Nictiz FHIR NL STU3 Zib2017
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Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Zib VaccinationRecommendation - Detailed Descriptions

Active as of 2024-04-09

Definitions for the zib-VaccinationRecommendation resource profile.

Guidance on how to interpret the contents of this table can be found here

0. ImmunizationRecommendation
2. ImmunizationRecommendation.extension
SlicingThis element introduces a set of slices on ImmunizationRecommendation.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 4. ImmunizationRecommendation.extension:orderStatus
    Slice NameorderStatus
    Definition

    The status of the order / recommendation.

    ShortOrderStatus
    Control0..1
    TypeExtension(HCIM VaccinationRecommendation OrderStatus) (Extension Type: CodeableConcept)
    Alternate NamesOrderStatus
    6. ImmunizationRecommendation.extension:orderStatus.valueCodeableConcept:valueCodeableConcept
    Slice NamevalueCodeableConcept
    8. ImmunizationRecommendation.identifier
    NoteThis is a business identifier, not a resource identifier (see discussion)
    10. ImmunizationRecommendation.patient
    TypeReference(nl-core-patient)
    12. ImmunizationRecommendation.recommendation
    14. ImmunizationRecommendation.recommendation.date
    Definition

    Date on which this vaccination will have to be repeated according to the author’s information.

    ShortDesiredDateForRevaccination
    Alternate NamesGewensteDatumHervaccinatie
    16. ImmunizationRecommendation.recommendation.vaccineCode
    Definition

    The product code of the vaccine administered. There are several possible code systems for documenting the product code. If the vaccination data is registered based on an anamnesis, coding with the ATC code is preferred. In all cases it concerns those products that fall under ATC group J07 (vaccines).

    ShortProductCode
    Alternate NamesProductCode
    18. ImmunizationRecommendation.recommendation.vaccineCode.coding
    Control1..?
    SlicingThis element introduces a set of slices on ImmunizationRecommendation.recommendation.vaccineCode.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:
    • value @ system
    • 20. ImmunizationRecommendation.recommendation.vaccineCode.coding:productCodeGPKCodelijst
      Slice NameproductCodeGPKCodelijst
      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from ProductCodeGPKCodelijst
      (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.3--20171231000000)

      ProductCodeGPKCodelijst

      22. ImmunizationRecommendation.recommendation.vaccineCode.coding:productCodeHPKCodelijst
      Slice NameproductCodeHPKCodelijst
      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from ProductCodeHPKCodelijst
      (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.2--20171231000000)

      ProductCodeHPKCodelijst

      24. ImmunizationRecommendation.recommendation.vaccineCode.coding:productCodeZICodelijst
      Slice NameproductCodeZICodelijst
      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from ProductCodeZICodelijst
      (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.6--20171231000000)

      ProductCodeZICodelijst

      26. ImmunizationRecommendation.recommendation.vaccineCode.coding:productCodeATCCodelijst
      Slice NameproductCodeATCCodelijst
      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from ProductCodeATCCodelijst
      (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.4--20171231000000)

      ProductCodeATCCodelijst

      28. ImmunizationRecommendation.recommendation.vaccineCode.coding:productCodePRKCodelijst
      Slice NameproductCodePRKCodelijst
      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from ProductCodePRKCodelijst
      (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.1--20171231000000)

      ProductCodePRKCodelijst

      30. ImmunizationRecommendation.recommendation.vaccineCode.coding:productCodeGTINCodelijst
      Slice NameproductCodeGTINCodelijst
      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from ProductCodeGTINCodelijst
      (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.5--20171231000000)

      ProductCodeGTINCodelijst

      32. ImmunizationRecommendation.recommendation.dateCriterion
      ShortStartDate / EndDate
      Comments

      This element can be used to capture the StartDate and EndDate concepts of the ZIB OverdrachtGeplandeZorgActiviteit.

      Alternate NamesStartDate, EndDate
      34. ImmunizationRecommendation.recommendation.protocol
      36. ImmunizationRecommendation.recommendation.protocol.authority
      TypeReference(nl-core-organization)
      38. ImmunizationRecommendation.recommendation.supportingImmunization
      TypeReference(HCIM Vaccination)
      40. ImmunizationRecommendation.recommendation.supportingPatientInformation
      TypeReference(HCIM AllergyIntolerance)

      Guidance on how to interpret the contents of this table can be found here

      0. ImmunizationRecommendation
      Definition

      A patient's point-in-time immunization and recommendation (i.e. forecasting a patient's immunization eligibility according to a published schedule) with optional supporting justification.

