International Patient Summary Implementation Guide
1.1.0 - STU 1 Update 1
International Patient Summary Implementation Guide
1.1.0 - STU 1 Update 1
This page is part of the International Patient Summary Implementation Guide (v1.1.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
| Official URL: http://hl7.org/fhir/uv/ips/StructureDefinition/Immunization-uv-ips | Version: 1.1.0 | |||
| Standards status: Trial-use | Maturity Level: 2 | Computable Name: ImmunizationUvIps | ||
This profile represents the constraints applied to the Immunization resource by the International Patient Summary (IPS) FHIR Implementation Guide. A record of an immunization is represented in the patient summary as an instance of an Immunization resource constrained by this profile.
It describes the event of a patient being administered a vaccination or a record of a vaccination as reported by a patient, a clinician or another party.
This profile constrains the representation of a record of a vaccination of the patient, in the context of the international patient summary as specified by the IPS project of HL7 International.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Immunization
| Name | Flags | Card. | Type | Description & Constraints | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Immunization | 0..* | Immunization | Immunization event information | |||||||||||||
  status | S | 1..1 | code | completed | entered-in-error | not-done | ||||||||||||
 vaccineCode | S | 1..1 | CodeableConceptIPS | Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided.
The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code.
Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization.
| ||||||||||||
  patient | S | 1..1 | Reference(Patient (IPS)) | Who was immunized | ||||||||||||
  reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||
| occurrence[x] | S | 1..1 | dateTime, string | Vaccine administration date | ||||||||||||
 data-absent-reason | S | 0..1 | code | occurrence[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. | ||||||||||||
| site | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (preferred) | |||||||||||||
| route | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Medicine Route of Administration - IPS (preferred) | |||||||||||||
 protocolApplied | 0..* | BackboneElement | Protocol followed by the provider | |||||||||||||
 targetDisease | 0..* | CodeableConcept | Vaccine preventable disease being targeted Binding: Vaccine Target Diseases - IPS (preferred): The particular disease or diseases against which the patient has been immunized.
| |||||||||||||
| Documentation for this format | ||||||||||||||||
| Path | Conformance | ValueSet | ||||||||||||
| Immunization.vaccineCode | preferred | VaccinesUvIps
| ||||||||||||
| Immunization.site | preferred | SNOMEDCTBodyStructures | ||||||||||||
| Immunization.route | preferred | MedicineRouteOfAdministrationUvIps | ||||||||||||
| Immunization.protocolApplied.targetDisease | preferred | VaccineTargetDiseasesUvIps
|
| Name | Flags | Card. | Type | Description & Constraints | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Immunization | 0..* | Immunization | Immunization event information | |||||||||||||
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||
| status | ?!SΣ | 1..1 | code | completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. | ||||||||||||
| vaccineCode | S | 1..1 | CodeableConceptIPS | Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided.
The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code.
Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization.
| ||||||||||||
| patient | SΣ | 1..1 | Reference(Patient (IPS)) | Who was immunized | ||||||||||||
| reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||
 occurrence[x] | SΣ | 1..1 | Vaccine administration date | |||||||||||||
| occurrence[x]:All Types | Content/Rules for all Types | |||||||||||||||
 data-absent-reason | S | 0..1 | code | occurrence[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. | ||||||||||||
| occurrenceDateTime | dateTime | |||||||||||||||
| occurrenceString | string | |||||||||||||||
| site | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (preferred) | |||||||||||||
| route | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Medicine Route of Administration - IPS (preferred) | |||||||||||||
| isSubpotent | ?!Σ | 0..1 | boolean | Dose potency | ||||||||||||
| protocolApplied | 0..* | BackboneElement | Protocol followed by the provider | |||||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
| targetDisease | 0..* | CodeableConcept | Vaccine preventable disease being targeted Binding: Vaccine Target Diseases - IPS (preferred): The particular disease or diseases against which the patient has been immunized.
