Guía IPS Argentina basada en Core Ar - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Registro Vacuna Argentino IPS

Perfil de Registro Vacunacion según CORE AR y dependiente de perfil IPS-UV

Usages:

• Use this Profile: Bundle IPS Argentino
• Refer to this Profile: Documento IPS Argentino
• Examples for this Profile: Immunization/InmunizacionArgEjemplo

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	ImmunizationUvIps	Immunization event information
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:EsquemaVacunacion		0..1	CodeableConcept	Esquema Vacunacion URL: http://ips.ri.hsisalud.org/StructureDefinition/NomivacEsquema Binding: Esquemas de Vacunacion para NOMIVAC (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!SOΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
vaccineCode	SOΣ	1..1	CodeableConceptIPS(2.0.1)	Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: VaccinesUvIps (2.0.1) (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization. Additional Bindings Purpose Documentation VaccinesWhoAtcUvIps (2.0.1) candidate For when WHO ATC code system is preferred Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
patient	SOΣ	1..1	Reference(Patient (IPS)(2.0.1))	Who was immunized Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS)
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: http://www.renaper.gob.ar/dni
value	SΣ	1..1	string	The value that is unique Example General: 123456
Slices for occurrence[x]	SOΣ	1..1	dateTime	Vaccine administration date Slice: Unordered, Closed by type:$this Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
occurrence[x]:occurrenceDateTime	SOΣ	1..1	dateTime	Vaccine administration date Obligations Actor Source SHOULD:able-to-populate Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
primarySource	SΣ	1..1	boolean	Indicates context the data was recorded in
location	S	1..1	Reference(Location)	Where immunization occurred
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: http://refes.msal.gob.ar
value	SΣ	1..1	string	The value that is unique Example General: 123456
lotNumber	S	1..1	string	Vaccine lot number
reasonCode	S	1..1	CodeableConcept	Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
isSubpotent	?!Σ	0..1	boolean	Dose potency
protocolApplied	S	1..1	BackboneElement	Protocol followed by the provider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
doseNumber[x]		1..1		Dose number within series
doseNumberPositiveInt			positiveInt
doseNumberString			string
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Immunization.status	Base	required	Immunization Status Codes	📍4.0.1	FHIR Std.
Immunization.vaccineCode	Base	preferred	Vaccines - IPS	📍2.0.1	International Patient Summary Implementation Guide v2.0
Immunization.patient.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Immunization.location.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Immunization.reasonCode	Base	example	Immunization Reason Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Immunization	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Immunization	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	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-4	error	Immunization	If 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-5	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Immunization	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Immunization.implicitRules, Immunization.extension, Immunization.extension:EsquemaVacunacion, Immunization.modifierExtension, Immunization.status, Immunization.vaccineCode, Immunization.patient, Immunization.patient.reference, Immunization.patient.identifier, Immunization.patient.identifier.use, Immunization.patient.identifier.system, Immunization.patient.identifier.value, Immunization.occurrence[x], Immunization.occurrence[x]:occurrenceDateTime, Immunization.primarySource, Immunization.location, Immunization.location.identifier, Immunization.location.identifier.use, Immunization.location.identifier.system, Immunization.location.identifier.value, Immunization.lotNumber, Immunization.reasonCode, Immunization.isSubpotent, Immunization.protocolApplied, Immunization.protocolApplied.modifierExtension, Immunization.protocolApplied.doseNumber[x]	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Immunization.extension, Immunization.extension:EsquemaVacunacion, Immunization.modifierExtension, Immunization.protocolApplied.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from ImmunizationUvIps

