ANS IG document core
0.1.0 - ci-build

ANS IG document core - version de développement local (v0.1.0) construite par les outils de publication FHIR (HL7® FHIR® Standard). Voir le répertoire des versions publiées

## Resource Profile: ImmunizationRecommendation - FR Immunization Recommendation Document

Official URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-immunization-recommendation-document | Version: 0.1.0
Draft as of 2025-12-15 | Computable Name: FRImmunizationRecommendationDocument

FRImmunizationRecommendationDocument permet de décrire une vaccination prévue ou proposée.

- Une vaccination proposée est une proposition qui est utilisée dans la prise de décisions (elle peut apparaître comme une contribution ou un résultat provenant de l’aide à la décision clinique).
- Une vaccination prévue dépend d’un plan accepté et à venir.
- Ce profil hérite de la structuration, des contraintes et des vocabulaires définis dans le profil FRVaccinationDocument.

Utilisations:

- Ce Profil nest utilisé par aucun profil dans ce guide dimplémentation

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

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
ImmunizationRecommendation |  | 0..* | ImmunizationRecommendation | Guidance or advice relating to an immunization
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 Σ | 1..1 | Identifier | Identifiant de l’entrée. - Attribué par le LPS avec un identifiant unique de type UUID affecté à l’attribut root (l’attribut extension est omis).
patient | Σ | 1..1 | Reference(Patient) | Who this profile is for
date | Σ | 1..1 | dateTime | Date recommendation(s) created
recommendation | Σ C | 1..1 | BackboneElement | Vaccine administration recommendations Constraints: imr-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
vaccineCode | S Σ | 0..* | CodeableConcept | Vaccin. Code du produit de santé Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.
Slices pour coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Non ordonné, Ouvert par value:system
coding:cis | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Motif requis: https://smt.esante.gouv.fr/terminologie-bdpm
coding:translation | Σ | 0..* | Coding | Code defined by a terminology system Binding: ValueSet - FR ValueSet Medication Translation Document (required)
system | Σ | 1..1 | uri | Identity of the terminology system
forecastStatus | ?!Σ | 1..1 | CodeableConcept | Vaccine recommendation status Binding: ImmunizationRecommendationStatusCodes (example): The patient's status with respect to a vaccination protocol. Motif requis: Au moins les éléments suivants
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 0..1 | uri | Identity of the terminology system
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : complete
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
dateCriterion |  | 1..1 | BackboneElement | Dates governing proposed immunization
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).
value |  | 1..1 | dateTime | Période de vaccination souhaitable
description | S | 0..1 | string | Commentaire
Slices pour seriesDoses[x] |  | 0..1 |  | Recommended number of doses for immunity Slice: Non ordonné, Ouvert par type:$this
seriesDosesPositiveInt |  |  | positiveInt |
seriesDosesString |  |  | string |
seriesDoses[x]:seriesDosesPositiveInt | S | 0..1 | positiveInt | Recommended number of doses for immunity
supportingImmunization |  | 0..* | Reference(Immunization - FR Immunization Document) | Past immunizations supporting recommendation
supportingPatientInformation |  | 0..* | Reference(MedicationRequest - FR Medication Request Document) | Prescription
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
ImmunizationRecommendation.​recommendation.vaccineCode | Base | example | Vaccine Administered Value Set | 📍4.0.1 | Std. FHIR
ImmunizationRecommendation.​recommendation.vaccineCode.​coding:translation | Base | required | ValueSet - FR ValueSet Medication Translation Document | 📦0.1.0 | cet IG
ImmunizationRecommendation.​recommendation.forecastStatus | Base | example | Immunization Recommendation Status Codes | 📍4.0.1 | Std. FHIR
ImmunizationRecommendation.​recommendation.dateCriterion.​code | Base | example | Immunization Recommendation Date Criterion Codes | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | ImmunizationRecommendation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ImmunizationRecommendation | 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 | ImmunizationRecommendation | 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 | ImmunizationRecommendation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | ImmunizationRecommendation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
imr-1 | error | ImmunizationRecommendation.recommendation | One of vaccineCode or targetDisease SHALL be present | `vaccineCode.exists() or targetDisease.exists()`

