AU Patient Summary Implementation Guide
0.1.0-preview - Preview Australia flag

This page is part of the AU Patient Summary (v0.1.0-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

Resource Profile: AU PS Immunization

Official URL: http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization Version: 0.1.0-preview
Standards status: Draft Maturity Level: 0 Computable Name: AUPSImmunization

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved.

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 Base Immunisation profile, and applies the constraints of AU Core Immunization and Immunization (IPS).

See Comparison with other national and international IGs for a comparison between AU Core profiles and profiles in other implementation guides.

Usage:

Formal Views of Profile Content

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

This structure is derived from AUBaseImmunisation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..* AUBaseImmunisation An immunisation statement in an Australian healthcare context
This profile also complies with the profiles Immunization (IPS) and AU Core Immunization
... status S 1..1 code completed | entered-in-error | not-done
... vaccineCode S 1..1 CodeableConceptIPS Vaccine product administered
.... Slices for coding 0..* CodingIPS A reference to a code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:amtVaccineCode S 0..1 CodingIPS A reference to a code defined by a terminology system
Binding: Australian Medicines Terminology Vaccine . (required)
..... coding:airVaccineCode S 0..1 CodingIPS A reference to a code defined by a terminology system
Binding: Australian Immunisation Register Vaccine . (required)
... patient S 1..1 Reference(AU PS Patient) Who was immunized
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... primarySource S 0..1 boolean Indicates context the data was recorded in
... note S 0..* Annotation Additional immunization notes

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Immunization.vaccineCode.coding:amtVaccineCoderequiredAustralianMedicinesTerminologyVaccine .
https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1
Immunization.vaccineCode.coding:airVaccineCoderequiredAustralianImmunisationRegisterVaccine . (a valid code from https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats)
https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1
NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..* AUBaseImmunisation An immunisation statement in an Australian healthcare context
This profile also complies with the profiles Immunization (IPS) and AU Core Immunization
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension Content/Rules for all slices
.... extension:vaccineVialSerialNumber 0..1 string Vaccine vial serial number
URL: http://hl7.org.au/fhir/StructureDefinition/vaccine-serial-number
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... vaccineCode SΣ 1..1 CodeableConceptIPS Vaccine product administered
Binding: VaccineAdministeredValueSet (example)
Additional BindingsPurpose
Australian Medicines Terminology Vaccine . Preferred
Australian Immunisation Register Vaccine . Preferred

ele-1: All FHIR elements must have a @value or children
.... Slices for coding S 0..* CodingIPS A reference to a code defined by a terminology system
Slice: Unordered, Open by pattern:$this
ele-1: All FHIR elements must have a @value or children
..... coding:amtVaccineCode S 0..1 CodingIPS A reference to a code defined by a terminology system
Binding: Australian Medicines Terminology Vaccine . (required)
ele-1: All FHIR elements must have a @value or children
..... coding:airVaccineCode S 0..1 CodingIPS A reference to a code defined by a terminology system
Binding: Australian Immunisation Register Vaccine . (required)
ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string Plain text representation of the concept
ele-1: All FHIR elements must have a @value or children
... patient SΣ 1..1 Reference(AU PS Patient) Who was immunized
ele-1: All FHIR elements must have a @value or children
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... occurrence[x] SΣ 1..1 Vaccine administration date
ele-1: All FHIR elements must have a @value or children
.... occurrenceDateTime dateTime
.... occurrenceString string
... primarySource SΣ 0..1 boolean Indicates context the data was recorded in
ele-1: All FHIR elements must have a @value or children
... Slices for performer Σ 0..* BackboneElement Who performed event
Slice: Unordered, Open by pattern:function
ele-1: All FHIR elements must have a @value or children
.... performer:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization) Individual or organization who was performing
ele-1: All FHIR elements must have a @value or children
.... performer:administeredBy Σ 0..1 BackboneElement Immunisation Administered By
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... function Σ 1..1 CodeableConcept Administering role
Binding: hl7VS-providerRole - AU Extended (extensible)
ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AP
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization) Administering performer
ele-1: All FHIR elements must have a @value or children
.... performer:approvedBy Σ 0..1 BackboneElement Immunisation Approved By
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... function Σ 1..1 CodeableConcept Approver role
Binding: hl7VS-providerRole - AU Extended (extensible)
ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: OP
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization) Approver
ele-1: All FHIR elements must have a @value or children
... note SΣ 0..* Annotation Additional immunization notes
ele-1: All FHIR elements must have a @value or children
... isSubpotent ?!Σ 0..1 boolean Dose potency
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Immunization.statusrequiredImmunizationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-status|4.0.1
from the FHIR Standard
Immunization.vaccineCodeexampleVaccineAdministeredValueSet
http://hl7.org/fhir/ValueSet/vaccine-code
from the FHIR Standard
Immunization.vaccineCode.coding:amtVaccineCoderequiredAustralianMedicinesTerminologyVaccine .
https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1
Immunization.vaccineCode.coding:airVaccineCoderequiredAustralianImmunisationRegisterVaccine . (a valid code from https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats)
https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1
Immunization.performer:administeredBy.functionextensiblePattern: AP
http://terminology.hl7.org.au/ValueSet/v2-0443-extended
Immunization.performer:approvedBy.functionextensiblePattern: OP
http://terminology.hl7.org.au/ValueSet/v2-0443-extended

