This
page
is
part
of
the
FHIR
Specification
(v3.3.0:
(v3.5.0:
R4
Ballot
2).
#2).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
.
Page
versions:
R5
R4B
R4
R3
R2
Public
Health
and
Emergency
Response
Work
Group
|
Maturity Level : 3 | Trial Use | Compartments : Patient , Practitioner |
Detailed Descriptions for the elements in the Immunization resource.
| Immunization | |||||||||
| Element Id | Immunization | ||||||||
| Definition |
Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party. |
||||||||
| Control | 1..1 | ||||||||
| Type | DomainResource | ||||||||
| Immunization.identifier | |||||||||
| Element Id | Immunization.identifier | ||||||||
| Definition |
A unique identifier assigned to this immunization record. |
||||||||
| Note | This is a business identifer, not a resource identifier (see discussion ) | ||||||||
| Control | 0..* | ||||||||
| Type | Identifier | ||||||||
| Immunization.status | |||||||||
| Element Id | Immunization.status | ||||||||
| Definition |
Indicates the current status of the immunization event. |
||||||||
| Control | 1..1 | ||||||||
| Terminology Binding | Immunization Status Codes ( Required ) | ||||||||
| Type | code | ||||||||
| Is Modifier | true (Reason: This element is labeled as a modifier because it is a status element that contains statuses entered-in-error and not-done which means that the resource should not be treated as valid) | ||||||||
| Summary | true | ||||||||
| Comments |
Will generally be set to show that the immunization has been completed or not done. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
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| Immunization.statusReason | |||||||||
| Element Id | Immunization.statusReason | ||||||||
| Definition |
Indicates the reason the immunization event was not performed. |
||||||||
| Control | 0..1 | ||||||||
| Terminology Binding | Immunization Status Reason Codes ( Example ) | ||||||||
| Type | CodeableConcept | ||||||||
| Comments |
This is generally only used for the status of "not-done". The reason for performing the immunization event is captured in reasonCode, not here. |
||||||||
| Immunization.vaccineCode | |||||||||
| Element Id | Immunization.vaccineCode | ||||||||
| Definition |
Vaccine that was administered or was to be administered. |
||||||||
| Control | 1..1 | ||||||||
| Terminology Binding | Vaccine Administered Value Set ( Example ) | ||||||||
| Type | CodeableConcept | ||||||||
| Summary | true | ||||||||
| Immunization.patient | |||||||||
| Element Id | Immunization.patient | ||||||||
| Definition |
The patient who either received or did not receive the immunization. |
||||||||
| Control | 1..1 | ||||||||
| Type | Reference ( Patient ) | ||||||||
| Summary | true | ||||||||
| Immunization.encounter | |||||||||
| Element Id | Immunization.encounter | ||||||||
| Definition |
The visit or admission or other contact between patient and health care provider the immunization was performed as part of. |
||||||||
| Control | 0..1 | ||||||||
| Type | Reference ( Encounter ) | ||||||||
|
|
|||||||||
| Element Id |
|
||||||||
| Definition |
Date vaccine administered or was to be administered. |
||||||||
| Control |
|
||||||||
| Type | dateTime | string | ||||||||
| [x] Note | See Choice of Data Types for further information about how to use [x] | ||||||||
| Summary | true | ||||||||
| Comments |
When
immunizations
are
given
a
specific
date
and
time
should
always
be
known.
When
immunizations
are
patient
reported,
a
specific
date
might
not
be
known.