This structure is derived from ImmunizationRecommendation

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
ImmunizationRecommendation |  | 0..* | ImmunizationRecommendation | Guidance or advice relating to an immunization
identifier | S | 1..1 | Identifier | Identifiant de l’entrée. - Attribué par le LPS avec un identifiant unique de type UUID affecté à l’attribut root (l’attribut extension est omis).
recommendation |  | 1..1 | BackboneElement | Vaccine administration recommendations
vaccineCode | S | 0..* | CodeableConcept | Vaccin. Code du produit de santé
Slices pour coding |  | 1..* | Coding | Code defined by a terminology system Slice: Non ordonné, Ouvert par value:system
coding:cis |  | 1..1 | Coding | Code defined by a terminology system
system |  | 1..1 | uri | Identity of the terminology system Motif requis: https://smt.esante.gouv.fr/terminologie-bdpm
coding:translation |  | 0..* | Coding | Code defined by a terminology system Binding: ValueSet - FR ValueSet Medication Translation Document (required)
system |  | 1..1 | uri | Identity of the terminology system
forecastStatus |  | 1..1 | CodeableConcept | Vaccine recommendation status Motif requis: Au moins les éléments suivants
coding |  | 1..* | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : complete
dateCriterion |  | 1..1 | BackboneElement | Dates governing proposed immunization
value |  | 1..1 | dateTime | Période de vaccination souhaitable
description | S | 0..1 | string | Commentaire
Slices pour seriesDoses[x] |  | 0..1 | positiveInt, string | Recommended number of doses for immunity Slice: Non ordonné, Ouvert par type:$this
seriesDoses[x]:seriesDosesPositiveInt | S | 0..1 | positiveInt | Recommended number of doses for immunity
supportingImmunization |  | 0..* | Reference(Immunization - FR Immunization Document) | Past immunizations supporting recommendation
supportingPatientInformation |  | 0..* | Reference(MedicationRequest - FR Medication Request Document) | Prescription
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
ImmunizationRecommendation.​recommendation.vaccineCode.​coding:translation | Base | required | ValueSet - FR ValueSet Medication Translation Document | 📦0.1.0 | cet IG

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
ImmunizationRecommendation |  | 0..* | ImmunizationRecommendation | Guidance or advice relating to an immunization
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.
Bindings Additionnels | But
AllLanguages | Binding Max
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 Σ | 1..1 | Identifier | Identifiant de l’entrée. - Attribué par le LPS avec un identifiant unique de type UUID affecté à l’attribut root (l’attribut extension est omis).
patient | Σ | 1..1 | Reference(Patient) | Who this profile is for
date | Σ | 1..1 | dateTime | Date recommendation(s) created
authority |  | 0..1 | Reference(Organization) | Who is responsible for protocol
recommendation | Σ C | 1..1 | BackboneElement | Vaccine administration recommendations Constraints: imr-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
vaccineCode | S Σ | 0..* | CodeableConcept | Vaccin. Code du produit de santé Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
Slices pour coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Non ordonné, Ouvert par value:system
coding:cis | Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
system | Σ | 1..1 | uri | Identity of the terminology system Motif requis: https://smt.esante.gouv.fr/terminologie-bdpm
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:translation | Σ | 0..* | Coding | Code defined by a terminology system Binding: ValueSet - FR ValueSet Medication Translation Document (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
system | Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
targetDisease | Σ | 0..1 | CodeableConcept | Disease to be immunized against Binding: ImmunizationRecommendationTargetDiseaseCodes (example): The disease that the recommended vaccination targets.
contraindicatedVaccineCode | Σ | 0..* | CodeableConcept | Vaccine which is contraindicated to fulfill the recommendation Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.
forecastStatus | ?!Σ | 1..1 | CodeableConcept | Vaccine recommendation status Binding: ImmunizationRecommendationStatusCodes (example): The patient's status with respect to a vaccination protocol. Motif requis: Au moins les éléments suivants
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 0..1 | uri | Identity of the terminology system
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : complete
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
forecastReason | Σ | 0..* | CodeableConcept | Vaccine administration status reason Binding: ImmunizationRecommendationReasonCodes (example): The reason for the patient's status with respect to a vaccination protocol.
dateCriterion |  | 1..1 | BackboneElement | Dates governing proposed 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
code |  | 1..1 | CodeableConcept | Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).
value |  | 1..1 | dateTime | Période de vaccination souhaitable
description | S | 0..1 | string | Commentaire
series |  | 0..1 | string | Name of vaccination series
doseNumber[x] | Σ | 0..1 |  | Recommended dose number within series
doseNumberPositiveInt |  |  | positiveInt |
doseNumberString |  |  | string |
Slices pour seriesDoses[x] |  | 0..1 |  | Recommended number of doses for immunity Slice: Non ordonné, Ouvert par type:$this
seriesDosesPositiveInt |  |  | positiveInt |
seriesDosesString |  |  | string |
seriesDoses[x]:seriesDosesPositiveInt | S | 0..1 | positiveInt | Recommended number of doses for immunity
supportingImmunization |  | 0..* | Reference(Immunization - FR Immunization Document) | Past immunizations supporting recommendation
supportingPatientInformation |  | 0..* | Reference(MedicationRequest - FR Medication Request Document) | Prescription
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
ImmunizationRecommendation.​language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
ImmunizationRecommendation.​recommendation.vaccineCode | Base | example | Vaccine Administered Value Set | 📍4.0.1 | Std. FHIR
ImmunizationRecommendation.​recommendation.vaccineCode.​coding:translation | Base | required | ValueSet - FR ValueSet Medication Translation Document | 📦0.1.0 | cet IG
ImmunizationRecommendation.​recommendation.targetDisease | Base | example | Immunization Recommendation Target Disease Codes | 📍4.0.1 | Std. FHIR
ImmunizationRecommendation.​recommendation.contraindicatedVaccineCode | Base | example | Vaccine Administered Value Set | 📍4.0.1 | Std. FHIR
ImmunizationRecommendation.​recommendation.forecastStatus | Base | example | Immunization Recommendation Status Codes | 📍4.0.1 | Std. FHIR
ImmunizationRecommendation.​recommendation.forecastReason | Base | example | Immunization Recommendation Reason Codes | 📍4.0.1 | Std. FHIR
ImmunizationRecommendation.​recommendation.dateCriterion.​code | Base | example | Immunization Recommendation Date Criterion Codes | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | ImmunizationRecommendation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ImmunizationRecommendation | 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 | ImmunizationRecommendation | 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 | ImmunizationRecommendation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | ImmunizationRecommendation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
imr-1 | error | ImmunizationRecommendation.recommendation | One of vaccineCode or targetDisease SHALL be present | `vaccineCode.exists() or targetDisease.exists()`