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImmunizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImmunizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..* AUBaseImmunisation An immunisation statement in an Australian healthcare context
This profile also complies with the profiles Immunization (IPS) and AU Core Immunization
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:vaccineVialSerialNumber 0..1 string Vaccine vial serial number
URL: http://hl7.org.au/fhir/StructureDefinition/vaccine-serial-number
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business identifier
... status ?!SΣ 1..1 code completed | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.

... statusReason 0..1 CodeableConcept Reason not done
Binding: Reason Vaccine Not Administered . (preferred)
... vaccineCode SΣ 1..1 CodeableConceptIPS Vaccine product administered
Binding: VaccineAdministeredValueSet (example)
Additional BindingsPurpose
Australian Medicines Terminology Vaccine . Preferred
Australian Immunisation Register Vaccine . Preferred
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding S 0..* CodingIPS A reference to a code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:amtVaccineCode S 0..1 CodingIPS A reference to a code defined by a terminology system
Binding: Australian Medicines Terminology Vaccine . (required)
..... coding:airVaccineCode S 0..1 CodingIPS A reference to a code defined by a terminology system
Binding: Australian Immunisation Register Vaccine . (required)
.... text SΣ 0..1 string Plain text representation of the concept
... patient SΣ 1..1 Reference(AU PS Patient) Who was immunized
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter 0..1 Reference(Encounter) Encounter immunization was part of
... occurrence[x] SΣ 1..1 Vaccine administration date
.... occurrenceDateTime dateTime
.... occurrenceString string
... recorded 0..1 dateTime When the immunization was first captured in the subject's record
... primarySource SΣ 0..1 boolean Indicates context the data was recorded in
... reportOrigin 0..1 CodeableConcept Indicates the source of a secondarily reported record
Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.

... location 0..1 Reference(Location) Where immunization occurred
... manufacturer 0..1 Reference(Organization) Vaccine manufacturer
... lotNumber 0..1 string Vaccine lot number
... expirationDate 0..1 date Vaccine expiration date
... site 0..1 CodeableConcept Body site vaccine was administered
Binding: Immunisation Anatomical Site . (preferred)
... route 0..1 CodeableConcept How vaccine entered body
Binding: Immunisation Route of Administration . (preferred)
... doseQuantity 0..1 SimpleQuantity Amount of vaccine administered
... Slices for performer Σ 0..* BackboneElement Who performed event
Slice: Unordered, Open by pattern:function
.... performer:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 0..1 CodeableConcept What type of performance was done
Binding: hl7VS-providerRole - AU Extended (extensible)
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization) Individual or organization who was performing
.... performer:administeredBy Σ 0..1 BackboneElement Immunisation Administered By
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 1..1 CodeableConcept Administering role
Binding: hl7VS-providerRole - AU Extended (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AP
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization) Administering performer
.... performer:approvedBy Σ 0..1 BackboneElement Immunisation Approved By
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 1..1 CodeableConcept Approver role
Binding: hl7VS-providerRole - AU Extended (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: OP
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization) Approver
... note SΣ 0..* Annotation Additional immunization notes
... reasonCode 0..* CodeableConcept Why immunization occurred
Binding: Reason Vaccine Administered . (preferred)
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Why immunization occurred
... isSubpotent ?!Σ 0..1 boolean Dose potency
... subpotentReason 0..* CodeableConcept Reason for being subpotent
Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.


