Cross-Version Extension for Immunization.isSubpotent in R4

Context of Use

This extension may be used in the following contexts:

• element Immunization (For version R3)
• extension http://hl7.org/fhir/3.0/StructureDefinition/extension-Immunization
• element Immunization.explanation (For version R3)
• extension http://hl7.org/fhir/3.0/StructureDefinition/extension-Immunization.explanation
• element Immunization (For version R2)
• extension http://hl7.org/fhir/1.0/StructureDefinition/extension-Immunization
• element Immunization.explanation (For version R2)
• extension http://hl7.org/fhir/1.0/StructureDefinition/extension-Immunization.explanation

Name	Flags	Card.	Type	Description & Constraints
Extension	?!	0..1	Extension	Dose potency
extension		..0
value[x]		1..	boolean
url				"http://hl7.org/fhir/4.0/StructureDefinition/extension-Immunization.isSubpotent"
Documentation for this format

{
  "resourceType" : "StructureDefinition",
  "id" : "xv-r4-imm.isSubpotent",
  "url" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-Immunization.isSubpotent",
  "name" : "XVerExtensionImmunization.isSubpotentR4",
  "title" : "Cross-Version Extension for Immunization.isSubpotent in R4",
  "status" : "active",
  "experimental" : false,
  "publisher" : "Health Level Seven International (Public Health and Emergency Response)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/pher/index.cfm"
    }]
  }],
  "description" : "Cross-Version Extension for Immunization.isSubpotent. Valid in versions R2, R3\r\n\r\nThis is a valid cross-version extension because it's counted as a new element",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001"
    }]
  }],
  "fhirVersion" : "5.0.0",
  "kind" : "complex-type",
  "abstract" : false,
  "context" : [{
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "3.0"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "3.0"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "Immunization"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/3.0/StructureDefinition/extension-Immunization"
  },
  {
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "3.0"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "3.0"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "Immunization.explanation"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/3.0/StructureDefinition/extension-Immunization.explanation"
  },
  {
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "1.0"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "1.0"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "Immunization"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-Immunization"
  },
  {
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "1.0"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "1.0"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "Immunization.explanation"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-Immunization.explanation"
  }],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "path" : "Extension",
      "short" : "Dose potency",
      "definition" : "Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent.",
      "comment" : "Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event.",
      "min" : 0,
      "max" : "1",
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because an immunization event with a subpotent vaccine doesn't protect the patient the same way as a potent dose.",
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXA-20 = PA (partial administration)"
      },
      {
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "path" : "Extension.extension",
      "max" : "0"
    },
    {
      "path" : "Extension.value[x]",
      "min" : 1,
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "path" : "Extension.url",
      "fixedUri" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-Immunization.isSubpotent"
    }]
  }
}