This
page
is
part
of
the
FHIR
Specification
(v4.3.0:
R4B
(v5.0.0-draft-final:
Final
QA
Preview
for
R5
-
STU
see
ballot
notes
).
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 : 1 | Trial Use | Security Category : Patient | Compartments : Patient |
A patient's point-in-time set of recommendations (i.e. forecasting) according to a published schedule with optional supporting justification.
The ImmunizationRecommendation resource is intended to cover communication of a specified patient's immunization recommendations and status across all healthcare disciplines in all care settings and all regions. The set of customized (for the patient) recommendations is based on the comparison of the patient's immunization history with a set of published recommendations (protocols).
Additionally,
the
ImmunizationRecommendation
resource
is
expected
to
cover
key
concepts
related
to
the
querying
of
a
patient's
immunization
recommendations
and
status.
This
resource
-
through
consultation
with
the
Public
Health
work
group
-
is
believed
to
meet
key
use
cases
and
information
requirements
as
defined
in
the
existing
HL7
v3
POIZ
domain
and
Immunization
Domain
Analysis
Model.
This resource references the following resources:
Structure
| Name | Flags | Card. | Type |
Description
&
Constraints
|
|---|---|---|---|---|
|
TU | DomainResource |
Guidance
or
advice
relating
to
an
immunization
Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension |
|
|
Σ | 0..* | Identifier |
Business
identifier
|
|
Σ | 1..1 | Reference ( Patient ) |
Who
this
profile
is
for
|
|
Σ | 1..1 | dateTime |
Date
recommendation(s)
created
|
|
0..1 | Reference ( Organization ) |
Who
is
responsible
for
protocol
|
|
|
Σ
|
1..* | BackboneElement |
Vaccine
administration
recommendations
+ Rule: One of vaccineCode or targetDisease SHALL be present |
|
Σ C | 0..* | CodeableConcept |
Vaccine
or
vaccine
group
recommendation
applies
to
Binding: Vaccine Administered Value Set ( Example ) |
|
Σ C |
|
CodeableConcept |
Disease
to
be
immunized
against
Binding: Immunization |
|
Σ | 0..* | CodeableConcept |
Vaccine
which
is
contraindicated
to
fulfill
the
recommendation
Binding: Vaccine Administered Value Set ( Example ) |
|
?! Σ | 1..1 | CodeableConcept |
Vaccine
recommendation
status
Binding: Immunization Recommendation Status Codes ( Example ) |
|
Σ | 0..* | CodeableConcept |
Vaccine
administration
status
reason
Binding: Immunization Recommendation Reason Codes ( Example ) |
|
0..* | BackboneElement |
Dates
governing
proposed
immunization
|
|
|
1..1 | CodeableConcept |
Type
of
date
Binding: Immunization Recommendation Date Criterion Codes ( Example ) |
|
|
1..1 | dateTime |
Recommended
date
|
|
|
0..1 |
|
Protocol
details
|
|
|
0..1 | string |
Name
of
vaccination
series
|
|
|
Σ | 0..1 | string |
Recommended
dose
number
within
series
|
|
|
|
Recommended
number
of
doses
for
immunity
|
|
|
0..* | Reference ( Immunization | ImmunizationEvaluation ) |
Past
immunizations
supporting
recommendation
|
|
|
0..* | Reference ( Any ) |
Patient
observations
supporting
recommendation
|
|
Documentation
for
this
format
|
||||
See the Extensions for this resource
UML Diagram ( Legend )
XML Template
<ImmunizationRecommendation xmlns="http://hl7.org/fhir"><!-- from Resource: id, meta, implicitRules, and language --> <!-- from DomainResource: text, contained, extension, and modifierExtension --> <identifier><!-- 0..* Identifier Business identifier --></identifier> <patient><!-- 1..1 Reference(Patient) Who this profile is for --></patient> <date value="[dateTime]"/><!-- 1..1 Date recommendation(s) created --> <authority><!-- 0..1 Reference(Organization) Who is responsible for protocol --></authority> <recommendation> <!-- 1..* Vaccine administration recommendations -->
<</vaccineCode> <</targetDisease><vaccineCode><!-- I 0..* CodeableConcept Vaccine or vaccine group recommendation applies to --></vaccineCode> <targetDisease><!-- I 0..* CodeableConcept Disease to be immunized against --></targetDisease> <contraindicatedVaccineCode><!-- 0..* CodeableConcept Vaccine which is contraindicated to fulfill the recommendation --></contraindicatedVaccineCode> <forecastStatus><!-- 1..1 CodeableConcept Vaccine recommendation status --></forecastStatus> <forecastReason><!-- 0..* CodeableConcept Vaccine administration status reason --></forecastReason> <dateCriterion> <!-- 0..* Dates governing proposed immunization --> <code><!-- 1..1 CodeableConcept Type of date --></code> <value value="[dateTime]"/><!-- 1..1 Recommended date --> </dateCriterion><<description value="[markdown]"/><!-- 0..1 Protocol details --> <series value="[string]"/><!-- 0..1 Name of vaccination series --><</doseNumber[x]> <</seriesDoses[x]><doseNumber value="[string]"/><!-- 0..1 Recommended dose number within series --> <seriesDoses value="[string]"/><!-- 0..1 Recommended number of doses for immunity --> <supportingImmunization><!-- 0..* Reference(Immunization|ImmunizationEvaluation) Past immunizations supporting recommendation --></supportingImmunization> <supportingPatientInformation><!-- 0..* Reference(Any) Patient observations supporting recommendation --></supportingPatientInformation> </recommendation> </ImmunizationRecommendation>
