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 Resource Immunization - Content

This resource maintained by the Public Health and Emergency Response Work Group

Immunization event information.

4.19.1 Scope and Usage

The immunization resource is intended to cover the administration of vaccines to patients across all healthcare disciplines in all care settings and all regions. This includes immunization of both humans and animals but does not include the administration of non-vaccine agents, even those that may have or claim immunological effects.

Additionally, the immunization resource is expected to cover key concepts related to the creation, revision and querying of a patient's immunization history. This resource - through consultation with the PHER work group - is believed to meet key use cases and information requirements as defined in the existing HL7 v2.x immunization implementation guide, HL7 v3 POIZ domain and Immunization Domain Analysis Model.

4.19.2 Boundaries and Relationships

This resource references the following resources:

  • Patient
  • Practitioner
  • Organization
  • Location
  • Observation
  • Encounter

Administration of vaccines is intended to be handled using the Immunization resource. MedicationAdministration is intended for tracking the administration of non-vaccine medications. Some systems treat immunizations in the same way as any other medication administration. Such systems SHOULD use an immunization resource to represent these. If systems need to use a MedicationAdministration resource to capture vaccinations for workflow or other reasons, they SHOULD also expose an equivalent Immunization instance.

This resource is referenced by Condition, ImmunizationRecommendation and Procedure

4.19.3 Resource Content

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization DomainResourceImmunization event information
... identifier 0..*IdentifierBusiness identifier
... date 1..1dateTimeVaccination administration date
... vaccineType 1..1CodeableConceptVaccine product administered
VaccineType (Example)
... patient 1..1PatientWho was immunized?
... wasNotGiven M I1..1booleanWas immunization given?
If immunization was administered (wasNotGiven=false) then explanation.reasonNotGiven SHALL be absent.
If immunization was not administred (wasNotGiven=true) then there SHALL be no reaction nor explanation.reason present
... reported 1..1booleanIs this a self-reported record?
... performer 0..1PractitionerWho administered vaccine?
... requester 0..1PractitionerWho ordered vaccination?
... encounter 0..1EncounterEncounter administered as part of
... manufacturer 0..1OrganizationVaccine manufacturer
... location 0..1LocationWhere did vaccination occur?
... lotNumber 0..1stringVaccine lot number
... expirationDate 0..1dateVaccine expiration date
... site 0..1CodeableConceptBody site vaccine was administered
ImmunizationSite (Example)
... route 0..1CodeableConceptHow vaccine entered body
ImmunizationRoute (Example)
... doseQuantity 0..1QuantityAmount of vaccine administered
... explanation 0..1ElementAdministration / non-administration reasons
.... reason 0..*CodeableConceptWhy immunization occurred
ImmunizationReason (Example)
.... reasonNotGiven 0..*CodeableConceptWhy immunization did not occur
NoImmunizationReason (Example)
... reaction 0..*ElementDetails of a reaction that follows immunization
.... date 0..1dateTimeWhen did reaction start?
.... detail 0..1ObservationAdditional information on reaction
.... reported 0..1booleanWas reaction self-reported?
... vaccinationProtocol 0..*ElementWhat protocol was followed
.... doseSequence 1..1integerWhat dose number within series?
.... description 0..1stringDetails of vaccine protocol
.... authority 0..1OrganizationWho is responsible for protocol
.... series 0..1stringName of vaccine series
.... seriesDoses 0..1integerRecommended number of doses for immunity
.... doseTarget 1..1CodeableConceptDisease immunized against
VaccinationProtocolDoseTarget (Example)
.... doseStatus 1..1CodeableConceptDoes dose count towards immunity?
VaccinationProtocolDoseStatus (Example)
.... doseStatusReason 0..1CodeableConceptWhy does does count/not count?
VaccinationProtocolDoseStatusReason (Example)