      ShortGuidance or advice relating to an immunization
      Control0..*
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
      dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
      dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
      dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
      2. ImmunizationRecommendation.implicitRules
      Definition

      A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

      ShortA set of rules under which this content was created
      Comments

      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.

      This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

      Control0..1
      Typeuri
      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      4. ImmunizationRecommendation.extension
      Definition

      An Extension


      May be used to represent additional information that is not part of the basic definition of the resource. In order 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.

      ShortExtensionAdditional Content defined by implementations
      Comments

      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.

      Control0..*
      TypeExtension
      Alternate Namesextensions, user content
      SlicingThis element introduces a set of slices on ImmunizationRecommendation.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 6. ImmunizationRecommendation.extension:orderStatus
        Slice NameorderStatus
        Definition

        The status of the order / recommendation.

        ShortOrderStatus
        Control0..1
        This element is affected by the following invariants: ele-1
        TypeExtension(HCIM VaccinationRecommendation OrderStatus) (Extension Type: CodeableConcept)
        Alternate NamesOrderStatus
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        8. ImmunizationRecommendation.extension:orderStatus.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed Valuehttp://nictiz.nl/fhir/StructureDefinition/zib-VaccinationRecommendation-OrderStatus
        10. ImmunizationRecommendation.extension:orderStatus.value[x]
        Definition

        Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

        ShortValue of extension
        Control0..1
        TypeCodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal
        [x] NoteSee Choice of Data Types for further information about how to use [x]
        SlicingThis element introduces a set of slices on ImmunizationRecommendation.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
        • type @ $this
        • 12. ImmunizationRecommendation.extension:orderStatus.value[x]:valueCodeableConcept
          Slice NamevalueCodeableConcept
          Definition

          The status of the order / recommendation


          Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

          ShortOrderStatusValue of extension
          Control0..1
          BindingUnless not suitable, these codes SHALL be taken from For codes, see OrderStatusCodelijst
          (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2--20171231000000)
          TypeCodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal
          [x] NoteSee Choice of Data Types for further information about how to use [x]
          14. ImmunizationRecommendation.modifierExtension
          Definition

          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. Usually modifier elements provide negation or qualification. In order 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.

          ShortExtensions that cannot be ignored
          Comments

          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.

          Control0..*
          TypeExtension
          Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
          Alternate Namesextensions, user content
          16. ImmunizationRecommendation.identifier
          Definition

          A unique identifier assigned to this particular recommendation record.

          ShortBusiness identifier
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..*
          TypeIdentifier
          Summarytrue
          18. ImmunizationRecommendation.patient
          Definition

          The patient the recommendations are for.

          ShortWho this profile is for
          Control1..1
          TypeReference(nl-core-patient, Patient)
          Summarytrue
          20. ImmunizationRecommendation.recommendation
          Definition

          Vaccine administration recommendations.

          ShortVaccine administration recommendations
          Control1..*
          TypeBackboneElement
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
          imr-1: One of vaccineCode or targetDisease SHALL be present (vaccineCode.exists() or targetDisease.exists())
          ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
          imr-1: One of vaccineCode or targetDisease SHALL be present (vaccineCode.exists() or targetDisease.exists())
          22. ImmunizationRecommendation.recommendation.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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.

          ShortExtensions that cannot be ignored
          Comments

          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.

          Control0..*
          TypeExtension
          Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
          Summarytrue
          Alternate Namesextensions, user content, modifiers
          24. ImmunizationRecommendation.recommendation.date
          Definition

          Date on which this vaccination will have to be repeated according to the author’s information.


          The date the immunization recommendation was created.

          ShortDesiredDateForRevaccinationDate recommendation created
          Control1..1
          TypedateTime
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Alternate NamesGewensteDatumHervaccinatie
          26. ImmunizationRecommendation.recommendation.vaccineCode
          Definition

          The product code of the vaccine administered. There are several possible code systems for documenting the product code. If the vaccination data is registered based on an anamnesis, coding with the ATC code is preferred. In all cases it concerns those products that fall under ATC group J07 (vaccines).


          Vaccine that pertains to the recommendation.

