImmunizationStatus"/>
            </extension>
            <strength value="required"/>
            <description
                         value="A set of codes indicating the current status of an Immunization."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/immunization-status|4.0.1"/>
          </binding>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.status"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.status"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="statusCode"/>
          </mapping>
        </element>
        <element id="Immunization.statusReason">
          <path value="Immunization.statusReason"/>
          <short value="Reason not done"/>
          <definition
                      value="Indicates the reason the immunization event was not performed."/>
          <comment
                   value="This is generally only used for the status of &quot;not-done&quot;. The reason for performing the immunization event is captured in reasonCode, not here."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.statusReason"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <strength value="preferred"/>
            <valueSet
                      value="https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-not-administered-3"/>
          </binding>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.statusReason"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"/>
          </mapping>
        </element>
        <element id="Immunization.vaccineCode">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHOULD:display"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <path value="Immunization.vaccineCode"/>
          <short value="Vaccine product administered"/>
          <definition
                      value="Vaccine that was administered or was to be administered."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Immunization.vaccineCode"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
            <profile
                     value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="adb-imm-amt-pref"/>
              </extension>
              <extension url="purpose">
                <valueCode value="preferred"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1"/>
              </extension>
              <extension url="documentation">
                <valueMarkdown
                               value="This value set is for use when AMT (Australian Medicines Terminology) codes are preferred."/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="adb-imm-air-pref"/>
              </extension>
              <extension url="purpose">
                <valueCode value="preferred"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1"/>
              </extension>
              <extension url="documentation">
                <valueMarkdown
                               value="This value set is for use when AIR (Australian Immunisation Register) codes are preferred."/>
              </extension>
            </extension>
            <strength value="example"/>
            <valueSet value="http://hl7.org/fhir/ValueSet/vaccine-code|4.0.1"/>
          </binding>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.code"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.what[x]"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="RXA-5"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".code"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map
                 value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code"/>
          </mapping>
        </element>
        <element id="Immunization.vaccineCode.id">
          <path value="Immunization.vaccineCode.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Immunization.vaccineCode.extension">
          <path value="Immunization.vaccineCode.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Immunization.vaccineCode.coding">
          <path value="Immunization.vaccineCode.coding"/>
          <slicing>
            <discriminator>
              <type value="pattern"/>
              <path value="$this"/>
            </discriminator>
            <ordered value="false"/>
            <rules value="open"/>
          </slicing>
          <short value="Code defined by a terminology system"/>
          <definition
                      value="A reference to a code defined by a terminology system."/>
          <comment
                   value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/>
          <requirements
                        value="Allows for alternative encodings within a code system, and translations to other code systems."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
          </mapping>
        </element>
        <element id="Immunization.vaccineCode.coding:amtVaccineCode">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <path value="Immunization.vaccineCode.coding"/>
          <sliceName value="amtVaccineCode"/>
          <short value="Code defined by a terminology system"/>
          <definition
                      value="A reference to a code defined by a terminology system."/>
          <comment
                   value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/>
          <requirements
                        value="Allows for alternative encodings within a code system, and translations to other code systems."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1"/>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
          </mapping>
        </element>
        <element id="Immunization.vaccineCode.coding:airVaccineCode">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <path value="Immunization.vaccineCode.coding"/>
          <sliceName value="airVaccineCode"/>
          <short value="Code defined by a terminology system"/>
          <definition
                      value="A reference to a code defined by a terminology system."/>
          <comment
                   value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/>
          <requirements
                        value="Allows for alternative encodings within a code system, and translations to other code systems."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1"/>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
          </mapping>
        </element>
        <element id="Immunization.vaccineCode.text">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="Immunization.vaccineCode.text"/>
          <short value="Plain text representation of the concept"/>
          <definition
                      value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
          <comment
                   value="Very often the text is the same as a displayName of one of the codings."/>
          <requirements
                        value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CodeableConcept.text"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.9. But note many systems use C*E.2 for this"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
          </mapping>
        </element>
        <element id="Immunization.patient">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHOULD:display"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <path value="Immunization.patient"/>
          <short value="Who was immunized"/>
          <definition
                      value="The patient who either received or did not receive the immunization."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Immunization.patient"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-patient"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.subject"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.subject[x]"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="PID-3"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".partipication[ttypeCode=].role"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.subject"/>