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


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

... reaction 0..* BackboneElement Details of a reaction that follows immunization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... date 0..1 dateTime When reaction started
.... detail 0..1 Reference(Observation) Additional information on reaction
.... reported 0..1 boolean Indicates self-reported reaction
... protocolApplied 0..* BackboneElement Protocol followed by the provider
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... series 0..1 string Name of vaccine series
.... authority 0..1 Reference(Organization) Who is responsible for publishing the recommendations
.... targetDisease 0..* CodeableConcept Vaccine preventatable disease being targetted
Binding: Vaccination Target Disease . (preferred)
.... doseNumber[x] 1..1 Dose number within series
..... doseNumberPositiveInt positiveInt
..... doseNumberString string
.... seriesDoses[x] 0..1 Recommended number of doses for immunity
..... seriesDosesPositiveInt positiveInt
..... seriesDosesString string

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Immunization.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Immunization.statusrequiredImmunizationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-status|4.0.1
from the FHIR Standard
Immunization.statusReasonpreferredReasonVaccineNotAdministered .
https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-not-administered-3
Immunization.vaccineCodeexampleVaccineAdministeredValueSet
http://hl7.org/fhir/ValueSet/vaccine-code
from the FHIR Standard
Immunization.vaccineCode.coding:amtVaccineCoderequiredAustralianMedicinesTerminologyVaccine .
https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1
Immunization.vaccineCode.coding:airVaccineCoderequiredAustralianImmunisationRegisterVaccine . (a valid code from https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats)
https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1
Immunization.patient.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Immunization.reportOriginexampleImmunizationOriginCodes
http://hl7.org/fhir/ValueSet/immunization-origin
from the FHIR Standard
Immunization.sitepreferredImmunisationAnatomicalSite .
https://healthterminologies.gov.au/fhir/ValueSet/immunisation-anatomical-site-1
Immunization.routepreferredImmunisationRouteOfAdministration .
https://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1
Immunization.performer.functionextensibleHl7VSProviderRoleAUExtended
http://terminology.hl7.org.au/ValueSet/v2-0443-extended
Immunization.performer:administeredBy.functionextensiblePattern: AP
http://terminology.hl7.org.au/ValueSet/v2-0443-extended
Immunization.performer:approvedBy.functionextensiblePattern: OP
http://terminology.hl7.org.au/ValueSet/v2-0443-extended
Immunization.reasonCodepreferredReasonVaccineAdministered .
https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1
Immunization.subpotentReasonexampleImmunizationSubpotentReason
http://hl7.org/fhir/ValueSet/immunization-subpotent-reason
from the FHIR Standard
Immunization.programEligibilityexampleImmunizationProgramEligibility
http://hl7.org/fhir/ValueSet/immunization-program-eligibility
from the FHIR Standard
Immunization.fundingSourceexampleImmunizationFundingSource
http://hl7.org/fhir/ValueSet/immunization-funding-source
from the FHIR Standard
Immunization.protocolApplied.targetDiseasepreferredVaccinationTargetDisease .
https://healthterminologies.gov.au/fhir/ValueSet/vaccination-target-disease-1

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImmunizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImmunizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
imm-1errorImmunization.educationOne of documentType or reference SHALL be present
: documentType.exists() or reference.exists()