          ShortProductCodeVaccine recommendation applies to
          Control0..1
          BindingFor example codes, see Vaccine Administered Value Sethttp://hl7.org/fhir/ValueSet/vaccine-code
          (example to http://hl7.org/fhir/ValueSet/vaccine-code)

          The type of vaccine administered

          TypeCodeableConcept
          Summarytrue
          Alternate NamesProductCode
          28. ImmunizationRecommendation.recommendation.vaccineCode.coding
          Definition

          A reference to a code defined by a terminology system.

          ShortCode defined by a terminology system
          Comments

          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

          Control10..*
          TypeCoding
          Summarytrue
          Requirements

          Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

          SlicingThis element introduces a set of slices on ImmunizationRecommendation.recommendation.vaccineCode.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:
          • value @ system
          • 30. ImmunizationRecommendation.recommendation.vaccineCode.coding:productCodeGPKCodelijst
            Slice NameproductCodeGPKCodelijst
            Definition

            A reference to a code defined by a terminology system.

            ShortCode defined by a terminology system
            Comments

            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

            Control0..1*
            BindingUnless not suitable, these codes SHALL be taken from For codes, see ProductCodeGPKCodelijst
            (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.3--20171231000000)

            ProductCodeGPKCodelijst

            TypeCoding
            Summarytrue
            Requirements

            Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

            32. ImmunizationRecommendation.recommendation.vaccineCode.coding:productCodeHPKCodelijst
            Slice NameproductCodeHPKCodelijst
            Definition

            A reference to a code defined by a terminology system.

            ShortCode defined by a terminology system
            Comments

            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

            Control0..1*
            BindingUnless not suitable, these codes SHALL be taken from For codes, see ProductCodeHPKCodelijst
            (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.2--20171231000000)

            ProductCodeHPKCodelijst

            TypeCoding
            Summarytrue
            Requirements

            Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

            34. ImmunizationRecommendation.recommendation.vaccineCode.coding:productCodeZICodelijst
            Slice NameproductCodeZICodelijst
            Definition

            A reference to a code defined by a terminology system.

            ShortCode defined by a terminology system
            Comments

            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

            Control0..1*
            BindingUnless not suitable, these codes SHALL be taken from For codes, see ProductCodeZICodelijst
            (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.6--20171231000000)

            ProductCodeZICodelijst

            TypeCoding
            Summarytrue
            Requirements

            Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

            36. ImmunizationRecommendation.recommendation.vaccineCode.coding:productCodeATCCodelijst
            Slice NameproductCodeATCCodelijst
            Definition

            A reference to a code defined by a terminology system.

            ShortCode defined by a terminology system
            Comments

            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

            Control0..1*
            BindingUnless not suitable, these codes SHALL be taken from For codes, see ProductCodeATCCodelijst
            (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.4--20171231000000)

            ProductCodeATCCodelijst

            TypeCoding
            Summarytrue
            Requirements

            Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

            38. ImmunizationRecommendation.recommendation.vaccineCode.coding:productCodePRKCodelijst
            Slice NameproductCodePRKCodelijst
            Definition

            A reference to a code defined by a terminology system.

            ShortCode defined by a terminology system
            Comments

            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

            Control0..1*
            BindingUnless not suitable, these codes SHALL be taken from For codes, see ProductCodePRKCodelijst
            (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.1--20171231000000)

            ProductCodePRKCodelijst

            TypeCoding
            Summarytrue
            Requirements

            Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

            40. ImmunizationRecommendation.recommendation.vaccineCode.coding:productCodeGTINCodelijst
            Slice NameproductCodeGTINCodelijst
            Definition

            A reference to a code defined by a terminology system.

            ShortCode defined by a terminology system
            Comments

            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

            Control0..1*
            BindingUnless not suitable, these codes SHALL be taken from For codes, see ProductCodeGTINCodelijst
            (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.5--20171231000000)

            ProductCodeGTINCodelijst

            TypeCoding
            Summarytrue
            Requirements

            Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

            42. ImmunizationRecommendation.recommendation.forecastStatus
            Definition

            Vaccine administration status.

            ShortVaccine administration status
            Control1..1
            BindingFor example codes, see Immunization Recommendation Status Codeshttp://hl7.org/fhir/ValueSet/immunization-recommendation-status
            (example to http://hl7.org/fhir/ValueSet/immunization-recommendation-status)

            The patient's status with respect to a vaccination protocol

            TypeCodeableConcept
            Summarytrue
            44. ImmunizationRecommendation.recommendation.dateCriterion
            Definition

            Vaccine date recommendations. For example, earliest date to administer, latest date to administer, etc.