UML Diagram

Immunization (DomainResource)A unique identifier assigned to this immunization recordidentifier : Identifier 0..*Date vaccine administered or was to be administereddate : dateTime 1..1Vaccine that was administered or was to be administeredvaccineType : CodeableConcept 1..1 « (The type of vaccine administeredVaccineType) »The patient who either received or did not receive the immunizationpatient : Reference(Patient) 1..1Indicates if the vaccination was or was not given (this element modifies the meaning of other elements)wasNotGiven : boolean 1..1True if this administration was reported rather than directly administeredreported : boolean 1..1Clinician who administered the vaccineperformer : Reference(Practitioner) 0..1Clinician who ordered the vaccinationrequester : Reference(Practitioner) 0..1The visit or admission or other contact between patient and health care provider the immunization was performed as part ofencounter : Reference(Encounter) 0..1Name of vaccine manufacturermanufacturer : Reference(Organization) 0..1The service delivery location where the vaccine administration occurredlocation : Reference(Location) 0..1Lot number of the vaccine productlotNumber : string 0..1Date vaccine batch expiresexpirationDate : date 0..1Body site where vaccine was administeredsite : CodeableConcept 0..1 « (The site at which the vaccine was administeredImmunizationSite) »The path by which the vaccine product is taken into the bodyroute : CodeableConcept 0..1 « (The route by which the vaccine was administeredImmunizationRoute) »The quantity of vaccine product that was administereddoseQuantity : Quantity 0..1ExplanationReasons why a vaccine was administeredreason : CodeableConcept 0..* « (The reason why a vaccine was administeredImmunizationReason) »Reason why a vaccine was not administeredreasonNotGiven : CodeableConcept 0..* « (The reason why a vaccine was not administeredNoImmunizationReason) »ReactionDate of reaction to the immunizationdate : dateTime 0..1Details of the reactiondetail : Reference(Observation) 0..1Self-reported indicatorreported : boolean 0..1VaccinationProtocolNominal position in a seriesdoseSequence : integer 1..1Contains the description about the protocol under which the vaccine was administereddescription : string 0..1Indicates the authority who published the protocol? E.g. ACIPauthority : Reference(Organization) 0..1One possible path to achieve presumed immunity against a disease - within the context of an authorityseries : string 0..1The recommended number of doses to achieve immunityseriesDoses : integer 0..1The targeted diseasedoseTarget : CodeableConcept 1..1 « (The disease target of the vaccination protocolVaccinationProtocolDoseTarget) »Indicates if the immunization event should "count" against the protocoldoseStatus : CodeableConcept 1..1 « (The status of the vaccination protocol (i.e. should this count)VaccinationProtocolDoseStatus) »Provides an explanation as to why a immunization event should or should not count against the protocoldoseStatusReason : CodeableConcept 0..1 « (The reason for the determining if a vaccination should count or why vaccination should not count.VaccinationProtocolDoseStatusReason) »Reasons why a vaccine was or was not administeredexplanation0..1Categorical data indicating that an adverse event is associated in time to an immunizationreaction0..*Contains information about the protocol(s) under which the vaccine was administeredvaccinationProtocol0..*

XML Template

<Immunization xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Business identifier --></identifier>
 <date value="[dateTime]"/><!-- 1..1 Vaccination administration date -->
 <vaccineType><!-- 1..1 CodeableConcept Vaccine product administered --></vaccineType>
 <patient><!-- 1..1 Reference(Patient) Who was immunized? --></patient>
 <wasNotGiven value="[boolean]"/><!-- 1..1 Was immunization given? -->
 <reported value="[boolean]"/><!-- 1..1 Is this a self-reported record? -->
 <performer><!-- 0..1 Reference(Practitioner) Who administered vaccine? --></performer>
 <requester><!-- 0..1 Reference(Practitioner) Who ordered vaccination? --></requester>
 <encounter><!-- 0..1 Reference(Encounter) Encounter administered as part of --></encounter>
 <manufacturer><!-- 0..1 Reference(Organization) Vaccine manufacturer --></manufacturer>
 <location><!-- 0..1 Reference(Location) Where did vaccination occur? --></location>
 <lotNumber value="[string]"/><!-- 0..1 Vaccine lot number -->
 <expirationDate value="[date]"/><!-- 0..1 Vaccine expiration date -->
 <site><!-- 0..1 CodeableConcept Body site vaccine  was administered --></site>
 <route><!-- 0..1 CodeableConcept How vaccine entered body --></route>
 <doseQuantity><!-- 0..1 Quantity Amount of vaccine administered --></doseQuantity>
 <explanation>  <!-- 0..1 Administration / non-administration reasons -->
  <reason><!-- 0..* CodeableConcept Why immunization occurred --></reason>
  <reasonNotGiven><!-- 0..* CodeableConcept Why immunization did not occur --></reasonNotGiven>
 </explanation>
 <reaction>  <!-- 0..* Details of a reaction that follows immunization -->
  <date value="[dateTime]"/><!-- 0..1 When did reaction start? -->
  <detail><!-- 0..1 Reference(Observation) Additional information on reaction --></detail>
  <reported value="[boolean]"/><!-- 0..1 Was reaction self-reported? -->
 </reaction>
 <vaccinationProtocol>  <!-- 0..* What protocol was followed -->
  <doseSequence value="[integer]"/><!-- 1..1 What dose number within series? -->
  <description value="[string]"/><!-- 0..1 Details of vaccine protocol -->
  <authority><!-- 0..1 Reference(Organization) Who is responsible for protocol --></authority>
  <series value="[string]"/><!-- 0..1 Name of vaccine series -->
  <seriesDoses value="[integer]"/><!-- 0..1 Recommended number of doses for immunity -->
  <doseTarget><!-- 1..1 CodeableConcept Disease immunized against --></doseTarget>
  <doseStatus><!-- 1..1 CodeableConcept Does dose count towards immunity? --></doseStatus>
  <doseStatusReason><!-- 0..1 CodeableConcept Why does does count/not count? --></doseStatusReason>
 </vaccinationProtocol>
</Immunization>