          </mapping>
        </element>
        <element id="Immunization.patient.id">
          <path value="Immunization.patient.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Immunization.patient.extension">
          <path value="Immunization.patient.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Immunization.patient.reference">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <path value="Immunization.patient.reference"/>
          <short value="Literal reference, Relative, internal or absolute URL"/>
          <definition
                      value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/>
          <comment
                   value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure &quot;/[type]/[id]&quot; then it should be assumed that the reference is to a FHIR RESTful server."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Reference.reference"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <condition value="ref-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.patient.type">
          <path value="Immunization.patient.type"/>
          <short value="Type the reference refers to (e.g. &quot;Patient&quot;)"/>
          <definition
                      value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

    The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. &quot;Patient&quot; is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)."/>
          <comment
                   value="This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Reference.type"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="FHIRResourceTypeExt"/>
            </extension>
            <strength value="extensible"/>
            <description
                         value="Aa resource (or, for logical models, the URI of the logical model)."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.patient.identifier">
          <path value="Immunization.patient.identifier"/>
          <short value="Logical reference, when literal reference is not known"/>
          <definition
                      value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/>
          <comment
                   value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

    When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

    Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

    Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Reference.identifier"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Identifier"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value=".identifier"/>
          </mapping>
        </element>
        <element id="Immunization.patient.display">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="Immunization.patient.display"/>
          <short value="Text alternative for the resource"/>
          <definition
                      value="Plain text narrative that identifies the resource in addition to the resource reference."/>
          <comment
                   value="This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Reference.display"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.encounter">
          <path value="Immunization.encounter"/>
          <short value="Encounter immunization was part of"/>
          <definition
                      value="The visit or admission or other contact between patient and health care provider the immunization was performed as part of."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.encounter"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.context"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.context"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="PV1-19"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="component-&gt;EncounterEvent"/>
          </mapping>
        </element>
        <element id="Immunization.occurrence[x]">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHOULD:display"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <path value="Immunization.occurrence[x]"/>
          <short value="Vaccine administration date"/>
          <definition
                      value="Date vaccine administered or was to be administered."/>
          <comment
                   value="When immunizations are given a specific date and time should always be known.   When immunizations are patient reported, a specific date might not be known.  Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Immunization.occurrence[x]"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
              <extension url="code">
                <valueCode value="SHALL:populate-if-known"/>
              </extension>
              <extension url="actor">
                <valueCanonical
                                value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
              </extension>
              <extension
                         url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
                <valueCanonical
                                value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
              </extension>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
              <extension url="code">
                <valueCode value="SHOULD:able-to-populate"/>
              </extension>
              <extension url="actor">
                <valueCanonical
                                value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
              </extension>
              <extension
                         url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
                <valueCanonical
                                value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
              </extension>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
              <extension url="code">
                <valueCode value="SHALL:handle"/>
              </extension>
              <extension url="actor">
                <valueCanonical
                                value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
              </extension>
              <extension
                         url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
                <valueCanonical
                                value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
              </extension>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
              <extension url="code">
                <valueCode value="SHOULD:display"/>
              </extension>
              <extension url="actor">
                <valueCanonical
                                value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
              </extension>
              <extension
                         url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
                <valueCanonical
                                value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
              <valueBoolean value="true"/>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
              <extension url="code">
                <valueCode value="SHALL:populate-if-known"/>
              </extension>
              <extension url="actor">
                <valueCanonical
                                value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder"/>
              </extension>
              <extension