            ShortStartDate / EndDateDates governing proposed immunization
            Comments

            This element can be used to capture the StartDate and EndDate concepts of the ZIB OverdrachtGeplandeZorgActiviteit.

            Control0..*
            TypeBackboneElement
            Alternate NamesStartDate, EndDate
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
            ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
            46. ImmunizationRecommendation.recommendation.dateCriterion.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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.

            ShortExtensions that cannot be ignored
            Comments

            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.

            Control0..*
            TypeExtension
            Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
            Summarytrue
            Alternate Namesextensions, user content, modifiers
            48. ImmunizationRecommendation.recommendation.dateCriterion.code
            Definition

            Date classification of recommendation. For example, earliest date to give, latest date to give, etc.

            ShortType of date
            Control1..1
            BindingFor example codes, see Immunization Recommendation Date Criterion Codeshttp://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion
            (example to http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion)

            Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.)

            TypeCodeableConcept
            50. ImmunizationRecommendation.recommendation.dateCriterion.value
            Definition

            The date whose meaning is specified by dateCriterion.code.

            ShortRecommended date
            Control1..1
            TypedateTime
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            52. ImmunizationRecommendation.recommendation.supportingImmunization
            Definition

            Immunization event history that supports the status and recommendation.

            ShortPast immunizations supporting recommendation
            Control0..*
            TypeReference(HCIM Vaccination, Immunization)
            54. ImmunizationRecommendation.recommendation.supportingPatientInformation
            Definition

            Patient Information that supports the status and recommendation. This includes patient observations, adverse reactions and allergy/intolerance information.

            ShortPatient observations supporting recommendation
            Control0..*
            TypeReference(HCIM AllergyIntolerance, Observation, AllergyIntolerance)

            Guidance on how to interpret the contents of this table can be found here

            0. ImmunizationRecommendation
            Definition

            A patient's point-in-time immunization and recommendation (i.e. forecasting a patient's immunization eligibility according to a published schedule) with optional supporting justification.

            ShortGuidance or advice relating to an immunization
            Control0..*
            Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
            dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
            dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
            2. ImmunizationRecommendation.id
            Definition

            The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

            ShortLogical id of this artifact
            Comments

            The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

            Control0..1
            Typeid
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            4. ImmunizationRecommendation.meta
            Definition

            The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

            ShortMetadata about the resource
            Control0..1
            TypeMeta
            Summarytrue
            6. ImmunizationRecommendation.implicitRules
            Definition

            A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

            ShortA set of rules under which this content was created
            Comments

            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.

            This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

            Control0..1
            Typeuri
            Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            8. ImmunizationRecommendation.language
            Definition

            The base language in which the resource is written.

            ShortLanguage of the resource content
            Comments

            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).

            Control0..1
            BindingUnless not suitable, these codes SHALL be taken from Common Languages
            (extensible to http://hl7.org/fhir/ValueSet/languages)

            A human language.

            Additional BindingsPurpose
            AllLanguagesMax Binding
            Typecode
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            10. ImmunizationRecommendation.text
            Definition

            A human-readable narrative that contains a summary of the resource, and may 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.

            ShortText summary of the resource, for human interpretation
            Comments

            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 in formation is added later.

            Control0..1
            This element is affected by the following invariants: dom-1
            TypeNarrative
            Alternate Namesnarrative, html, xhtml, display
            12. ImmunizationRecommendation.contained
            Definition

            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.

            ShortContained, inline Resources
            Comments

            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.

            Control0..*
            TypeResource
            Alternate Namesinline resources, anonymous resources, contained resources
            14. ImmunizationRecommendation.extension
            Definition

            An Extension

            ShortExtension
            Control0..*
            TypeExtension
            SlicingThis element introduces a set of slices on ImmunizationRecommendation.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 16. ImmunizationRecommendation.extension:orderStatus
              Slice NameorderStatus
              Definition

              The status of the order / recommendation.

              ShortOrderStatus
              Control0..1
              This element is affected by the following invariants: ele-1
              TypeExtension(HCIM VaccinationRecommendation OrderStatus) (Extension Type: CodeableConcept)
              Alternate NamesOrderStatus
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              18. ImmunizationRecommendation.extension:orderStatus.id
              Definition

              unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              Shortxml:id (or equivalent in JSON)
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              20. ImmunizationRecommendation.extension:orderStatus.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. In order 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.