This structure is derived from ImmunizationRecommendation

Résumé

Obligatoire : 2 éléments(4 éléments obligatoire(s) imbriqué(s))
Must-Support : 4 éléments

Structures

Cette structure fait référence à ces autres structures:

- Immunization - FR Immunization Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-immunization-document)
- MedicationRequest - FR Medication Request Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-request-document)

Slices

Cette structure définit les slices suivantes:

- The element 1 is sliced based on the value of ImmunizationRecommendation.recommendation.vaccineCode.coding
- The element 1 is sliced based on the value of ImmunizationRecommendation.recommendation.seriesDoses[x]

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
ImmunizationRecommendation |  | 0..* | ImmunizationRecommendation | Guidance or advice relating to an immunization
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 Σ | 1..1 | Identifier | Identifiant de l’entrée. - Attribué par le LPS avec un identifiant unique de type UUID affecté à l’attribut root (l’attribut extension est omis).
patient | Σ | 1..1 | Reference(Patient) | Who this profile is for
date | Σ | 1..1 | dateTime | Date recommendation(s) created
recommendation | Σ C | 1..1 | BackboneElement | Vaccine administration recommendations Constraints: imr-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
vaccineCode | S Σ | 0..* | CodeableConcept | Vaccin. Code du produit de santé Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.
Slices pour coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Non ordonné, Ouvert par value:system
coding:cis | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Motif requis: https://smt.esante.gouv.fr/terminologie-bdpm
coding:translation | Σ | 0..* | Coding | Code defined by a terminology system Binding: ValueSet - FR ValueSet Medication Translation Document (required)
system | Σ | 1..1 | uri | Identity of the terminology system
forecastStatus | ?!Σ | 1..1 | CodeableConcept | Vaccine recommendation status Binding: ImmunizationRecommendationStatusCodes (example): The patient's status with respect to a vaccination protocol. Motif requis: Au moins les éléments suivants
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 0..1 | uri | Identity of the terminology system
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : complete
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
dateCriterion |  | 1..1 | BackboneElement | Dates governing proposed immunization
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).
value |  | 1..1 | dateTime | Période de vaccination souhaitable
description | S | 0..1 | string | Commentaire
Slices pour seriesDoses[x] |  | 0..1 |  | Recommended number of doses for immunity Slice: Non ordonné, Ouvert par type:$this
seriesDosesPositiveInt |  |  | positiveInt |
seriesDosesString |  |  | string |
seriesDoses[x]:seriesDosesPositiveInt | S | 0..1 | positiveInt | Recommended number of doses for immunity
supportingImmunization |  | 0..* | Reference(Immunization - FR Immunization Document) | Past immunizations supporting recommendation
supportingPatientInformation |  | 0..* | Reference(MedicationRequest - FR Medication Request Document) | Prescription
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
ImmunizationRecommendation.​recommendation.vaccineCode | Base | example | Vaccine Administered Value Set | 📍4.0.1 | Std. FHIR
ImmunizationRecommendation.​recommendation.vaccineCode.​coding:translation | Base | required | ValueSet - FR ValueSet Medication Translation Document | 📦0.1.0 | cet IG
ImmunizationRecommendation.​recommendation.forecastStatus | Base | example | Immunization Recommendation Status Codes | 📍4.0.1 | Std. FHIR
ImmunizationRecommendation.​recommendation.dateCriterion.​code | Base | example | Immunization Recommendation Date Criterion Codes | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | ImmunizationRecommendation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ImmunizationRecommendation | 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 | ImmunizationRecommendation | 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 | ImmunizationRecommendation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | ImmunizationRecommendation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
imr-1 | error | ImmunizationRecommendation.recommendation | One of vaccineCode or targetDisease SHALL be present | `vaccineCode.exists() or targetDisease.exists()`