                         url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
                <valueCanonical
                                value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
              </extension>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
              <extension url="code">
                <valueCode value="SHOULD:populate"/>
              </extension>
              <extension url="actor">
                <valueCanonical
                                value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder"/>
              </extension>
              <extension
                         url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
                <valueCanonical
                                value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
              </extension>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
              <extension url="code">
                <valueCode value="SHALL:no-error"/>
              </extension>
              <extension url="actor">
                <valueCanonical
                                value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester"/>
              </extension>
              <extension
                         url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
                <valueCanonical
                                value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
              <valueBoolean value="true"/>
            </extension>
            <code value="dateTime"/>
          </type>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.occurrence[x]"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.done[x]"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="RXA-3"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".effectiveTime"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map
                 value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value"/>
          </mapping>
        </element>
        <element id="Immunization.recorded">
          <path value="Immunization.recorded"/>
          <short
                 value="When the immunization was first captured in the subject's record"/>
          <definition
                      value="The date the occurrence of the immunization was first captured in the record - potentially significantly after the occurrence of the event."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.recorded"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.recorded"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".participation[typeCode=AUT].time"/>
          </mapping>
        </element>
        <element id="Immunization.primarySource">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHOULD:display"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <path value="Immunization.primarySource"/>
          <short value="Indicates context the data was recorded in"/>
          <definition
                      value="An indication that the content of the record is based on information from the person who administered the vaccine. This reflects the context under which the data was originally recorded."/>
          <comment value="Reflects the “reliability” of the content."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.primarySource"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.source"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="RXA-9"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="immunization.uncertaintycode (if primary source=false, uncertainty=U)"/>
          </mapping>
        </element>
        <element id="Immunization.reportOrigin">
          <path value="Immunization.reportOrigin"/>
          <short value="Indicates the source of a secondarily reported record"/>
          <definition
                      value="The source of the data when the report of the immunization event is not based on information from the person who administered the vaccine."/>
          <comment
                   value="Should not be populated if primarySource = True, not required even if primarySource = False."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.reportOrigin"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ImmunizationReportOrigin"/>
            </extension>
            <strength value="example"/>
            <description
                         value="The source of the data for a record which is not from a primary source."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/immunization-origin|4.0.1"/>
          </binding>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.source"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="RXA-9"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported) .participation[typeCode=INF].role[classCode=LIC] (this syntax for health care professional) .participation[typeCode=INF].role[classCode=PRS] (this syntax for family member)"/>
          </mapping>
        </element>
        <element id="Immunization.location">
          <path value="Immunization.location"/>
          <short value="Where immunization occurred"/>
          <definition
                      value="The service delivery location where the vaccine administration occurred."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.location"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Location|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.location"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.where[x]"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="RXA-27  (or RXA-11, deprecated as of v2.7)"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".participation[typeCode=LOC].COCT_MT240000UV"/>
          </mapping>
        </element>
        <element id="Immunization.manufacturer">
          <path value="Immunization.manufacturer"/>
          <short value="Vaccine manufacturer"/>
          <definition value="Physical vaccine product manufacturer."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.manufacturer"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="v2"/>
            <map value="RXA-17"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map
                 value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacuturerOrganization/name"/>
          </mapping>
        </element>
        <element id="Immunization.lotNumber">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHOULD:display"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <path value="Immunization.lotNumber"/>
          <short value="Vaccine lot number"/>
          <definition value="Lot number of the  vaccine product."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.lotNumber"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="v2"/>
            <map value="RXA-15"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map
                 value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/lotNumberText"/>
          </mapping>
        </element>
        <element id="Immunization.expirationDate">
          <path value="Immunization.expirationDate"/>
          <short value="Vaccine expiration date"/>
          <definition value="Date vaccine batch expires."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.expirationDate"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="date"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="v2"/>
            <map value="RXA-16"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"/>
          </mapping>
        </element>
        <element id="Immunization.site">
          <path value="Immunization.site"/>
          <short value="Body site vaccine  was administered"/>
