NZ Shared Digital Health Record API
1.1.3 - release

NZ Shared Digital Health Record API - Local Development build (v1.1.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: SDHRImmunization

Official URL: https://fhir-ig.digital.health.nz/sdhr/StructureDefinition/SDHRImmunization Version: 1.1.3
Draft as of 2026-08-12 Computable Name: SDHRImmunization

Immunization resource for the Shared Digital Health Record. This profile constrains AIR Immunization content to the subset required for direct clinical care.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Immunization C 0..* AIRImmunization Immunization event information
Constraints: nz-status-reason-1, nz-status-reason-2, nz-site-1, nz-site-2, nz-route-1, nz-route-2, nz-performer-function-1, nz-performer-function-2, nz-reasonCode-1, nz-reasonCode-2, air-resched-1, sdhr-imm-status-1
... id Σ 1..1 id Unique identifier for the immunization event assigned by ImmSOT
... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
.... extension:administeredProduct 0..1 CodeableConcept AIR Administered Product Extension
URL: https://standards.digital.health.nz/fhir/air/StructureDefinition/air-administered-product
Binding: AIR Administered Product Code . (required)
.... extension:AgeGiven 0..1 (Complex) AIR Age Given Extension
URL: https://standards.digital.health.nz/fhir/air/StructureDefinition/air-age-given
... status ?!Σ 1..1 code Status of the immunization event
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
.... coding Σ 1..1 Coding Code defined by a terminology system
... vaccineCode Σ 1..1 CodeableConcept Vaccine product administered
Binding: AIR Vaccine Product . (preferred)
.... extension 0..0 Extension
Slice: Unordered, Open by value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
..... code Σ 1..1 code Symbol in syntax defined by the system
... patient Σ 1..1 Reference(Patient) NHI of the person who was immunized
... occurrence[x] Σ 1..1 dateTime Vaccine administration date
... location 0..1 Reference(https://standards.digital.health.nz/fhir/air/StructureDefinition/air-location) Facility where the immunization event occurred
.... display Σ 0..1 string Facility name supplied by SDHR from the included AIR Location
... lotNumber 0..1 string Vaccine batch or lot number
... expirationDate 0..1 date Vaccine batch expiry date
... site 0..1 CodeableConcept Body site where the vaccine was administered
Binding: AIR Body Site . (preferred)
.... coding Σ 1..1 Coding Code defined by a terminology system
... route 0..1 CodeableConcept Route by which the vaccine was administered
Binding: AIR Route of Administration . (preferred)
.... coding Σ 1..1 Coding Code defined by a terminology system
... reasonCode 0..* CodeableConcept Clinical or funding indication for the immunization
Binding: AIR Indication Code . (preferred)
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition, observation, or report supporting the indication
... protocolApplied 0..1 BackboneElement Protocol followed by the provider
.... targetDisease 0..* CodeableConcept Vaccine-preventable disease targeted by this dose
Binding: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.
.... doseNumber[x] 1..1 positiveInt Dose number administered

doco 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.statusReason Base preferred AIR Status Reason Code . ⏿2.0.0 nzhts.digital.health.nz
Immunization.vaccineCode Base preferred AIR Vaccine Product . ⏿2.0.1 nzhts.digital.health.nz
Immunization.site Base preferred AIR Body Site . ⏿2.0.0 nzhts.digital.health.nz
Immunization.route Base preferred AIR Route of Administration . ⏿2.0.0 nzhts.digital.health.nz
Immunization.reasonCode Base preferred AIR Indication Code . ⏿2.0.1 nzhts.digital.health.nz
Immunization.protocolApplied.​targetDisease Base example Immunization Target Disease Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
air-resched-1 error Immunization Only allow a reschedule date if status NOT DONE and statusReason related to rescheduling. extension.where(url = 'https://standards.digital.health.nz/fhir/air/StructureDefinition/air-reschedule-date').exists() implies status.value = 'not-done' and statusReason.coding.where(code = 'RESCHO' | 'RESREF' | 'RESTC').allTrue()
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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
nz-performer-function-1 error Immunization If the performer function has a system, then it must have a code. performer.function.coding.system.exists() implies performer.function.coding.code.exists()
nz-performer-function-2 error Immunization If the performer function has a code, then it must have a system. performer.function.coding.code.exists() implies performer.function.coding.system.exists()
nz-reasonCode-1 error Immunization If the reasonCode aka indication has a system, then it must have a code. reasonCode.coding.system.exists() implies reasonCode.coding.code.exists()
nz-reasonCode-2 error Immunization If the reasonCode aka indication has a code, then it must have a system. reasonCode.coding.code.exists() implies reasonCode.coding.system.exists()
nz-route-1 error Immunization If the route of admin has a system, then it must have a code. route.coding.system.exists() implies route.coding.code.exists()
nz-route-2 error Immunization if the route of admin has a code, then it must have a system. route.coding.code.exists() implies route.coding.system.exists()
nz-site-1 error Immunization If the body site has a system, then it must have a code. site.coding.system.exists() implies site.coding.code.exists()
nz-site-2 error Immunization If the body site has a code, then it must have a system. site.coding.code.exists() implies site.coding.system.exists()
nz-status-reason-1 error Immunization If the status reason has a system, then it must have a code. statusReason.coding.system.exists() implies statusReason.coding.code.exists()
nz-status-reason-2 error Immunization If the status reason has a code, then it must have a system. statusReason.coding.code.exists() implies statusReason.coding.system.exists()
sdhr-imm-status-1 error Immunization SDHR does not return immunization records that AIR has marked as entered in error. status != 'entered-in-error'