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization			ImmunizationUvIps
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:EsquemaVacunacion		0..1	CodeableConcept	Esquema Vacunacion URL: http://ips.ri.hsisalud.org/StructureDefinition/NomivacEsquema Binding: Esquemas de Vacunacion para NOMIVAC (required)
patient
identifier	S	1..1	Identifier	Logical reference, when literal reference is not known
system		0..1	uri	The namespace for the identifier value Required Pattern: http://www.renaper.gob.ar/dni
value	S	1..1	string	The value that is unique
Slices for occurrence[x]				Content/Rules for all slices
occurrence[x]:occurrenceDateTime		1..1	dateTime	Vaccine administration date
primarySource	S	1..1	boolean	Indicates context the data was recorded in
location	S	1..1	Reference(Location)	Where immunization occurred
reference		0..0		Literal reference, Relative, internal or absolute URL
identifier	S	1..1	Identifier	Logical reference, when literal reference is not known
system		0..1	uri	The namespace for the identifier value Required Pattern: http://refes.msal.gob.ar
value	S	1..1	string	The value that is unique
lotNumber	S	1..1	string	Vaccine lot number
reasonCode	S	1..1	CodeableConcept	Why immunization occurred
protocolApplied	S	1..1	BackboneElement	Protocol followed by the provider
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	ImmunizationUvIps	Immunization event information
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:EsquemaVacunacion		0..1	CodeableConcept	Esquema Vacunacion URL: http://ips.ri.hsisalud.org/StructureDefinition/NomivacEsquema Binding: Esquemas de Vacunacion para NOMIVAC (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier		0..*	Identifier	Business identifier
status	?!SOΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
statusReason		0..1	CodeableConcept	Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.
vaccineCode	SOΣ	1..1	CodeableConceptIPS(2.0.1)	Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: VaccinesUvIps (2.0.1) (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization. Additional Bindings Purpose Documentation VaccinesWhoAtcUvIps (2.0.1) candidate For when WHO ATC code system is preferred Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
patient	SOΣ	1..1	Reference(Patient (IPS)(2.0.1))	Who was immunized Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS)
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	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: http://www.renaper.gob.ar/dni
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
Slices for occurrence[x]	SOΣ	1..1	dateTime	Vaccine administration date Slice: Unordered, Closed by type:$this Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
occurrence[x]:occurrenceDateTime	SOΣ	1..1	dateTime	Vaccine administration date Obligations Actor Source SHOULD:able-to-populate Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
recorded		0..1	dateTime	When the immunization was first captured in the subject's record
primarySource	SΣ	1..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	S	1..1	Reference(Location)	Where immunization occurred
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value: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	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: http://refes.msal.gob.ar
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
manufacturer		0..1	Reference(Organization)	Vaccine manufacturer
lotNumber	S	1..1	string	Vaccine lot number
expirationDate		0..1	date	Vaccine expiration date
site		0..1	CodeableConcept	Body site vaccine was administered Binding: SNOMEDCTBodyStructures (preferred)
route		0..1	CodeableConcept	How vaccine entered body Binding: SNOMEDCTRouteCodes (preferred): SNOMED Route Terms Additional Bindings Purpose MedicineRouteOfAdministrationUvIps (2.0.1) candidate
doseQuantity		0..1	SimpleQuantity(4.0.1)	Amount of vaccine administered
performer	Σ	0..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
function	Σ	0..1	CodeableConcept	What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Individual or organization who was performing
note	Σ	0..*	Annotation	Additional immunization notes
reasonCode	S	1..1	CodeableConcept	Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
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 Constraints: imm-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	S	1..1	BackboneElement	Protocol followed by the provider
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
series		0..1	string	Name of vaccine series
authority		0..1	Reference(Organization)	Who is responsible for publishing the recommendations
targetDisease		0..*	CodeableConcept	Vaccine preventable disease being targeted Binding: VaccineTargetDiseasesUvIps (2.0.1) (preferred): The particular disease or diseases against which the patient has been immunized.
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Immunization.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Immunization.status	Base	required	Immunization Status Codes	📍4.0.1	FHIR Std.
Immunization.statusReason	Base	example	Immunization Status Reason Codes	📍4.0.1	FHIR Std.
Immunization.vaccineCode	Base	preferred	Vaccines - IPS	📍2.0.1	International Patient Summary Implementation Guide v2.0
Immunization.patient.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Immunization.patient.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Immunization.patient.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Immunization.reportOrigin	Base	example	Immunization Origin Codes	📍4.0.1	FHIR Std.
Immunization.location.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Immunization.location.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Immunization.location.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Immunization.site	Base	preferred	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Immunization.route	Base	preferred	SNOMED CT Route Codes	📍4.0.1	FHIR Std.
Immunization.performer.​function	Base	extensible	Immunization Function Codes	📍4.0.1	FHIR Std.
Immunization.reasonCode	Base	example	Immunization Reason Codes	📍4.0.1	FHIR Std.
Immunization.subpotentReason	Base	example	Immunization Subpotent Reason	📍4.0.1	FHIR Std.
Immunization.programEligibility	Base	example	Immunization Program Eligibility	📍4.0.1	FHIR Std.
Immunization.fundingSource	Base	example	Immunization Funding Source	📍4.0.1	FHIR Std.
Immunization.protocolApplied.​targetDisease	Base	preferred	Vaccine Target Diseases - IPS	📍2.0.1	International Patient Summary Implementation Guide v2.0