          <definition value="Body site where vaccine was administered."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.site"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <strength value="preferred"/>
            <valueSet
                      value="https://healthterminologies.gov.au/fhir/ValueSet/immunisation-anatomical-site-1"/>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="RXR-2"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="observation.targetSiteCode"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map
                 value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSiteCode/code"/>
          </mapping>
        </element>
        <element id="Immunization.route">
          <path value="Immunization.route"/>
          <short value="How vaccine entered body"/>
          <definition
                      value="The path by which the vaccine product is taken into the body."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.route"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <strength value="preferred"/>
            <valueSet
                      value="https://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1"/>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="RXR-1"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".routeCode"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map
                 value="ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/code"/>
          </mapping>
        </element>
        <element id="Immunization.doseQuantity">
          <path value="Immunization.doseQuantity"/>
          <short value="Amount of vaccine administered"/>
          <definition
                      value="The quantity of vaccine product that was administered."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.doseQuantity"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Quantity"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="v2"/>
            <map value="RXA-6 / RXA-7"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".doseQuantity"/>
          </mapping>
        </element>
        <element id="Immunization.performer">
          <path value="Immunization.performer"/>
          <slicing>
            <discriminator>
              <type value="pattern"/>
              <path value="function"/>
            </discriminator>
            <rules value="open"/>
          </slicing>
          <short value="Who performed event"/>
          <definition value="Indicates who performed the immunization event."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Immunization.performer"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.performer"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="ORC-12 / RXA-10"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/>
          </mapping>
        </element>
        <element id="Immunization.performer.id">
          <path value="Immunization.performer.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Immunization.performer.extension">
          <path value="Immunization.performer.extension"/>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Immunization.performer.modifierExtension">
          <path value="Immunization.performer.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <requirements
                        value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.performer.function">
          <path value="Immunization.performer.function"/>
          <short value="What type of performance was done"/>
          <definition
                      value="Describes the type of performance (e.g. ordering provider, administering provider, etc.)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.performer.function"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <strength value="extensible"/>
            <valueSet
                      value="http://terminology.hl7.org.au/ValueSet/v2-0443-extended"/>
          </binding>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.performer.function"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".participation.functionCode"/>
          </mapping>
        </element>
        <element id="Immunization.performer.actor">
          <path value="Immunization.performer.actor"/>
          <short value="Individual or organization who was performing"/>
          <definition
                      value="The practitioner or organization who performed the action."/>
          <comment
                   value="When the individual practitioner who performed the action is known, it is best to send."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Immunization.performer.actor"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.performer.actor"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.actor"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".player"/>
          </mapping>
        </element>
        <element id="Immunization.performer:administeredBy">
          <path value="Immunization.performer"/>
          <sliceName value="administeredBy"/>
          <short value="Immunisation Administered By"/>
          <definition value="Indicates who performed the immunization event."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.performer"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.performer"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="ORC-12 / RXA-10"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/>
          </mapping>
        </element>
        <element id="Immunization.performer:administeredBy.id">
          <path value="Immunization.performer.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Immunization.performer:administeredBy.extension">
          <path value="Immunization.performer.extension"/>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Immunization.performer:administeredBy.modifierExtension">
          <path value="Immunization.performer.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <requirements
                        value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.performer:administeredBy.function">
          <path value="Immunization.performer.function"/>
          <short value="Administering role"/>
          <definition
                      value="Describes the type of performance (e.g. ordering provider, administering provider, etc.)."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Immunization.performer.function"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <patternCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0443"/>
              <code value="AP"/>
            </coding>
          </patternCodeableConcept>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <strength value="extensible"/>
            <valueSet
                      value="http://terminology.hl7.org.au/ValueSet/v2-0443-extended"/>
          </binding>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.performer.function"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".participation.functionCode"/>
          </mapping>
        </element>
        <element id="Immunization.performer:administeredBy.actor">
          <path value="Immunization.performer.actor"/>
          <short value="Administering performer"/>
          <definition
                      value="The practitioner or organization who performed the action."/>
          <comment
                   value="When the individual practitioner who performed the action is known, it is best to send."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Immunization.performer.actor"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.performer.actor"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.actor"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".player"/>