Differential View

This structure is derived from ImmunizationRecommendation

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
ImmunizationRecommendation |  | 0..* | ImmunizationRecommendation | Guidance or advice relating to an immunization
identifier | S | 1..1 | Identifier | Identifiant de l’entrée. - Attribué par le LPS avec un identifiant unique de type UUID affecté à l’attribut root (l’attribut extension est omis).
recommendation |  | 1..1 | BackboneElement | Vaccine administration recommendations
vaccineCode | S | 0..* | CodeableConcept | Vaccin. Code du produit de santé
Slices pour coding |  | 1..* | Coding | Code defined by a terminology system Slice: Non ordonné, Ouvert par value:system
coding:cis |  | 1..1 | Coding | Code defined by a terminology system
system |  | 1..1 | uri | Identity of the terminology system Motif requis: https://smt.esante.gouv.fr/terminologie-bdpm
coding:translation |  | 0..* | Coding | Code defined by a terminology system Binding: ValueSet - FR ValueSet Medication Translation Document (required)
system |  | 1..1 | uri | Identity of the terminology system
forecastStatus |  | 1..1 | CodeableConcept | Vaccine recommendation status Motif requis: Au moins les éléments suivants
coding |  | 1..* | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : complete
dateCriterion |  | 1..1 | BackboneElement | Dates governing proposed immunization
value |  | 1..1 | dateTime | Période de vaccination souhaitable
description | S | 0..1 | string | Commentaire
Slices pour seriesDoses[x] |  | 0..1 | positiveInt, string | Recommended number of doses for immunity Slice: Non ordonné, Ouvert par type:$this
seriesDoses[x]:seriesDosesPositiveInt | S | 0..1 | positiveInt | Recommended number of doses for immunity
supportingImmunization |  | 0..* | Reference(Immunization - FR Immunization Document) | Past immunizations supporting recommendation
supportingPatientInformation |  | 0..* | Reference(MedicationRequest - FR Medication Request Document) | Prescription
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
ImmunizationRecommendation.​recommendation.vaccineCode.​coding:translation | Base | required | ValueSet - FR ValueSet Medication Translation Document | 📦0.1.0 | cet IG

