2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). 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

4.19.5 Resource Immunization - Detailed Descriptions

Detailed Descriptions for the elements in the Immunization resource.

Immunization
Definition

Immunization event information.

Control1..1
Immunization.identifier
Definition

A unique identifier assigned to this immunization record.

Control0..*
TypeIdentifier
Immunization.date
Definition

Date vaccine administered or was to be administered.

Control1..1
TypedateTime
Immunization.vaccineType
Definition

Vaccine that was administered or was to be administered.

Control1..1
BindingVaccineType: The type of vaccine administered (Example)
TypeCodeableConcept
Immunization.patient
Definition

The patient who either received or did not receive the immunization.

Control1..1
TypeReference(Patient)
Immunization.wasNotGiven
Definition

Indicates if the vaccination was or was not given.

Control1..1
Typeboolean
Is Modifiertrue
InvariantsDefined on this element
imm-1: If immunization was not administred (wasNotGiven=true) then there SHALL be no reaction nor explanation.reason present (xpath: not(f:wasNotGiven/@value='true' and (count(f:reaction) > 0 or exists(f:explanation/reason))))
imm-2: If immunization was administered (wasNotGiven=false) then explanation.reasonNotGiven SHALL be absent. (xpath: not(f:wasNotGiven/@value='false' and exists(f:explanation/f:reasonNotGiven)))
Immunization.reported
Definition

True if this administration was reported rather than directly administered.

Control1..1
Typeboolean
Comments

May need source of reported info (e.g. parent), but leave out for now.

Immunization.performer
Definition

Clinician who administered the vaccine.

Control0..1
TypeReference(Practitioner)
Immunization.requester
Definition

Clinician who ordered the vaccination.

Control0..1
TypeReference(Practitioner)
Comments

Other participants - delegate to Provenance resource.

Immunization.encounter
Definition

The visit or admission or other contact between patient and health care provider the immunization was performed as part of.

Control0..1
TypeReference(Encounter)
Immunization.manufacturer
Definition

Name of vaccine manufacturer.

Control0..1
TypeReference(Organization)
Immunization.location
Definition

The service delivery location where the vaccine administration occurred.

Control0..1
TypeReference(Location)
Immunization.lotNumber
Definition

Lot number of the vaccine product.

Control0..1
Typestring
Immunization.expirationDate
Definition

Date vaccine batch expires.

Control0..1
Typedate
Immunization.site
Definition

Body site where vaccine was administered.

Control0..1
BindingImmunizationSite: Example: See http://hl7.org/fhir/vs/immunization-site (The site at which the vaccine was administered)
TypeCodeableConcept
Immunization.route
Definition

The path by which the vaccine product is taken into the body.

Control0..1
BindingImmunizationRoute: Example: See http://hl7.org/fhir/vs/immunization-route (The route by which the vaccine was administered)
TypeCodeableConcept
Immunization.doseQuantity
Definition

The quantity of vaccine product that was administered.

Control0..1
TypeQuantity
Immunization.explanation
Definition

Reasons why a vaccine was or was not administered.

Control0..1
Immunization.explanation.reason
Definition

Reasons why a vaccine was administered.

Control0..*
BindingImmunizationReason: Example: See http://hl7.org/fhir/vs/immunization-reason (The reason why a vaccine was administered)
TypeCodeableConcept
Immunization.explanation.reasonNotGiven
Definition

Reason why a vaccine was not administered.

Control0..*
BindingNoImmunizationReason: Example: See http://hl7.org/fhir/vs/no-immunization-reason (The reason why a vaccine was not administered)
TypeCodeableConcept
Immunization.reaction
Definition

Categorical data indicating that an adverse event is associated in time to an immunization.

Control0..*
Immunization.reaction.date
Definition

Date of reaction to the immunization.

Control0..1
TypedateTime
Immunization.reaction.detail
Definition

Details of the reaction.

Control0..1
TypeReference(Observation)
Immunization.reaction.reported
Definition

Self-reported indicator.

Control0..1
Typeboolean
Immunization.vaccinationProtocol
Definition

Contains information about the protocol(s) under which the vaccine was administered.

Control0..*
Immunization.vaccinationProtocol.doseSequence
Definition

Nominal position in a series.

Control1..1
Typeinteger
Immunization.vaccinationProtocol.description
Definition

Contains the description about the protocol under which the vaccine was administered.

Control0..1
Typestring
Immunization.vaccinationProtocol.authority
Definition

Indicates the authority who published the protocol? E.g. ACIP.

Control0..1
TypeReference(Organization)
Immunization.vaccinationProtocol.series
Definition

One possible path to achieve presumed immunity against a disease - within the context of an authority.

Control0..1
Typestring
Immunization.vaccinationProtocol.seriesDoses
Definition

The recommended number of doses to achieve immunity.

Control0..1
Typeinteger
Immunization.vaccinationProtocol.doseTarget
Definition

The targeted disease.

Control1..1
BindingVaccinationProtocolDoseTarget: Example: See http://hl7.org/fhir/vs/vaccination-protocol-dose-target (The disease target of the vaccination protocol)
TypeCodeableConcept
Immunization.vaccinationProtocol.doseStatus
Definition

Indicates if the immunization event should "count" against the protocol.

Control1..1
BindingVaccinationProtocolDoseStatus: Example: See http://hl7.org/fhir/vs/vaccination-protocol-dose-status (The status of the vaccination protocol (i.e. should this count))
TypeCodeableConcept
Comments

May need to differentiate between status declarations by a provider vs. a CDS engine.

Immunization.vaccinationProtocol.doseStatusReason
Definition

Provides an explanation as to why a immunization event should or should not count against the protocol.

Control0..1
BindingVaccinationProtocolDoseStatusReason: Example: See http://hl7.org/fhir/vs/vaccination-protocol-dose-status-reason (The reason for the determining if a vaccination should count or why vaccination should not count.)
TypeCodeableConcept