STU3 Candidate

This page is part of the FHIR Specification (v1.8.0: STU 3 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Immunizationrecommendation.profile.xml

Raw XML (canonical form)

StructureDefinition for immunizationrecommendation

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ImmunizationRecommendation"/>
  <meta>
    <lastUpdated value="2016-12-06T12:22:34.981+11:00"/>
  </meta>
  <text>
    <status value="generated"/>
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            <a href="formats.html#table" title="Reference to the type of the element">Type</a>
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            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/>
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            Nj6C+QmaxAek5tyAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Resource"/> 
            <span title="ImmunizationRecommendation : 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.">ImmunizationRecommendation</span>
            <a name="ImmunizationRecommendation"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/>
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           padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="domainresource.html">DomainResource</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Guidance or advice relating to an immunization</td>
        </tr>

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            <span title="ImmunizationRecommendation.identifier : A unique identifier assigned to this particular
             recommendation record.">identifier</span>
            <a name="ImmunizationRecommendation.identifier"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Business identifier</td>
        </tr>

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            <span title="ImmunizationRecommendation.patient : The patient for whom the recommendations are for.">patient</span>
            <a name="ImmunizationRecommendation.patient"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="references.html">Reference</a>(
            <a href="patient.html">Patient</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Who this profile is for</td>
        </tr>

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="ImmunizationRecommendation.recommendation : Vaccine administration recommendations.">recommendation</span>
            <a name="ImmunizationRecommendation.recommendation"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Vaccine administration recommendations</td>
        </tr>

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="ImmunizationRecommendation.recommendation.date : The date the immunization recommendation
             was created.">date</span>
            <a name="ImmunizationRecommendation.recommendation.date"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Date recommendation created</td>
        </tr>

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="ImmunizationRecommendation.recommendation.vaccineCode : Vaccine that pertains to the recommendation.">vaccineCode</span>
            <a name="ImmunizationRecommendation.recommendation.vaccineCode"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Vaccine recommendation applies to
            <br/>
            <a href="valueset-vaccine-code.html" title="The type of vaccine administered">Vaccine Administered Value Set</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <span title="ImmunizationRecommendation.recommendation.doseNumber : This indicates the next recommended
             dose number (e.g. dose 2 is the next recommended dose).">doseNumber</span>
            <a name="ImmunizationRecommendation.recommendation.doseNumber"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Recommended dose number</td>
        </tr>

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="ImmunizationRecommendation.recommendation.forecastStatus : Vaccine administration status.">forecastStatus</span>
            <a name="ImmunizationRecommendation.recommendation.forecastStatus"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Vaccine administration status
            <br/>
            <a href="valueset-immunization-recommendation-status.html" title="The patient's status with respect to a vaccination protocol">Immunization Recommendation Status Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/>
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <span title="ImmunizationRecommendation.recommendation.dateCriterion : Vaccine date recommendations.
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            <a name="ImmunizationRecommendation.recommendation.dateCriterion"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Dates governing proposed immunization</td>
        </tr>

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAOZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/> 
            <span title="ImmunizationRecommendation.recommendation.dateCriterion.code : Date classification of
             recommendation.  For example, earliest date to give, latest date to give, etc.">code</span>
            <a name="ImmunizationRecommendation.recommendation.dateCriterion.code"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Type of date
            <br/>
            <a href="valueset-immunization-recommendation-date-criterion.html" title="Classifies date criterion with respect to conveying information about a patient's vaccination
             status (e.g. due date, latest to give date, etc.)">Immunization Recommendation Date Criterion Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="ImmunizationRecommendation.recommendation.dateCriterion.value : The date whose meaning
             is specified by dateCriterion.code.">value</span>
            <a name="ImmunizationRecommendation.recommendation.dateCriterion.value"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#dateTime">dateTime</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Recommended date</td>
        </tr>

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="ImmunizationRecommendation.recommendation.protocol : Contains information about the protocol
             under which the vaccine was administered.">protocol</span>
            <a name="ImmunizationRecommendation.recommendation.protocol"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Protocol used by recommendation</td>
        </tr>

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="ImmunizationRecommendation.recommendation.protocol.doseSequence : Indicates the nominal
             position in a series of the next dose.  This is the recommended dose number as per a specified
             protocol.">doseSequence</span>
            <a name="ImmunizationRecommendation.recommendation.protocol.doseSequence"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#positiveInt">positiveInt</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Dose number within sequence</td>
        </tr>

