Medtech ALEX® AU Implementation Guide
1.0.0 - Trial Use International flag

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

Resource Profile: Immunisation

Official URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/alex-immunisation Version: 1.0.0
Active as of 2025-10-12 Computable Name: AlexImmunisation

The Immunisation exposed by ALEX

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Immunization C 0..* AUBaseImmunisation An immunisation statement in an Australian healthcare context
Constraints: status-reason-validation, note-validation
... meta Σ 0..1 Meta Metadata about the resource
.... lastUpdated SΣ 0..1 instant When the resource version last changed
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:vaccineSerialNumber S 0..1 string Vaccine vial serial number
URL: http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/vaccine-serial-number-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... statusReason 0..1 CodeableConcept Reason not done
Binding: ImmunizationStatusReasonCodes (required)
... vaccineCode SΣ 1..1 CodeableConcept Vaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:mtVaccineCode Σ 0..1 Coding Code defined by a terminology system
Binding: Immunisation Vaccine Value Set (preferred)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/vaccine-code
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
... patient SΣ 1..1 Reference(Patient) Who was immunized
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... display Σ 0..1 string External Name of Patient
... Slices for occurrence[x] Σ 1..1 dateTime Vaccine administration date
Slice: Unordered, Closed by type:$this
.... occurrence[x]:occurrenceDateTime SΣ 1..1 dateTime Vaccine administration date
... recorded S 0..1 dateTime When the immunization was first captured in the subject's record
... lotNumber S 0..1 string Vaccine lot number
... expirationDate S 0..1 date Vaccine expiration date
... site 0..1 CodeableConcept Body site vaccine was administered
Binding: Codes for Immunization Site of Administration (required)
... route 0..1 CodeableConcept How vaccine entered body
Binding: Immunisation Route of Administration (required)
... Slices for performer SΣ 2..2 BackboneElement Who performed event
Slice: Unordered, Open by pattern:function
.... performer:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... actor SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization) Individual or organization who was performing
.... performer:administeredBy Σ 1..1 BackboneElement Immunisation Administered By
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 1..1 CodeableConcept Administering role
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
Required Pattern: At least the following
...... 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
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AP
....... 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
..... actor SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization) Administering performer
.... performer:approvedBy Σ 1..1 BackboneElement Immunisation Approved By
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 1..1 CodeableConcept Approver role
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
Required Pattern: At least the following
...... 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
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: OP
....... 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
..... actor SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization) Approver
... note SΣ 0..* Annotation Additional immunization notes
... protocolApplied 0..* BackboneElement Protocol followed by the provider
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for doseNumber[x] 1..1 Dose number within series
Slice: Unordered, Open by type:$this
..... doseNumberPositiveInt positiveInt
..... doseNumberString string
..... doseNumber[x]:doseNumberPositiveInt S 0..1 positiveInt Dose number within series

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Immunization.status Base required Status for Immunisation 📦1.0.0 This IG
Immunization.statusReason Base required Immunization Status Reason Codes 📦4.0.1 FHIR Std.
Immunization.vaccineCode Base example Vaccine Administered Value Set 📦4.0.1 FHIR Std.
Immunization.vaccineCode.​coding:mtVaccineCode Base preferred Immunisation Vaccine Value Set 📦1.0.0 This IG
Immunization.site Base required Codes for Immunization Site of Administration 📦1.0.0 This IG
Immunization.route Base required Immunisation Route of Administration 📦1.0.0 This IG
Immunization.performer:administeredBy.​function Base extensible Immunization Function Codes 📦4.0.1 FHIR Std.
Immunization.performer:approvedBy.​function Base extensible Immunization Function Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Immunization If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Immunization If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Immunization If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Immunization If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Immunization A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
note-validation error Immunization Note must not exceed 4096 characters note.text.empty() or note.text.length() <= 4096
status-reason-validation error Immunization Status reason must be provided if status is 'not-done' status.empty() or status = 'completed' or (status = 'not-done' and statusReason.empty().not())