This structure is derived from AIRImmunization

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Immunization C 0..* AIRImmunization Immunization event information
Constraints: sdhr-imm-status-1
... id 1..1 id Unique identifier for the immunization event assigned by ImmSOT
... meta
.... id 0..0 Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
..... extension:DataQualityAssessment 0..0 Data Quality Assessment
..... extension:PlannedEventMatch 0..0 Planned Event Match
..... extension:PlannedEventMatchQuality 0..0 Planned Event Match Quality
..... extension:CreatedBy 0..0 AIR Created By User
..... extension:ModifiedBy 0..0 AIR Modified By User
.... source 0..0 Identifies where the resource comes from
.... profile 0..0 Profiles this resource claims to conform to
.... tag 0..0 Tags applied to this resource
... implicitRules 0..0 A set of rules under which this content was created
... text 0..0 Text summary of the resource, for human interpretation
... contained 0..0 Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
.... extension:Diluent 0..0 Immunization Diluent
.... extension:MobileSiteId 0..0 Immunization Facility Mobile Site
.... extension:relatedPersonExtension 0..0 AIR Related Person
.... extension:serologyReportExtension 0..0 AIR Serology Report Extension
.... extension:rescheduleDateExtension 0..0 AIR Reschedule Date Extension
... modifierExtension 0..0 Extension
... identifier 0..0 Business identifier
... status 1..1 code Status of the immunization event
... statusReason 0..1 CodeableConcept Reason for the immunization event status
... vaccineCode
.... id 0..0 Unique id for inter-element referencing
.... extension 0..0 Extension
.... coding
..... id 0..0 Unique id for inter-element referencing
..... extension 0..0 Extension
..... version 0..0 Version of the system - if relevant
... patient 1..1 Reference(Patient) NHI of the person who was immunized
.... display 0..0 Text alternative for the resource
... recorded 0..0 When the immunization was first captured in the subject's record
... location 0..1 Reference(https://standards.digital.health.nz/fhir/air/StructureDefinition/air-location) Facility where the immunization event occurred
.... display 0..1 string Facility name supplied by SDHR from the included AIR Location
... lotNumber 0..1 string Vaccine batch or lot number
... expirationDate 0..1 date Vaccine batch expiry date
... site 0..1 CodeableConcept Body site where the vaccine was administered
... route 0..1 CodeableConcept Route by which the vaccine was administered
... performer
.... id 0..0 Unique id for inter-element referencing
.... extension 0..0 Extension
.... modifierExtension 0..0 Extension
.... function 0..1 CodeableConcept Role performed by the vaccinator
.... actor 1..1 Reference(https://standards.digital.health.nz/fhir/air/StructureDefinition/air-practitioner) Identifier or reference for the vaccinator
... reasonCode 0..* CodeableConcept Clinical or funding indication for the immunization
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition, observation, or report supporting the indication
... protocolApplied
.... id 0..0 Unique id for inter-element referencing
.... extension 0..0 Extension
.... modifierExtension 0..0 Extension
.... series 0..0 Name of vaccine series
.... authority 0..0 Who is responsible for publishing the recommendations
.... targetDisease 0..* CodeableConcept Vaccine-preventable disease targeted by this dose
.... doseNumber[x] 1..1 positiveInt Dose number administered
.... seriesDoses[x] 0..0 Recommended number of doses for immunity