              ShortAdditional Content defined by implementations
              Comments

              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.

              Control0..*
              TypeExtension
              Alternate Namesextensions, user content
              SlicingThis element introduces a set of slices on ImmunizationRecommendation.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 22. ImmunizationRecommendation.extension:orderStatus.url
                Definition

                Source of the definition for the extension code - a logical name or a URL.

                Shortidentifies the meaning of the extension
                Comments

                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                Control1..1
                Typeuri
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                Fixed Valuehttp://nictiz.nl/fhir/StructureDefinition/zib-VaccinationRecommendation-OrderStatus
                24. ImmunizationRecommendation.extension:orderStatus.value[x]
                Definition

                Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

                ShortValue of extension
                Control0..1
                TypeCodeableConcept
                [x] NoteSee Choice of Data Types for further information about how to use [x]
                SlicingThis element introduces a set of slices on ImmunizationRecommendation.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
                • type @ $this
                • 26. ImmunizationRecommendation.extension:orderStatus.value[x]:valueCodeableConcept
                  Slice NamevalueCodeableConcept
                  Definition

                  The status of the order / recommendation

                  ShortOrderStatus
                  Control0..1
                  BindingUnless not suitable, these codes SHALL be taken from OrderStatusCodelijst
                  (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2--20171231000000)
                  TypeCodeableConcept
                  [x] NoteSee Choice of Data Types for further information about how to use [x]
                  28. ImmunizationRecommendation.modifierExtension
                  Definition

                  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. Usually modifier elements provide negation or qualification. In order 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.

                  ShortExtensions that cannot be ignored
                  Comments

                  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.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                  Alternate Namesextensions, user content
                  30. ImmunizationRecommendation.identifier
                  Definition

                  A unique identifier assigned to this particular recommendation record.

                  ShortBusiness identifier
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control0..*
                  TypeIdentifier
                  Summarytrue
                  32. ImmunizationRecommendation.patient
                  Definition

                  The patient the recommendations are for.

                  ShortWho this profile is for
                  Control1..1
                  TypeReference(nl-core-patient)
                  Summarytrue
                  34. ImmunizationRecommendation.recommendation
                  Definition

                  Vaccine administration recommendations.

                  ShortVaccine administration recommendations
                  Control1..*
                  TypeBackboneElement
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                  imr-1: One of vaccineCode or targetDisease SHALL be present (vaccineCode.exists() or targetDisease.exists())
                  36. ImmunizationRecommendation.recommendation.id
                  Definition

                  unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  Shortxml:id (or equivalent in JSON)
                  Control0..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  38. ImmunizationRecommendation.recommendation.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. In order 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.

                  ShortAdditional Content defined by implementations
                  Comments

                  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.

                  Control0..*
                  TypeExtension
                  Alternate Namesextensions, user content
                  40. ImmunizationRecommendation.recommendation.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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.

                  ShortExtensions that cannot be ignored
                  Comments

                  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.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                  Summarytrue
                  Alternate Namesextensions, user content, modifiers
                  42. ImmunizationRecommendation.recommendation.date
                  Definition

                  Date on which this vaccination will have to be repeated according to the author’s information.

                  ShortDesiredDateForRevaccination
                  Control1..1
                  TypedateTime
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Alternate NamesGewensteDatumHervaccinatie
                  44. ImmunizationRecommendation.recommendation.vaccineCode
                  Definition

                  The product code of the vaccine administered. There are several possible code systems for documenting the product code. If the vaccination data is registered based on an anamnesis, coding with the ATC code is preferred. In all cases it concerns those products that fall under ATC group J07 (vaccines).

                  ShortProductCode
                  Control0..1
                  BindingFor example codes, see Vaccine Administered Value Set
                  (example to http://hl7.org/fhir/ValueSet/vaccine-code)

                  The type of vaccine administered

                  TypeCodeableConcept
                  Summarytrue
                  Alternate NamesProductCode
                  46. ImmunizationRecommendation.recommendation.vaccineCode.id
                  Definition

                  unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  Shortxml:id (or equivalent in JSON)
                  Control0..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  48. ImmunizationRecommendation.recommendation.vaccineCode.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. In order 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.

