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

Immunization.questionnaire

This is an example form generated from the questionnaire. See also the XML or JSON format.

Immunization.questionnaire - FHIR v0.4.0 Form
2nd DSTU Draft For Comment

This is an example form generated from the questionnaire. See also the XML or JSON format

Immunization event information

Immunization
Immunization.id
Immunization.id.value Logical id of this artefact
Immunization.id 1

Metadata about the resource

Immunization.meta
Immunization.meta 1
Immunization.implicitRules
Immunization.implicitRules.value A set of rules under which this content was created
Immunization.implicitRules 1
Immunization.language
Immunization.language.value language
Immunization.language 1

Text summary of the resource, for human interpretation

Immunization.text
Immunization.text 1

Contained, inline Resources

Immunization.contained
Immunization.contained 1

Business identifier

Immunization.identifier
Immunization.identifier.label label:
Immunization.identifier.system system:
Immunization.identifier.value value:
Immunization.identifier 1
Immunization.date
Immunization.date.value Vaccination administration date
Immunization.date 1

Vaccine product administered

Immunization.vaccineType
Immunization.vaccineType.coding code:
Immunization.vaccineType.text text:
Immunization.vaccineType 1
Immunization.patient
Immunization.patient.value Who was immunized?
Immunization.patient 1
Immunization.wasNotGiven
Immunization.wasNotGiven.value Was immunization given?
Immunization.wasNotGiven 1
Immunization.reported
Immunization.reported.value Is this a self-reported record?
Immunization.reported 1
Immunization.performer
Immunization.performer.value Who administered vaccine?
Immunization.performer 1
Immunization.requester
Immunization.requester.value Who ordered vaccination?
Immunization.requester 1
Immunization.encounter
Immunization.encounter.value Encounter administered as part of
Immunization.encounter 1
Immunization.manufacturer
Immunization.manufacturer.value Vaccine manufacturer
Immunization.manufacturer 1
Immunization.location
Immunization.location.value Where did vaccination occur?
Immunization.location 1
Immunization.lotNumber
Immunization.lotNumber.value Vaccine lot number
Immunization.lotNumber 1
Immunization.expirationDate
Immunization.expirationDate.value Vaccine expiration date
Immunization.expirationDate 1

Body site vaccine was administered

Immunization.site
Immunization.site.coding code:
Immunization.site.text text:
Immunization.site 1

How vaccine entered body

Immunization.route
Immunization.route.coding code:
Immunization.route.text text:
Immunization.route 1

Amount of vaccine administered

Immunization.doseQuantity
Immunization.doseQuantity.comparator comp:
Immunization.doseQuantity.value value:
Immunization.doseQuantity.units units:
Immunization.doseQuantity.code coded units:
Immunization.doseQuantity.system units system:
Immunization.doseQuantity 1

Administration / non-administration reasons

Immunization.explanation
Immunization.explanation.id
Immunization.explanation.id.value xml:id (or equivalent in JSON)
Immunization.explanation.id 1

Why immunization occurred

Immunization.explanation.reason
Immunization.explanation.reason.coding code:
Immunization.explanation.reason.text text:
Immunization.explanation.reason 1

Why immunization did not occur

Immunization.explanation.reasonNotGiven
Immunization.explanation.reasonNotGiven.coding code:
Immunization.explanation.reasonNotGiven.text text:
Immunization.explanation.reasonNotGiven 1
Immunization.explanation 1

Details of a reaction that follows immunization

Immunization.reaction
Immunization.reaction.id
Immunization.reaction.id.value xml:id (or equivalent in JSON)
Immunization.reaction.id 1
Immunization.reaction.date
Immunization.reaction.date.value When did reaction start?
Immunization.reaction.date 1
Immunization.reaction.detail
Immunization.reaction.detail.value Additional information on reaction
Immunization.reaction.detail 1
Immunization.reaction.reported
Immunization.reaction.reported.value Was reaction self-reported?
Immunization.reaction.reported 1
Immunization.reaction 1

What protocol was followed

Immunization.vaccinationProtocol
Immunization.vaccinationProtocol.id
Immunization.vaccinationProtocol.id.value xml:id (or equivalent in JSON)
Immunization.vaccinationProtocol.id 1
Immunization.vaccinationProtocol.doseSequence
Immunization.vaccinationProtocol.doseSequence.value What dose number within series?
Immunization.vaccinationProtocol.doseSequence 1
Immunization.vaccinationProtocol.description
Immunization.vaccinationProtocol.description.value Details of vaccine protocol
Immunization.vaccinationProtocol.description 1
Immunization.vaccinationProtocol.authority
Immunization.vaccinationProtocol.authority.value Who is responsible for protocol
Immunization.vaccinationProtocol.authority 1
Immunization.vaccinationProtocol.series
Immunization.vaccinationProtocol.series.value Name of vaccine series
Immunization.vaccinationProtocol.series 1
Immunization.vaccinationProtocol.seriesDoses
Immunization.vaccinationProtocol.seriesDoses.value Recommended number of doses for immunity
Immunization.vaccinationProtocol.seriesDoses 1

Disease immunized against

Immunization.vaccinationProtocol.doseTarget
Immunization.vaccinationProtocol.doseTarget.coding code:
Immunization.vaccinationProtocol.doseTarget.text text:
Immunization.vaccinationProtocol.doseTarget 1

Does dose count towards immunity?

Immunization.vaccinationProtocol.doseStatus
Immunization.vaccinationProtocol.doseStatus.coding code:
Immunization.vaccinationProtocol.doseStatus.text text:
Immunization.vaccinationProtocol.doseStatus 1

Why does does count/not count?

Immunization.vaccinationProtocol.doseStatusReason
Immunization.vaccinationProtocol.doseStatusReason.coding code:
Immunization.vaccinationProtocol.doseStatusReason.text text:
Immunization.vaccinationProtocol.doseStatusReason 1
Immunization.vaccinationProtocol 1
Immunization 1