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
sdhr-imm-status-1 error Immunization SDHR does not return immunization records that AIR has marked as entered in error. status != 'entered-in-error'
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Immunization C 0..* AIRImmunization Immunization event information
Constraints: nz-status-reason-1, nz-status-reason-2, nz-site-1, nz-site-2, nz-route-1, nz-route-2, nz-performer-function-1, nz-performer-function-2, nz-reasonCode-1, nz-reasonCode-2, air-resched-1, sdhr-imm-status-1
... id Σ 1..1 id Unique identifier for the immunization event assigned by ImmSOT
... meta Σ 0..1 Meta Metadata about the resource
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
..... extension:CreatedSourceSystem 0..1 string AIR Created Source System
URL: https://standards.digital.health.nz/fhir/air/StructureDefinition/air-created-source-system
..... extension:ModifiedSourceSystem 0..1 string AIR Modified Source System
URL: https://standards.digital.health.nz/fhir/air/StructureDefinition/air-modified-source-system
..... extension:CreatedDate 0..1 instant The instant when this resource ID was first associated with content on this server
URL: http://hl7.org/fhir/StructureDefinition/firstCreated
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
.... extension:administeredProduct 0..1 CodeableConcept AIR Administered Product Extension
URL: https://standards.digital.health.nz/fhir/air/StructureDefinition/air-administered-product
Binding: AIR Administered Product Code . (required)
.... extension:AgeGiven 0..1 (Complex) AIR Age Given Extension
URL: https://standards.digital.health.nz/fhir/air/StructureDefinition/air-age-given
... statusReason 0..1 CodeableConcept Reason for the immunization event status
Binding: AIR Status Reason Code . (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
.... coding Σ 1..1 Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... vaccineCode Σ 1..1 CodeableConcept Vaccine product administered
Binding: AIR Vaccine Product . (preferred)
.... extension 0..0 Extension
Slice: Unordered, Open by value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
..... code Σ 1..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... patient Σ 1..1 Reference(Patient) NHI of the person 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 ΣC 0..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
... occurrence[x] Σ 1..1 dateTime Vaccine administration date
... location 0..1 Reference(https://standards.digital.health.nz/fhir/air/StructureDefinition/air-location) Facility where the immunization event 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
.... reference ΣC 0..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 Facility name supplied by SDHR from the included AIR Location
... lotNumber 0..1 string Vaccine batch or lot number
... expirationDate 0..1 date Vaccine batch expiry date
... site 0..1 CodeableConcept Body site where the vaccine was administered
Binding: AIR Body Site . (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
.... coding Σ 1..1 Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... route 0..1 CodeableConcept Route by which the vaccine was administered
Binding: AIR Route of Administration . (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
.... coding Σ 1..1 Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... performer Σ 0..* BackboneElement Who performed event
.... function Σ 0..1 CodeableConcept Role performed by the vaccinator
Binding: AIR Performer Health Worker Function . (extensible)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..1 Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
.... actor Σ 1..1 Reference(https://standards.digital.health.nz/fhir/air/StructureDefinition/air-practitioner) Identifier or reference for the vaccinator
... reasonCode 0..* CodeableConcept Clinical or funding indication for the immunization
Binding: AIR Indication Code . (preferred)
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition, observation, or report supporting the indication
... protocolApplied 0..1 BackboneElement Protocol followed by the provider
.... targetDisease 0..* CodeableConcept Vaccine-preventable disease targeted by this dose
Binding: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.
.... doseNumber[x] 1..1 positiveInt Dose number administered

