## Union of http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-immunization and http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-immunization

This is the set of resources that conform to either of the profiles De-Identified UDS Plus Immunization (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-immunization) and De-Identified UDS Plus Immunization (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-immunization). E.g. what you have to deal with if you get resources conforming to one of them

### Structure

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Immunization |  | 0..* |  | De-Identified UDS Plus Immunization dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
meta | Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language. ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier |  | 0..* | Identifier | Business identifier ele-1: All FHIR elements must have a @value or children
status | ?!S Σ | 1..1 | code | completed | entered-in-error | not-done Binding: ?? (required): A set of codes indicating the current status of an Immunization. ele-1: All FHIR elements must have a @value or children
statusReason | S | 0..1 | CodeableConcept | Reason not done Binding: ?? (example): The reason why a vaccine was not administered. ele-1: All FHIR elements must have a @value or children
vaccineCode | S Σ | 1..1 | CodeableConcept | Vaccine product administered Binding: ?? (example): The code for vaccine product administered. ele-1: All FHIR elements must have a @value or children
patient | S Σ | 1..1 | Reference(De-Identified UDS Plus Patient | #sd-de-identified-uds-plus-patient-de-identified-uds-plus-patient) | Who was immunized ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
reference | Σ | 0..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
encounter |  | 0..1 | Reference(Encounter) | Encounter immunization was part of ele-1: All FHIR elements must have a @value or children
occurrence[x] | S Σ C | 1..1 | dateTime | Vaccine administration date ele-1: All FHIR elements must have a @value or children uds-plus-imm-1: All dateTime data elements should be truncated to a year only for de-identified resources.
recorded | S C | 0..1 | dateTime | When the immunization was first captured in the subject's record ele-1: All FHIR elements must have a @value or children uds-plus-iimm-2: All dateTime data elements should be truncated to a year only for de-identified resources.
primarySource | S Σ | 1..1 | boolean | Indicates context the data was recorded in ele-1: All FHIR elements must have a @value or children
reportOrigin |  | 0..1 | CodeableConcept | Indicates the source of a secondarily reported record Binding: ?? (example): The source of the data for a record which is not from a primary source. ele-1: All FHIR elements must have a @value or children
location |  | 0..1 | Reference(Location) | Where immunization occurred ele-1: All FHIR elements must have a @value or children
manufacturer |  | 0..1 | Reference(Organization) | Vaccine manufacturer ele-1: All FHIR elements must have a @value or children
lotNumber |  | 0..1 | string | Vaccine lot number ele-1: All FHIR elements must have a @value or children
expirationDate | C | 0..1 | date | Vaccine expiration date ele-1: All FHIR elements must have a @value or children uds-plus-iimm-3: All date data elements should be truncated to a year only for de-identified resources.
site |  | 0..1 | CodeableConcept | Body site vaccine was administered Binding: ?? (example): The site at which the vaccine was administered. ele-1: All FHIR elements must have a @value or children
route |  | 0..1 | CodeableConcept | How vaccine entered body Binding: ?? (example): The route by which the vaccine was administered. ele-1: All FHIR elements must have a @value or children
doseQuantity |  | 0..1 | ?? | Amount of vaccine administered ele-1: All FHIR elements must have a @value or children
performer | Σ | 0..* | BackboneElement | Who performed event ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ?? (extensible): The role a practitioner or organization plays in the immunization event. ele-1: All FHIR elements must have a @value or children
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Individual or organization who was performing ele-1: All FHIR elements must have a @value or children
reasonCode |  | 0..* | CodeableConcept | Why immunization occurred Binding: ?? (example): The reason why a vaccine was administered. ele-1: All FHIR elements must have a @value or children
reasonReference |  | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why immunization occurred ele-1: All FHIR elements must have a @value or children
isSubpotent | ?!Σ | 0..1 | boolean | Dose potency ele-1: All FHIR elements must have a @value or children
subpotentReason |  | 0..* | CodeableConcept | Reason for being subpotent Binding: ?? (example): The reason why a dose is considered to be subpotent. ele-1: All FHIR elements must have a @value or children
education | C | 0..* | BackboneElement | Educational material presented to patient ele-1: All FHIR elements must have a @value or children imm-1: One of documentType or reference SHALL be present
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
documentType |  | 0..1 | string | Educational material document identifier ele-1: All FHIR elements must have a @value or children
reference |  | 0..1 | uri | Educational material reference pointer ele-1: All FHIR elements must have a @value or children
publicationDate |  | 0..1 | dateTime | Educational material publication date ele-1: All FHIR elements must have a @value or children
presentationDate |  | 0..1 | dateTime | Educational material presentation date ele-1: All FHIR elements must have a @value or children
programEligibility |  | 0..* | CodeableConcept | Patient eligibility for a vaccination program Binding: ?? (example): The patient's eligibility for a vaccation program. ele-1: All FHIR elements must have a @value or children
fundingSource |  | 0..1 | CodeableConcept | Funding source for the vaccine Binding: ?? (example): The source of funding used to purchase the vaccine administered. ele-1: All FHIR elements must have a @value or children
reaction |  | 0..* | BackboneElement | Details of a reaction that follows immunization ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
date | C | 0..1 | dateTime | When reaction started ele-1: All FHIR elements must have a @value or children uds-plus-iimm-4: All dateTime data elements should be truncated to a year only for de-identified resources.
detail |  | 0..1 | Reference(Observation) | Additional information on reaction ele-1: All FHIR elements must have a @value or children
reported |  | 0..1 | boolean | Indicates self-reported reaction ele-1: All FHIR elements must have a @value or children
protocolApplied |  | 0..* | BackboneElement | Protocol followed by the provider ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
series |  | 0..1 | string | Name of vaccine series ele-1: All FHIR elements must have a @value or children
authority |  | 0..1 | Reference(Organization) | Who is responsible for publishing the recommendations ele-1: All FHIR elements must have a @value or children
targetDisease |  | 0..* | CodeableConcept | Vaccine preventatable disease being targetted Binding: ?? (example): The vaccine preventable disease the dose is being administered for. ele-1: All FHIR elements must have a @value or children
doseNumber[x] |  | 1..1 |  | Dose number within series ele-1: All FHIR elements must have a @value or children
doseNumberPositiveInt |  |  | positiveInt |
doseNumberString |  |  | string |
seriesDoses[x] |  | 0..1 |  | Recommended number of doses for immunity ele-1: All FHIR elements must have a @value or children
seriesDosesPositiveInt |  |  | positiveInt |
seriesDosesString |  |  | string |
Documentation for this format