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="ImmunizationRecommendation.recommendation.protocol.description : Contains the description
             about the protocol under which the vaccine was administered.">description</span>
            <a name="ImmunizationRecommendation.recommendation.protocol.description"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Protocol details</td>
        </tr>

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/> 
            <span title="ImmunizationRecommendation.recommendation.protocol.authority : Indicates the authority
             who published the protocol.  For example, ACIP.">authority</span>
            <a name="ImmunizationRecommendation.recommendation.protocol.authority"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="organization.html">Organization</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Who is responsible for protocol</td>
        </tr>

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            <span title="ImmunizationRecommendation.recommendation.protocol.series : One possible path to achieve
             presumed immunity against a disease - within the context of an authority.">series</span>
            <a name="ImmunizationRecommendation.recommendation.protocol.series"> </a>
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           padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Name of vaccination series</td>
        </tr>

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            <span title="ImmunizationRecommendation.recommendation.supportingImmunization : Immunization event
             history that supports the status and recommendation.">supportingImmunization</span>
            <a name="ImmunizationRecommendation.recommendation.supportingImmunization"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="immunization.html">Immunization</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Past immunizations supporting recommendation</td>
        </tr>

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="ImmunizationRecommendation.recommendation.supportingPatientInformation : Patient Information
             that supports the status and recommendation.  This includes patient observations, adverse
             reactions and allergy/intolerance information.">supportingPatientInformation</span>
            <a name="ImmunizationRecommendation.recommendation.supportingPatientInformation"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="observation.html">Observation</a> | 
            <a href="allergyintolerance.html">AllergyIntolerance</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Patient observations supporting recommendation</td>
        </tr>