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Immunization.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Immunization.status Base required Immunization Status Codes 📍4.0.1 FHIR Std.
Immunization.statusReason Base preferred AIR Status Reason Code . ⏿2.0.0 nzhts.digital.health.nz
Immunization.vaccineCode Base preferred AIR Vaccine Product . ⏿2.0.1 nzhts.digital.health.nz
Immunization.patient.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Immunization.location.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Immunization.site Base preferred AIR Body Site . ⏿2.0.0 nzhts.digital.health.nz
Immunization.route Base preferred AIR Route of Administration . ⏿2.0.0 nzhts.digital.health.nz
Immunization.performer.​function Base extensible AIR Performer Health Worker Function . ⏿2.0.2 nzhts.digital.health.nz
Immunization.reasonCode Base preferred AIR Indication Code . ⏿2.0.1 nzhts.digital.health.nz
Immunization.protocolApplied.​targetDisease Base example Immunization Target Disease Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
air-resched-1 error Immunization Only allow a reschedule date if status NOT DONE and statusReason related to rescheduling. extension.where(url = 'https://standards.digital.health.nz/fhir/air/StructureDefinition/air-reschedule-date').exists() implies status.value = 'not-done' and statusReason.coding.where(code = 'RESCHO' | 'RESREF' | 'RESTC').allTrue()
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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
nz-performer-function-1 error Immunization If the performer function has a system, then it must have a code. performer.function.coding.system.exists() implies performer.function.coding.code.exists()
nz-performer-function-2 error Immunization If the performer function has a code, then it must have a system. performer.function.coding.code.exists() implies performer.function.coding.system.exists()
nz-reasonCode-1 error Immunization If the reasonCode aka indication has a system, then it must have a code. reasonCode.coding.system.exists() implies reasonCode.coding.code.exists()
nz-reasonCode-2 error Immunization If the reasonCode aka indication has a code, then it must have a system. reasonCode.coding.code.exists() implies reasonCode.coding.system.exists()
nz-route-1 error Immunization If the route of admin has a system, then it must have a code. route.coding.system.exists() implies route.coding.code.exists()
nz-route-2 error Immunization if the route of admin has a code, then it must have a system. route.coding.code.exists() implies route.coding.system.exists()
nz-site-1 error Immunization If the body site has a system, then it must have a code. site.coding.system.exists() implies site.coding.code.exists()
nz-site-2 error Immunization If the body site has a code, then it must have a system. site.coding.code.exists() implies site.coding.system.exists()
nz-status-reason-1 error Immunization If the status reason has a system, then it must have a code. statusReason.coding.system.exists() implies statusReason.coding.code.exists()
nz-status-reason-2 error Immunization If the status reason has a code, then it must have a system. statusReason.coding.code.exists() implies statusReason.coding.system.exists()
sdhr-imm-status-1 error Immunization SDHR does not return immunization records that AIR has marked as entered in error. status != 'entered-in-error'

This structure is derived from AIRImmunization

Summary

Mandatory: 1 element
Prohibited: 36 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Immunization C 0..* AIRImmunization Immunization event information
Constraints: nz-status-reason-1, nz-status-reason-2, nz-site-1, nz-site-2, nz-route-1, nz-route-2, nz-performer-function-1, nz-performer-function-2, nz-reasonCode-1, nz-reasonCode-2, air-resched-1, sdhr-imm-status-1
... id Σ 1..1 id Unique identifier for the immunization event assigned by ImmSOT
... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
.... extension:administeredProduct 0..1 CodeableConcept AIR Administered Product Extension
URL: https://standards.digital.health.nz/fhir/air/StructureDefinition/air-administered-product
Binding: AIR Administered Product Code . (required)
.... extension:AgeGiven 0..1 (Complex) AIR Age Given Extension
URL: https://standards.digital.health.nz/fhir/air/StructureDefinition/air-age-given
... status ?!Σ 1..1 code Status of the immunization event
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.
.... coding Σ 1..1 Coding Code defined by a terminology system
... vaccineCode Σ 1..1 CodeableConcept Vaccine product administered
Binding: AIR Vaccine Product . (preferred)
.... extension 0..0 Extension
Slice: Unordered, Open by value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
..... code Σ 1..1 code Symbol in syntax defined by the system
... patient Σ 1..1 Reference(Patient) NHI of the person who was immunized
... occurrence[x] Σ 1..1 dateTime Vaccine administration date
... location 0..1 Reference(https://standards.digital.health.nz/fhir/air/StructureDefinition/air-location) Facility where the immunization event occurred
.... display Σ 0..1 string Facility name supplied by SDHR from the included AIR Location
... lotNumber 0..1 string Vaccine batch or lot number
... expirationDate 0..1 date Vaccine batch expiry date
... site 0..1 CodeableConcept Body site where the vaccine was administered
Binding: AIR Body Site . (preferred)
.... coding Σ 1..1 Coding Code defined by a terminology system
... route 0..1 CodeableConcept Route by which the vaccine was administered
Binding: AIR Route of Administration . (preferred)
.... coding Σ 1..1 Coding Code defined by a terminology system
... reasonCode 0..* CodeableConcept Clinical or funding indication for the immunization
Binding: AIR Indication Code . (preferred)
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition, observation, or report supporting the indication
... protocolApplied 0..1 BackboneElement Protocol followed by the provider
.... targetDisease 0..* CodeableConcept Vaccine-preventable disease targeted by this dose
Binding: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.
.... doseNumber[x] 1..1 positiveInt Dose number administered

