us-quality-core-immunizationevaluation
type: StructureDefinition
node role: treeRoot
id:
  v: us-quality-core-immunizationevaluation
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition us-quality-core-immunizationevaluation Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> ImmunizationEvaluation 0..* ImmunizationEvaluation Immunization evaluation information #xD; identifier 0..* Identifier Business identifier #xD; status 1..1 code completed | entered-in-error #xD; patient 1..1 Reference(US Quality Core Patient) Who this evaluation is for #xD; date 1..1 dateTime Date evaluation was performed #xD; authority 0..1 Reference(US Quality Core Organization) Who is responsible for publishing the recommendations #xD; targetDisease 1..1 CodeableConcept Evaluation target disease Binding: ImmunizationEvaluationTargetDiseaseCodes (preferred) #xD; immunizationEvent 1..1 Reference(US Quality Core Immunization) Immunization being evaluated #xD; doseStatus 1..1 CodeableConcept Status of the dose relative to published recommendations Binding: ImmunizationEvaluationDoseStatusCodes (preferred) #xD; doseStatusReason 0..* CodeableConcept Reason for the dose status Binding: ImmunizationEvaluationDoseStatusCodes (preferred) #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
url:
  v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-immunizationevaluation
  l: us-quality-core-immunizationevaluation
version:
  v: 0.5.0
name:
  v: USQualityCoreImmunizationEvaluation
title:
  v: US Quality Core ImmunizationEvaluation
status:
  v: active
experimental:
  v: false
date:
  v: 2026-06-05
publisher:
  v: Office of the National Coordinator for Health Information Technology (ONC)
contact:
  name:
    v: Office of the National Coordinator for Health Information Technology (ONC)
  telecom:
    system:
      v: url
    value:
      v: https://www.healthit.gov/feedback
description:
  v: Defines constraints and extensions on the ImmunizationEvaluation resource for the minimal set of data to query and retrieve a patient's Immunization Evaluation.
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: US
    display:
      v: United States of America
  text:
    v: USA
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: argonaut-dq-dstu2
  uri:
    v: http://unknown.org/Argonaut-DQ-DSTU2
    l: Argonaut-DQ-DSTU2
  name:
    v: Argonaut-DQ-DSTU2
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
    l: workflow
  name:
    v: Workflow Pattern
mapping:
  identity:
    v: v2
  uri:
    v: http://hl7.org/v2
    l: v2
  name:
    v: HL7 v2 Mapping
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/fivews
    l: fivews
  name:
    v: FiveWs Pattern Mapping
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: ImmunizationEvaluation
  l: ImmunizationEvaluation
base definition:
  v: http://hl7.org/fhir/StructureDefinition/ImmunizationEvaluation
  l: ImmunizationEvaluation
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 4.0.1
  element:
    id:
      v: ImmunizationEvaluation
    path:
      v: ImmunizationEvaluation
    short:
      v: Immunization evaluation information
    definition:
      v: Describes a comparison of an immunization event against published recommendations to determine if the administration is "valid" in relation to those recommendations.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: ImmunizationEvaluation
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: 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
      expression:
        v: 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()
      xpath:
        v: not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:security))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      extension:
        value: Boolean
      extension:
        value: Markdown
      key:
        v: dom-6
      severity:
        v: warning
      human:
        v: A resource should have narrative for robust management
      expression:
        v: text.`div`.exists()
      xpath:
        v: exists(f:text/h:div)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource

Boolean
v: true

Markdown
v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

v: false

v: false

v: false

identity:
  v: argonaut-dq-dstu2
map:
  v: CarePlan

identity:
  v: rim
map:
  v: Entity. Role, or Act

identity:
  v: workflow
map:
  v: Event

identity:
  v: v2
map:
  v: RSP_K11

id:
  v: ImmunizationEvaluation.id
path:
  v: ImmunizationEvaluation.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: true

id:
  v: ImmunizationEvaluation.meta
path:
  v: ImmunizationEvaluation.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: ImmunizationEvaluation.implicitRules
path:
  v: ImmunizationEvaluation.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
is summary:
  v: true

id:
  v: ImmunizationEvaluation.language
path:
  v: ImmunizationEvaluation.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Canonical
      v: http://hl7.org/fhir/ValueSet/all-languages
      l: all-languages
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: preferred
  description:
    v: A human language.
  value set:
    v: http://hl7.org/fhir/ValueSet/languages|4.0.1
    l: http://hl7.org/fhir/ValueSet/languages