| |||||||||||||
| doseNumber[x] | 1..1 | Dose number within series | ||||||||||||||
| doseNumberPositiveInt | positiveInt | |||||||||||||||
| doseNumberString | string | |||||||||||||||
| Documentation for this format | ||||||||||||||||
| Path | Conformance | ValueSet | ||||||||||||
| Immunization.status | required | ImmunizationStatusCodes | ||||||||||||
| Immunization.vaccineCode | preferred | VaccinesUvIps
| ||||||||||||
| Immunization.site | preferred | SNOMEDCTBodyStructures | ||||||||||||
| Immunization.route | preferred | MedicineRouteOfAdministrationUvIps | ||||||||||||
| Immunization.protocolApplied.targetDisease | preferred | VaccineTargetDiseasesUvIps
|
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Immunization | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Immunization | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Immunization | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Immunization | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Immunization | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Immunization | 0..* | Immunization | Immunization event information | |||||||||||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||||||||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||||
| contained | 0..* | Resource | Contained, inline Resources | |||||||||||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||||||||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||
| identifier | 0..* | Identifier | Business identifier | |||||||||||||
| status | ?!SΣ | 1..1 | code | completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. | ||||||||||||
| statusReason | 0..1 | CodeableConcept | Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered. | |||||||||||||
| vaccineCode | S | 1..1 | CodeableConceptIPS | Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided.
The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code.
Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization.
| ||||||||||||
| patient | SΣ | 1..1 | Reference(Patient (IPS)) | Who was immunized | ||||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||
| reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||||||||||
| encounter | 0..1 | Reference(Encounter) | Encounter immunization was part of | |||||||||||||
| occurrence[x] | SΣ | 1..1 | Vaccine administration date | |||||||||||||
| occurrence[x]:All Types | Content/Rules for all Types | |||||||||||||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||
| data-absent-reason | S | 0..1 | code | occurrence[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. | ||||||||||||
| occurrenceDateTime | dateTime | |||||||||||||||
| occurrenceString | string | |||||||||||||||
| recorded | 0..1 | dateTime | When the immunization was first captured in the subject's record | |||||||||||||
| primarySource | Σ | 0..1 | boolean | Indicates context the data was recorded in | ||||||||||||
| reportOrigin | 0..1 | CodeableConcept | Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source. | |||||||||||||
| location | 0..1 | Reference(Location) | Where immunization occurred | |||||||||||||
| manufacturer | 0..1 | Reference(Organization) | Vaccine manufacturer | |||||||||||||
| lotNumber | 0..1 | string | Vaccine lot number | |||||||||||||
| expirationDate | 0..1 | date | Vaccine expiration date | |||||||||||||
| site | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (preferred) | |||||||||||||
| route | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Medicine Route of Administration - IPS (preferred) | |||||||||||||
| doseQuantity | 0..1 | SimpleQuantity | Amount of vaccine administered | |||||||||||||
| performer | Σ | 0..* | BackboneElement | Who performed event | ||||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
| function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. | ||||||||||||
| actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Individual or organization who was performing | ||||||||||||
| note | Σ | 0..* | Annotation | Additional immunization notes | ||||||||||||
| reasonCode | 0..* | CodeableConcept | Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered. | |||||||||||||
| reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why immunization occurred | |||||||||||||
| isSubpotent | ?!Σ | 0..1 | boolean | Dose potency | ||||||||||||
| subpotentReason | 0..* | CodeableConcept | Reason for being subpotent Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent. | |||||||||||||
| education | C | 0..* | BackboneElement | Educational material presented to patient | ||||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
| documentType | 0..1 | string | Educational material document identifier | |||||||||||||
| reference | 0..1 | uri | Educational material reference pointer | |||||||||||||
| publicationDate | 0..1 | dateTime | Educational material publication date | |||||||||||||
| presentationDate | 0..1 | dateTime | Educational material presentation date | |||||||||||||
| programEligibility | 0..* | CodeableConcept | Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program. | |||||||||||||
| fundingSource | 0..1 | CodeableConcept | Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered. | |||||||||||||
| reaction | 0..* | BackboneElement | Details of a reaction that follows immunization | |||||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
| date | 0..1 | dateTime | When reaction started | |||||||||||||
| detail | 0..1 | Reference(Observation) | Additional information on reaction | |||||||||||||
| reported | 0..1 | boolean | Indicates self-reported reaction | |||||||||||||
| protocolApplied | 0..* | BackboneElement | Protocol followed by the provider | |||||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
| series | 0..1 | string | Name of vaccine series | |||||||||||||
| authority | 0..1 | Reference(Organization) | Who is responsible for publishing the recommendations | |||||||||||||
| targetDisease | 0..* | CodeableConcept | Vaccine preventable disease being targeted Binding: Vaccine Target Diseases - IPS (preferred): The particular disease or diseases against which the patient has been immunized.