doco 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.statusReason Base preferred AIR Status Reason Code . ⏿2.0.0 nzhts.digital.health.nz
Immunization.vaccineCode Base preferred AIR Vaccine Product . ⏿2.0.1 nzhts.digital.health.nz
Immunization.site Base preferred AIR Body Site . ⏿2.0.0 nzhts.digital.health.nz
Immunization.route Base preferred AIR Route of Administration . ⏿2.0.0 nzhts.digital.health.nz
Immunization.reasonCode Base preferred AIR Indication Code . ⏿2.0.1 nzhts.digital.health.nz
Immunization.protocolApplied.​targetDisease Base example Immunization Target Disease Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
air-resched-1 error Immunization Only allow a reschedule date if status NOT DONE and statusReason related to rescheduling. extension.where(url = 'https://standards.digital.health.nz/fhir/air/StructureDefinition/air-reschedule-date').exists() implies status.value = 'not-done' and statusReason.coding.where(code = 'RESCHO' | 'RESREF' | 'RESTC').allTrue()
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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
nz-performer-function-1 error Immunization If the performer function has a system, then it must have a code. performer.function.coding.system.exists() implies performer.function.coding.code.exists()
nz-performer-function-2 error Immunization If the performer function has a code, then it must have a system. performer.function.coding.code.exists() implies performer.function.coding.system.exists()
nz-reasonCode-1 error Immunization If the reasonCode aka indication has a system, then it must have a code. reasonCode.coding.system.exists() implies reasonCode.coding.code.exists()
nz-reasonCode-2 error Immunization If the reasonCode aka indication has a code, then it must have a system. reasonCode.coding.code.exists() implies reasonCode.coding.system.exists()
nz-route-1 error Immunization If the route of admin has a system, then it must have a code. route.coding.system.exists() implies route.coding.code.exists()
nz-route-2 error Immunization if the route of admin has a code, then it must have a system. route.coding.code.exists() implies route.coding.system.exists()
nz-site-1 error Immunization If the body site has a system, then it must have a code. site.coding.system.exists() implies site.coding.code.exists()
nz-site-2 error Immunization If the body site has a code, then it must have a system. site.coding.code.exists() implies site.coding.system.exists()
nz-status-reason-1 error Immunization If the status reason has a system, then it must have a code. statusReason.coding.system.exists() implies statusReason.coding.code.exists()
nz-status-reason-2 error Immunization If the status reason has a code, then it must have a system. statusReason.coding.code.exists() implies statusReason.coding.system.exists()
sdhr-imm-status-1 error Immunization SDHR does not return immunization records that AIR has marked as entered in error. status != 'entered-in-error'