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Immunization	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Immunization	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	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-4	error	Immunization	If 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-5	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Immunization	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Immunization.meta, Immunization.implicitRules, Immunization.language, Immunization.text, Immunization.extension, Immunization.extension:EsquemaVacunacion, Immunization.modifierExtension, Immunization.identifier, Immunization.status, Immunization.statusReason, Immunization.vaccineCode, Immunization.patient, Immunization.patient.extension, Immunization.patient.reference, Immunization.patient.type, Immunization.patient.identifier, Immunization.patient.identifier.extension, Immunization.patient.identifier.use, Immunization.patient.identifier.type, Immunization.patient.identifier.system, Immunization.patient.identifier.value, Immunization.patient.identifier.period, Immunization.patient.identifier.assigner, Immunization.patient.display, Immunization.encounter, Immunization.occurrence[x], Immunization.occurrence[x]:occurrenceDateTime, Immunization.recorded, Immunization.primarySource, Immunization.reportOrigin, Immunization.location, Immunization.location.extension, Immunization.location.type, Immunization.location.identifier, Immunization.location.identifier.extension, Immunization.location.identifier.use, Immunization.location.identifier.type, Immunization.location.identifier.system, Immunization.location.identifier.value, Immunization.location.identifier.period, Immunization.location.identifier.assigner, Immunization.location.display, Immunization.manufacturer, Immunization.lotNumber, Immunization.expirationDate, Immunization.site, Immunization.route, Immunization.doseQuantity, Immunization.performer, Immunization.performer.extension, Immunization.performer.modifierExtension, Immunization.performer.function, Immunization.performer.actor, Immunization.note, Immunization.reasonCode, Immunization.reasonReference, Immunization.isSubpotent, Immunization.subpotentReason, Immunization.education, Immunization.education.extension, Immunization.education.modifierExtension, Immunization.education.documentType, Immunization.education.reference, Immunization.education.publicationDate, Immunization.education.presentationDate, Immunization.programEligibility, Immunization.fundingSource, Immunization.reaction, Immunization.reaction.extension, Immunization.reaction.modifierExtension, Immunization.reaction.date, Immunization.reaction.detail, Immunization.reaction.reported, Immunization.protocolApplied, Immunization.protocolApplied.extension, Immunization.protocolApplied.modifierExtension, Immunization.protocolApplied.series, Immunization.protocolApplied.authority, Immunization.protocolApplied.targetDisease, Immunization.protocolApplied.doseNumber[x], Immunization.protocolApplied.seriesDoses[x]	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Immunization.extension, Immunization.extension:EsquemaVacunacion, Immunization.modifierExtension, Immunization.patient.extension, Immunization.patient.identifier.extension, Immunization.location.extension, Immunization.location.identifier.extension, Immunization.performer.extension, Immunization.performer.modifierExtension, Immunization.education.extension, Immunization.education.modifierExtension, Immunization.reaction.extension, Immunization.reaction.modifierExtension, Immunization.protocolApplied.extension, Immunization.protocolApplied.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
imm-1	error	Immunization.education	One of documentType or reference SHALL be present	documentType.exists() or reference.exists()

This structure is derived from ImmunizationUvIps

Summary

Mandatory: 10 elements
Must-Support: 9 elements
Prohibited: 1 element

Extensions

This structure refers to these extensions:

