haau3 FHIR Implementation Guide (HFIG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: haau3 Immunization

A vaccination recorded about a care recipient. Delivered exactly as the source system stated it, including dose-protocol details; the occurrence may arrive as a date or as the source's own free-text form.

Usages:

• Examples for this Profile: Immunization/haau3-immunization-protocol-applied

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization	C	0..*	USCoreImmunizationProfile(6.1.0)	Immunization event information Constraints: us-core-5
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	1..*	Identifier	Business identifier
status	?!SΣ	1..1	code	(USCDI) completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required)
statusReason	S	0..1	CodeableConcept	(USCDI) Reason not done Binding: ImmunizationStatusReasonCodes (example)
vaccineCode	SΣC	1..1	CodeableConcept	(USCDI) Vaccine Product Type (bind to CVX) Binding: CVX Vaccines Administered Vaccine Set (extensible)
patient	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) Who was immunized
occurrence[x]	SΣ	1..1		(USCDI) Vaccine administration date
occurrenceDateTime			dateTime S
occurrenceString			string
primarySource	SΣ	0..1	boolean	(USCDI) Indicates context the data was recorded in
isSubpotent	?!Σ	0..1	boolean	Dose potency
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Immunization.status	Base	required	Immunization Status Codes	📦4.0.1	FHIR Std.
Immunization.statusReason	Base	example	Immunization Status Reason Codes	📦4.0.1	FHIR Std.
Immunization.vaccineCode	Base	extensible	CVX Vaccines Administered Vaccine Set	📦20220701	VSAC v0.11

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Immunization	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Immunization	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Immunization	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
us-core-5	best practice	Immunization	SHOULD have a translation to the NDC value set	vaccineCode.coding.where(system='http://hl7.org/fhir/sid/ndc').empty()

This structure is derived from USCoreImmunizationProfile

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	USCoreImmunizationProfile(6.1.0)	Immunization event information
identifier	S	1..*	Identifier	Business identifier
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization	C	0..*	USCoreImmunizationProfile(6.1.0)	Immunization event information Constraints: us-core-5
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	1..*	Identifier	Business identifier
status	?!SΣ	1..1	code	(USCDI) completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required)
statusReason	S	0..1	CodeableConcept	(USCDI) Reason not done Binding: ImmunizationStatusReasonCodes (example)
vaccineCode	SΣC	1..1	CodeableConcept	(USCDI) Vaccine Product Type (bind to CVX) Binding: CVX Vaccines Administered Vaccine Set (extensible)
patient	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) Who was immunized
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
occurrence[x]	SΣ	1..1		(USCDI) Vaccine administration date
occurrenceDateTime			dateTime S
occurrenceString			string
recorded		0..1	dateTime	When the immunization was first captured in the subject's record
primarySource	SΣ	0..1	boolean	(USCDI) Indicates context the data was recorded in
reportOrigin		0..1	CodeableConcept	Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.
location		0..1	Reference(Location)	Where immunization occurred
manufacturer		0..1	Reference(Organization)	Vaccine manufacturer
lotNumber		0..1	string	Vaccine lot number
expirationDate		0..1	date	Vaccine expiration date
site		0..1	CodeableConcept	Body site vaccine was administered Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.
route		0..1	CodeableConcept	How vaccine entered body Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.
doseQuantity		0..1	SimpleQuantity	Amount of vaccine administered
performer	Σ	0..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Individual or organization who was performing
note	Σ	0..*	Annotation	Additional immunization notes
reasonCode		0..*	CodeableConcept	Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Why immunization occurred
isSubpotent	?!Σ	0..1	boolean	Dose potency
subpotentReason		0..*	CodeableConcept	Reason for being subpotent Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.
education	C	0..*	BackboneElement	Educational material presented to patient Constraints: imm-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
documentType		0..1	string	Educational material document identifier
reference		0..1	uri	Educational material reference pointer
publicationDate		0..1	dateTime	Educational material publication date
presentationDate		0..1	dateTime	Educational material presentation date
programEligibility		0..*	CodeableConcept	Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.
fundingSource		0..1	CodeableConcept	Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
reaction		0..*	BackboneElement	Details of a reaction that follows immunization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date		0..1	dateTime	When reaction started
detail		0..1	Reference(Observation)	Additional information on reaction
reported		0..1	boolean	Indicates self-reported reaction
protocolApplied		0..*	BackboneElement	Protocol followed by the provider
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
series		0..1	string	Name of vaccine series
authority		0..1	Reference(Organization)	Who is responsible for publishing the recommendations
targetDisease		0..*	CodeableConcept	Vaccine preventatable disease being targetted Binding: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.
doseNumber[x]		1..1		Dose number within series
doseNumberPositiveInt			positiveInt
doseNumberString			string
seriesDoses[x]		0..1		Recommended number of doses for immunity
seriesDosesPositiveInt			positiveInt
seriesDosesString			string
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Immunization.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Immunization.status	Base	required	Immunization Status Codes	📦4.0.1	FHIR Std.
Immunization.statusReason	Base	example	Immunization Status Reason Codes	📦4.0.1	FHIR Std.
Immunization.vaccineCode	Base	extensible	CVX Vaccines Administered Vaccine Set	📦20220701	VSAC v0.11
Immunization.reportOrigin	Base	example	Immunization Origin Codes	📦4.0.1	FHIR Std.
Immunization.site	Base	example	Codes for Immunization Site of Administration	📦4.0.1	FHIR Std.
Immunization.route	Base	example	Immunization Route Codes	📦4.0.1	FHIR Std.
Immunization.performer.​function	Base	extensible	Immunization Function Codes	📦4.0.1	FHIR Std.
Immunization.reasonCode	Base	example	Immunization Reason Codes	📦4.0.1	FHIR Std.
Immunization.subpotentReason	Base	example	Immunization Subpotent Reason	📦4.0.1	FHIR Std.
Immunization.programEligibility	Base	example	Immunization Program Eligibility	📦4.0.1	FHIR Std.
Immunization.fundingSource	Base	example	Immunization Funding Source	📦4.0.1	FHIR Std.
Immunization.protocolApplied.​targetDisease	Base	example	Immunization Target Disease Codes	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Immunization	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Immunization	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Immunization	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
imm-1	error	Immunization.education	One of documentType or reference SHALL be present	documentType.exists() or reference.exists()
us-core-5	best practice	Immunization	SHOULD have a translation to the NDC value set	vaccineCode.coding.where(system='http://hl7.org/fhir/sid/ndc').empty()