Differential View

This structure is derived from AIRImmunization

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Immunization C 0..* AIRImmunization Immunization event information
Constraints: sdhr-imm-status-1
... id 1..1 id Unique identifier for the immunization event assigned by ImmSOT
... meta
.... id 0..0 Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
..... extension:DataQualityAssessment 0..0 Data Quality Assessment
..... extension:PlannedEventMatch 0..0 Planned Event Match
..... extension:PlannedEventMatchQuality 0..0 Planned Event Match Quality
..... extension:CreatedBy 0..0 AIR Created By User
..... extension:ModifiedBy 0..0 AIR Modified By User
.... source 0..0 Identifies where the resource comes from
.... profile 0..0 Profiles this resource claims to conform to
.... tag 0..0 Tags applied to this resource
... implicitRules 0..0 A set of rules under which this content was created
... text 0..0 Text summary of the resource, for human interpretation
... contained 0..0 Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
.... extension:Diluent 0..0 Immunization Diluent
.... extension:MobileSiteId 0..0 Immunization Facility Mobile Site
.... extension:relatedPersonExtension 0..0 AIR Related Person
.... extension:serologyReportExtension 0..0 AIR Serology Report Extension
.... extension:rescheduleDateExtension 0..0 AIR Reschedule Date Extension
... modifierExtension 0..0 Extension
... identifier 0..0 Business identifier
... status 1..1 code Status of the immunization event
... statusReason 0..1 CodeableConcept Reason for the immunization event status
... vaccineCode
.... id 0..0 Unique id for inter-element referencing
.... extension 0..0 Extension
.... coding
..... id 0..0 Unique id for inter-element referencing
..... extension 0..0 Extension
..... version 0..0 Version of the system - if relevant
... patient 1..1 Reference(Patient) NHI of the person who was immunized
.... display 0..0 Text alternative for the resource
... recorded 0..0 When the immunization was first captured in the subject's record
... location 0..1 Reference(https://standards.digital.health.nz/fhir/air/StructureDefinition/air-location) Facility where the immunization event occurred
.... display 0..1 string Facility name supplied by SDHR from the included AIR Location
... lotNumber 0..1 string Vaccine batch or lot number
... expirationDate 0..1 date Vaccine batch expiry date
... site 0..1 CodeableConcept Body site where the vaccine was administered
... route 0..1 CodeableConcept Route by which the vaccine was administered
... performer
.... id 0..0 Unique id for inter-element referencing
.... extension 0..0 Extension
.... modifierExtension 0..0 Extension
.... function 0..1 CodeableConcept Role performed by the vaccinator
.... actor 1..1 Reference(https://standards.digital.health.nz/fhir/air/StructureDefinition/air-practitioner) Identifier or reference for the vaccinator
... reasonCode 0..* CodeableConcept Clinical or funding indication for the immunization
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition, observation, or report supporting the indication
... protocolApplied
.... id 0..0 Unique id for inter-element referencing
.... extension 0..0 Extension
.... modifierExtension 0..0 Extension
.... series 0..0 Name of vaccine series
.... authority 0..0 Who is responsible for publishing the recommendations
.... targetDisease 0..* CodeableConcept Vaccine-preventable disease targeted by this dose
.... doseNumber[x] 1..1 positiveInt Dose number administered
.... seriesDoses[x] 0..0 Recommended number of doses for immunity

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
sdhr-imm-status-1 error Immunization SDHR does not return immunization records that AIR has marked as entered in error. status != 'entered-in-error'

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Immunization C 0..* AIRImmunization Immunization event information
Constraints: nz-status-reason-1, nz-status-reason-2, nz-site-1, nz-site-2, nz-route-1, nz-route-2, nz-performer-function-1, nz-performer-function-2, nz-reasonCode-1, nz-reasonCode-2, air-resched-1, sdhr-imm-status-1
... id Σ 1..1 id Unique identifier for the immunization event assigned by ImmSOT
... meta Σ 0..1 Meta Metadata about the resource
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
..... extension:CreatedSourceSystem 0..1 string AIR Created Source System
URL: https://standards.digital.health.nz/fhir/air/StructureDefinition/air-created-source-system
..... extension:ModifiedSourceSystem 0..1 string AIR Modified Source System
URL: https://standards.digital.health.nz/fhir/air/StructureDefinition/air-modified-source-system
..... extension:CreatedDate 0..1 instant The instant when this resource ID was first associated with content on this server
URL: http://hl7.org/fhir/StructureDefinition/firstCreated
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
.... extension:administeredProduct 0..1 CodeableConcept AIR Administered Product Extension
URL: https://standards.digital.health.nz/fhir/air/StructureDefinition/air-administered-product
Binding: AIR Administered Product Code . (required)
.... extension:AgeGiven 0..1 (Complex) AIR Age Given Extension
URL: https://standards.digital.health.nz/fhir/air/StructureDefinition/air-age-given
... statusReason 0..1 CodeableConcept Reason for the immunization event status
Binding: AIR Status Reason Code . (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
.... coding Σ 1..1 Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... vaccineCode Σ 1..1 CodeableConcept Vaccine product administered
Binding: AIR Vaccine Product . (preferred)
.... extension 0..0 Extension
Slice: Unordered, Open by value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
..... code Σ 1..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... patient Σ 1..1 Reference(Patient) NHI of the person 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 ΣC 0..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
... occurrence[x] Σ 1..1 dateTime Vaccine administration date
... location 0..1 Reference(https://standards.digital.health.nz/fhir/air/StructureDefinition/air-location) Facility where the immunization event 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
.... reference ΣC 0..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 Facility name supplied by SDHR from the included AIR Location
... lotNumber 0..1 string Vaccine batch or lot number
... expirationDate 0..1 date Vaccine batch expiry date
... site 0..1 CodeableConcept Body site where the vaccine was administered
Binding: AIR Body Site . (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
.... coding Σ 1..1 Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... route 0..1 CodeableConcept Route by which the vaccine was administered
Binding: AIR Route of Administration . (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
.... coding Σ 1..1 Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... performer Σ 0..* BackboneElement Who performed event
.... function Σ 0..1 CodeableConcept Role performed by the vaccinator
Binding: AIR Performer Health Worker Function . (extensible)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..1 Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
.... actor Σ 1..1 Reference(https://standards.digital.health.nz/fhir/air/StructureDefinition/air-practitioner) Identifier or reference for the vaccinator
... reasonCode 0..* CodeableConcept Clinical or funding indication for the immunization
Binding: AIR Indication Code . (preferred)
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition, observation, or report supporting the indication
... protocolApplied 0..1 BackboneElement Protocol followed by the provider
.... targetDisease 0..* CodeableConcept Vaccine-preventable disease targeted by this dose
Binding: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.
.... doseNumber[x] 1..1 positiveInt Dose number administered