JSON Template
{
"resourceType" : "ImmunizationRecommendation",
// from Resource: id, meta, implicitRules, and language
// from DomainResource: text, contained, extension, and modifierExtension
"identifier" : [{ Identifier }], // Business identifier
"patient" : { Reference(Patient) }, // R! Who this profile is for
"date" : "<dateTime>", // R! Date recommendation(s) created
"authority" : { Reference(Organization) }, // Who is responsible for protocol
"recommendation" : [{ // R! Vaccine administration recommendations
"
"
"vaccineCode" : [{ CodeableConcept }], // I Vaccine or vaccine group recommendation applies to
"targetDisease" : [{ CodeableConcept }], // I Disease to be immunized against
"contraindicatedVaccineCode" : [{ CodeableConcept }], // Vaccine which is contraindicated to fulfill the recommendation
"forecastStatus" : { CodeableConcept }, // R! Vaccine recommendation status
"forecastReason" : [{ CodeableConcept }], // Vaccine administration status reason
"dateCriterion" : [{ // Dates governing proposed immunization
"code" : { CodeableConcept }, // R! Type of date
"value" : "<dateTime>" // R! Recommended date
}],
"
"description" : "<markdown>", // Protocol details
"series" : "<string>", // Name of vaccination series
">",
">",
">",
">",
"doseNumber" : "<string>", // Recommended dose number within series
"seriesDoses" : "<string>", // Recommended number of doses for immunity
"supportingImmunization" : [{ Reference(Immunization|ImmunizationEvaluation) }], // Past immunizations supporting recommendation
"supportingPatientInformation" : [{ Reference(Any) }] // Patient observations supporting recommendation
}]
}
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> .[ a fhir:ImmunizationRecommendation; fhir:nodeRole fhir:treeRoot; # if this is the parser root # from Resource: .id, .meta, .implicitRules, and .language # from DomainResource: .text, .contained, .extension, and .modifierExtension
fhir: fhir: fhir: fhir: fhir: fhir: fhir: fhir: fhir: fhir: fhir: fhir: fhir: ], ...; fhir: fhir: # . One of these 2 fhir: ] fhir: ] # . One of these 2 fhir: ] fhir: ] fhir: fhir: ], ...;fhir:identifier ( [ Identifier ] ... ) ; # 0..* Business identifier fhir:patient [ Reference(Patient) ] ; # 1..1 Who this profile is for fhir:date [ dateTime ] ; # 1..1 Date recommendation(s) created fhir:authority [ Reference(Organization) ] ; # 0..1 Who is responsible for protocol fhir:recommendation ( [ # 1..* Vaccine administration recommendations fhir:vaccineCode ( [ CodeableConcept ] ... ) ; # 0..* I Vaccine or vaccine group recommendation applies to fhir:targetDisease ( [ CodeableConcept ] ... ) ; # 0..* I Disease to be immunized against fhir:contraindicatedVaccineCode ( [ CodeableConcept ] ... ) ; # 0..* Vaccine which is contraindicated to fulfill the recommendation fhir:forecastStatus [ CodeableConcept ] ; # 1..1 Vaccine recommendation status fhir:forecastReason ( [ CodeableConcept ] ... ) ; # 0..* Vaccine administration status reason fhir:dateCriterion ( [ # 0..* Dates governing proposed immunization fhir:code [ CodeableConcept ] ; # 1..1 Type of date fhir:value [ dateTime ] ; # 1..1 Recommended date ] ... ) ; fhir:description [ markdown ] ; # 0..1 Protocol details fhir:series [ string ] ; # 0..1 Name of vaccination series fhir:doseNumber [ string ] ; # 0..1 Recommended dose number within series fhir:seriesDoses [ string ] ; # 0..1 Recommended number of doses for immunity fhir:supportingImmunization ( [ Reference(Immunization|ImmunizationEvaluation) ] ... ) ; # 0..* Past immunizations supporting recommendation fhir:supportingPatientInformation ( [ Reference(Any) ] ... ) ; # 0..* Patient observations supporting recommendation ] ... ) ; ]
Changes since R4
| ImmunizationRecommendation | |
| ImmunizationRecommendation.recommendation.targetDisease |
|
| ImmunizationRecommendation.recommendation.description |
|
| ImmunizationRecommendation.recommendation.doseNumber |
|
| ImmunizationRecommendation.recommendation.seriesDoses |
|
| ImmunizationRecommendation.recommendation.doseNumber[x] |
|
| ImmunizationRecommendation.recommendation.seriesDoses[x] |
|
See the Full Difference for further information
This analysis is available as XML or JSON .