This structure is derived from AUBaseImmunisation

Summary

Mandatory: 1 element
Must-Support: 9 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Immunization.vaccineCode.coding

Maturity: 0

Differential View

This structure is derived from AUBaseImmunisation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..* AUBaseImmunisation An immunisation statement in an Australian healthcare context
This profile also complies with the profiles Immunization (IPS) and AU Core Immunization
... status S 1..1 code completed | entered-in-error | not-done
... vaccineCode S 1..1 CodeableConceptIPS Vaccine product administered
.... Slices for coding 0..* CodingIPS A reference to a code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:amtVaccineCode S 0..1 CodingIPS A reference to a code defined by a terminology system
Binding: Australian Medicines Terminology Vaccine . (required)
..... coding:airVaccineCode S 0..1 CodingIPS A reference to a code defined by a terminology system
Binding: Australian Immunisation Register Vaccine . (required)
... patient S 1..1 Reference(AU PS Patient) Who was immunized
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... primarySource S 0..1 boolean Indicates context the data was recorded in
... note S 0..* Annotation Additional immunization notes

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Immunization.vaccineCode.coding:amtVaccineCoderequiredAustralianMedicinesTerminologyVaccine .
https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1
Immunization.vaccineCode.coding:airVaccineCoderequiredAustralianImmunisationRegisterVaccine . (a valid code from https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats)
https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..* AUBaseImmunisation An immunisation statement in an Australian healthcare context
This profile also complies with the profiles Immunization (IPS) and AU Core Immunization
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension Content/Rules for all slices
.... extension:vaccineVialSerialNumber 0..1 string Vaccine vial serial number
URL: http://hl7.org.au/fhir/StructureDefinition/vaccine-serial-number
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... vaccineCode SΣ 1..1 CodeableConceptIPS Vaccine product administered
Binding: VaccineAdministeredValueSet (example)
Additional BindingsPurpose
Australian Medicines Terminology Vaccine . Preferred
Australian Immunisation Register Vaccine . Preferred

ele-1: All FHIR elements must have a @value or children
.... Slices for coding S 0..* CodingIPS A reference to a code defined by a terminology system
Slice: Unordered, Open by pattern:$this
ele-1: All FHIR elements must have a @value or children
..... coding:amtVaccineCode S 0..1 CodingIPS A reference to a code defined by a terminology system
Binding: Australian Medicines Terminology Vaccine . (required)
ele-1: All FHIR elements must have a @value or children
..... coding:airVaccineCode S 0..1 CodingIPS A reference to a code defined by a terminology system
Binding: Australian Immunisation Register Vaccine . (required)
ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string Plain text representation of the concept
ele-1: All FHIR elements must have a @value or children
... patient SΣ 1..1 Reference(AU PS Patient) Who was immunized
ele-1: All FHIR elements must have a @value or children
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... occurrence[x] SΣ 1..1 Vaccine administration date
ele-1: All FHIR elements must have a @value or children
.... occurrenceDateTime dateTime
.... occurrenceString string
... primarySource SΣ 0..1 boolean Indicates context the data was recorded in
ele-1: All FHIR elements must have a @value or children
... Slices for performer Σ 0..* BackboneElement Who performed event
Slice: Unordered, Open by pattern:function
ele-1: All FHIR elements must have a @value or children
.... performer:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization) Individual or organization who was performing
ele-1: All FHIR elements must have a @value or children
.... performer:administeredBy Σ 0..1 BackboneElement Immunisation Administered By
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... function Σ 1..1 CodeableConcept Administering role
Binding: hl7VS-providerRole - AU Extended (extensible)
ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AP
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization) Administering performer
ele-1: All FHIR elements must have a @value or children
.... performer:approvedBy Σ 0..1 BackboneElement Immunisation Approved By
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... function Σ 1..1 CodeableConcept Approver role
Binding: hl7VS-providerRole - AU Extended (extensible)
ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: OP
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization) Approver
ele-1: All FHIR elements must have a @value or children
... note SΣ 0..* Annotation Additional immunization notes
ele-1: All FHIR elements must have a @value or children
... isSubpotent ?!Σ 0..1 boolean Dose potency
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Immunization.statusrequiredImmunizationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-status|4.0.1
from the FHIR Standard
Immunization.vaccineCodeexampleVaccineAdministeredValueSet
http://hl7.org/fhir/ValueSet/vaccine-code
from the FHIR Standard
Immunization.vaccineCode.coding:amtVaccineCoderequiredAustralianMedicinesTerminologyVaccine .
https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1
Immunization.vaccineCode.coding:airVaccineCoderequiredAustralianImmunisationRegisterVaccine . (a valid code from https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats)
https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1
Immunization.performer:administeredBy.functionextensiblePattern: AP
http://terminology.hl7.org.au/ValueSet/v2-0443-extended
Immunization.performer:approvedBy.functionextensiblePattern: OP
http://terminology.hl7.org.au/ValueSet/v2-0443-extended