This structure is derived from AUBaseImmunisation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Immunization C 0..* AUBaseImmunisation An immunisation statement in an Australian healthcare context
Constraints: status-reason-validation, note-validation
... meta
.... lastUpdated S 0..1 instant When the resource version last changed
... implicitRules 0..0
... language 0..0
... contained 0..0
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:vaccineSerialNumber S 0..1 string Vaccine vial serial number
URL: http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/vaccine-serial-number-1
... identifier 0..0
... status 1..1 code completed | entered-in-error | not-done
Binding: Status for Immunisation (required)
... statusReason 0..1 CodeableConcept Reason not done
Binding: ImmunizationStatusReasonCodes (required)
... vaccineCode S 1..1 CodeableConcept Vaccine product administered
.... Slices for coding Content/Rules for all slices
..... coding:amtVaccineCode 0..0
..... coding:airVaccineCode 0..0
..... coding:mtVaccineCode 0..1 Coding Code defined by a terminology system
Binding: Immunisation Vaccine Value Set (preferred)
...... system S 1..1 uri Identity of the terminology system
Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/vaccine-code
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
... patient S 1..1 Reference(Patient) Who was immunized
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
.... display 0..1 string External Name of Patient
... Slices for occurrence[x] 1..1 dateTime Vaccine administration date
Slice: Unordered, Open by type:$this
.... occurrence[x]:occurrenceDateTime S 1..1 dateTime Vaccine administration date
... recorded S 0..1 dateTime When the immunization was first captured in the subject's record
... lotNumber S 0..1 string Vaccine lot number
... expirationDate S 0..1 date Vaccine expiration date
... site 0..1 CodeableConcept Body site vaccine was administered
Binding: Codes for Immunization Site of Administration (required)
... route 0..1 CodeableConcept How vaccine entered body
Binding: Immunisation Route of Administration (required)
... doseQuantity 0..0
... performer S 2..2 BackboneElement Who performed event
.... actor S 1..1 Reference(Practitioner | PractitionerRole | Organization) Individual or organization who was performing
... Slices for performer Content/Rules for all slices
.... performer:administeredBy 1..1 BackboneElement Immunisation Administered By
..... actor S 1..1 Reference(Practitioner | PractitionerRole | Organization) Administering performer
.... performer:approvedBy 1..1 BackboneElement Immunisation Approved By
..... actor S 1..1 Reference(Practitioner | PractitionerRole | Organization) Approver
... note S 0..* Annotation Additional immunization notes
... reasonCode 0..0
... reasonReference 0..0
... isSubpotent 0..0
... subpotentReason 0..0
... education 0..0
... programEligibility 0..0
... reaction 0..0
... protocolApplied
.... Slices for doseNumber[x] 1..1 positiveInt, string Dose number within series
Slice: Unordered, Open by type:$this
..... doseNumber[x]:doseNumberPositiveInt S 0..1 positiveInt Dose number within series