This structure is derived from USCoreImmunizationProfile

Summary

Mandatory: 1 element
Must-Support: 1 element

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization	C	0..*	USCoreImmunizationProfile(6.1.0)	Immunization event information Constraints: us-core-5
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	1..*	Identifier	Business identifier
status	?!SΣ	1..1	code	(USCDI) completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required)
statusReason	S	0..1	CodeableConcept	(USCDI) Reason not done Binding: ImmunizationStatusReasonCodes (example)
vaccineCode	SΣC	1..1	CodeableConcept	(USCDI) Vaccine Product Type (bind to CVX) Binding: CVX Vaccines Administered Vaccine Set (extensible)
patient	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) Who was immunized
occurrence[x]	SΣ	1..1		(USCDI) Vaccine administration date
occurrenceDateTime			dateTime S
occurrenceString			string
primarySource	SΣ	0..1	boolean	(USCDI) Indicates context the data was recorded in
isSubpotent	?!Σ	0..1	boolean	Dose potency
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Immunization.status	Base	required	Immunization Status Codes	📦4.0.1	FHIR Std.
Immunization.statusReason	Base	example	Immunization Status Reason Codes	📦4.0.1	FHIR Std.
Immunization.vaccineCode	Base	extensible	CVX Vaccines Administered Vaccine Set	📦20220701	VSAC v0.11

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Immunization	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Immunization	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Immunization	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
us-core-5	best practice	Immunization	SHOULD have a translation to the NDC value set	vaccineCode.coding.where(system='http://hl7.org/fhir/sid/ndc').empty()