|
||||||||
| Immunization.recorded | |||||||||
| Element Id | Immunization.recorded | ||||||||
| Definition | The date the occurrence of the immunization was first captured in the record - potentially significantly after the occurrence of the event. | ||||||||
| Control | 0..1 | ||||||||
| Type | dateTime | ||||||||
| Summary | false | ||||||||
| Immunization.primarySource | |||||||||
| Element Id | Immunization.primarySource | ||||||||
| Definition |
An indication that the content of the record is based on information from the person who administered the vaccine. This reflects the context under which the data was originally recorded. |
||||||||
| Control |
|
||||||||
| Type | boolean | ||||||||
| Summary | true | ||||||||
| Comments |
Reflects the “reliability” of the content. |
||||||||
| Immunization.reportOrigin | |||||||||
| Element Id | Immunization.reportOrigin | ||||||||
| Definition |
The source of the data when the report of the immunization event is not based on information from the person who administered the vaccine. |
||||||||
| Control | 0..1 | ||||||||
| Terminology Binding | Immunization Origin Codes ( Example ) | ||||||||
| Type | CodeableConcept | ||||||||
| Comments |
Should not be populated if primarySource = True, not required even if primarySource = False. |
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| Immunization.location | |||||||||
| Element Id | Immunization.location | ||||||||
| Definition |
The service delivery location where the vaccine administration occurred. |
||||||||
| Control | 0..1 | ||||||||
| Type | Reference ( Location ) | ||||||||
| Immunization.manufacturer | |||||||||
| Element Id | Immunization.manufacturer | ||||||||
| Definition |
Name of vaccine manufacturer. |
||||||||
| Control | 0..1 | ||||||||
| Type | Reference ( Organization ) | ||||||||
| Immunization.lotNumber | |||||||||
| Element Id | Immunization.lotNumber | ||||||||
| Definition |
Lot number of the vaccine product. |
||||||||
| Control | 0..1 | ||||||||
| Type | string | ||||||||
| Immunization.expirationDate | |||||||||
| Element Id | Immunization.expirationDate | ||||||||
| Definition |
Date vaccine batch expires. |
||||||||
| Control | 0..1 | ||||||||
| Type | date | ||||||||
| Immunization.site | |||||||||
| Element Id | Immunization.site | ||||||||
| Definition |
Body site where vaccine was administered. |
||||||||
| Control | 0..1 | ||||||||
| Terminology Binding | Codes for Immunization Site of Administration ( Example ) | ||||||||
| Type | CodeableConcept | ||||||||
| Immunization.route | |||||||||
| Element Id | Immunization.route | ||||||||
| Definition |
The path by which the vaccine product is taken into the body. |
||||||||
| Control | 0..1 | ||||||||
| Terminology Binding | Immunization Route Codes ( Example ) | ||||||||
| Type | CodeableConcept | ||||||||
| Immunization.doseQuantity | |||||||||
| Element Id | Immunization.doseQuantity | ||||||||
| Definition |
The quantity of vaccine product that was administered. |
||||||||
| Control | 0..1 | ||||||||
| Type | SimpleQuantity | ||||||||
| Immunization.performer | |||||||||
| Element Id | Immunization.performer | ||||||||
| Definition |
Indicates who performed the immunization event. |
||||||||
| Control | 0..* | ||||||||
| Summary | true | ||||||||
| Immunization.performer.function | |||||||||
| Element Id | Immunization.performer.function | ||||||||
| Definition |
Describes the type of performance (e.g. ordering provider, administering provider, etc.). |
||||||||
| Control | 0..1 | ||||||||
| Terminology Binding | Immunization Function Codes ( Extensible ) | ||||||||
| Type | CodeableConcept | ||||||||
| Summary | true | ||||||||
| Immunization.performer.actor | |||||||||
| Element Id | Immunization.performer.actor | ||||||||
| Definition |
The practitioner or organization who performed the action. |
||||||||
| Control | 1..1 | ||||||||
| Type | Reference ( Practitioner | PractitionerRole | Organization ) | ||||||||
| Summary | true | ||||||||
| Comments |
When the individual practitioner who performed the action is known, it is best to send. |
||||||||
| Immunization.note | |||||||||
| Element Id | Immunization.note | ||||||||
| Definition |
Extra information about the immunization that is not conveyed by the other attributes. |
||||||||
| Control | 0..* | ||||||||
| Type | Annotation | ||||||||
| Summary | true | ||||||||
| Immunization.reasonCode | |||||||||
| Element Id | Immunization.reasonCode | ||||||||
| Definition |
Reasons why the vaccine was administered. |
||||||||
| Control | 0..* | ||||||||
| Terminology Binding | Immunization Reason Codes ( Example ) | ||||||||
| Type | CodeableConcept | ||||||||
| Immunization.reasonReference | |||||||||
| Element Id | Immunization.reasonReference | ||||||||
| Definition |