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Immunization.status Base required Status for Immunisation 📦1.0.0 This IG
Immunization.statusReason Base required Immunization Status Reason Codes 📦4.0.1 FHIR Std.
Immunization.vaccineCode.​coding:mtVaccineCode Base preferred Immunisation Vaccine Value Set 📦1.0.0 This IG
Immunization.site Base required Codes for Immunization Site of Administration 📦1.0.0 This IG
Immunization.route Base required Immunisation Route of Administration 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
note-validation error Immunization Note must not exceed 4096 characters note.text.empty() or note.text.length() <= 4096
status-reason-validation error Immunization Status reason must be provided if status is 'not-done' status.empty() or status = 'completed' or (status = 'not-done' and statusReason.empty().not())
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Immunization C 0..* AUBaseImmunisation An immunisation statement in an Australian healthcare context
Constraints: status-reason-validation, note-validation
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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
.... extension:vaccineSerialNumber S 0..1 string Vaccine vial serial number
URL: http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/vaccine-serial-number-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code completed | entered-in-error | not-done
Binding: Status for Immunisation (required)
... statusReason 0..1 CodeableConcept Reason not done
Binding: ImmunizationStatusReasonCodes (required)
... vaccineCode SΣ 1..1 CodeableConcept Vaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:mtVaccineCode Σ 0..1 Coding Code defined by a terminology system
Binding: Immunisation Vaccine Value Set (preferred)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/vaccine-code
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 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
... patient SΣ 1..1 Reference(Patient) Who was immunized
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string External Name of Patient
... encounter 0..1 Reference(Encounter) Encounter immunization was part of
... Slices for occurrence[x] Σ 1..1 dateTime Vaccine administration date
Slice: Unordered, Closed by type:$this
.... occurrence[x]:occurrenceDateTime SΣ 1..1 dateTime Vaccine administration date
... recorded S 0..1 dateTime When the immunization was first captured in the subject's record
... primarySource Σ 0..1 boolean Indicates context the data was recorded in
... reportOrigin 0..1 CodeableConcept Indicates the source of a secondarily reported record
Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.
... location 0..1 Reference(Location) Where immunization occurred
... manufacturer 0..1 Reference(Organization) Vaccine manufacturer
... lotNumber S 0..1 string Vaccine lot number
... expirationDate S 0..1 date Vaccine expiration date
... site 0..1 CodeableConcept Body site vaccine was administered
Binding: Codes for Immunization Site of Administration (required)
... route 0..1 CodeableConcept How vaccine entered body
Binding: Immunisation Route of Administration (required)
... Slices for performer SΣ 2..2 BackboneElement Who performed event
Slice: Unordered, Open by pattern:function
.... performer:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 0..1 CodeableConcept What type of performance was done
Binding: hl7VS-providerRole - AU Extended (extensible)
..... actor SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization) Individual or organization who was performing
.... performer:administeredBy Σ 1..1 BackboneElement Immunisation Administered By
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 1..1 CodeableConcept Administering role
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
Required Pattern: At least the following
...... 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
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AP
....... 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
..... actor SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization) Administering performer
.... performer:approvedBy Σ 1..1 BackboneElement Immunisation Approved By
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 1..1 CodeableConcept Approver role
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
Required Pattern: At least the following
...... 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
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: OP
....... 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
..... actor SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization) Approver
... note SΣ 0..* Annotation Additional immunization notes
... fundingSource 0..1 CodeableConcept Funding source for the vaccine
Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
... protocolApplied 0..* BackboneElement Protocol followed by the provider
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... series 0..1 string Name of vaccine series
.... authority 0..1 Reference(Organization) Who is responsible for publishing the recommendations
.... targetDisease 0..* CodeableConcept Vaccine preventatable disease being targetted
Binding: Vaccination Target Disease . (preferred)
.... Slices for doseNumber[x] 1..1 Dose number within series
Slice: Unordered, Open by type:$this
..... doseNumberPositiveInt positiveInt
..... doseNumberString string
..... doseNumber[x]:doseNumberPositiveInt S 0..1 positiveInt Dose number within series
.... seriesDoses[x] 0..1 Recommended number of doses for immunity
..... seriesDosesPositiveInt positiveInt
..... seriesDosesString string

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Immunization.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Immunization.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Immunization.status Base required Status for Immunisation 📦1.0.0 This IG
Immunization.statusReason Base required Immunization Status Reason Codes 📦4.0.1 FHIR Std.
Immunization.vaccineCode Base example Vaccine Administered Value Set 📦4.0.1 FHIR Std.
Immunization.vaccineCode.​coding:mtVaccineCode Base preferred Immunisation Vaccine Value Set 📦1.0.0 This IG
Immunization.patient.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Immunization.reportOrigin Base example Immunization Origin Codes 📦4.0.1 FHIR Std.
Immunization.site Base required Codes for Immunization Site of Administration 📦1.0.0 This IG
Immunization.route Base required Immunisation Route of Administration 📦1.0.0 This IG
Immunization.performer.​function Base extensible hl7VS-providerRole - AU Extended 📦4.1.0 AU Base Implementation Guide v4.1
Immunization.performer:administeredBy.​function Base extensible Immunization Function Codes 📦4.0.1 FHIR Std.
Immunization.performer:approvedBy.​function Base extensible Immunization Function Codes 📦4.0.1 FHIR Std.
Immunization.fundingSource Base example Immunization Funding Source 📦4.0.1 FHIR Std.
Immunization.protocolApplied.​targetDisease Base preferred Vaccination Target Disease . ⏿1.0.2 tx.ontoserver.csiro.au

Constraints

Id Grade Path(s) Description Expression
dom-2 error Immunization If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Immunization If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Immunization If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Immunization If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Immunization A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
note-validation error Immunization Note must not exceed 4096 characters note.text.empty() or note.text.length() <= 4096
status-reason-validation error Immunization Status reason must be provided if status is 'not-done' status.empty() or status = 'completed' or (status = 'not-done' and statusReason.empty().not())