• http://ips.ri.hsisalud.org/StructureDefinition/NomivacEsquema

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	ImmunizationUvIps	Immunization event information
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:EsquemaVacunacion		0..1	CodeableConcept	Esquema Vacunacion URL: http://ips.ri.hsisalud.org/StructureDefinition/NomivacEsquema Binding: Esquemas de Vacunacion para NOMIVAC (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!SOΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
vaccineCode	SOΣ	1..1	CodeableConceptIPS(2.0.1)	Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: VaccinesUvIps (2.0.1) (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization. Additional Bindings Purpose Documentation VaccinesWhoAtcUvIps (2.0.1) candidate For when WHO ATC code system is preferred Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
patient	SOΣ	1..1	Reference(Patient (IPS)(2.0.1))	Who was immunized Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS)
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: http://www.renaper.gob.ar/dni
value	SΣ	1..1	string	The value that is unique Example General: 123456
Slices for occurrence[x]	SOΣ	1..1	dateTime	Vaccine administration date Slice: Unordered, Closed by type:$this Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
occurrence[x]:occurrenceDateTime	SOΣ	1..1	dateTime	Vaccine administration date Obligations Actor Source SHOULD:able-to-populate Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
primarySource	SΣ	1..1	boolean	Indicates context the data was recorded in
location	S	1..1	Reference(Location)	Where immunization occurred
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: http://refes.msal.gob.ar
value	SΣ	1..1	string	The value that is unique Example General: 123456
lotNumber	S	1..1	string	Vaccine lot number
reasonCode	S	1..1	CodeableConcept	Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
isSubpotent	?!Σ	0..1	boolean	Dose potency
protocolApplied	S	1..1	BackboneElement	Protocol followed by the provider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
doseNumber[x]		1..1		Dose number within series
doseNumberPositiveInt			positiveInt
doseNumberString			string
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Immunization.status	Base	required	Immunization Status Codes	📍4.0.1	FHIR Std.
Immunization.vaccineCode	Base	preferred	Vaccines - IPS	📍2.0.1	International Patient Summary Implementation Guide v2.0
Immunization.patient.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Immunization.location.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Immunization.reasonCode	Base	example	Immunization Reason Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Immunization	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Immunization	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	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-4	error	Immunization	If 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-5	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Immunization	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Immunization.implicitRules, Immunization.extension, Immunization.extension:EsquemaVacunacion, Immunization.modifierExtension, Immunization.status, Immunization.vaccineCode, Immunization.patient, Immunization.patient.reference, Immunization.patient.identifier, Immunization.patient.identifier.use, Immunization.patient.identifier.system, Immunization.patient.identifier.value, Immunization.occurrence[x], Immunization.occurrence[x]:occurrenceDateTime, Immunization.primarySource, Immunization.location, Immunization.location.identifier, Immunization.location.identifier.use, Immunization.location.identifier.system, Immunization.location.identifier.value, Immunization.lotNumber, Immunization.reasonCode, Immunization.isSubpotent, Immunization.protocolApplied, Immunization.protocolApplied.modifierExtension, Immunization.protocolApplied.doseNumber[x]	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Immunization.extension, Immunization.extension:EsquemaVacunacion, Immunization.modifierExtension, Immunization.protocolApplied.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from ImmunizationUvIps