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Immunization.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Immunization.status Base required Immunization Status Codes 📍4.0.1 FHIR Std.
Immunization.statusReason Base preferred AIR Status Reason Code . ⏿2.0.0 nzhts.digital.health.nz
Immunization.vaccineCode Base preferred AIR Vaccine Product . ⏿2.0.1 nzhts.digital.health.nz
Immunization.patient.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Immunization.location.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Immunization.site Base preferred AIR Body Site . ⏿2.0.0 nzhts.digital.health.nz
Immunization.route Base preferred AIR Route of Administration . ⏿2.0.0 nzhts.digital.health.nz
Immunization.performer.​function Base extensible AIR Performer Health Worker Function . ⏿2.0.2 nzhts.digital.health.nz
Immunization.reasonCode Base preferred AIR Indication Code . ⏿2.0.1 nzhts.digital.health.nz
Immunization.protocolApplied.​targetDisease Base example Immunization Target Disease Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
air-resched-1 error Immunization Only allow a reschedule date if status NOT DONE and statusReason related to rescheduling. extension.where(url = 'https://standards.digital.health.nz/fhir/air/StructureDefinition/air-reschedule-date').exists() implies status.value = 'not-done' and statusReason.coding.where(code = 'RESCHO' | 'RESREF' | 'RESTC').allTrue()
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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
nz-performer-function-1 error Immunization If the performer function has a system, then it must have a code. performer.function.coding.system.exists() implies performer.function.coding.code.exists()
nz-performer-function-2 error Immunization If the performer function has a code, then it must have a system. performer.function.coding.code.exists() implies performer.function.coding.system.exists()
nz-reasonCode-1 error Immunization If the reasonCode aka indication has a system, then it must have a code. reasonCode.coding.system.exists() implies reasonCode.coding.code.exists()
nz-reasonCode-2 error Immunization If the reasonCode aka indication has a code, then it must have a system. reasonCode.coding.code.exists() implies reasonCode.coding.system.exists()
nz-route-1 error Immunization If the route of admin has a system, then it must have a code. route.coding.system.exists() implies route.coding.code.exists()
nz-route-2 error Immunization if the route of admin has a code, then it must have a system. route.coding.code.exists() implies route.coding.system.exists()
nz-site-1 error Immunization If the body site has a system, then it must have a code. site.coding.system.exists() implies site.coding.code.exists()
nz-site-2 error Immunization If the body site has a code, then it must have a system. site.coding.code.exists() implies site.coding.system.exists()
nz-status-reason-1 error Immunization If the status reason has a system, then it must have a code. statusReason.coding.system.exists() implies statusReason.coding.code.exists()
nz-status-reason-2 error Immunization If the status reason has a code, then it must have a system. statusReason.coding.code.exists() implies statusReason.coding.system.exists()
sdhr-imm-status-1 error Immunization SDHR does not return immunization records that AIR has marked as entered in error. status != 'entered-in-error'

This structure is derived from AIRImmunization

Summary

Mandatory: 1 element
Prohibited: 36 elements

 

Other representations of profile: CSV, Excel, Schematron