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImmunizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImmunizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..* AUBaseImmunisation An immunisation statement in an Australian healthcare context
This profile also complies with the profiles Immunization (IPS) and AU Core Immunization
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:vaccineVialSerialNumber 0..1 string Vaccine vial serial number
URL: http://hl7.org.au/fhir/StructureDefinition/vaccine-serial-number
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business identifier
... status ?!SΣ 1..1 code completed | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.

... statusReason 0..1 CodeableConcept Reason not done
Binding: Reason Vaccine Not Administered . (preferred)
... vaccineCode SΣ 1..1 CodeableConceptIPS Vaccine product administered
Binding: VaccineAdministeredValueSet (example)
Additional BindingsPurpose
Australian Medicines Terminology Vaccine . Preferred
Australian Immunisation Register Vaccine . Preferred
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding S 0..* CodingIPS A reference to a code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:amtVaccineCode S 0..1 CodingIPS A reference to a code defined by a terminology system
Binding: Australian Medicines Terminology Vaccine . (required)
..... coding:airVaccineCode S 0..1 CodingIPS A reference to a code defined by a terminology system
Binding: Australian Immunisation Register Vaccine . (required)
.... text SΣ 0..1 string Plain text representation of the concept
... patient SΣ 1..1 Reference(AU PS Patient) Who was immunized
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter 0..1 Reference(Encounter) Encounter immunization was part of
... occurrence[x] SΣ 1..1 Vaccine administration date
.... occurrenceDateTime dateTime
.... occurrenceString string
... recorded 0..1 dateTime When the immunization was first captured in the subject's record
... primarySource SΣ 0..1 boolean Indicates context the data was recorded in
... reportOrigin 0..1 CodeableConcept Indicates the source of a secondarily reported record
Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.

... location 0..1 Reference(Location) Where immunization occurred
... manufacturer 0..1 Reference(Organization) Vaccine manufacturer
... lotNumber 0..1 string Vaccine lot number
... expirationDate 0..1 date Vaccine expiration date
... site 0..1 CodeableConcept Body site vaccine was administered
Binding: Immunisation Anatomical Site . (preferred)
... route 0..1 CodeableConcept How vaccine entered body
Binding: Immunisation Route of Administration . (preferred)
... doseQuantity 0..1 SimpleQuantity Amount of vaccine administered
... Slices for performer Σ 0..* BackboneElement Who performed event
Slice: Unordered, Open by pattern:function
.... performer:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 0..1 CodeableConcept What type of performance was done
Binding: hl7VS-providerRole - AU Extended (extensible)
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization) Individual or organization who was performing
.... performer:administeredBy Σ 0..1 BackboneElement Immunisation Administered By
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 1..1 CodeableConcept Administering role
Binding: hl7VS-providerRole - AU Extended (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AP
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization) Administering performer
.... performer:approvedBy Σ 0..1 BackboneElement Immunisation Approved By
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 1..1 CodeableConcept Approver role
Binding: hl7VS-providerRole - AU Extended (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: OP
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization) Approver
... note SΣ 0..* Annotation Additional immunization notes
... reasonCode 0..* CodeableConcept Why immunization occurred
Binding: Reason Vaccine Administered . (preferred)
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Why immunization occurred
... isSubpotent ?!Σ 0..1 boolean Dose potency
... subpotentReason 0..* CodeableConcept Reason for being subpotent
Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.