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization			ImmunizationUvIps
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:EsquemaVacunacion		0..1	CodeableConcept	Esquema Vacunacion URL: http://ips.ri.hsisalud.org/StructureDefinition/NomivacEsquema Binding: Esquemas de Vacunacion para NOMIVAC (required)
patient
identifier	S	1..1	Identifier	Logical reference, when literal reference is not known
system		0..1	uri	The namespace for the identifier value Required Pattern: http://www.renaper.gob.ar/dni
value	S	1..1	string	The value that is unique
Slices for occurrence[x]				Content/Rules for all slices
occurrence[x]:occurrenceDateTime		1..1	dateTime	Vaccine administration date
primarySource	S	1..1	boolean	Indicates context the data was recorded in
location	S	1..1	Reference(Location)	Where immunization occurred
reference		0..0		Literal reference, Relative, internal or absolute URL
identifier	S	1..1	Identifier	Logical reference, when literal reference is not known
system		0..1	uri	The namespace for the identifier value Required Pattern: http://refes.msal.gob.ar
value	S	1..1	string	The value that is unique
lotNumber	S	1..1	string	Vaccine lot number
reasonCode	S	1..1	CodeableConcept	Why immunization occurred
protocolApplied	S	1..1	BackboneElement	Protocol followed by the provider
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	ImmunizationUvIps	Immunization event information
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:EsquemaVacunacion		0..1	CodeableConcept	Esquema Vacunacion URL: http://ips.ri.hsisalud.org/StructureDefinition/NomivacEsquema Binding: Esquemas de Vacunacion para NOMIVAC (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier		0..*	Identifier	Business identifier
status	?!SOΣ	1..1	code	completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
statusReason		0..1	CodeableConcept	Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.
vaccineCode	SOΣ	1..1	CodeableConceptIPS(2.0.1)	Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code. Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: VaccinesUvIps (2.0.1) (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization. Additional Bindings Purpose Documentation VaccinesWhoAtcUvIps (2.0.1) candidate For when WHO ATC code system is preferred Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
patient	SOΣ	1..1	Reference(Patient (IPS)(2.0.1))	Who was immunized Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS)
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	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: http://www.renaper.gob.ar/dni
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
Slices for occurrence[x]	SOΣ	1..1	dateTime	Vaccine administration date Slice: Unordered, Closed by type:$this Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
occurrence[x]:occurrenceDateTime	SOΣ	1..1	dateTime	Vaccine administration date Obligations Actor Source SHOULD:able-to-populate Creator (IPS) from Immunization (IPS) SHALL:handle Consumer (IPS) from Immunization (IPS) SHOULD:display Consumer (IPS) from Immunization (IPS)
recorded		0..1	dateTime	When the immunization was first captured in the subject's record
primarySource	SΣ	1..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	S	1..1	Reference(Location)	Where immunization occurred
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value: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	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: http://refes.msal.gob.ar
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
manufacturer		0..1	Reference(Organization)	Vaccine manufacturer
lotNumber	S	1..1	string	Vaccine lot number
expirationDate		0..1	date	Vaccine expiration date
site		0..1	CodeableConcept	Body site vaccine was administered Binding: SNOMEDCTBodyStructures (preferred)
route		0..1	CodeableConcept	How vaccine entered body Binding: SNOMEDCTRouteCodes (preferred): SNOMED Route Terms Additional Bindings Purpose MedicineRouteOfAdministrationUvIps (2.0.1) candidate
doseQuantity		0..1	SimpleQuantity(4.0.1)	Amount of vaccine administered
performer	Σ	0..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
function	Σ	0..1	CodeableConcept	What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Individual or organization who was performing
note	Σ	0..*	Annotation	Additional immunization notes
reasonCode	S	1..1	CodeableConcept	Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
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 Constraints: imm-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	S	1..1	BackboneElement	Protocol followed by the provider
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
series		0..1	string	Name of vaccine series
authority		0..1	Reference(Organization)	Who is responsible for publishing the recommendations
targetDisease		0..*	CodeableConcept	Vaccine preventable disease being targeted Binding: VaccineTargetDiseasesUvIps (2.0.1) (preferred): The particular disease or diseases against which the patient has been immunized.
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Immunization.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Immunization.status	Base	required	Immunization Status Codes	📍4.0.1	FHIR Std.
Immunization.statusReason	Base	example	Immunization Status Reason Codes	📍4.0.1	FHIR Std.
Immunization.vaccineCode	Base	preferred	Vaccines - IPS	📍2.0.1	International Patient Summary Implementation Guide v2.0
Immunization.patient.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Immunization.patient.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Immunization.patient.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Immunization.reportOrigin	Base	example	Immunization Origin Codes	📍4.0.1	FHIR Std.
Immunization.location.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Immunization.location.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Immunization.location.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Immunization.site	Base	preferred	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Immunization.route	Base	preferred	SNOMED CT Route Codes	📍4.0.1	FHIR Std.
Immunization.performer.​function	Base	extensible	Immunization Function Codes	📍4.0.1	FHIR Std.
Immunization.reasonCode	Base	example	Immunization Reason Codes	📍4.0.1	FHIR Std.
Immunization.subpotentReason	Base	example	Immunization Subpotent Reason	📍4.0.1	FHIR Std.
Immunization.programEligibility	Base	example	Immunization Program Eligibility	📍4.0.1	FHIR Std.
Immunization.fundingSource	Base	example	Immunization Funding Source	📍4.0.1	FHIR Std.
Immunization.protocolApplied.​targetDisease	Base	preferred	Vaccine Target Diseases - IPS	📍2.0.1	International Patient Summary Implementation Guide v2.0