        <tr>
          <td class="hierarchy" colspan="5">
            <br/>
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/> Documentation for this format
            </a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
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  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pher"/>
  </extension>
  <url value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"/>
  <name value="ImmunizationRecommendation"/>
  <status value="draft"/>
  <publisher value="Health Level Seven International (Public Health and Emergency Response)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/pher/index.cfm"/>
    </telecom>
  </contact>
  <date value="2016-12-06T12:22:34+11:00"/>
  <description value="Base StructureDefinition for ImmunizationRecommendation Resource"/>
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    <name value="HL7 v2 Mapping"/>
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    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
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    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
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  <kind value="resource"/>
  <abstract value="false"/>
  <type value="ImmunizationRecommendation"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="ImmunizationRecommendation">
      <path value="ImmunizationRecommendation"/>
      <short value="Guidance or advice relating to an immunization"/>
      <definition value="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."/>
      <min value="0"/>
      <max value="*"/>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-1"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
        <expression value="contained.text.empty()"/>
        <xpath value="not(parent::f:contained and f:text)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
         a meta.lastUpdated"/>
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere
         in the resource"/>
        <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/>
        <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f
        :reference/@value=concat('#', $id))]))"/>
        <source value="DomainResource"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="VXU_V04"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="SubstanceAdministration[moodCode=RMD]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.medication"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.id">
      <path value="ImmunizationRecommendation.id"/>
      <short value="Logical id of this artifact"/>
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes."/>
      <comments value="The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="ImmunizationRecommendation.meta">
      <path value="ImmunizationRecommendation.meta"/>
      <short value="Metadata about the resource"/>
      <definition value="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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="ImmunizationRecommendation.implicitRules">
      <path value="ImmunizationRecommendation.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content."/>
      <comments value="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 as much as possible."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="ImmunizationRecommendation.language">
      <path value="ImmunizationRecommendation.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comments value="Language is provided to support indexing and accessibility (typically, services such as
       text to speech use the language tag). The html language tag in the narrative applies 
       to the narrative. The language tag on the resource may be used to specify the language
       of other presentations generated from the data in the resource  Not all the content has
       to be in the base language. The Resource.language should not be assumed to apply to the
       narrative automatically. If a language is specified, it should it also be specified on
       the div element in the html (see rules in HTML5 for information about the relationship
       between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ImmunizationRecommendation.text">
      <path value="ImmunizationRecommendation.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition value="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 &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety."/>
      <comments value="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 &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded in formation is added
       later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.contained">
      <path value="ImmunizationRecommendation.contained"/>
      <short value="Contained, inline Resources"/>
      <definition value="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."/>
      <comments value="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."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.extension">
      <path value="ImmunizationRecommendation.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="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."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.modifierExtension">
      <path value="ImmunizationRecommendation.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.identifier">
      <path value="ImmunizationRecommendation.identifier"/>
      <short value="Business identifier"/>
      <definition value="A unique identifier assigned to this particular recommendation record."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.patient">
      <path value="ImmunizationRecommendation.patient"/>
      <short value="Who this profile is for"/>
      <definition value="The patient for whom the recommendations are for."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".partipication[typeCode=SUBJ].role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation">
      <path value="ImmunizationRecommendation.recommendation"/>
      <short value="Vaccine administration recommendations"/>
      <definition value="Vaccine administration recommendations."/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() &gt; id.count()"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode='COMP'].target[classCode=SBADM, moodCode=RMD]"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.id">
      <path value="ImmunizationRecommendation.recommendation.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.extension">
      <path value="ImmunizationRecommendation.recommendation.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="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."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.modifierExtension">
      <path value="ImmunizationRecommendation.recommendation.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.date">
      <path value="ImmunizationRecommendation.recommendation.date"/>
      <short value="Date recommendation created"/>
      <definition value="The date the immunization recommendation was created."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-15"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".partipication[typeCode=AUTH].time"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.vaccineCode">
      <path value="ImmunizationRecommendation.recommendation.vaccineCode"/>
      <short value="Vaccine recommendation applies to"/>
      <definition value="Vaccine that pertains to the recommendation."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The type of vaccine administered"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vaccine-code"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-5 : OBX-3 e { 30956-7 | 38890-0 }"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".partipication[typeCode=CSM].role[classCode=ADMM].code"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.doseNumber">
      <path value="ImmunizationRecommendation.recommendation.doseNumber"/>
      <short value="Recommended dose number"/>
      <definition value="This indicates the next recommended dose number (e.g. dose 2 is the next recommended dose)."/>
