### ----------------------------------------------------
### -- FHIR
### -- Licenses: Artistic-2.0
### -- Authors: Hugh Simpson
### -- File: t/resources/structureDefinition/ImmunizationRecommendation.json
### ----------------------------------------------------
### -- Chunk 6 of 7
 information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.vaccineCode",
      "path" : "ImmunizationRecommendation.recommendation.vaccineCode",
      "short" : "Vaccine  or vaccine group recommendation applies to",
      "definition" : "Vaccine(s) or vaccine group that pertain to the recommendation.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ImmunizationRecommendation.recommendation.vaccineCode",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "VaccineCode"
        }],
        "strength" : "example",
        "description" : "The type of vaccine administered.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/vaccine-code"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.code"
      },
      {
        "identity" : "v2",
        "map" : "OBX-5 : OBX-3 = ( 30956-7 | 38890-0 )"
      },
      {
        "identity" : "rim",
        "map" : ".partipication[typeCode=CSM].role[classCode=ADMM].code"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.targetDisease",
      "path" : "ImmunizationRecommendation.recommendation.targetDisease",
      "short" : "Disease to be immunized against",
      "definition" : "The targeted disease for the recommendation.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ImmunizationRecommendation.recommendation.targetDisease",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "TargetDisease"
        }],
        "strength" : "example",
        "description" : "The disease that the recommended vaccination targets.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-recommendation-target-disease"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-5 : OBX-3 = ( 30956-7 | 38890-0 )"
      },
      {
        "identity" : "rim",
        "map" : ".partipication[typeCode=CSM].role[classCode=ADMM].code"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.contraindicatedVaccineCode",
      "path" : "ImmunizationRecommendation.recommendation.contraindicatedVaccineCode",
      "short" : "Vaccine which is contraindicated to fulfill the recommendation",
      "definition" : "Vaccine(s) which should not be used to fulfill the recommendation.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ImmunizationRecommendation.recommendation.contraindicatedVaccineCode",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "VaccineCode"
        }],
        "strength" : "example",
        "description" : "The type of vaccine administered.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/vaccine-code"
      }
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.forecastStatus",
      "path" : "ImmunizationRecommendation.recommendation.forecastStatus",
      "short" : "Vaccine recommendation status",
      "definition" : "Indicates the patient status with respect to the path to immunity for the target disease.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ImmunizationRecommendation.recommendation.forecastStatus",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because the forecastStatus indicates whether a patient needs additional doses (due, overdue, etc) or not  (contraindicated, complete, etc).",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ImmunizationRecommendationStatus"
        }],
        "strength" : "example",
        "description" : "The patient's status with respect to a vaccination protocol.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-recommendation-status"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-5 : OBX-3 = 59783-1"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ] .source[classCode=OBS, moodCode=EVN, code=\"Immunization Forecast Status\"].value"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.forecastReason",
      "path" : "ImmunizationRecommendation.recommendation.forecastReason",
      "short" : "Vaccine administration status reason",
      "definition" : "The reason for the assigned forecast status.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ImmunizationRecommendation.recommendation.forecastReason",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ImmunizationRecommendationReason"
        }],
        "strength" : "example",
        "description" : "The reason for the patient's status with respect to a vaccination protocol.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-recommendation-reason"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-5 : OBX-3 = 30982-3"
      },
      {
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.dateCriterion",
      "path" : "ImmunizationRecommendation.recommendation.dateCriterion",
      "short" : "Dates governing proposed immunization",
      "definition" : "Vaccine date recommendations.  For example, earliest date to administer, latest date to administer, etc.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ImmunizationRecommendation.recommendation.dateCriterion",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.occurrence[x]"
      },
      {
        "identity" : "v2",
        "map" : "OBX-3: 30980-7 = Next dose recommended, 59777-3 = Latest next dose should be given, 59778-1 = Dose is overdue"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode='LIMIT'].target[classCode=OBS, moodCode=EVN, isCriterionInd=true]"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.dateCriterion.id",
      "path" : "ImmunizationRecommendation.recommendation.dateCriterion.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.dateCriterion.extension",
      "path" : "ImmunizationRecommendation.recommendation.dateCriterion.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.dateCriterion.modifierExtension",
      "path" : "ImmunizationRecommendation.recommendation.dateCriterion.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.dateCriterion.code",