          </mapping>
        </element>
        <element id="Immunization.performer:approvedBy">
          <path value="Immunization.performer"/>
          <sliceName value="approvedBy"/>
          <short value="Immunisation Approved By"/>
          <definition value="Indicates who performed the immunization event."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.performer"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.performer"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="ORC-12 / RXA-10"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/>
          </mapping>
        </element>
        <element id="Immunization.performer:approvedBy.id">
          <path value="Immunization.performer.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Immunization.performer:approvedBy.extension">
          <path value="Immunization.performer.extension"/>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Immunization.performer:approvedBy.modifierExtension">
          <path value="Immunization.performer.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <requirements
                        value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.performer:approvedBy.function">
          <path value="Immunization.performer.function"/>
          <short value="Approver role"/>
          <definition
                      value="Describes the type of performance (e.g. ordering provider, administering provider, etc.)."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Immunization.performer.function"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <patternCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0443"/>
              <code value="OP"/>
            </coding>
          </patternCodeableConcept>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <strength value="extensible"/>
            <valueSet
                      value="http://terminology.hl7.org.au/ValueSet/v2-0443-extended"/>
          </binding>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.performer.function"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".participation.functionCode"/>
          </mapping>
        </element>
        <element id="Immunization.performer:approvedBy.actor">
          <path value="Immunization.performer.actor"/>
          <short value="Approver"/>
          <definition
                      value="The practitioner or organization who performed the action."/>
          <comment
                   value="When the individual practitioner who performed the action is known, it is best to send."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Immunization.performer.actor"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.performer.actor"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.actor"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".player"/>
          </mapping>
        </element>
        <element id="Immunization.note">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-immunization|2.0.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHOULD:display"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization|0.5.0-preview"/>
            </extension>
          </extension>
          <path value="Immunization.note"/>
          <short value="Additional immunization notes"/>
          <definition
                      value="Extra information about the immunization that is not conveyed by the other attributes."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Immunization.note"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Annotation"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.note"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="OBX-5 : OBX-3 = 48767-8"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="note"/>
          </mapping>
        </element>
        <element id="Immunization.reasonCode">
          <path value="Immunization.reasonCode"/>
          <short value="Why immunization occurred"/>
          <definition value="Reasons why the vaccine was administered."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Immunization.reasonCode"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <strength value="preferred"/>
            <valueSet
                      value="https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1"/>
          </binding>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.reasonCode"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="[actionNegationInd=false].reasonCode"/>
          </mapping>
        </element>
        <element id="Immunization.reasonReference">
          <path value="Immunization.reasonReference"/>
          <short value="Why immunization occurred"/>
          <definition
                      value="Condition, Observation or DiagnosticReport that supports why the immunization was administered."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Immunization.reasonReference"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Condition|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.reasonReference"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.isSubpotent">
          <path value="Immunization.isSubpotent"/>
          <short value="Dose potency"/>
          <definition
                      value="Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent."/>
          <comment
                   value="Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.isSubpotent"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
          </type>
          <meaningWhenMissing
                              value="By default, a dose should be considered to be potent."/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="This element is labeled as a modifier because an immunization event with a subpotent vaccine doesn't protect the patient the same way as a potent dose."/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="RXA-20 = PA (partial administration)"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.subpotentReason">
          <path value="Immunization.subpotentReason"/>
          <short value="Reason for being subpotent"/>
          <definition value="Reason why a dose is considered to be subpotent."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Immunization.subpotentReason"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="SubpotentReason"/>
            </extension>
            <strength value="example"/>
            <description
                         value="The reason why a dose is considered to be subpotent."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/immunization-subpotent-reason|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.education">
          <path value="Immunization.education"/>
          <short value="Educational material presented to patient"/>
          <definition
                      value="Educational material presented to the patient (or guardian) at the time of vaccine administration."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Immunization.education"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="imm-1"/>
            <severity value="error"/>
            <human value="One of documentType or reference SHALL be present"/>
            <expression value="documentType.exists() or reference.exists()"/>
            <xpath value="exists(f:documentType) or exists(f:reference)"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.education.id">
          <path value="Immunization.education.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Immunization.education.extension">