Conversions
between
R3
and
R4
See
R3
<-->
R4
Conversion
Maps
(status
=
1
test
that
all
execute
ok.
All
tests
pass
round-trip
testing
and
all
r3
resources
are
valid.)
Structure
| Name | Flags | Card. | Type |
Description
&
Constraints
|
|---|---|---|---|---|
|
TU | DomainResource |
Guidance
or
advice
relating
to
an
immunization
Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension |
|
|
Σ | 0..* | Identifier |
Business
identifier
|
|
Σ | 1..1 | Reference ( Patient ) |
Who
this
profile
is
for
|
|
Σ | 1..1 | dateTime |
Date
recommendation(s)
created
|
|
0..1 | Reference ( Organization ) |
Who
is
responsible
for
protocol
|
|
|
Σ
|
1..* | BackboneElement |
Vaccine
administration
recommendations
+ Rule: One of vaccineCode or targetDisease SHALL be present |
|
Σ C | 0..* | CodeableConcept |
Vaccine
or
vaccine
group
recommendation
applies
to
Binding: Vaccine Administered Value Set ( Example ) |
|
Σ C |
|
CodeableConcept |
Disease
to
be
immunized
against
Binding: Immunization |
|
Σ | 0..* | CodeableConcept |
Vaccine
which
is
contraindicated
to
fulfill
the
recommendation
Binding: Vaccine Administered Value Set ( Example ) |
|
?! Σ | 1..1 | CodeableConcept |
Vaccine
recommendation
status
Binding: Immunization Recommendation Status Codes ( Example ) |
|
Σ | 0..* | CodeableConcept |
Vaccine
administration
status
reason
Binding: Immunization Recommendation Reason Codes ( Example ) |
|
0..* | BackboneElement |
Dates
governing
proposed
immunization
|
|
|
1..1 | CodeableConcept |
Type
of
date
Binding: Immunization Recommendation Date Criterion Codes ( Example ) |
|
|
1..1 | dateTime |
Recommended
date
|
|
|
0..1 |
|
Protocol
details
|
|
|
0..1 | string |
Name
of
vaccination
series
|
|
|
Σ | 0..1 | string |
Recommended
dose
number
within
series
|
|
|
|
Recommended
number
of
doses
for
immunity
|
|
|
0..* | Reference ( Immunization | ImmunizationEvaluation ) |
Past
immunizations
supporting
recommendation
|
|
|
0..* | Reference ( Any ) |
Patient
observations
supporting
recommendation
|
|
Documentation
for
this
format
|
||||
See the Extensions for this resource
XML Template
<ImmunizationRecommendation xmlns="http://hl7.org/fhir"><!-- from Resource: id, meta, implicitRules, and language --> <!-- from DomainResource: text, contained, extension, and modifierExtension --> <identifier><!-- 0..* Identifier Business identifier --></identifier> <patient><!-- 1..1 Reference(Patient) Who this profile is for --></patient> <date value="[dateTime]"/><!-- 1..1 Date recommendation(s) created --> <authority><!-- 0..1 Reference(Organization) Who is responsible for protocol --></authority> <recommendation> <!-- 1..* Vaccine administration recommendations -->
<</vaccineCode> <</targetDisease><vaccineCode><!-- I 0..* CodeableConcept Vaccine or vaccine group recommendation applies to --></vaccineCode> <targetDisease><!-- I 0..* CodeableConcept Disease to be immunized against --></targetDisease> <contraindicatedVaccineCode><!-- 0..* CodeableConcept Vaccine which is contraindicated to fulfill the recommendation --></contraindicatedVaccineCode> <forecastStatus><!-- 1..1 CodeableConcept Vaccine recommendation status --></forecastStatus> <forecastReason><!-- 0..* CodeableConcept Vaccine administration status reason --></forecastReason> <dateCriterion> <!-- 0..* Dates governing proposed immunization --> <code><!-- 1..1 CodeableConcept Type of date --></code> <value value="[dateTime]"/><!-- 1..1 Recommended date --> </dateCriterion><<description value="[markdown]"/><!-- 0..1 Protocol details --> <series value="[string]"/><!-- 0..1 Name of vaccination series --><</doseNumber[x]> <</seriesDoses[x]><doseNumber value="[string]"/><!-- 0..1 Recommended dose number within series --> <seriesDoses value="[string]"/><!-- 0..1 Recommended number of doses for immunity --> <supportingImmunization><!-- 0..* Reference(Immunization|ImmunizationEvaluation) Past immunizations supporting recommendation --></supportingImmunization> <supportingPatientInformation><!-- 0..* Reference(Any) Patient observations supporting recommendation --></supportingPatientInformation> </recommendation> </ImmunizationRecommendation>
JSON Template
{