Differential View

This structure is derived from USCoreImmunizationProfile

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization		0..*	USCoreImmunizationProfile(6.1.0)	Immunization event information
identifier	S	1..*	Identifier	Business identifier
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Immunization	C	0..*	USCoreImmunizationProfile(6.1.0)	Immunization event information Constraints: us-core-5
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	1..*	Identifier	Business identifier
status	?!SΣ	1..1	code	(USCDI) completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required)
statusReason	S	0..1	CodeableConcept	(USCDI) Reason not done Binding: ImmunizationStatusReasonCodes (example)
vaccineCode	SΣC	1..1	CodeableConcept	(USCDI) Vaccine Product Type (bind to CVX) Binding: CVX Vaccines Administered Vaccine Set (extensible)
patient	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) Who was immunized
encounter		0..1	Reference(Encounter)	Encounter immunization was part of
occurrence[x]	SΣ	1..1		(USCDI) Vaccine administration date
occurrenceDateTime			dateTime S
occurrenceString			string
recorded		0..1	dateTime	When the immunization was first captured in the subject's record
primarySource	SΣ	0..1	boolean	(USCDI) Indicates context the data was recorded in
reportOrigin		0..1	CodeableConcept	Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.
location		0..1	Reference(Location)	Where immunization occurred
manufacturer		0..1	Reference(Organization)	Vaccine manufacturer
lotNumber		0..1	string	Vaccine lot number
expirationDate		0..1	date	Vaccine expiration date
site		0..1	CodeableConcept	Body site vaccine was administered Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.
route		0..1	CodeableConcept	How vaccine entered body Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.
doseQuantity		0..1	SimpleQuantity	Amount of vaccine administered
performer	Σ	0..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization)	Individual or organization who was performing
note	Σ	0..*	Annotation	Additional immunization notes
reasonCode		0..*	CodeableConcept	Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Why immunization occurred
isSubpotent	?!Σ	0..1	boolean	Dose potency
subpotentReason		0..*	CodeableConcept	Reason for being subpotent Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.
education	C	0..*	BackboneElement	Educational material presented to patient Constraints: imm-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
documentType		0..1	string	Educational material document identifier
reference		0..1	uri	Educational material reference pointer
publicationDate		0..1	dateTime	Educational material publication date
presentationDate		0..1	dateTime	Educational material presentation date
programEligibility		0..*	CodeableConcept	Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.
fundingSource		0..1	CodeableConcept	Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
reaction		0..*	BackboneElement	Details of a reaction that follows immunization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date		0..1	dateTime	When reaction started
detail		0..1	Reference(Observation)	Additional information on reaction
reported		0..1	boolean	Indicates self-reported reaction
protocolApplied		0..*	BackboneElement	Protocol followed by the provider
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
series		0..1	string	Name of vaccine series
authority		0..1	Reference(Organization)	Who is responsible for publishing the recommendations
targetDisease		0..*	CodeableConcept	Vaccine preventatable disease being targetted Binding: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.
doseNumber[x]		1..1		Dose number within series
doseNumberPositiveInt			positiveInt
doseNumberString			string
seriesDoses[x]		0..1		Recommended number of doses for immunity
seriesDosesPositiveInt			positiveInt
seriesDosesString			string
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Immunization.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Immunization.status	Base	required	Immunization Status Codes	📦4.0.1	FHIR Std.
Immunization.statusReason	Base	example	Immunization Status Reason Codes	📦4.0.1	FHIR Std.
Immunization.vaccineCode	Base	extensible	CVX Vaccines Administered Vaccine Set	📦20220701	VSAC v0.11
Immunization.reportOrigin	Base	example	Immunization Origin Codes	📦4.0.1	FHIR Std.
Immunization.site	Base	example	Codes for Immunization Site of Administration	📦4.0.1	FHIR Std.
Immunization.route	Base	example	Immunization Route Codes	📦4.0.1	FHIR Std.
Immunization.performer.​function	Base	extensible	Immunization Function Codes	📦4.0.1	FHIR Std.
Immunization.reasonCode	Base	example	Immunization Reason Codes	📦4.0.1	FHIR Std.
Immunization.subpotentReason	Base	example	Immunization Subpotent Reason	📦4.0.1	FHIR Std.
Immunization.programEligibility	Base	example	Immunization Program Eligibility	📦4.0.1	FHIR Std.
Immunization.fundingSource	Base	example	Immunization Funding Source	📦4.0.1	FHIR Std.
Immunization.protocolApplied.​targetDisease	Base	example	Immunization Target Disease Codes	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Immunization	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Immunization	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Immunization	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Immunization	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
imm-1	error	Immunization.education	One of documentType or reference SHALL be present	documentType.exists() or reference.exists()
us-core-5	best practice	Immunization	SHOULD have a translation to the NDC value set	vaccineCode.coding.where(system='http://hl7.org/fhir/sid/ndc').empty()

This structure is derived from USCoreImmunizationProfile

Summary

Mandatory: 1 element
Must-Support: 1 element

Other representations of profile: CSV, Excel, Schematron