          <path value="Immunization.education.extension"/>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Immunization.education.modifierExtension">
          <path value="Immunization.education.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <requirements
                        value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.education.documentType">
          <path value="Immunization.education.documentType"/>
          <short value="Educational material document identifier"/>
          <definition
                      value="Identifier of the material presented to the patient."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.education.documentType"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="v2"/>
            <map value="OBX-5 : OBX-3 = 69764-9"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.education.reference">
          <path value="Immunization.education.reference"/>
          <short value="Educational material reference pointer"/>
          <definition
                      value="Reference pointer to the educational material given to the patient if the information was on line."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.education.reference"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.education.publicationDate">
          <path value="Immunization.education.publicationDate"/>
          <short value="Educational material publication date"/>
          <definition value="Date the educational material was published."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.education.publicationDate"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="v2"/>
            <map value="OBX-5 : OBX-3 = 29768-9"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.education.presentationDate">
          <path value="Immunization.education.presentationDate"/>
          <short value="Educational material presentation date"/>
          <definition
                      value="Date the educational material was given to the patient."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.education.presentationDate"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="v2"/>
            <map value="OBX-5 : OBX-3 = 29769-7"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.programEligibility">
          <path value="Immunization.programEligibility"/>
          <short value="Patient eligibility for a vaccination program"/>
          <definition
                      value="Indicates a patient's eligibility for a funding program."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Immunization.programEligibility"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ProgramEligibility"/>
            </extension>
            <strength value="example"/>
            <description
                         value="The patient's eligibility for a vaccation program."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/immunization-program-eligibility|4.0.1"/>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="OBX-5 : OBX-3 = 64994-7"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.fundingSource">
          <path value="Immunization.fundingSource"/>
          <short value="Funding source for the vaccine"/>
          <definition
                      value="Indicates the source of the vaccine actually administered. This may be different than the patient eligibility (e.g. the patient may be eligible for a publically purchased vaccine but due to inventory issues, vaccine purchased with private funds was actually administered)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.fundingSource"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="FundingSource"/>
            </extension>
            <strength value="example"/>
            <description
                         value="The source of funding used to purchase the vaccine administered."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/immunization-funding-source|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.reaction">
          <path value="Immunization.reaction"/>
          <short value="Details of a reaction that follows immunization"/>
          <definition
                      value="Categorical data indicating that an adverse event is associated in time to an immunization."/>
          <comment
                   value="A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Immunization.reaction"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="v2"/>
            <map value="OBX-3"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="Observation[classCode=obs].code"/>
          </mapping>
        </element>
        <element id="Immunization.reaction.id">
          <path value="Immunization.reaction.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Immunization.reaction.extension">
          <path value="Immunization.reaction.extension"/>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Immunization.reaction.modifierExtension">
          <path value="Immunization.reaction.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <requirements
                        value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.reaction.date">
          <path value="Immunization.reaction.date"/>
          <short value="When reaction started"/>
          <definition value="Date of reaction to the immunization."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.reaction.date"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="v2"/>
            <map
                 value="OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7 v2 VXU message - most likely would appear in OBX segments if at all)"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".effectiveTime"/>
          </mapping>
        </element>
        <element id="Immunization.reaction.detail">
          <path value="Immunization.reaction.detail"/>
          <short value="Additional information on reaction"/>
          <definition value="Details of the reaction."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.reaction.detail"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="v2"/>
            <map value="OBX-5"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".value"/>
          </mapping>
        </element>
        <element id="Immunization.reaction.reported">
          <path value="Immunization.reaction.reported"/>
          <short value="Indicates self-reported reaction"/>
          <definition value="Self-reported indicator."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.reaction.reported"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="v2"/>
            <map value="(HL7 v2 doesn't seem to provide for this)"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"/>
          </mapping>
        </element>
        <element id="Immunization.protocolApplied">
          <path value="Immunization.protocolApplied"/>
          <short value="Protocol followed by the provider"/>
          <definition
                      value="The protocol (set of recommendations) being followed by the provider who administered the dose."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Immunization.protocolApplied"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.protocolApplied.id">
          <path value="Immunization.protocolApplied.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Immunization.protocolApplied.extension">
          <path value="Immunization.protocolApplied.extension"/>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Immunization.protocolApplied.modifierExtension">
          <path value="Immunization.protocolApplied.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <requirements