This structure is derived from AUBaseImmunisation

Summary

Mandatory: 3 elements(2 nested mandatory elements)
Must-Support: 18 elements
Prohibited: 14 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Immunization.occurrence[x]
  • The element 1 is sliced based on the value of Immunization.protocolApplied.doseNumber[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Immunization C 0..* AUBaseImmunisation An immunisation statement in an Australian healthcare context
Constraints: status-reason-validation, note-validation
... meta Σ 0..1 Meta Metadata about the resource
.... lastUpdated SΣ 0..1 instant When the resource version last changed
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:vaccineSerialNumber S 0..1 string Vaccine vial serial number
URL: http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/vaccine-serial-number-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... statusReason 0..1 CodeableConcept Reason not done
Binding: ImmunizationStatusReasonCodes (required)
... vaccineCode SΣ 1..1 CodeableConcept Vaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:mtVaccineCode Σ 0..1 Coding Code defined by a terminology system
Binding: Immunisation Vaccine Value Set (preferred)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/vaccine-code
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
... patient SΣ 1..1 Reference(Patient) Who was immunized
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... display Σ 0..1 string External Name of Patient
... Slices for occurrence[x] Σ 1..1 dateTime Vaccine administration date
Slice: Unordered, Closed by type:$this
.... occurrence[x]:occurrenceDateTime SΣ 1..1 dateTime Vaccine administration date
... recorded S 0..1 dateTime When the immunization was first captured in the subject's record
... lotNumber S 0..1 string Vaccine lot number
... expirationDate S 0..1 date Vaccine expiration date
... site 0..1 CodeableConcept Body site vaccine was administered
Binding: Codes for Immunization Site of Administration (required)
... route 0..1 CodeableConcept How vaccine entered body
Binding: Immunisation Route of Administration (required)
... Slices for performer SΣ 2..2 BackboneElement Who performed event
Slice: Unordered, Open by pattern:function
.... performer:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... actor SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization) Individual or organization who was performing
.... performer:administeredBy Σ 1..1 BackboneElement Immunisation Administered By
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 1..1 CodeableConcept Administering role
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
Required Pattern: At least the following
...... 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
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AP
....... 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
..... actor SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization) Administering performer
.... performer:approvedBy Σ 1..1 BackboneElement Immunisation Approved By
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 1..1 CodeableConcept Approver role
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
Required Pattern: At least the following
...... 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
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: OP
....... 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
..... actor SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization) Approver
... note SΣ 0..* Annotation Additional immunization notes
... protocolApplied 0..* BackboneElement Protocol followed by the provider
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for doseNumber[x] 1..1 Dose number within series
Slice: Unordered, Open by type:$this
..... doseNumberPositiveInt positiveInt
..... doseNumberString string
..... doseNumber[x]:doseNumberPositiveInt S 0..1 positiveInt Dose number within series

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Immunization.status Base required Status for Immunisation 📦1.0.0 This IG
Immunization.statusReason Base required Immunization Status Reason Codes 📦4.0.1 FHIR Std.
Immunization.vaccineCode Base example Vaccine Administered Value Set 📦4.0.1 FHIR Std.
Immunization.vaccineCode.​coding:mtVaccineCode Base preferred Immunisation Vaccine Value Set 📦1.0.0 This IG
Immunization.site Base required Codes for Immunization Site of Administration 📦1.0.0 This IG
Immunization.route Base required Immunisation Route of Administration 📦1.0.0 This IG
Immunization.performer:administeredBy.​function Base extensible Immunization Function Codes 📦4.0.1 FHIR Std.
Immunization.performer:approvedBy.​function Base extensible Immunization Function Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Immunization If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Immunization If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Immunization If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Immunization If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Immunization A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
note-validation error Immunization Note must not exceed 4096 characters note.text.empty() or note.text.length() <= 4096
status-reason-validation error Immunization Status reason must be provided if status is 'not-done' status.empty() or status = 'completed' or (status = 'not-done' and statusReason.empty().not())