      <comments value="May need other dose concepts such as administered vs. valid."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-5 : OBX-3 = 30973-2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".inboundRelationship[typeCode=COMP, .source[classCode=SBADM, moodCode=INT]].sequenceNumber"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.forecastStatus">
      <path value="ImmunizationRecommendation.recommendation.forecastStatus"/>
      <short value="Vaccine administration status"/>
      <definition value="Vaccine administration status."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The patient's status with respect to a vaccination protocol"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/immunization-recommendation-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-5 : OBX-3 = 59783-1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".inboundRelationship[typeCode=SUBJ] .source[classCode=OBS, moodCode=EVN, code=&quot;Immunization
         Forecast Status&quot;].value"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.dateCriterion">
      <path value="ImmunizationRecommendation.recommendation.dateCriterion"/>
      <short value="Dates governing proposed immunization"/>
      <definition value="Vaccine date recommendations.  For example, earliest date to administer, latest date to
       administer, etc."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() &gt; id.count()"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-3: 30980-7 = Next dose recommended, 59777-3 = Latest next dose should be given, 59778-1
         = Dose is overdue"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode='LIMIT'].target[classCode=OBS, moodCode=EVN, isCriterionInd=true]"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.dateCriterion.id">
      <path value="ImmunizationRecommendation.recommendation.dateCriterion.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.dateCriterion.extension">
      <path value="ImmunizationRecommendation.recommendation.dateCriterion.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="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."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.dateCriterion.modifierExtension">
      <path value="ImmunizationRecommendation.recommendation.dateCriterion.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.dateCriterion.code">
      <path value="ImmunizationRecommendation.recommendation.dateCriterion.code"/>
      <short value="Type of date"/>
      <definition value="Date classification of recommendation.  For example, earliest date to give, latest date
       to give, etc."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Classifies date criterion with respect to conveying information about a patient's vaccination
         status (e.g. due date, latest to give date, etc.)"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.dateCriterion.value">
      <path value="ImmunizationRecommendation.recommendation.dateCriterion.value"/>
      <short value="Recommended date"/>
      <definition value="The date whose meaning is specified by dateCriterion.code."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".value"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.protocol">
      <path value="ImmunizationRecommendation.recommendation.protocol"/>
      <short value="Protocol used by recommendation"/>
      <definition value="Contains information about the protocol under which the vaccine was administered."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() &gt; id.count()"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value=".inboundRelationship[typeCode=INST].source[classCode=SBADM, moodCode=DEF]"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.protocol.id">
      <path value="ImmunizationRecommendation.recommendation.protocol.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.protocol.extension">
      <path value="ImmunizationRecommendation.recommendation.protocol.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="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."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.protocol.modifierExtension">
      <path value="ImmunizationRecommendation.recommendation.protocol.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.protocol.doseSequence">
      <path value="ImmunizationRecommendation.recommendation.protocol.doseSequence"/>
      <short value="Dose number within sequence"/>
      <definition value="Indicates the nominal position in a series of the next dose.  This is the recommended
       dose number as per a specified protocol."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-5 : OBX-3 = 30973-2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".inboundRelationship[typeCode=COMP, .source[classCode=SBADM, moodCode=DEF]].sequenceNumber"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.protocol.description">
      <path value="ImmunizationRecommendation.recommendation.protocol.description"/>
      <short value="Protocol details"/>
      <definition value="Contains the description about the protocol under which the vaccine was administered."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-5 : OBX-3 = 30956-7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".text"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.protocol.authority">
      <path value="ImmunizationRecommendation.recommendation.protocol.authority"/>
      <short value="Who is responsible for protocol"/>
      <definition value="Indicates the authority who published the protocol.  For example, ACIP."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-5 : OBX-3 = 59779-9"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT]"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.protocol.series">
      <path value="ImmunizationRecommendation.recommendation.protocol.series"/>
      <short value="Name of vaccination series"/>
      <definition value="One possible path to achieve presumed immunity against a disease - within the context
       of an authority."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-5-administered code"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".title"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.supportingImmunization">
      <path value="ImmunizationRecommendation.recommendation.supportingImmunization"/>
      <short value="Past immunizations supporting recommendation"/>
      <definition value="Immunization event history that supports the status and recommendation."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="? No clear way to associate in HL7 v2 or IG"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=RSON].target[classCode=SBADM, moodCode=EVN, code=&quot;immunization&q
        uot;]"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.supportingPatientInformation">
      <path value="ImmunizationRecommendation.recommendation.supportingPatientInformation"/>
      <short value="Patient observations supporting recommendation"/>
      <definition value="Patient Information that supports the status and recommendation.  This includes patient
       observations, adverse reactions and allergy/intolerance information."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX If OBX is associated with ( RXA : RXA-5-administered code = '998^No vaccine administered^CVX'),
         could contain the reason the vaccine was not administered"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=RSON].target[classCode=OBS, moodCode=EVN]"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="ImmunizationRecommendation">
      <path value="ImmunizationRecommendation"/>
      <short value="Guidance or advice relating to an immunization"/>
      <definition value="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."/>
      <min value="0"/>
      <max value="*"/>
      <mapping>
        <identity value="v2"/>
        <map value="VXU_V04"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="SubstanceAdministration[moodCode=RMD]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.medication"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.identifier">
      <path value="ImmunizationRecommendation.identifier"/>
      <short value="Business identifier"/>
      <definition value="A unique identifier assigned to this particular recommendation record."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.patient">
      <path value="ImmunizationRecommendation.patient"/>