"resourceType" : "ImmunizationRecommendation",
// from Resource: id, meta, implicitRules, and language
// from DomainResource: text, contained, extension, and modifierExtension
"identifier" : [{ Identifier }], // Business identifier
"patient" : { Reference(Patient) }, // R! Who this profile is for
"date" : "<dateTime>", // R! Date recommendation(s) created
"authority" : { Reference(Organization) }, // Who is responsible for protocol
"recommendation" : [{ // R! Vaccine administration recommendations
"
"
"vaccineCode" : [{ CodeableConcept }], // I Vaccine or vaccine group recommendation applies to
"targetDisease" : [{ CodeableConcept }], // I Disease to be immunized against
"contraindicatedVaccineCode" : [{ CodeableConcept }], // Vaccine which is contraindicated to fulfill the recommendation
"forecastStatus" : { CodeableConcept }, // R! Vaccine recommendation status
"forecastReason" : [{ CodeableConcept }], // Vaccine administration status reason
"dateCriterion" : [{ // Dates governing proposed immunization
"code" : { CodeableConcept }, // R! Type of date
"value" : "<dateTime>" // R! Recommended date
}],
"
"description" : "<markdown>", // Protocol details
"series" : "<string>", // Name of vaccination series
">",
">",
">",
">",
"doseNumber" : "<string>", // Recommended dose number within series
"seriesDoses" : "<string>", // Recommended number of doses for immunity
"supportingImmunization" : [{ Reference(Immunization|ImmunizationEvaluation) }], // Past immunizations supporting recommendation
"supportingPatientInformation" : [{ Reference(Any) }] // Patient observations supporting recommendation
}]
}
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> .[ a fhir:ImmunizationRecommendation; fhir:nodeRole fhir:treeRoot; # if this is the parser root # from Resource: .id, .meta, .implicitRules, and .language # from DomainResource: .text, .contained, .extension, and .modifierExtension
fhir: fhir: fhir: fhir: fhir: fhir: fhir: fhir: fhir: fhir: fhir: fhir: fhir: ], ...; fhir: fhir: # . One of these 2 fhir: ] fhir: ] # . One of these 2 fhir: ] fhir: ] fhir: fhir: ], ...;fhir:identifier ( [ Identifier ] ... ) ; # 0..* Business identifier fhir:patient [ Reference(Patient) ] ; # 1..1 Who this profile is for fhir:date [ dateTime ] ; # 1..1 Date recommendation(s) created fhir:authority [ Reference(Organization) ] ; # 0..1 Who is responsible for protocol fhir:recommendation ( [ # 1..* Vaccine administration recommendations fhir:vaccineCode ( [ CodeableConcept ] ... ) ; # 0..* I Vaccine or vaccine group recommendation applies to fhir:targetDisease ( [ CodeableConcept ] ... ) ; # 0..* I Disease to be immunized against fhir:contraindicatedVaccineCode ( [ CodeableConcept ] ... ) ; # 0..* Vaccine which is contraindicated to fulfill the recommendation fhir:forecastStatus [ CodeableConcept ] ; # 1..1 Vaccine recommendation status fhir:forecastReason ( [ CodeableConcept ] ... ) ; # 0..* Vaccine administration status reason fhir:dateCriterion ( [ # 0..* Dates governing proposed immunization fhir:code [ CodeableConcept ] ; # 1..1 Type of date fhir:value [ dateTime ] ; # 1..1 Recommended date ] ... ) ; fhir:description [ markdown ] ; # 0..1 Protocol details fhir:series [ string ] ; # 0..1 Name of vaccination series fhir:doseNumber [ string ] ; # 0..1 Recommended dose number within series fhir:seriesDoses [ string ] ; # 0..1 Recommended number of doses for immunity fhir:supportingImmunization ( [ Reference(Immunization|ImmunizationEvaluation) ] ... ) ; # 0..* Past immunizations supporting recommendation fhir:supportingPatientInformation ( [ Reference(Any) ] ... ) ; # 0..* Patient observations supporting recommendation ] ... ) ; ]
Changes since Release 4
| ImmunizationRecommendation | |
| ImmunizationRecommendation.recommendation.targetDisease |
|
| ImmunizationRecommendation.recommendation.description |
|
| ImmunizationRecommendation.recommendation.doseNumber |
|
| ImmunizationRecommendation.recommendation.seriesDoses |
|
| ImmunizationRecommendation.recommendation.doseNumber[x] |
|
| ImmunizationRecommendation.recommendation.seriesDoses[x] |
|
See the Full Difference for further information
This analysis is available as XML or JSON .
