This page is part of the FHIR Specification (v0.5.0: DSTU 2 Ballot 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
Definitions for the immunization-daf-dafimmunization Profile.
Immunization(DAFImmunization) | |
Definition | Immunization event information. |
Control | 1..1 |
Type | Immunization |
Immunization.id | |
Definition | The logical id of the resource, as used in the url for the resoure. Once assigned, this value never changes. |
Control | 0..1 |
Type | id |
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID. |
Immunization.meta | |
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. |
Control | 0..1 |
Type | Meta |
Immunization.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. |
Control | 0..1 |
Type | uri |
Is Modifier | true |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible. |
Immunization.language | |
Definition | The base language in which the resource is written. |
Control | 0..1 |
Binding | A human language The codes SHALL be taken from http://tools.ietf.org/html/bcp47 |
Type | code |
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). |
Immunization.text | |
Definition | A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. |
Control | 0..1 This element is affected by the following invariants: dom-1 |
Type | Narrative |
Alternate Names | narrative, html, xhtml, display |
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. |
Immunization.contained | |
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. |
Control | 0..* |
Type | Resource |
Alternate Names | inline resources, anonymous resources, contained resources |
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. |
Immunization.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Immunization.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Immunization.identifier | |
Definition | A unique identifier assigned to this immunization record. |
Control | 0..* |
Type | Identifier |
Must Support | true |
Immunization.date | |
Definition | Date vaccine administered or was to be administered. |
Control | 1..1 |
Type | dateTime |
Must Support | true |
Immunization.vaccineType | |
Definition | Vaccine Product Type (bind to CVX). |
Control | 1..1 |
Binding | This identifies the CVX code system The codes SHALL be taken from Vaccine Administered Value Set; other codes may be used where these codes are not suitable |
Type | CodeableConcept |
Must Support | true |
Immunization.patient | |
Definition | The patient who either received or did not receive the immunization. |
Control | 1..1 |
Type | Reference (U.S. Data Access Framework (DAF) Patient Profile)) |
Must Support | true |
Alternate Names | Patient |
Immunization.wasNotGiven | |
Definition | Indicates if the vaccination was or was not given. |
Control | 1..1 |
Type | boolean |
Is Modifier | true |
Invariants | Defined 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. |
Control | 1..1 |
Type | boolean |
Must Support | true |
Comments | May need source of reported info (e.g. parent), but leave out for now. |
Immunization.performer | |
Definition | Clinician who administered the vaccine. |
Control | 0..1 |
Type | Choice of: Reference (U.S. Data Access Framework (DAF) Practitioner Profile)), Reference (U.S. DAF Organization Profile)) |
Must Support | true |
Immunization.requester | |
Definition | Clinician who ordered the vaccination. |
Control | 0..1 |
Type | Choice of: Reference (U.S. Data Access Framework (DAF) Practitioner Profile)), Reference (U.S. DAF Organization Profile)) |
Must Support | true |
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. |
Control | 0..1 |
Type | Reference (U.S. Data Access Framework (DAF) Encounter profile)) |
Immunization.manufacturer | |
Definition | Vaccine Manufacturer. |
Control | 0..1 |
Type | Reference (U.S. DAF Organization Profile)) |
Must Support | true |
Immunization.location | |
Definition | The service delivery location where the vaccine administration occurred. |
Control | 0..1 |
Type | Reference (Location)) |
Immunization.lotNumber | |
Definition | Lot number of the vaccine product. |
Control | 0..1 |
Type | string |
Must Support | true |
Immunization.expirationDate | |
Definition | Date vaccine batch expires. |
Control | 0..1 |
Type | date |
Must Support | true |
Immunization.site(x) | |
Definition | Body site where vaccine was administered. |
Control | 0..1 |
Binding | This identifies the body site at which the substance was administered The codes SHALL be taken from Vaccine Administered Body Site; other codes may be used where these codes are not suitable |
Type | CodeableConcept |
Must Support | true |
Immunization.route | |
Definition | The path by which the vaccine product is taken into the body. |
Control | 0..1 |