      <short value="Who this profile is for"/>
      <definition value="The patient for whom the recommendations are for."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".partipication[typeCode=SUBJ].role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation">
      <path value="ImmunizationRecommendation.recommendation"/>
      <short value="Vaccine administration recommendations"/>
      <definition value="Vaccine administration recommendations."/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode='COMP'].target[classCode=SBADM, moodCode=RMD]"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.date">
      <path value="ImmunizationRecommendation.recommendation.date"/>
      <short value="Date recommendation created"/>
      <definition value="The date the immunization recommendation was created."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-15"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".partipication[typeCode=AUTH].time"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.vaccineCode">
      <path value="ImmunizationRecommendation.recommendation.vaccineCode"/>
      <short value="Vaccine recommendation applies to"/>
      <definition value="Vaccine that pertains to the recommendation."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The type of vaccine administered"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/vaccine-code"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-5 : OBX-3 e { 30956-7 | 38890-0 }"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".partipication[typeCode=CSM].role[classCode=ADMM].code"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.doseNumber">
      <path value="ImmunizationRecommendation.recommendation.doseNumber"/>
      <short value="Recommended dose number"/>
      <definition value="This indicates the next recommended dose number (e.g. dose 2 is the next recommended dose)."/>
      <comments value="May need other dose concepts such as administered vs. valid."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-5 : OBX-3 = 30973-2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".inboundRelationship[typeCode=COMP, .source[classCode=SBADM, moodCode=INT]].sequenceNumber"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.forecastStatus">
      <path value="ImmunizationRecommendation.recommendation.forecastStatus"/>
      <short value="Vaccine administration status"/>
      <definition value="Vaccine administration status."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The patient's status with respect to a vaccination protocol"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/immunization-recommendation-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-5 : OBX-3 = 59783-1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".inboundRelationship[typeCode=SUBJ] .source[classCode=OBS, moodCode=EVN, code=&quot;Immunization
         Forecast Status&quot;].value"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.dateCriterion">
      <path value="ImmunizationRecommendation.recommendation.dateCriterion"/>
      <short value="Dates governing proposed immunization"/>
      <definition value="Vaccine date recommendations.  For example, earliest date to administer, latest date to
       administer, etc."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-3: 30980-7 = Next dose recommended, 59777-3 = Latest next dose should be given, 59778-1
         = Dose is overdue"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode='LIMIT'].target[classCode=OBS, moodCode=EVN, isCriterionInd=true]"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.dateCriterion.code">
      <path value="ImmunizationRecommendation.recommendation.dateCriterion.code"/>
      <short value="Type of date"/>
      <definition value="Date classification of recommendation.  For example, earliest date to give, latest date
       to give, etc."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Classifies date criterion with respect to conveying information about a patient's vaccination
         status (e.g. due date, latest to give date, etc.)"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.dateCriterion.value">
      <path value="ImmunizationRecommendation.recommendation.dateCriterion.value"/>
      <short value="Recommended date"/>
      <definition value="The date whose meaning is specified by dateCriterion.code."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".value"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.protocol">
      <path value="ImmunizationRecommendation.recommendation.protocol"/>
      <short value="Protocol used by recommendation"/>
      <definition value="Contains information about the protocol under which the vaccine was administered."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".inboundRelationship[typeCode=INST].source[classCode=SBADM, moodCode=DEF]"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.protocol.doseSequence">
      <path value="ImmunizationRecommendation.recommendation.protocol.doseSequence"/>
      <short value="Dose number within sequence"/>
      <definition value="Indicates the nominal position in a series of the next dose.  This is the recommended
       dose number as per a specified protocol."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-5 : OBX-3 = 30973-2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".inboundRelationship[typeCode=COMP, .source[classCode=SBADM, moodCode=DEF]].sequenceNumber"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.protocol.description">
      <path value="ImmunizationRecommendation.recommendation.protocol.description"/>
      <short value="Protocol details"/>
      <definition value="Contains the description about the protocol under which the vaccine was administered."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-5 : OBX-3 = 30956-7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".text"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.protocol.authority">
      <path value="ImmunizationRecommendation.recommendation.protocol.authority"/>
      <short value="Who is responsible for protocol"/>
      <definition value="Indicates the authority who published the protocol.  For example, ACIP."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-5 : OBX-3 = 59779-9"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT]"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.protocol.series">
      <path value="ImmunizationRecommendation.recommendation.protocol.series"/>
      <short value="Name of vaccination series"/>
      <definition value="One possible path to achieve presumed immunity against a disease - within the context
       of an authority."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-5-administered code"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".title"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.supportingImmunization">
      <path value="ImmunizationRecommendation.recommendation.supportingImmunization"/>
      <short value="Past immunizations supporting recommendation"/>
      <definition value="Immunization event history that supports the status and recommendation."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="? No clear way to associate in HL7 v2 or IG"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=RSON].target[classCode=SBADM, moodCode=EVN, code=&quot;immunization&q
        uot;]"/>
      </mapping>
    </element>
    <element id="ImmunizationRecommendation.recommendation.supportingPatientInformation">
      <path value="ImmunizationRecommendation.recommendation.supportingPatientInformation"/>
      <short value="Patient observations supporting recommendation"/>
      <definition value="Patient Information that supports the status and recommendation.  This includes patient
       observations, adverse reactions and allergy/intolerance information."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX If OBX is associated with ( RXA : RXA-5-administered code = '998^No vaccine administered^CVX'),
         could contain the reason the vaccine was not administered"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=RSON].target[classCode=OBS, moodCode=EVN]"/>
      </mapping>
    </element>
  </differential>
</StructureDefinition>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.