Conversions
between
R3
and
R4
See
R3
<-->
R4
Conversion
Maps
(status
=
1
test
that
all
execute
ok.
All
tests
pass
round-trip
testing
and
all
r3
resources
are
valid.)
See
the
Profiles
&
Extensions
and
the
alternate
Additional
definitions:
Master
Definition
XML
+
JSON
,
XML
Schema
/
Schematron
+
JSON
Schema
,
ShEx
(for
Turtle
)
+
see
the
extensions
,
the
spreadsheet
version
&
the
dependency
analysis
| Path |
|
Type |
|
|---|---|---|---|
| ImmunizationRecommendation.recommendation.vaccineCode | VaccineAdministeredValueSet | Example |
This identifies the vaccine substance administered - CVX codes. |
| ImmunizationRecommendation.recommendation.targetDisease | ImmunizationTargetDiseaseCodes | Example |
The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the disease that the dose is being administered against. This value set is provided as a suggestive example and includes SNOMED CT concepts from the 64572001 (Disease) hierarchy. |
| ImmunizationRecommendation.recommendation.contraindicatedVaccineCode | VaccineAdministeredValueSet | Example |
This identifies the vaccine substance administered - CVX codes. |
| ImmunizationRecommendation.recommendation.forecastStatus | ImmunizationRecommendationStatusCodes | Example |
The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the status of the patient towards perceived immunity against a vaccine preventable disease. This value set is provided as a suggestive example. |
| ImmunizationRecommendation.recommendation.forecastReason | ImmunizationRecommendationReasonCodes | Example |
The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the reasons why a given recommendation status is assigned. This value set is provided as a suggestive example and includes SNOMED CT concepts. |
| ImmunizationRecommendation.recommendation.dateCriterion.code | ImmunizationRecommendationDateCriterionCodes | Example |
The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support the definition of dates relevant to recommendations for future doses of vaccines. This value set is provided as a suggestive example. |
|
|
Level | Location | Description | Expression |
imr-1
|
Rule | ImmunizationRecommendation.recommendation | One of vaccineCode or targetDisease SHALL be present | vaccineCode.exists() or targetDisease.exists() |
Search parameters for this resource. See also the full list of search parameters for this resource , and check the Extensions registry for search parameters on extensions related to this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.
| Name | Type | Description | Expression | In Common |
| date | date | Date recommendation(s) created | ImmunizationRecommendation.date | 27 Resources |
| identifier | token | Business identifier | ImmunizationRecommendation.identifier | 65 Resources |
| information | reference | Patient observations supporting recommendation |
ImmunizationRecommendation.recommendation.supportingPatientInformation
(Any) |
|
| patient | reference | Who this profile is for |
ImmunizationRecommendation.patient
( Patient ) |
66 Resources |
| status | token | Vaccine recommendation status | ImmunizationRecommendation.recommendation.forecastStatus | |
| support | reference | Past immunizations supporting recommendation |
ImmunizationRecommendation.recommendation.supportingImmunization
( Immunization , ImmunizationEvaluation ) |
|
| target-disease | token | Disease to be immunized against | ImmunizationRecommendation.recommendation.targetDisease | |
| vaccine-type | token | Vaccine or vaccine group recommendation applies to | ImmunizationRecommendation.recommendation.vaccineCode |