NP Core Immunization

Sets minimum expectations for representing a vaccine administration event in Nepal, in support of the national Expanded Programme on Immunization (EPI) and routine care.

Open in IG ↗

Canonical URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-immunization
Resource / type: Immunization
Based on: http://hl7.org/fhir/StructureDefinition/Immunization
Claim conformance: Put the canonical URL in meta.profile of each instance.

Required elements

“Always” means the element must be present in every instance. Otherwise it is required only when its parent element is present.

Element	Card.	When
`Immunization.status` completed \| entered-in-error \| not-done	1..1	Always
`Immunization.vaccineCode` Vaccine product administered	1..1	Always
`Immunization.patient` Who was immunized	1..1	Always
`Immunization.occurrence[x]` Vaccine administration date	1..1	Always
`Immunization.performer.actor` Individual or organization who was performing	1..1	If parent present
`Immunization.protocolApplied.doseNumber[x]` Dose number within series	1..1	If parent present

Must-support elements

If your system has this data it SHALL send it, and receivers SHALL process it. Must-support does not by itself make an element mandatory.

Immunization.status
Immunization.vaccineCode
Immunization.patient
Immunization.encounter
Immunization.primarySource
Immunization.location
Immunization.lotNumber
Immunization.performer
Immunization.performer.actor
Immunization.protocolApplied
Immunization.protocolApplied.doseNumber[x]:doseNumberPositiveInt

Terminology bindings

required: codes SHALL come from the value set · extensible: use the value set if a suitable code exists · preferred / example: guidance only.

Element	Strength	Value set
`Immunization.language`	preferred	http://hl7.org/fhir/ValueSet/languages
`Immunization.status`	required	http://hl7.org/fhir/ValueSet/immunization-status
`Immunization.statusReason`	example	http://hl7.org/fhir/ValueSet/immunization-status-reason
`Immunization.vaccineCode`	extensible	NP Core Vaccine Value Set http://fhir.digitalhealth.gov.np/core/ValueSet/np-core-vaccine-vs
`Immunization.reportOrigin`	example	http://hl7.org/fhir/ValueSet/immunization-origin
`Immunization.site`	example	http://hl7.org/fhir/ValueSet/immunization-site
`Immunization.route`	example	http://hl7.org/fhir/ValueSet/immunization-route
`Immunization.performer.function`	extensible	http://hl7.org/fhir/ValueSet/immunization-function
`Immunization.reasonCode`	example	http://hl7.org/fhir/ValueSet/immunization-reason
`Immunization.subpotentReason`	example	http://hl7.org/fhir/ValueSet/immunization-subpotent-reason
`Immunization.programEligibility`	example	http://hl7.org/fhir/ValueSet/immunization-program-eligibility
`Immunization.fundingSource`	example	http://hl7.org/fhir/ValueSet/immunization-funding-source
`Immunization.protocolApplied.targetDisease`	example	http://hl7.org/fhir/ValueSet/immunization-target-disease

Official examples

Immunization/ExampleNPCoreImmunization

View in IG ↗

{
  "resourceType": "Immunization",
  "id": "ExampleNPCoreImmunization",
  "meta": {
    "profile": [
      "http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-immunization"
    ]
  },
  "status": "completed",
  "vaccineCode": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "1051000221104",
        "display": "Live attenuated Human poliovirus serotypes 1 and 3 antigens only vaccine product in oral dose form"
      }
    ],
    "text": "Bivalent Oral Polio Vaccine (bOPV)"
  },
  "patient": {
    "reference": "Patient/ExampleNPCorePatient"
  },
  "encounter": {
    "reference": "Encounter/ExampleNPCoreEncounter"
  },
  "occurrenceDateTime": "2026-05-10T10:00:00+05:45",
  "primarySource": true,
  "location": {
    "reference": "Location/ExampleNPCoreLocation"
  },
  "lotNumber": "OPV-2024-LOT-0081",
  "expirationDate": "2027-06-30",
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/ExampleNPCorePractitioner"
      }
    }
  ],
  "protocolApplied": [
    {
      "series": "EPI Schedule",
      "doseNumberPositiveInt": 3
    }
  ]
}

Narrative (text) removed for readability.