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Immunization	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Immunization	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	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-4	error	Immunization	If 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-5	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Immunization	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Immunization.meta, Immunization.implicitRules, Immunization.language, Immunization.text, Immunization.extension, Immunization.extension:EsquemaVacunacion, Immunization.modifierExtension, Immunization.identifier, Immunization.status, Immunization.statusReason, Immunization.vaccineCode, Immunization.patient, Immunization.patient.extension, Immunization.patient.reference, Immunization.patient.type, Immunization.patient.identifier, Immunization.patient.identifier.extension, Immunization.patient.identifier.use, Immunization.patient.identifier.type, Immunization.patient.identifier.system, Immunization.patient.identifier.value, Immunization.patient.identifier.period, Immunization.patient.identifier.assigner, Immunization.patient.display, Immunization.encounter, Immunization.occurrence[x], Immunization.occurrence[x]:occurrenceDateTime, Immunization.recorded, Immunization.primarySource, Immunization.reportOrigin, Immunization.location, Immunization.location.extension, Immunization.location.type, Immunization.location.identifier, Immunization.location.identifier.extension, Immunization.location.identifier.use, Immunization.location.identifier.type, Immunization.location.identifier.system, Immunization.location.identifier.value, Immunization.location.identifier.period, Immunization.location.identifier.assigner, Immunization.location.display, Immunization.manufacturer, Immunization.lotNumber, Immunization.expirationDate, Immunization.site, Immunization.route, Immunization.doseQuantity, Immunization.performer, Immunization.performer.extension, Immunization.performer.modifierExtension, Immunization.performer.function, Immunization.performer.actor, Immunization.note, Immunization.reasonCode, Immunization.reasonReference, Immunization.isSubpotent, Immunization.subpotentReason, Immunization.education, Immunization.education.extension, Immunization.education.modifierExtension, Immunization.education.documentType, Immunization.education.reference, Immunization.education.publicationDate, Immunization.education.presentationDate, Immunization.programEligibility, Immunization.fundingSource, Immunization.reaction, Immunization.reaction.extension, Immunization.reaction.modifierExtension, Immunization.reaction.date, Immunization.reaction.detail, Immunization.reaction.reported, Immunization.protocolApplied, Immunization.protocolApplied.extension, Immunization.protocolApplied.modifierExtension, Immunization.protocolApplied.series, Immunization.protocolApplied.authority, Immunization.protocolApplied.targetDisease, Immunization.protocolApplied.doseNumber[x], Immunization.protocolApplied.seriesDoses[x]	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Immunization.extension, Immunization.extension:EsquemaVacunacion, Immunization.modifierExtension, Immunization.patient.extension, Immunization.patient.identifier.extension, Immunization.location.extension, Immunization.location.identifier.extension, Immunization.performer.extension, Immunization.performer.modifierExtension, Immunization.education.extension, Immunization.education.modifierExtension, Immunization.reaction.extension, Immunization.reaction.modifierExtension, Immunization.protocolApplied.extension, Immunization.protocolApplied.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
imm-1	error	Immunization.education	One of documentType or reference SHALL be present	documentType.exists() or reference.exists()

This structure is derived from ImmunizationUvIps

Summary

Mandatory: 10 elements
Must-Support: 9 elements
Prohibited: 1 element

Extensions

This structure refers to these extensions:

• http://ips.ri.hsisalud.org/StructureDefinition/NomivacEsquema

Other representations of profile: CSV, Excel, Schematron