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
ImmunizationRecommendation |  | 0..* | ImmunizationRecommendation | Guidance or advice relating to an immunization
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.
Bindings Additionnels | But
AllLanguages | Binding Max
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 Σ | 1..1 | Identifier | Identifiant de l’entrée. - Attribué par le LPS avec un identifiant unique de type UUID affecté à l’attribut root (l’attribut extension est omis).
patient | Σ | 1..1 | Reference(Patient) | Who this profile is for
date | Σ | 1..1 | dateTime | Date recommendation(s) created
authority |  | 0..1 | Reference(Organization) | Who is responsible for protocol
recommendation | Σ C | 1..1 | BackboneElement | Vaccine administration recommendations Constraints: imr-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
vaccineCode | S Σ | 0..* | CodeableConcept | Vaccin. Code du produit de santé Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
Slices pour coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Non ordonné, Ouvert par value:system
coding:cis | Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
system | Σ | 1..1 | uri | Identity of the terminology system Motif requis: https://smt.esante.gouv.fr/terminologie-bdpm
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:translation | Σ | 0..* | Coding | Code defined by a terminology system Binding: ValueSet - FR ValueSet Medication Translation Document (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
system | Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
targetDisease | Σ | 0..1 | CodeableConcept | Disease to be immunized against Binding: ImmunizationRecommendationTargetDiseaseCodes (example): The disease that the recommended vaccination targets.
contraindicatedVaccineCode | Σ | 0..* | CodeableConcept | Vaccine which is contraindicated to fulfill the recommendation Binding: VaccineAdministeredValueSet (example): The type of vaccine administered.
forecastStatus | ?!Σ | 1..1 | CodeableConcept | Vaccine recommendation status Binding: ImmunizationRecommendationStatusCodes (example): The patient's status with respect to a vaccination protocol. Motif requis: Au moins les éléments suivants
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 0..1 | uri | Identity of the terminology system
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : complete
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
forecastReason | Σ | 0..* | CodeableConcept | Vaccine administration status reason Binding: ImmunizationRecommendationReasonCodes (example): The reason for the patient's status with respect to a vaccination protocol.
dateCriterion |  | 1..1 | BackboneElement | Dates governing proposed 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
code |  | 1..1 | CodeableConcept | Type of date Binding: ImmunizationRecommendationDateCriterionCodes (example): Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).
value |  | 1..1 | dateTime | Période de vaccination souhaitable
description | S | 0..1 | string | Commentaire
series |  | 0..1 | string | Name of vaccination series
doseNumber[x] | Σ | 0..1 |  | Recommended dose number within series
doseNumberPositiveInt |  |  | positiveInt |
doseNumberString |  |  | string |
Slices pour seriesDoses[x] |  | 0..1 |  | Recommended number of doses for immunity Slice: Non ordonné, Ouvert par type:$this
seriesDosesPositiveInt |  |  | positiveInt |
seriesDosesString |  |  | string |
seriesDoses[x]:seriesDosesPositiveInt | S | 0..1 | positiveInt | Recommended number of doses for immunity
supportingImmunization |  | 0..* | Reference(Immunization - FR Immunization Document) | Past immunizations supporting recommendation
supportingPatientInformation |  | 0..* | Reference(MedicationRequest - FR Medication Request Document) | Prescription
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
ImmunizationRecommendation.​language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
ImmunizationRecommendation.​recommendation.vaccineCode | Base | example | Vaccine Administered Value Set | 📍4.0.1 | Std. FHIR
ImmunizationRecommendation.​recommendation.vaccineCode.​coding:translation | Base | required | ValueSet - FR ValueSet Medication Translation Document | 📦0.1.0 | cet IG
ImmunizationRecommendation.​recommendation.targetDisease | Base | example | Immunization Recommendation Target Disease Codes | 📍4.0.1 | Std. FHIR
ImmunizationRecommendation.​recommendation.contraindicatedVaccineCode | Base | example | Vaccine Administered Value Set | 📍4.0.1 | Std. FHIR
ImmunizationRecommendation.​recommendation.forecastStatus | Base | example | Immunization Recommendation Status Codes | 📍4.0.1 | Std. FHIR
ImmunizationRecommendation.​recommendation.forecastReason | Base | example | Immunization Recommendation Reason Codes | 📍4.0.1 | Std. FHIR
ImmunizationRecommendation.​recommendation.dateCriterion.​code | Base | example | Immunization Recommendation Date Criterion Codes | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | ImmunizationRecommendation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ImmunizationRecommendation | 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 | ImmunizationRecommendation | 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 | ImmunizationRecommendation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | ImmunizationRecommendation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
imr-1 | error | ImmunizationRecommendation.recommendation | One of vaccineCode or targetDisease SHALL be present | `vaccineCode.exists() or targetDisease.exists()`

This structure is derived from ImmunizationRecommendation

Résumé

Obligatoire : 2 éléments(4 éléments obligatoire(s) imbriqué(s))
Must-Support : 4 éléments

Structures

Cette structure fait référence à ces autres structures:

- Immunization - FR Immunization Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-immunization-document)
- MedicationRequest - FR Medication Request Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-request-document)

Slices

Cette structure définit les slices suivantes:

- The element 1 is sliced based on the value of ImmunizationRecommendation.recommendation.vaccineCode.coding
- The element 1 is sliced based on the value of ImmunizationRecommendation.recommendation.seriesDoses[x]

Other representations of profile: CSV, Excel, Schematron