Differential View

This structure is derived from AUBaseImmunisation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Immunization C 0..* AUBaseImmunisation An immunisation statement in an Australian healthcare context
Constraints: status-reason-validation, note-validation
... meta
.... lastUpdated S 0..1 instant When the resource version last changed
... implicitRules 0..0
... language 0..0
... contained 0..0
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:vaccineSerialNumber S 0..1 string Vaccine vial serial number
URL: http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/vaccine-serial-number-1
... identifier 0..0
... status 1..1 code completed | entered-in-error | not-done
Binding: Status for Immunisation (required)
... statusReason 0..1 CodeableConcept Reason not done
Binding: ImmunizationStatusReasonCodes (required)
... vaccineCode S 1..1 CodeableConcept Vaccine product administered
.... Slices for coding Content/Rules for all slices
..... coding:amtVaccineCode 0..0
..... coding:airVaccineCode 0..0
..... coding:mtVaccineCode 0..1 Coding Code defined by a terminology system
Binding: Immunisation Vaccine Value Set (preferred)
...... system S 1..1 uri Identity of the terminology system
Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/vaccine-code
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
... patient S 1..1 Reference(Patient) Who was immunized
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
.... display 0..1 string External Name of Patient
... Slices for occurrence[x] 1..1 dateTime Vaccine administration date
Slice: Unordered, Open by type:$this
.... occurrence[x]:occurrenceDateTime S 1..1 dateTime Vaccine administration date
... recorded S 0..1 dateTime When the immunization was first captured in the subject's record
... lotNumber S 0..1 string Vaccine lot number
... expirationDate S 0..1 date Vaccine expiration date
... site 0..1 CodeableConcept Body site vaccine was administered
Binding: Codes for Immunization Site of Administration (required)
... route 0..1 CodeableConcept How vaccine entered body
Binding: Immunisation Route of Administration (required)
... doseQuantity 0..0
... performer S 2..2 BackboneElement Who performed event
.... actor S 1..1 Reference(Practitioner | PractitionerRole | Organization) Individual or organization who was performing
... Slices for performer Content/Rules for all slices
.... performer:administeredBy 1..1 BackboneElement Immunisation Administered By
..... actor S 1..1 Reference(Practitioner | PractitionerRole | Organization) Administering performer
.... performer:approvedBy 1..1 BackboneElement Immunisation Approved By
..... actor S 1..1 Reference(Practitioner | PractitionerRole | Organization) Approver
... note S 0..* Annotation Additional immunization notes
... reasonCode 0..0
... reasonReference 0..0
... isSubpotent 0..0
... subpotentReason 0..0
... education 0..0
... programEligibility 0..0
... reaction 0..0
... protocolApplied
.... Slices for doseNumber[x] 1..1 positiveInt, string Dose number within series
Slice: Unordered, Open by type:$this
..... doseNumber[x]:doseNumberPositiveInt S 0..1 positiveInt Dose number within series

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Immunization.status Base required Status for Immunisation 📦1.0.0 This IG
Immunization.statusReason Base required Immunization Status Reason Codes 📦4.0.1 FHIR Std.
Immunization.vaccineCode.​coding:mtVaccineCode Base preferred Immunisation Vaccine Value Set 📦1.0.0 This IG
Immunization.site Base required Codes for Immunization Site of Administration 📦1.0.0 This IG
Immunization.route Base required Immunisation Route of Administration 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
note-validation error Immunization Note must not exceed 4096 characters note.text.empty() or note.text.length() <= 4096
status-reason-validation error Immunization Status reason must be provided if status is 'not-done' status.empty() or status = 'completed' or (status = 'not-done' and statusReason.empty().not())