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


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

... reaction 0..* BackboneElement Details of a reaction that follows immunization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... date 0..1 dateTime When reaction started
.... detail 0..1 Reference(Observation) Additional information on reaction
.... reported 0..1 boolean Indicates self-reported reaction
... protocolApplied 0..* BackboneElement Protocol followed by the provider
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... series 0..1 string Name of vaccine series
.... authority 0..1 Reference(Organization) Who is responsible for publishing the recommendations
.... targetDisease 0..* CodeableConcept Vaccine preventatable disease being targetted
Binding: Vaccination Target Disease . (preferred)
.... doseNumber[x] 1..1 Dose number within series
..... doseNumberPositiveInt positiveInt
..... doseNumberString string
.... seriesDoses[x] 0..1 Recommended number of doses for immunity
..... seriesDosesPositiveInt positiveInt
..... seriesDosesString string

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Immunization.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Immunization.statusrequiredImmunizationStatusCodes
http://hl7.org/fhir/ValueSet/immunization-status|4.0.1
from the FHIR Standard
Immunization.statusReasonpreferredReasonVaccineNotAdministered .
https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-not-administered-3
Immunization.vaccineCodeexampleVaccineAdministeredValueSet
http://hl7.org/fhir/ValueSet/vaccine-code
from the FHIR Standard
Immunization.vaccineCode.coding:amtVaccineCoderequiredAustralianMedicinesTerminologyVaccine .
https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1
Immunization.vaccineCode.coding:airVaccineCoderequiredAustralianImmunisationRegisterVaccine . (a valid code from https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats)
https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1
Immunization.patient.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Immunization.reportOriginexampleImmunizationOriginCodes
http://hl7.org/fhir/ValueSet/immunization-origin
from the FHIR Standard
Immunization.sitepreferredImmunisationAnatomicalSite .
https://healthterminologies.gov.au/fhir/ValueSet/immunisation-anatomical-site-1
Immunization.routepreferredImmunisationRouteOfAdministration .
https://healthterminologies.gov.au/fhir/ValueSet/immunisation-route-of-administration-1
Immunization.performer.functionextensibleHl7VSProviderRoleAUExtended
http://terminology.hl7.org.au/ValueSet/v2-0443-extended
Immunization.performer:administeredBy.functionextensiblePattern: AP
http://terminology.hl7.org.au/ValueSet/v2-0443-extended
Immunization.performer:approvedBy.functionextensiblePattern: OP
http://terminology.hl7.org.au/ValueSet/v2-0443-extended
Immunization.reasonCodepreferredReasonVaccineAdministered .
https://healthterminologies.gov.au/fhir/ValueSet/reason-vaccine-administered-1
Immunization.subpotentReasonexampleImmunizationSubpotentReason
http://hl7.org/fhir/ValueSet/immunization-subpotent-reason
from the FHIR Standard
Immunization.programEligibilityexampleImmunizationProgramEligibility
http://hl7.org/fhir/ValueSet/immunization-program-eligibility
from the FHIR Standard
Immunization.fundingSourceexampleImmunizationFundingSource
http://hl7.org/fhir/ValueSet/immunization-funding-source
from the FHIR Standard
Immunization.protocolApplied.targetDiseasepreferredVaccinationTargetDisease .
https://healthterminologies.gov.au/fhir/ValueSet/vaccination-target-disease-1

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImmunizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImmunizationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorImmunizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImmunizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
imm-1errorImmunization.educationOne of documentType or reference SHALL be present
: documentType.exists() or reference.exists()

This structure is derived from AUBaseImmunisation

Summary

Mandatory: 1 element
Must-Support: 9 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Immunization.vaccineCode.coding

Maturity: 0

 

Other representations of profile: CSV, Excel, Schematron