                  ShortAdditional Content defined by implementations
                  Comments

                  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.

                  Control0..*
                  TypeExtension
                  Alternate Namesextensions, user content
                  SlicingThis element introduces a set of slices on ImmunizationRecommendation.recommendation.vaccineCode.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 50. ImmunizationRecommendation.recommendation.vaccineCode.coding
                    Definition

                    A reference to a code defined by a terminology system.

                    ShortCode defined by a terminology system
                    Comments

                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                    Control1..*
                    TypeCoding
                    Summarytrue
                    Requirements

                    Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

                    SlicingThis element introduces a set of slices on ImmunizationRecommendation.recommendation.vaccineCode.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:
                    • value @ system
                    • 52. ImmunizationRecommendation.recommendation.vaccineCode.coding:productCodeGPKCodelijst
                      Slice NameproductCodeGPKCodelijst
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                      Control0..1
                      BindingUnless not suitable, these codes SHALL be taken from ProductCodeGPKCodelijst
                      (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.3--20171231000000)

                      ProductCodeGPKCodelijst

                      TypeCoding
                      Summarytrue
                      Requirements

                      Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

                      54. ImmunizationRecommendation.recommendation.vaccineCode.coding:productCodeHPKCodelijst
                      Slice NameproductCodeHPKCodelijst
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                      Control0..1
                      BindingUnless not suitable, these codes SHALL be taken from ProductCodeHPKCodelijst
                      (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.2--20171231000000)

                      ProductCodeHPKCodelijst

                      TypeCoding
                      Summarytrue
                      Requirements

                      Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

                      56. ImmunizationRecommendation.recommendation.vaccineCode.coding:productCodeZICodelijst
                      Slice NameproductCodeZICodelijst
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                      Control0..1
                      BindingUnless not suitable, these codes SHALL be taken from ProductCodeZICodelijst
                      (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.6--20171231000000)

                      ProductCodeZICodelijst

                      TypeCoding
                      Summarytrue
                      Requirements

                      Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

                      58. ImmunizationRecommendation.recommendation.vaccineCode.coding:productCodeATCCodelijst
                      Slice NameproductCodeATCCodelijst
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                      Control0..1
                      BindingUnless not suitable, these codes SHALL be taken from ProductCodeATCCodelijst
                      (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.4--20171231000000)

                      ProductCodeATCCodelijst

                      TypeCoding
                      Summarytrue
                      Requirements

                      Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

                      60. ImmunizationRecommendation.recommendation.vaccineCode.coding:productCodePRKCodelijst
                      Slice NameproductCodePRKCodelijst
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                      Control0..1
                      BindingUnless not suitable, these codes SHALL be taken from ProductCodePRKCodelijst
                      (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.1--20171231000000)

                      ProductCodePRKCodelijst

                      TypeCoding
                      Summarytrue
                      Requirements

                      Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

                      62. ImmunizationRecommendation.recommendation.vaccineCode.coding:productCodeGTINCodelijst
                      Slice NameproductCodeGTINCodelijst
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                      Control0..1
                      BindingUnless not suitable, these codes SHALL be taken from ProductCodeGTINCodelijst
                      (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.5--20171231000000)

                      ProductCodeGTINCodelijst

                      TypeCoding
                      Summarytrue
                      Requirements

                      Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

                      64. ImmunizationRecommendation.recommendation.vaccineCode.text
                      Definition

                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                      ShortPlain text representation of the concept
                      Comments

                      Very often the text is the same as a displayName of one of the codings.

                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                      66. ImmunizationRecommendation.recommendation.targetDisease
                      Definition

                      The targeted disease for the recommendation.

                      ShortDisease to be immunized against
                      Control0..1
                      BindingFor example codes, see Immunization Recommendation Target Disease Codes
                      (example to http://hl7.org/fhir/ValueSet/immunization-recommendation-target-disease)

                      The disease that the recommended vaccination targets

                      TypeCodeableConcept
                      Summarytrue
                      68. ImmunizationRecommendation.recommendation.doseNumber
                      Definition

                      The next recommended dose number (e.g. dose 2 is the next recommended dose).

                      ShortRecommended dose number
                      Comments

                      May need other dose concepts such as administered vs. valid.

                      Control0..1
                      TypepositiveInt
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      70. ImmunizationRecommendation.recommendation.forecastStatus
                      Definition

                      Vaccine administration status.