      "path" : "ImmunizationRecommendation.recommendation.dateCriterion.code",
      "short" : "Type of date",
      "definition" : "Date classification of recommendation.  For example, earliest date to give, latest date to give, etc.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ImmunizationRecommendation.recommendation.dateCriterion.code",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ImmunizationRecommendationDateCriterion"
        }],
        "strength" : "example",
        "description" : "Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).",
        "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-3"
      },
      {
        "identity" : "rim",
        "map" : ".code"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.dateCriterion.value",
      "path" : "ImmunizationRecommendation.recommendation.dateCriterion.value",
      "short" : "Recommended date",
      "definition" : "The date whose meaning is specified by dateCriterion.code.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ImmunizationRecommendation.recommendation.dateCriterion.value",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-5"
      },
      {
        "identity" : "rim",
        "map" : ".value"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.description",
      "path" : "ImmunizationRecommendation.recommendation.description",
      "short" : "Protocol details",
      "definition" : "Contains the description about the protocol under which the vaccine was administered.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ImmunizationRecommendation.recommendation.description",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-5 : OBX-3 = 30956-7"
      },
      {
        "identity" : "rim",
        "map" : ".text"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.series",
      "path" : "ImmunizationRecommendation.recommendation.series",
      "short" : "Name of vaccination series",
      "definition" : "One possible path to achieve presumed immunity against a disease - within the context of an authority.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ImmunizationRecommendation.recommendation.series",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXA-5-administered code"
      },
      {
        "identity" : "rim",
        "map" : ".title"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.doseNumber[x]",
      "path" : "ImmunizationRecommendation.recommendation.doseNumber[x]",
      "short" : "Recommended dose number within series",
      "definition" : "Nominal position of the recommended dose in a series (e.g. dose 2 is the next recommended dose).",
      "comment" : "The use of an integer is prefered if known. A string should only be used in cases where an interger is not available (such as when documenting a recurring booster dose).",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ImmunizationRecommendation.recommendation.doseNumber[x]",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "positiveInt"
      },
      {
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-5 : OBX-3 = 30973-2"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP, .source[classCode=SBADM, moodCode=INT]].sequenceNumber"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.seriesDoses[x]",
      "path" : "ImmunizationRecommendation.recommendation.seriesDoses[x]",
      "short" : "Recommended number of doses for immunity",
      "definition" : "The recommended number of doses to achieve immunity.",
      "comment" : "The use of an integer is prefered if known. A string should only be used in cases where an interger is not available (such as when documenting a recurring booster dose).",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ImmunizationRecommendation.recommendation.seriesDoses[x]",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "positiveInt"
      },
      {
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-5 : OBX-3 = 59782-3"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP, .source[classCode=SBADM, moodCode=DEF]].sequenceNumber"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.supportingImmunization",
      "path" : "ImmunizationRecommendation.recommendation.supportingImmunization",
      "short" : "Past immunizations supporting recommendation",
      "definition" : "Immunization event history and/or evaluation that supports the status and recommendation.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ImmunizationRecommendation.recommendation.supportingImmunization",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Immunization",
        "http://hl7.org/fhir/StructureDefinition/ImmunizationEvaluation"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "v2",
        "map" : "? No clear way to associate in HL7 v2 or IG"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=RSON].target[classCode=SBADM, moodCode=EVN, code=\"immunization\"]"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.supportingPatientInformation",
      "path" : "ImmunizationRecommendation.recommendation.supportingPatientInformation",
      "short" : "Patient observations supporting recommendation",
      "definition" : "Patient Information that supports the status and recommendation.  This includes patient observations, adverse reactions and allergy/intolerance information.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ImmunizationRecommendation.recommendation.supportingPatientInformation",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.supportingInfo"
      },
      {
        "identity" : "v2",
        "map" : "OBX If OBX is associated with ( RXA : RXA-5-administered code = '998^No vaccine administered^CVX'), could contain the reason the vaccine was not administered"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=RSON].target[classCode=OBS, moodCode=EVN]"
      }]
    }]
  },
  "differential" : {
    "element" : [{
      "id" : "ImmunizationRecommendation",
      "path" : "ImmunizationRecommendation",
      "short" : "Guidance or advice relating to an immunization",