JSON Template

{doco
  "resourceType" : "Immunization",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Business identifier
  "date" : "<dateTime>", // R! Vaccination administration date
  "vaccineType" : { CodeableConcept }, // R! Vaccine product administered
  "patient" : { Reference(Patient) }, // R! Who was immunized?
  "wasNotGiven" : <boolean>, // R! Was immunization given?
  "reported" : <boolean>, // R! Is this a self-reported record?
  "performer" : { Reference(Practitioner) }, // Who administered vaccine?
  "requester" : { Reference(Practitioner) }, // Who ordered vaccination?
  "encounter" : { Reference(Encounter) }, // Encounter administered as part of
  "manufacturer" : { Reference(Organization) }, // Vaccine manufacturer
  "location" : { Reference(Location) }, // Where did vaccination occur?
  "lotNumber" : "<string>", // Vaccine lot number
  "expirationDate" : "<date>", // Vaccine expiration date
  "site" : { CodeableConcept }, // Body site vaccine  was administered
  "route" : { CodeableConcept }, // How vaccine entered body
  "doseQuantity" : { Quantity }, // Amount of vaccine administered
  "explanation" : { // Administration / non-administration reasons
    "reason" : [{ CodeableConcept }], // Why immunization occurred
    "reasonNotGiven" : [{ CodeableConcept }] // Why immunization did not occur
  },
  "reaction" : [{ // Details of a reaction that follows immunization
    "date" : "<dateTime>", // When did reaction start?
    "detail" : { Reference(Observation) }, // Additional information on reaction
    "reported" : <boolean> // Was reaction self-reported?
  }],
  "vaccinationProtocol" : [{ // What protocol was followed
    "doseSequence" : <integer>, // R! What dose number within series?
    "description" : "<string>", // Details of vaccine protocol
    "authority" : { Reference(Organization) }, // Who is responsible for protocol
    "series" : "<string>", // Name of vaccine series
    "seriesDoses" : <integer>, // Recommended number of doses for immunity
    "doseTarget" : { CodeableConcept }, // R! Disease immunized against
    "doseStatus" : { CodeableConcept }, // R! Does dose count towards immunity?
    "doseStatusReason" : { CodeableConcept } // Why does does count/not count?
  }]
}