                        value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.protocolApplied.series">
          <path value="Immunization.protocolApplied.series"/>
          <short value="Name of vaccine series"/>
          <definition
                      value="One possible path to achieve presumed immunity against a disease - within the context of an authority."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.protocolApplied.series"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.protocolApplied.authority">
          <path value="Immunization.protocolApplied.authority"/>
          <short value="Who is responsible for publishing the recommendations"/>
          <definition
                      value="Indicates the authority who published the protocol (e.g. ACIP) that is being followed."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.protocolApplied.authority"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.protocolApplied.targetDisease">
          <path value="Immunization.protocolApplied.targetDisease"/>
          <short value="Vaccine preventatable disease being targetted"/>
          <definition
                      value="The vaccine preventable disease the dose is being administered against."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Immunization.protocolApplied.targetDisease"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <strength value="preferred"/>
            <valueSet
                      value="https://healthterminologies.gov.au/fhir/ValueSet/vaccination-target-disease-1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.protocolApplied.doseNumber[x]">
          <path value="Immunization.protocolApplied.doseNumber[x]"/>
          <short value="Dose number within series"/>
          <definition value="Nominal position in a series."/>
          <comment
                   value="The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose)."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Immunization.protocolApplied.doseNumber[x]"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="positiveInt"/>
          </type>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Immunization.protocolApplied.seriesDoses[x]">
          <path value="Immunization.protocolApplied.seriesDoses[x]"/>
          <short value="Recommended number of doses for immunity"/>
          <definition
                      value="The recommended number of doses to achieve immunity."/>
          <comment
                   value="The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Immunization.protocolApplied.seriesDoses[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="positiveInt"/>
          </type>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
      </snapshot>
      <differential>
        <element id="Immunization">
          <path value="Immunization"/>
        </element>
        <element id="Immunization.status">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHOULD:display"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
          </extension>
          <path value="Immunization.status"/>
        </element>
        <element id="Immunization.vaccineCode">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHOULD:display"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
          </extension>
          <path value="Immunization.vaccineCode"/>
          <type>
            <code value="CodeableConcept"/>
            <profile
                     value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"/>
          </type>
        </element>
        <element id="Immunization.vaccineCode.coding:amtVaccineCode">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
          </extension>
          <path value="Immunization.vaccineCode.coding"/>
          <sliceName value="amtVaccineCode"/>
        </element>
        <element id="Immunization.vaccineCode.coding:airVaccineCode">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
          </extension>
          <path value="Immunization.vaccineCode.coding"/>
          <sliceName value="airVaccineCode"/>
        </element>
        <element id="Immunization.patient">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHOULD:display"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
          </extension>
          <path value="Immunization.patient"/>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-patient"/>
          </type>
        </element>
        <element id="Immunization.patient.reference">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
          </extension>
          <path value="Immunization.patient.reference"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="Immunization.occurrence[x]">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHOULD:display"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
          </extension>
          <path value="Immunization.occurrence[x]"/>
          <type>
            <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
              <extension url="code">
                <valueCode value="SHALL:populate-if-known"/>
              </extension>
              <extension url="actor">
                <valueCanonical
                                value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
              </extension>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
              <extension url="code">
                <valueCode value="SHOULD:able-to-populate"/>
              </extension>
              <extension url="actor">
                <valueCanonical
                                value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
              </extension>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
              <extension url="code">
                <valueCode value="SHALL:handle"/>
              </extension>
              <extension url="actor">
                <valueCanonical
                                value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
              </extension>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
              <extension url="code">
                <valueCode value="SHOULD:display"/>
              </extension>
              <extension url="actor">
                <valueCanonical
                                value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
              <valueBoolean value="true"/>
            </extension>
            <code value="dateTime"/>
          </type>
          <type>
            <code value="string"/>
          </type>
        </element>
        <element id="Immunization.primarySource">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHOULD:display"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
          </extension>
          <path value="Immunization.primarySource"/>
        </element>
        <element id="Immunization.lotNumber">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHOULD:display"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
          </extension>
          <path value="Immunization.lotNumber"/>
        </element>
        <element id="Immunization.note">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-producer"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:handle"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHOULD:display"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="http://hl7.org.au/fhir/ps/ActorDefinition/au-ps-actor-consumer"/>
            </extension>
          </extension>
          <path value="Immunization.note"/>
        </element>
      </differential>
    </StructureDefinition>