      "definition" : "A patient's point-in-time set of recommendations (i.e. forecasting) according to a published schedule with optional supporting justification.",
      "min" : 0,
      "max" : "*",
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request"
      },
      {
        "identity" : "v2",
        "map" : "VXU_V04"
      },
      {
        "identity" : "rim",
        "map" : "SubstanceAdministration[moodCode=RMD]"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.identifier",
      "path" : "ImmunizationRecommendation.identifier",
      "short" : "Business identifier",
      "definition" : "A unique identifier assigned to this particular recommendation record.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "rim",
        "map" : ".id"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.patient",
      "path" : "ImmunizationRecommendation.patient",
      "short" : "Who this profile is for",
      "definition" : "The patient the recommendation(s) are for.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.subject"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject[x]"
      },
      {
        "identity" : "v2",
        "map" : "PID-3"
      },
      {
        "identity" : "rim",
        "map" : ".partipication[typeCode=SUBJ].role"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.date",
      "path" : "ImmunizationRecommendation.date",
      "short" : "Date recommendation(s) created",
      "definition" : "The date the immunization recommendation(s) were created.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.authoredOn"
      },
      {
        "identity" : "v2",
        "map" : "OBX-15"
      },
      {
        "identity" : "rim",
        "map" : ".partipication[typeCode=AUTH].time"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.authority",
      "path" : "ImmunizationRecommendation.authority",
      "short" : "Who is responsible for protocol",
      "definition" : "Indicates the authority who published the protocol (e.g. ACIP).",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-5 : OBX-3 = 59779-9"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=AUT]"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation",
      "path" : "ImmunizationRecommendation.recommendation",
      "short" : "Vaccine administration recommendations",
      "definition" : "Vaccine administration recommendations.",
      "min" : 1,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "imr-1",
        "severity" : "error",
        "human" : "One of vaccineCode or targetDisease SHALL be present",
        "expression" : "vaccineCode.exists() or targetDisease.exists()",
        "xpath" : "exists(f:vaccineCode) or exists(f:targetDisease)"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode='COMP'].target[classCode=SBADM, moodCode=RMD]"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.vaccineCode",
      "path" : "ImmunizationRecommendation.recommendation.vaccineCode",
      "short" : "Vaccine  or vaccine group recommendation applies to",
      "definition" : "Vaccine(s) or vaccine group that pertain to the recommendation.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "VaccineCode"
        }],
        "strength" : "example",
        "description" : "The type of vaccine administered.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/vaccine-code"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.code"
      },
      {
        "identity" : "v2",
        "map" : "OBX-5 : OBX-3 = ( 30956-7 | 38890-0 )"
      },
      {
        "identity" : "rim",
        "map" : ".partipication[typeCode=CSM].role[classCode=ADMM].code"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.targetDisease",
      "path" : "ImmunizationRecommendation.recommendation.targetDisease",
      "short" : "Disease to be immunized against",
      "definition" : "The targeted disease for the recommendation.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "TargetDisease"
        }],
        "strength" : "example",
        "description" : "The disease that the recommended vaccination targets.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-recommendation-target-disease"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-5 : OBX-3 = ( 30956-7 | 38890-0 )"
      },
      {
        "identity" : "rim",
        "map" : ".partipication[typeCode=CSM].role[classCode=ADMM].code"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.contraindicatedVaccineCode",
      "path" : "ImmunizationRecommendation.recommendation.contraindicatedVaccineCode",
      "short" : "Vaccine which is contraindicated to fulfill the recommendation",
      "definition" : "Vaccine(s) which should not be used to fulfill the recommendation.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "VaccineCode"
        }],
        "strength" : "example",
        "description" : "The type of vaccine administered.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/vaccine-code"
      }
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.forecastStatus",
      "path" : "ImmunizationRecommendation.recommendation.forecastStatus",
      "short" : "Vaccine recommendation status",
      "definition" : "Indicates the patient status with respect to the path to immunity for the target disease.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because the forecastStatus indicates whether a patient needs additional doses (due, overdue, etc) or not  (contraindicated, complete, etc).",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ImmunizationRecommendationStatus"
        }],
        "strength" : "example",
        "description" : "The patient's status with respect to a vaccination protocol.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-recommendation-status"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-5 : OBX-3 = 59783-1"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ] .source[classCode=OBS, moodCode=EVN, code=\"Immunization Forecast Status\"].value"
      }]
    },
    {
      "id" : "ImmunizationRecommendation.recommendation.forecastReason",
      "path" : "Immun