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization DomainResourceImmunization event information
... identifier 0..*IdentifierBusiness identifier
... date 1..1dateTimeVaccination administration date
... vaccineType 1..1CodeableConceptVaccine product administered
VaccineType (Example)
... patient 1..1PatientWho was immunized?
... wasNotGiven M I1..1booleanWas immunization given?
If immunization was administered (wasNotGiven=false) then explanation.reasonNotGiven SHALL be absent.
If immunization was not administred (wasNotGiven=true) then there SHALL be no reaction nor explanation.reason present
... reported 1..1booleanIs this a self-reported record?
... performer 0..1PractitionerWho administered vaccine?
... requester 0..1PractitionerWho ordered vaccination?
... encounter 0..1EncounterEncounter administered as part of
... manufacturer 0..1OrganizationVaccine manufacturer
... location 0..1LocationWhere did vaccination occur?
... lotNumber 0..1stringVaccine lot number
... expirationDate 0..1dateVaccine expiration date
... site 0..1CodeableConceptBody site vaccine was administered
ImmunizationSite (Example)
... route 0..1CodeableConceptHow vaccine entered body
ImmunizationRoute (Example)
... doseQuantity 0..1QuantityAmount of vaccine administered
... explanation 0..1ElementAdministration / non-administration reasons
.... reason 0..*CodeableConceptWhy immunization occurred
ImmunizationReason (Example)
.... reasonNotGiven 0..*CodeableConceptWhy immunization did not occur
NoImmunizationReason (Example)
... reaction 0..*ElementDetails of a reaction that follows immunization
.... date 0..1dateTimeWhen did reaction start?
.... detail 0..1ObservationAdditional information on reaction
.... reported 0..1booleanWas reaction self-reported?
... vaccinationProtocol 0..*ElementWhat protocol was followed
.... doseSequence 1..1integerWhat dose number within series?
.... description 0..1stringDetails of vaccine protocol
.... authority 0..1OrganizationWho is responsible for protocol
.... series 0..1stringName of vaccine series
.... seriesDoses 0..1integerRecommended number of doses for immunity
.... doseTarget 1..1CodeableConceptDisease immunized against
VaccinationProtocolDoseTarget (Example)
.... doseStatus 1..1CodeableConceptDoes dose count towards immunity?
VaccinationProtocolDoseStatus (Example)
.... doseStatusReason 0..1CodeableConceptWhy does does count/not count?
VaccinationProtocolDoseStatusReason (Example)

UML Diagram

Immunization (DomainResource)A unique identifier assigned to this immunization recordidentifier : Identifier 0..*Date vaccine administered or was to be administereddate : dateTime 1..1Vaccine that was administered or was to be administeredvaccineType : CodeableConcept 1..1 « (The type of vaccine administeredVaccineType) »The patient who either received or did not receive the immunizationpatient : Reference(Patient) 1..1Indicates if the vaccination was or was not given (this element modifies the meaning of other elements)wasNotGiven : boolean 1..1True if this administration was reported rather than directly administeredreported : boolean 1..1Clinician who administered the vaccineperformer : Reference(Practitioner) 0..1Clinician who ordered the vaccinationrequester : Reference(Practitioner) 0..1The visit or admission or other contact between patient and health care provider the immunization was performed as part ofencounter : Reference(Encounter) 0..1Name of vaccine manufacturermanufacturer : Reference(Organization) 0..1The service delivery location where the vaccine administration occurredlocation : Reference(Location) 0..1Lot number of the vaccine productlotNumber : string 0..1Date vaccine batch expiresexpirationDate : date 0..1Body site where vaccine was administeredsite : CodeableConcept 0..1 « (The site at which the vaccine was administeredImmunizationSite) »The path by which the vaccine product is taken into the bodyroute : CodeableConcept 0..1 « (The route by which the vaccine was administeredImmunizationRoute) »The quantity of vaccine product that was administereddoseQuantity : Quantity 0..1ExplanationReasons why a vaccine was administeredreason : CodeableConcept 0..* « (The reason why a vaccine was administeredImmunizationReason) »Reason why a vaccine was not administeredreasonNotGiven : CodeableConcept 0..* « (The reason why a vaccine was not administeredNoImmunizationReason) »ReactionDate of reaction to the immunizationdate : dateTime 0..1Details of the reactiondetail : Reference(Observation) 0..1Self-reported indicatorreported : boolean 0..1VaccinationProtocolNominal position in a seriesdoseSequence : integer 1..1Contains the description about the protocol under which the vaccine was administereddescription : string 0..1Indicates the authority who published the protocol? E.g. ACIPauthority : Reference(Organization) 0..1One possible path to achieve presumed immunity against a disease - within the context of an authorityseries : string 0..1The recommended number of doses to achieve immunityseriesDoses : integer 0..1The targeted diseasedoseTarget : CodeableConcept 1..1 « (The disease target of the vaccination protocolVaccinationProtocolDoseTarget) »Indicates if the immunization event should "count" against the protocoldoseStatus : CodeableConcept 1..1 « (The status of the vaccination protocol (i.e. should this count)VaccinationProtocolDoseStatus) »Provides an explanation as to why a immunization event should or should not count against the protocoldoseStatusReason : CodeableConcept 0..1 « (The reason for the determining if a vaccination should count or why vaccination should not count.VaccinationProtocolDoseStatusReason) »Reasons why a vaccine was or was not administeredexplanation0..1Categorical data indicating that an adverse event is associated in time to an immunizationreaction0..*Contains information about the protocol(s) under which the vaccine was administeredvaccinationProtocol0..*