id:
  v: ImmunizationEvaluation.text
path:
  v: ImmunizationEvaluation.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: ImmunizationEvaluation.contained
path:
  v: ImmunizationEvaluation.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ImmunizationEvaluation.extension
path:
  v: ImmunizationEvaluation.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ImmunizationEvaluation.modifierExtension
path:
  v: ImmunizationEvaluation.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ImmunizationEvaluation.identifier
path:
  v: ImmunizationEvaluation.identifier
short:
  v: Business identifier
definition:
  v: A unique identifier assigned to this immunization evaluation record.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImmunizationEvaluation.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: argonaut-dq-dstu2
  map:
    v: CarePlan.subject
mapping:
  identity:
    v: workflow
  map:
    v: Event.identifier
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier

id:
  v: ImmunizationEvaluation.status
path:
  v: ImmunizationEvaluation.status
short:
  v: completed | entered-in-error
definition:
  v: Indicates the current status of the evaluation of the vaccination administration event.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ImmunizationEvaluation.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid).
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ImmunizationEvaluationStatus
  strength:
    v: required
  description:
    v: The status of the evaluation being done.
  value set:
    v: http://hl7.org/fhir/ValueSet/immunization-evaluation-status|4.0.1
    l: http://hl7.org/fhir/ValueSet/immunization-evaluation-status
mapping:
  identity:
    v: workflow
  map:
    v: Event.status
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status

id:
  v: ImmunizationEvaluation.patient
path:
  v: ImmunizationEvaluation.patient
short:
  v: Who this evaluation is for
definition:
  v: The individual for whom the evaluation is being done.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ImmunizationEvaluation.patient
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient
    l: us-quality-core-patient
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.subject
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject[x]
mapping:
  identity:
    v: v2
  map:
    v: PID-3
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject

id:
  v: ImmunizationEvaluation.date
path:
  v: ImmunizationEvaluation.date
short:
  v: Date evaluation was performed
definition:
  v: The date the evaluation of the vaccine administration event was performed.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ImmunizationEvaluation.date
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrenceDateTime
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.init
mapping:
  identity:
    v: v2
  map:
    v: RXA-3

id:
  v: ImmunizationEvaluation.authority
path:
  v: ImmunizationEvaluation.authority
short:
  v: Who is responsible for publishing the recommendations
definition:
  v: Indicates the authority who published the protocol (e.g. ACIP).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImmunizationEvaluation.authority
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-organization
    l: us-quality-core-organization
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: OBX-5 : OBX-3 = ( 59779-9 )

id:
  v: ImmunizationEvaluation.targetDisease
path:
  v: ImmunizationEvaluation.targetDisease
short:
  v: Evaluation target disease
definition:
  v: The vaccine preventable disease the dose is being evaluated against.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ImmunizationEvaluation.targetDisease
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  strength:
    v: preferred
  value set:
    v: http://hl7.org/fhir/ValueSet/immunization-evaluation-target-disease
    l: immunization-evaluation-target-disease
mapping:
  identity:
    v: v2
  map:
    v: OBX-5 : OBX-3 = ( 30956-7 | 38890-0 )

id:
  v: ImmunizationEvaluation.immunizationEvent
path:
  v: ImmunizationEvaluation.immunizationEvent
short:
  v: Immunization being evaluated
definition:
  v: The vaccine administration event being evaluated.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ImmunizationEvaluation.immunizationEvent
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-immunization
    l: us-quality-core-immunization
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: ImmunizationEvaluation.doseStatus
path:
  v: ImmunizationEvaluation.doseStatus
short:
  v: Status of the dose relative to published recommendations
definition:
  v: Indicates if the dose is valid or not valid with respect to the published recommendations.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ImmunizationEvaluation.doseStatus
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  strength:
    v: preferred
  value set:
    v: http://hl7.org/fhir/ValueSet/immunization-evaluation-dose-status
    l: immunization-evaluation-dose-status
mapping:
  identity:
    v: v2
  map:
    v: OBX-5 : OBX-3 = ( 59781-5 )

id:
  v: ImmunizationEvaluation.doseStatusReason
path:
  v: ImmunizationEvaluation.doseStatusReason
short:
  v: Reason for the dose status
definition:
  v: Provides an explanation as to why the vaccine administration event is valid or not relative to the published recommendations.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImmunizationEvaluation.doseStatusReason
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  strength:
    v: preferred
  value set:
    v: http://hl7.org/fhir/ValueSet/immunization-evaluation-dose-status
    l: immunization-evaluation-dose-status
mapping:
  identity:
    v: v2
  map:
    v: OBX-5 : OBX-3 = ( 30982-3 )