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Immunization C 0..* AUBaseImmunisation An immunisation statement in an Australian healthcare context
Constraints: status-reason-validation, note-validation
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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
.... extension:vaccineSerialNumber S 0..1 string Vaccine vial serial number
URL: http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/vaccine-serial-number-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code completed | entered-in-error | not-done
Binding: Status for Immunisation (required)
... statusReason 0..1 CodeableConcept Reason not done
Binding: ImmunizationStatusReasonCodes (required)
... vaccineCode SΣ 1..1 CodeableConcept Vaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:mtVaccineCode Σ 0..1 Coding Code defined by a terminology system
Binding: Immunisation Vaccine Value Set (preferred)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/vaccine-code
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 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
... patient SΣ 1..1 Reference(Patient) Who was immunized
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string External Name of Patient
... encounter 0..1 Reference(Encounter) Encounter immunization was part of
... Slices for occurrence[x] Σ 1..1 dateTime Vaccine administration date
Slice: Unordered, Closed by type:$this
.... occurrence[x]:occurrenceDateTime SΣ 1..1 dateTime Vaccine administration date
... recorded S 0..1 dateTime When the immunization was first captured in the subject's record
... primarySource Σ 0..1 boolean Indicates context the data was recorded in
... reportOrigin 0..1 CodeableConcept Indicates the source of a secondarily reported record
Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source.
... location 0..1 Reference(Location) Where immunization occurred
... manufacturer 0..1 Reference(Organization) Vaccine manufacturer
... lotNumber S 0..1 string Vaccine lot number
... expirationDate S 0..1 date Vaccine expiration date
... site 0..1 CodeableConcept Body site vaccine was administered
Binding: Codes for Immunization Site of Administration (required)
... route 0..1 CodeableConcept How vaccine entered body
Binding: Immunisation Route of Administration (required)
... Slices for performer SΣ 2..2 BackboneElement Who performed event
Slice: Unordered, Open by pattern:function
.... performer:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 0..1 CodeableConcept What type of performance was done
Binding: hl7VS-providerRole - AU Extended (extensible)
..... actor SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization) Individual or organization who was performing
.... performer:administeredBy Σ 1..1 BackboneElement Immunisation Administered By
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 1..1 CodeableConcept Administering role
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
Required Pattern: At least the following
...... 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
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AP
....... 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
..... actor SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization) Administering performer
.... performer:approvedBy Σ 1..1 BackboneElement Immunisation Approved By
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 1..1 CodeableConcept Approver role
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.
Required Pattern: At least the following
...... 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
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0443
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: OP
....... 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
..... actor SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization) Approver
... note SΣ 0..* Annotation Additional immunization notes
... fundingSource 0..1 CodeableConcept Funding source for the vaccine
Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.
... protocolApplied 0..* BackboneElement Protocol followed by the provider
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... series 0..1 string Name of vaccine series
.... authority 0..1 Reference(Organization) Who is responsible for publishing the recommendations
.... targetDisease 0..* CodeableConcept Vaccine preventatable disease being targetted
Binding: Vaccination Target Disease . (preferred)
.... Slices for doseNumber[x] 1..1 Dose number within series
Slice: Unordered, Open by type:$this
..... doseNumberPositiveInt positiveInt
..... doseNumberString string
..... doseNumber[x]:doseNumberPositiveInt S 0..1 positiveInt Dose number within series
.... seriesDoses[x] 0..1 Recommended number of doses for immunity
..... seriesDosesPositiveInt positiveInt
..... seriesDosesString string

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Immunization.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Immunization.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Immunization.status Base required Status for Immunisation 📦1.0.0 This IG
Immunization.statusReason Base required Immunization Status Reason Codes 📦4.0.1 FHIR Std.
Immunization.vaccineCode Base example Vaccine Administered Value Set 📦4.0.1 FHIR Std.
Immunization.vaccineCode.​coding:mtVaccineCode Base preferred Immunisation Vaccine Value Set 📦1.0.0 This IG
Immunization.patient.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Immunization.reportOrigin Base example Immunization Origin Codes 📦4.0.1 FHIR Std.
Immunization.site Base required Codes for Immunization Site of Administration 📦1.0.0 This IG
Immunization.route Base required Immunisation Route of Administration 📦1.0.0 This IG
Immunization.performer.​function Base extensible hl7VS-providerRole - AU Extended 📦4.1.0 AU Base Implementation Guide v4.1
Immunization.performer:administeredBy.​function Base extensible Immunization Function Codes 📦4.0.1 FHIR Std.
Immunization.performer:approvedBy.​function Base extensible Immunization Function Codes 📦4.0.1 FHIR Std.
Immunization.fundingSource Base example Immunization Funding Source 📦4.0.1 FHIR Std.
Immunization.protocolApplied.​targetDisease Base preferred Vaccination Target Disease . ⏿1.0.2 tx.ontoserver.csiro.au

Constraints

Id Grade Path(s) Description Expression
dom-2 error Immunization If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Immunization If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Immunization If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Immunization If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Immunization A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
note-validation error Immunization Note must not exceed 4096 characters note.text.empty() or note.text.length() <= 4096
status-reason-validation error Immunization Status reason must be provided if status is 'not-done' status.empty() or status = 'completed' or (status = 'not-done' and statusReason.empty().not())

This structure is derived from AUBaseImmunisation

Summary

Mandatory: 3 elements(2 nested mandatory elements)
Must-Support: 18 elements
Prohibited: 14 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Immunization.occurrence[x]
  • The element 1 is sliced based on the value of Immunization.protocolApplied.doseNumber[x]

 

Other representations of profile: CSV, Excel, Schematron