XML Template

<Immunization xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Business identifier --></identifier>
 <date value="[dateTime]"/><!-- 1..1 Vaccination administration date -->
 <vaccineType><!-- 1..1 CodeableConcept Vaccine product administered --></vaccineType>
 <patient><!-- 1..1 Reference(Patient) Who was immunized? --></patient>
 <wasNotGiven value="[boolean]"/><!-- 1..1 Was immunization given? -->
 <reported value="[boolean]"/><!-- 1..1 Is this a self-reported record? -->
 <performer><!-- 0..1 Reference(Practitioner) Who administered vaccine? --></performer>
 <requester><!-- 0..1 Reference(Practitioner) Who ordered vaccination? --></requester>
 <encounter><!-- 0..1 Reference(Encounter) Encounter administered as part of --></encounter>
 <manufacturer><!-- 0..1 Reference(Organization) Vaccine manufacturer --></manufacturer>
 <location><!-- 0..1 Reference(Location) Where did vaccination occur? --></location>
 <lotNumber value="[string]"/><!-- 0..1 Vaccine lot number -->
 <expirationDate value="[date]"/><!-- 0..1 Vaccine expiration date -->
 <site><!-- 0..1 CodeableConcept Body site vaccine  was administered --></site>
 <route><!-- 0..1 CodeableConcept How vaccine entered body --></route>
 <doseQuantity><!-- 0..1 Quantity Amount of vaccine administered --></doseQuantity>
 <explanation>  <!-- 0..1 Administration / non-administration reasons -->
  <reason><!-- 0..* CodeableConcept Why immunization occurred --></reason>
  <reasonNotGiven><!-- 0..* CodeableConcept Why immunization did not occur --></reasonNotGiven>
 </explanation>
 <reaction>  <!-- 0..* Details of a reaction that follows immunization -->
  <date value="[dateTime]"/><!-- 0..1 When did reaction start? -->
  <detail><!-- 0..1 Reference(Observation) Additional information on reaction --></detail>
  <reported value="[boolean]"/><!-- 0..1 Was reaction self-reported? -->
 </reaction>
 <vaccinationProtocol>  <!-- 0..* What protocol was followed -->
  <doseSequence value="[integer]"/><!-- 1..1 What dose number within series? -->
  <description value="[string]"/><!-- 0..1 Details of vaccine protocol -->
  <authority><!-- 0..1 Reference(Organization) Who is responsible for protocol --></authority>
  <series value="[string]"/><!-- 0..1 Name of vaccine series -->
  <seriesDoses value="[integer]"/><!-- 0..1 Recommended number of doses for immunity -->
  <doseTarget><!-- 1..1 CodeableConcept Disease immunized against --></doseTarget>
  <doseStatus><!-- 1..1 CodeableConcept Does dose count towards immunity? --></doseStatus>
  <doseStatusReason><!-- 0..1 CodeableConcept Why does does count/not count? --></doseStatusReason>
 </vaccinationProtocol>
</Immunization>