| |||||||||||||
| doseNumber[x] | 1..1 | Dose number within series | ||||||||||||||
| doseNumberPositiveInt | positiveInt | |||||||||||||||
| doseNumberString | string | |||||||||||||||
| seriesDoses[x] | 0..1 | Recommended number of doses for immunity | ||||||||||||||
| seriesDosesPositiveInt | positiveInt | |||||||||||||||
| seriesDosesString | string | |||||||||||||||
| Documentation for this format | ||||||||||||||||
| Path | Conformance | ValueSet | ||||||||||||
| Immunization.language | preferred | CommonLanguages
| ||||||||||||
| Immunization.status | required | ImmunizationStatusCodes | ||||||||||||
| Immunization.statusReason | example | ImmunizationStatusReasonCodes | ||||||||||||
| Immunization.vaccineCode | preferred | VaccinesUvIps
| ||||||||||||
| Immunization.patient.type | extensible | ResourceType | ||||||||||||
| Immunization.reportOrigin | example | ImmunizationOriginCodes | ||||||||||||
| Immunization.site | preferred | SNOMEDCTBodyStructures | ||||||||||||
| Immunization.route | preferred | MedicineRouteOfAdministrationUvIps | ||||||||||||
| Immunization.performer.function | extensible | ImmunizationFunctionCodes | ||||||||||||
| Immunization.reasonCode | example | ImmunizationReasonCodes | ||||||||||||
| Immunization.subpotentReason | example | ImmunizationSubpotentReason | ||||||||||||
| Immunization.programEligibility | example | ImmunizationProgramEligibility | ||||||||||||
| Immunization.fundingSource | example | ImmunizationFundingSource | ||||||||||||
| Immunization.protocolApplied.targetDisease | preferred | VaccineTargetDiseasesUvIps
|
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| imm-1 | error | Immunization.education | One of documentType or reference SHALL be present : documentType.exists() or reference.exists() |
This structure is derived from Immunization
Summary
Mandatory: 3 elements
Must-Support: 6 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 2
Differential View
This structure is derived from Immunization
| Name | Flags | Card. | Type | Description & Constraints | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Immunization | 0..* | Immunization | Immunization event information | |||||||||||||
| status | S | 1..1 | code | completed | entered-in-error | not-done | ||||||||||||
| vaccineCode | S | 1..1 | CodeableConceptIPS | Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided.
The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code.
Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization.
| ||||||||||||
| patient | S | 1..1 | Reference(Patient (IPS)) | Who was immunized | ||||||||||||
| reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||
| occurrence[x] | S | 1..1 | dateTime, string | Vaccine administration date | ||||||||||||
| data-absent-reason | S | 0..1 | code | occurrence[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. | ||||||||||||
| site | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (preferred) | |||||||||||||
| route | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Medicine Route of Administration - IPS (preferred) | |||||||||||||
| protocolApplied | 0..* | BackboneElement | Protocol followed by the provider | |||||||||||||
| targetDisease | 0..* | CodeableConcept | Vaccine preventable disease being targeted Binding: Vaccine Target Diseases - IPS (preferred): The particular disease or diseases against which the patient has been immunized.
| |||||||||||||
| Documentation for this format | ||||||||||||||||
| Path | Conformance | ValueSet | ||||||||||||
| Immunization.vaccineCode | preferred | VaccinesUvIps
| ||||||||||||
| Immunization.site | preferred | SNOMEDCTBodyStructures | ||||||||||||
| Immunization.route | preferred | MedicineRouteOfAdministrationUvIps | ||||||||||||
| Immunization.protocolApplied.targetDisease | preferred | VaccineTargetDiseasesUvIps
|
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Immunization | 0..* | Immunization | Immunization event information | |||||||||||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||
| status | ?!SΣ | 1..1 | code | completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. | ||||||||||||
| vaccineCode | S | 1..1 | CodeableConceptIPS | Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided.
The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code.
Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization.
| ||||||||||||
| patient | SΣ | 1..1 | Reference(Patient (IPS)) | Who was immunized | ||||||||||||
| reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||
| occurrence[x] | SΣ | 1..1 | Vaccine administration date | |||||||||||||
| occurrence[x]:All Types | Content/Rules for all Types | |||||||||||||||
| data-absent-reason | S | 0..1 | code | occurrence[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. | ||||||||||||
| occurrenceDateTime | dateTime | |||||||||||||||
| occurrenceString | string | |||||||||||||||
| site | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (preferred) | |||||||||||||
| route | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Medicine Route of Administration - IPS (preferred) | |||||||||||||
| isSubpotent | ?!Σ | 0..1 | boolean | Dose potency | ||||||||||||
| protocolApplied | 0..* | BackboneElement | Protocol followed by the provider | |||||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
| targetDisease | 0..* | CodeableConcept | Vaccine preventable disease being targeted Binding: Vaccine Target Diseases - IPS (preferred): The particular disease or diseases against which the patient has been immunized.
| |||||||||||||
| doseNumber[x] | 1..1 | Dose number within series | ||||||||||||||
| doseNumberPositiveInt | positiveInt | |||||||||||||||
| doseNumberString | string | |||||||||||||||
| Documentation for this format | ||||||||||||||||
| Path | Conformance | ValueSet | ||||||||||||
| Immunization.status | required | ImmunizationStatusCodes | ||||||||||||
| Immunization.vaccineCode | preferred | VaccinesUvIps
| ||||||||||||
| Immunization.site | preferred | SNOMEDCTBodyStructures | ||||||||||||
| Immunization.route | preferred | MedicineRouteOfAdministrationUvIps | ||||||||||||
| Immunization.protocolApplied.targetDisease | preferred | VaccineTargetDiseasesUvIps
|
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Immunization | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Immunization | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Immunization | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Immunization | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Immunization | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Immunization | 0..* | Immunization | Immunization event information | |||||||||||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||||||||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||||
| contained | 0..* | Resource | Contained, inline Resources | |||||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||||||||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||
| identifier | 0..* | Identifier | Business identifier | |||||||||||||
| status | ?!SΣ | 1..1 | code | completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. | ||||||||||||
| statusReason | 0..1 | CodeableConcept | Reason not done Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered. | |||||||||||||
| vaccineCode | S | 1..1 | CodeableConceptIPS | Vaccine that was administered or was to be administered.Several kinds of vaccine product coding could be provided.
The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunised is provided; or the known absent / unknown code.
Other coded information can be provided as well as: the IDMP Pharmaceutical Product Identifiers (PhPID), Medicinal Product Identifier (MPID), Packaged Medicinal Product Identifier (PCID), when available, or equivalent coded concepts; the WHO ATC codes; or any other kind of code that that identifies, classifies or cluster the administered product. Binding: Vaccines - IPS (preferred): The type of vaccine for particular disease or diseases against which the patient has been immunised, or a code for absent/unknown immunization.
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| patient | SΣ | 1..1 | Reference(Patient (IPS)) | Who was immunized | ||||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||
| reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||||||||||
| encounter | 0..1 | Reference(Encounter) | Encounter immunization was part of | |||||||||||||
| occurrence[x] | SΣ | 1..1 | Vaccine administration date | |||||||||||||
| occurrence[x]:All Types | Content/Rules for all Types | |||||||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||
| data-absent-reason | S | 0..1 | code | occurrence[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. | ||||||||||||
| occurrenceDateTime | dateTime | |||||||||||||||
| occurrenceString | string | |||||||||||||||
| recorded | 0..1 | dateTime | When the immunization was first captured in the subject's record | |||||||||||||
| primarySource | Σ | 0..1 | boolean | Indicates context the data was recorded in | ||||||||||||
| reportOrigin | 0..1 | CodeableConcept | Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source. | |||||||||||||
| location | 0..1 | Reference(Location) | Where immunization occurred | |||||||||||||
| manufacturer | 0..1 | Reference(Organization) | Vaccine manufacturer | |||||||||||||
| lotNumber | 0..1 | string | Vaccine lot number | |||||||||||||