id:
  v: ImmunizationEvaluation.description
path:
  v: ImmunizationEvaluation.description
short:
  v: Evaluation notes
definition:
  v: Additional information about the evaluation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImmunizationEvaluation.description
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Event.note
mapping:
  identity:
    v: v2
  map:
    v: OBX-5 : OBX-3 = ( 48767-8 )

id:
  v: ImmunizationEvaluation.series
path:
  v: ImmunizationEvaluation.series
short:
  v: Name of vaccine series
definition:
  v: One possible path to achieve presumed immunity against a disease - within the context of an authority.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImmunizationEvaluation.series
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false

id:
  v: ImmunizationEvaluation.doseNumber[x]
path:
  v: ImmunizationEvaluation.doseNumber[x]
short:
  v: Dose number within series
definition:
  v: Nominal position in a series.
comment:
  v: The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImmunizationEvaluation.doseNumber[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: positiveInt
    l: positiveInt
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: OBX-5 : OBX-3 = ( 30973-2 )

id:
  v: ImmunizationEvaluation.seriesDoses[x]
path:
  v: ImmunizationEvaluation.seriesDoses[x]
short:
  v: Recommended number of doses for immunity
definition:
  v: The recommended number of doses to achieve immunity.
comment:
  v: The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImmunizationEvaluation.seriesDoses[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: positiveInt
    l: positiveInt
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: OBX-5 : OBX-3 = ( 59782-3 )

element:
  id:
    v: ImmunizationEvaluation
  path:
    v: ImmunizationEvaluation
  must support:
    v: false
  mapping:
    identity:
      v: argonaut-dq-dstu2
    map:
      v: CarePlan
element:
  id:
    v: ImmunizationEvaluation.identifier
  path:
    v: ImmunizationEvaluation.identifier
  short:
    v: Business identifier
  type:
    code:
      v: Identifier
      l: Identifier
  mapping:
    identity:
      v: argonaut-dq-dstu2
    map:
      v: CarePlan.subject
element:
  id:
    v: ImmunizationEvaluation.status
  path:
    v: ImmunizationEvaluation.status
  short:
    v: completed | entered-in-error
element:
  id:
    v: ImmunizationEvaluation.patient
  path:
    v: ImmunizationEvaluation.patient
  short:
    v: Who this evaluation is for
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient
      l: us-quality-core-patient
element:
  id:
    v: ImmunizationEvaluation.date
  path:
    v: ImmunizationEvaluation.date
  short:
    v: Date evaluation was performed
  min:
    v: 1
  max:
    v: 1
element:
  id:
    v: ImmunizationEvaluation.authority
  path:
    v: ImmunizationEvaluation.authority
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-organization
      l: us-quality-core-organization
  must support:
    v: false
element:
  id:
    v: ImmunizationEvaluation.targetDisease
  path:
    v: ImmunizationEvaluation.targetDisease
  short:
    v: Evaluation target disease
  min:
    v: 1
  max:
    v: 1
  binding:
    strength:
      v: preferred
    value set:
      v: http://hl7.org/fhir/ValueSet/immunization-evaluation-target-disease
      l: immunization-evaluation-target-disease
element:
  id:
    v: ImmunizationEvaluation.immunizationEvent
  path:
    v: ImmunizationEvaluation.immunizationEvent
  short:
    v: Immunization being evaluated
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-immunization
      l: us-quality-core-immunization
element:
  id:
    v: ImmunizationEvaluation.doseStatus
  path:
    v: ImmunizationEvaluation.doseStatus
  short:
    v: Status of the dose relative to published recommendations
  min:
    v: 1
  max:
    v: 1
  binding:
    strength:
      v: preferred
    value set:
      v: http://hl7.org/fhir/ValueSet/immunization-evaluation-dose-status
      l: immunization-evaluation-dose-status
element:
  id:
    v: ImmunizationEvaluation.doseStatusReason
  path:
    v: ImmunizationEvaluation.doseStatusReason
  short:
    v: Reason for the dose status
  binding:
    strength:
      v: preferred
    value set:
      v: http://hl7.org/fhir/ValueSet/immunization-evaluation-dose-status
      l: immunization-evaluation-dose-status