                      ShortVaccine administration status
                      Control1..1
                      BindingFor example codes, see Immunization Recommendation Status Codes
                      (example to http://hl7.org/fhir/ValueSet/immunization-recommendation-status)

                      The patient's status with respect to a vaccination protocol

                      TypeCodeableConcept
                      Summarytrue
                      72. ImmunizationRecommendation.recommendation.dateCriterion
                      Definition

                      Vaccine date recommendations. For example, earliest date to administer, latest date to administer, etc.

                      ShortStartDate / EndDate
                      Comments

                      This element can be used to capture the StartDate and EndDate concepts of the ZIB OverdrachtGeplandeZorgActiviteit.

                      Control0..*
                      TypeBackboneElement
                      Alternate NamesStartDate, EndDate
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                      74. ImmunizationRecommendation.recommendation.dateCriterion.id
                      Definition

                      unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      Shortxml:id (or equivalent in JSON)
                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      76. ImmunizationRecommendation.recommendation.dateCriterion.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. In order 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.

                      ShortAdditional Content defined by implementations
                      Comments

                      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.

                      Control0..*
                      TypeExtension
                      Alternate Namesextensions, user content
                      78. ImmunizationRecommendation.recommendation.dateCriterion.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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.

                      ShortExtensions that cannot be ignored
                      Comments

                      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.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                      Summarytrue
                      Alternate Namesextensions, user content, modifiers
                      80. ImmunizationRecommendation.recommendation.dateCriterion.code
                      Definition

                      Date classification of recommendation. For example, earliest date to give, latest date to give, etc.

                      ShortType of date
                      Control1..1
                      BindingFor example codes, see Immunization Recommendation Date Criterion Codes
                      (example to http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion)

                      Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.)

                      TypeCodeableConcept
                      82. ImmunizationRecommendation.recommendation.dateCriterion.value
                      Definition

                      The date whose meaning is specified by dateCriterion.code.

                      ShortRecommended date
                      Control1..1
                      TypedateTime
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      84. ImmunizationRecommendation.recommendation.protocol
                      Definition

                      Contains information about the protocol under which the vaccine was administered.

                      ShortProtocol used by recommendation
                      Control0..1
                      TypeBackboneElement
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                      86. ImmunizationRecommendation.recommendation.protocol.id
                      Definition

                      unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      Shortxml:id (or equivalent in JSON)
                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      88. ImmunizationRecommendation.recommendation.protocol.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. In order 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.

                      ShortAdditional Content defined by implementations
                      Comments

                      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.

                      Control0..*
                      TypeExtension
                      Alternate Namesextensions, user content
                      90. ImmunizationRecommendation.recommendation.protocol.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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.

                      ShortExtensions that cannot be ignored
                      Comments

                      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.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                      Summarytrue
                      Alternate Namesextensions, user content, modifiers
                      92. ImmunizationRecommendation.recommendation.protocol.doseSequence
                      Definition

                      Indicates the nominal position in a series of the next dose. This is the recommended dose number as per a specified protocol.

                      ShortDose number within sequence
                      Control0..1
                      TypepositiveInt
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      94. ImmunizationRecommendation.recommendation.protocol.description
                      Definition

                      Contains the description about the protocol under which the vaccine was administered.

                      ShortProtocol details
                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      96. ImmunizationRecommendation.recommendation.protocol.authority
                      Definition

                      Indicates the authority who published the protocol. For example, ACIP.

                      ShortWho is responsible for protocol
                      Control0..1
                      TypeReference(nl-core-organization)
                      98. ImmunizationRecommendation.recommendation.protocol.series
                      Definition

                      One possible path to achieve presumed immunity against a disease - within the context of an authority.

                      ShortName of vaccination series
                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      100. ImmunizationRecommendation.recommendation.supportingImmunization
                      Definition

                      Immunization event history that supports the status and recommendation.

                      ShortPast immunizations supporting recommendation
                      Control0..*
                      TypeReference(HCIM Vaccination)
                      102. ImmunizationRecommendation.recommendation.supportingPatientInformation
                      Definition

                      Patient Information that supports the status and recommendation. This includes patient observations, adverse reactions and allergy/intolerance information.

                      ShortPatient observations supporting recommendation
                      Control0..*
                      TypeReference(HCIM AllergyIntolerance)