Condition, Observation or DiagnosticReport that supports why the immunization was administered. |
||||||||
| Control | 0..* | ||||||||
| Type | Reference ( Condition | Observation | DiagnosticReport ) | ||||||||
|
|
|||||||||
| Element Id |
|
||||||||
| Definition |
Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent. |
||||||||
| Control | 0..1 | ||||||||
| Type | boolean | ||||||||
| Is Modifier | true (Reason: This element is labeled as a modifier because an immunization event with a subpotent vaccine doesn't protect the patient the same way as a potent dose.) | ||||||||
| Meaning if Missing | By default, a dose should be considered to be potent. | ||||||||
| Summary | true | ||||||||
| Immunization.subpotentReason | |||||||||
| Element Id | Immunization.subpotentReason | ||||||||
| Definition |
Reason why a dose is considered to be subpotent. |
||||||||
| Control | 0..* | ||||||||
| Terminology Binding | Immunization Subpotent Reason ( Example ) | ||||||||
| Type | CodeableConcept | ||||||||
| Immunization.education | |||||||||
| Element Id | Immunization.education | ||||||||
| Definition |
Educational material presented to the patient (or guardian) at the time of vaccine administration. |
||||||||
| Control | 0..* | ||||||||
| Invariants |
|
||||||||
| Immunization.education.documentType | |||||||||
| Element Id | Immunization.education.documentType | ||||||||
| Definition |
Identifier of the material presented to the patient. |
||||||||
| Control | 0..1 | ||||||||
| Type | string | ||||||||
| Immunization.education.reference | |||||||||
| Element Id | Immunization.education.reference | ||||||||
| Definition |
Reference pointer to the educational material given to the patient if the information was on line. |
||||||||
| Control | 0..1 | ||||||||
| Type | uri | ||||||||
| Immunization.education.publicationDate | |||||||||
| Element Id | Immunization.education.publicationDate | ||||||||
| Definition |
Date the educational material was published. |
||||||||
| Control | 0..1 | ||||||||
| Type | dateTime | ||||||||
| Immunization.education.presentationDate | |||||||||
| Element Id | Immunization.education.presentationDate | ||||||||
| Definition |
Date the educational material was given to the patient. |
||||||||
| Control | 0..1 | ||||||||
| Type | dateTime | ||||||||
| Immunization.programEligibility | |||||||||
| Element Id | Immunization.programEligibility | ||||||||
| Definition |
Indicates a patient's eligibility for a funding program. |
||||||||
| Control | 0..* | ||||||||
| Terminology Binding | Immunization Program Eligibility ( Example ) | ||||||||
| Type | CodeableConcept | ||||||||
| Immunization.fundingSource | |||||||||
| Element Id | Immunization.fundingSource | ||||||||
| Definition |
Indicates the source of the vaccine actually administered. This may be different than the patient eligibility (e.g. the patient may be eligible for a publically purchased vaccine but due to inventory issues, vaccine purchased with private funds was actually administered). |
||||||||
| Control | 0..1 | ||||||||
| Terminology Binding | Immunization Funding Source ( Example ) | ||||||||
| Type | CodeableConcept | ||||||||
| Immunization.protocolApplied | |||||||||
| Element Id | Immunization.protocolApplied | ||||||||
| Definition | The protocol (set of recommendations) being followed by the provider who administered the dose. | ||||||||
| Control | 0..* | ||||||||
| Immunization.protocolApplied.series | |||||||||
| Element Id | Immunization.protocolApplied.series | ||||||||
| Definition | One possible path to achieve presumed immunity against a disease - within the context of an authority. | ||||||||
| Control | 0..1 | ||||||||
| Type | string | ||||||||
| Immunization.protocolApplied.authority | |||||||||
| Element Id | Immunization.protocolApplied.authority | ||||||||
| Definition | Indicates the authority who published the protocol (e.g. ACIP) that is being followed. | ||||||||
| Control | 0..1 | ||||||||
| Type | Reference ( Organization ) | ||||||||
| Immunization.protocolApplied.targetDisease | |||||||||
| Element Id | Immunization.protocolApplied.targetDisease | ||||||||
| Definition | The vaccine preventable disease the dose is being administered against. | ||||||||
| Control | 1..1 | ||||||||
| Terminology Binding | Immunization Target Disease Codes ( Example ) | ||||||||
| Type | CodeableConcept | ||||||||
| Immunization.protocolApplied.doseNumber[x] | |||||||||
| Element Id | Immunization.protocolApplied.doseNumber[x] | ||||||||
| Definition | Nominal position in a series. | ||||||||
| Control | 1..1 | ||||||||
| Type | positiveInt | string | ||||||||
| [x] Note | See Choice of Data Types for further information about how to use [x] | ||||||||
| Comments | The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose). | ||||||||