| expirationDate | 0..1 | date | Vaccine expiration date | |||||||||||||
| site | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (preferred) | |||||||||||||
| route | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Medicine Route of Administration - IPS (preferred) | |||||||||||||
| doseQuantity | 0..1 | SimpleQuantity | Amount of vaccine administered | |||||||||||||
| performer | Σ | 0..* | BackboneElement | Who performed event | ||||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
| function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. | ||||||||||||
| actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Individual or organization who was performing | ||||||||||||
| note | Σ | 0..* | Annotation | Additional immunization notes | ||||||||||||
| reasonCode | 0..* | CodeableConcept | Why immunization occurred Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered. | |||||||||||||
| reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why immunization occurred | |||||||||||||
| isSubpotent | ?!Σ | 0..1 | boolean | Dose potency | ||||||||||||
| subpotentReason | 0..* | CodeableConcept | Reason for being subpotent Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent. | |||||||||||||
| education | C | 0..* | BackboneElement | Educational material presented to patient | ||||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
| documentType | 0..1 | string | Educational material document identifier | |||||||||||||
| reference | 0..1 | uri | Educational material reference pointer | |||||||||||||
| publicationDate | 0..1 | dateTime | Educational material publication date | |||||||||||||
| presentationDate | 0..1 | dateTime | Educational material presentation date | |||||||||||||
| programEligibility | 0..* | CodeableConcept | Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program. | |||||||||||||
| fundingSource | 0..1 | CodeableConcept | Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered. | |||||||||||||
| reaction | 0..* | BackboneElement | Details of a reaction that follows immunization | |||||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
| date | 0..1 | dateTime | When reaction started | |||||||||||||
| detail | 0..1 | Reference(Observation) | Additional information on reaction | |||||||||||||
| reported | 0..1 | boolean | Indicates self-reported reaction | |||||||||||||
| protocolApplied | 0..* | BackboneElement | Protocol followed by the provider | |||||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
| series | 0..1 | string | Name of vaccine series | |||||||||||||
| authority | 0..1 | Reference(Organization) | Who is responsible for publishing the recommendations | |||||||||||||
| targetDisease | 0..* | CodeableConcept | Vaccine preventable disease being targeted Binding: Vaccine Target Diseases - IPS (preferred): The particular disease or diseases against which the patient has been immunized.
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| doseNumber[x] | 1..1 | Dose number within series | ||||||||||||||
| doseNumberPositiveInt | positiveInt | |||||||||||||||
| doseNumberString | string | |||||||||||||||
| seriesDoses[x] | 0..1 | Recommended number of doses for immunity | ||||||||||||||
| seriesDosesPositiveInt | positiveInt | |||||||||||||||
| seriesDosesString | string | |||||||||||||||
| Documentation for this format | ||||||||||||||||
| Path | Conformance | ValueSet | ||||||||||||
| Immunization.language | preferred | CommonLanguages
| ||||||||||||
| Immunization.status | required | ImmunizationStatusCodes | ||||||||||||
| Immunization.statusReason | example | ImmunizationStatusReasonCodes | ||||||||||||
| Immunization.vaccineCode | preferred | VaccinesUvIps
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| Immunization.patient.type | extensible | ResourceType | ||||||||||||
| Immunization.reportOrigin | example | ImmunizationOriginCodes | ||||||||||||
| Immunization.site | preferred | SNOMEDCTBodyStructures | ||||||||||||
| Immunization.route | preferred | MedicineRouteOfAdministrationUvIps | ||||||||||||
| Immunization.performer.function | extensible | ImmunizationFunctionCodes | ||||||||||||
| Immunization.reasonCode | example | ImmunizationReasonCodes | ||||||||||||
| Immunization.subpotentReason | example | ImmunizationSubpotentReason | ||||||||||||
| Immunization.programEligibility | example | ImmunizationProgramEligibility | ||||||||||||
| Immunization.fundingSource | example | ImmunizationFundingSource | ||||||||||||
| Immunization.protocolApplied.targetDisease | preferred | VaccineTargetDiseasesUvIps
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| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| imm-1 | error | Immunization.education | One of documentType or reference SHALL be present : documentType.exists() or reference.exists() |
This structure is derived from Immunization
Summary
Mandatory: 3 elements
Must-Support: 6 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ Health Level Seven International - Patient Care Work Group. Package hl7.fhir.uv.ips#1.1.0 based on FHIR 4.0.1. Generated 2022-11-22
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