Binding | This identifies the route of substance administration. The codes SHALL be taken from Medication Route FDA Value Set; other codes may be used where these codes are not suitable |
Type | CodeableConcept |
Must Support | true |
Immunization.doseQuantity | |
Definition | The quantity of vaccine product that was administered. |
Control | 0..1 |
Type | Quantity |
Must Support | true |
Immunization.explanation | |
Definition | Reasons why a vaccine was or was not administered. |
Control | 0..1 |
Type | null |
Must Support | true |
Immunization.explanation.id | |
Definition | unique id for the element within a resource (for internal references). |
Control | 0..1 |
Type | id |
Immunization.explanation.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Immunization.explanation.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content, modifiers |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Immunization.explanation.reason | |
Definition | Reasons why a vaccine was administered. |
Control | 0..* |
Binding | The reason why a vaccine was administered For example codes, see Immunization Reason Codes |
Type | CodeableConcept |
Must Support | true |
Immunization.explanation.reasonNotGiven | |
Definition | Reason why a vaccine was not administered. |
Control | 0..* |
Binding | The reason why a vaccine was not administered For example codes, see Immunization Reasons for Not Immunizing Codes |
Type | CodeableConcept |
Must Support | true |
Immunization.reaction | |
Definition | Categorical data indicating that an adverse event is associated in time to an immunization. |
Control | 0..* |
Type | null |
Must Support | true |
Immunization.reaction.id | |
Definition | unique id for the element within a resource (for internal references). |
Control | 0..1 |
Type | id |
Immunization.reaction.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Immunization.reaction.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content, modifiers |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Immunization.reaction.date | |
Definition | Date of reaction to the immunization. |
Control | 0..1 |
Type | dateTime |
Must Support | true |
Immunization.reaction.detail | |
Definition | Details of the reaction. |
Control | 0..1 |
Type | Reference (Observation)) |
Immunization.reaction.reported | |
Definition | Self-reported indicator. |
Control | 0..1 |
Type | boolean |
Must Support | true |
Immunization.vaccinationProtocol | |
Definition | Contains information about the protocol(s) under which the vaccine was administered. |
Control | 0..* |
Type | null |
Must Support | true |
Immunization.vaccinationProtocol.id | |
Definition | unique id for the element within a resource (for internal references). |
Control | 0..1 |
Type | id |
Immunization.vaccinationProtocol.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Immunization.vaccinationProtocol.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content, modifiers |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Immunization.vaccinationProtocol.doseSequence | |
Definition | Nominal position in a series. |
Control | 1..1 |
Type | positiveInt |
Must Support | true |
Immunization.vaccinationProtocol.description | |
Definition | Contains the description about the protocol under which the vaccine was administered. |
Control | 0..1 |
Type | string |
Must Support | true |
Immunization.vaccinationProtocol.authority | |
Definition | Indicates the authority who published the protocol? E.g. ACIP. |
Control | 0..1 |
Type | Reference (U.S. DAF Organization Profile)) |
Must Support | true |
Immunization.vaccinationProtocol.series | |
Definition | One possible path to achieve presumed immunity against a disease - within the context of an authority. |
Control | 0..1 |
Type | string |
Must Support | true |
Immunization.vaccinationProtocol.seriesDoses | |
Definition | The recommended number of doses to achieve immunity. |
Control | 0..1 |
Type | positiveInt |
Must Support | true |
Immunization.vaccinationProtocol.doseTarget | |
Definition | The targeted disease. |
Control | 1..1 |
Binding | The disease target of the vaccination protocol For example codes, see Vaccination Protocol Dose TargetCodes |
Type | CodeableConcept |
Must Support | true |
Immunization.vaccinationProtocol.doseStatus | |
Definition | Indicates if the immunization event should "count" against the protocol. |
Control | 1..1 |
Binding | The status of the vaccination protocol (i.e. should this count) For example codes, see Vaccination Protocol Dose Status codes |
Type | CodeableConcept |
Must Support | true |
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. |
Control | 0..1 |
Binding | The reason for the determining if a vaccination should count or why vaccination should not count. For example codes, see Vaccination Protocol Dose Status Reason codes |
Type | CodeableConcept |
Must Support | true |