JSON Template

{doco
  "resourceType" : "Immunization",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Business identifier
  "date" : "<dateTime>", // R! Vaccination administration date
  "vaccineType" : { CodeableConcept }, // R! Vaccine product administered
  "patient" : { Reference(Patient) }, // R! Who was immunized?
  "wasNotGiven" : <boolean>, // R! Was immunization given?
  "reported" : <boolean>, // R! Is this a self-reported record?
  "performer" : { Reference(Practitioner) }, // Who administered vaccine?
  "requester" : { Reference(Practitioner) }, // Who ordered vaccination?
  "encounter" : { Reference(Encounter) }, // Encounter administered as part of
  "manufacturer" : { Reference(Organization) }, // Vaccine manufacturer
  "location" : { Reference(Location) }, // Where did vaccination occur?
  "lotNumber" : "<string>", // Vaccine lot number
  "expirationDate" : "<date>", // Vaccine expiration date
  "site" : { CodeableConcept }, // Body site vaccine  was administered
  "route" : { CodeableConcept }, // How vaccine entered body
  "doseQuantity" : { Quantity }, // Amount of vaccine administered
  "explanation" : { // Administration / non-administration reasons
    "reason" : [{ CodeableConcept }], // Why immunization occurred
    "reasonNotGiven" : [{ CodeableConcept }] // Why immunization did not occur
  },
  "reaction" : [{ // Details of a reaction that follows immunization
    "date" : "<dateTime>", // When did reaction start?
    "detail" : { Reference(Observation) }, // Additional information on reaction
    "reported" : <boolean> // Was reaction self-reported?
  }],
  "vaccinationProtocol" : [{ // What protocol was followed
    "doseSequence" : <integer>, // R! What dose number within series?
    "description" : "<string>", // Details of vaccine protocol
    "authority" : { Reference(Organization) }, // Who is responsible for protocol
    "series" : "<string>", // Name of vaccine series
    "seriesDoses" : <integer>, // Recommended number of doses for immunity
    "doseTarget" : { CodeableConcept }, // R! Disease immunized against
    "doseStatus" : { CodeableConcept }, // R! Does dose count towards immunity?
    "doseStatusReason" : { CodeableConcept } // Why does does count/not count?
  }]
}

 

Alternate definitions: Schema/Schematron, Resource Profile (XML, JSON), Questionnaire

4.19.3.1 Terminology Bindings

PathDefinitionTypeReference
Immunization.vaccineType The type of vaccine administeredExamplehttp://hl7.org/fhir/v3/vs/VaccineType
Immunization.site The site at which the vaccine was administeredExamplehttp://hl7.org/fhir/vs/immunization-site
Immunization.route The route by which the vaccine was administeredExamplehttp://hl7.org/fhir/vs/immunization-route
Immunization.explanation.reason The reason why a vaccine was administeredExamplehttp://hl7.org/fhir/vs/immunization-reason
Immunization.explanation.reasonNotGiven The reason why a vaccine was not administeredExamplehttp://hl7.org/fhir/vs/no-immunization-reason
Immunization.vaccinationProtocol.doseTarget The disease target of the vaccination protocolExamplehttp://hl7.org/fhir/vs/vaccination-protocol-dose-target
Immunization.vaccinationProtocol.doseStatus The status of the vaccination protocol (i.e. should this count)Examplehttp://hl7.org/fhir/vs/vaccination-protocol-dose-status
Immunization.vaccinationProtocol.doseStatusReason The reason for the determining if a vaccination should count or why vaccination should not count.Examplehttp://hl7.org/fhir/vs/vaccination-protocol-dose-status-reason

4.19.3.2 Constraints

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

4.19.4 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

NameTypeDescriptionPaths
datedateVaccination (non)-Administration DateImmunization.date
dose-sequencenumberWhat dose number within series?Immunization.vaccinationProtocol.doseSequence
identifiertokenBusiness identifierImmunization.identifier
locationreferenceThe service delivery location or facility in which the vaccine was / was to be administeredImmunization.location
(Location)
lot-numberstringVaccine Lot NumberImmunization.lotNumber
manufacturerreferenceVaccine ManufacturerImmunization.manufacturer
(Organization)
notgiventokenAdministrations which were not givenImmunization.wasNotGiven
patientreferenceThe patient for the vaccination recordImmunization.patient
(Patient)
performerreferenceThe practitioner who administered the vaccinationImmunization.performer
(Practitioner)
reactionreferenceAdditional information on reactionImmunization.reaction.detail
(Observation)
reaction-datedateWhen did reaction start?Immunization.reaction.date
reasontokenWhy immunization occurredImmunization.explanation.reason
reason-not-giventokenExplanation of reason vaccination was not administeredImmunization.explanation.reasonNotGiven
requesterreferenceThe practitioner who ordered the vaccinationImmunization.requester
(Practitioner)
subjectreferenceThe patient for the vaccination recordImmunization.patient
(Patient)
vaccine-typetokenVaccine Product Type AdministeredImmunization.vaccineType