R4 Draft for Comment

This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). 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

Public Health and Emergency Response Work GroupMaturity Level: 3 Trial Use Compartments: Patient, Practitioner

Detailed Descriptions for the elements in the Immunization resource.

Immunization
Definition

Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party.

Control1..1
Immunization.identifier
Definition

A unique identifier assigned to this immunization record.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Immunization.status
Definition

Indicates the current status of the immunization event.

Control1..1
Terminology BindingImmunization Status Codes (Required)
Typecode
Is Modifiertrue
Summarytrue
Comments

Will generally be set to show that the immunization has been completed or not done.

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Immunization.vaccineCode
Definition

Vaccine that was administered or was to be administered.

Control1..1
Terminology BindingVaccine Administered Value Set (Example)
TypeCodeableConcept
Summarytrue
Immunization.patient
Definition

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

Control1..1
TypeReference(Patient)
Summarytrue
Immunization.encounter
Definition

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

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

Date vaccine administered or was to be administered.

Control0..1
TypedateTime
Comments

When immunizations are given a specific date and time should always be known. When immunizations are patient reported, a specific date might not be known.  Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given.

Immunization.primarySource
Definition

An indication that the content of the record is based on information from the person who administered the vaccine. This reflects the context under which the data was originally recorded.

Control1..1
Typeboolean
Summarytrue
Comments

Reflects the “reliability” of the content.

Immunization.reportOrigin
Definition

The source of the data when the report of the immunization event is not based on information from the person who administered the vaccine.

Control0..1
Terminology BindingImmunization Origin Codes (Example)
TypeCodeableConcept
Comments

Should not be populated if primarySource = True, not required even if primarySource = False.

Immunization.location
Definition

The service delivery location where the vaccine administration occurred.

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

Name of vaccine manufacturer.

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

Lot number of the vaccine product.

Control0..1
Typestring
Immunization.expirationDate
Definition

Date vaccine batch expires.

Control0..1
Typedate
Immunization.site
Definition

Body site where vaccine was administered.

Control0..1
Terminology BindingCodes for Immunization Site of Administration (Example)
TypeCodeableConcept
Immunization.route
Definition

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

Control0..1
Terminology BindingImmunization Route Codes (Example)
TypeCodeableConcept
Immunization.doseQuantity
Definition

The quantity of vaccine product that was administered.

Control0..1
TypeSimpleQuantity
Immunization.practitioner
Definition

Indicates who performed the immunization event.

Control0..*
Summarytrue
Immunization.practitioner.role
Definition

Describes the type of performance (e.g. ordering provider, administering provider, etc.).

Control0..1
Terminology BindingImmunization Role Codes (Extensible)
TypeCodeableConcept
Summarytrue
Immunization.practitioner.actor
Definition

The practitioner who performed the action.

Control1..1
TypeReference(Practitioner)
Summarytrue
Immunization.note
Definition

Extra information about the immunization that is not conveyed by the other attributes.

Control0..*
TypeAnnotation
Summarytrue
Immunization.reason
Definition

Reasons why a vaccine was or was not administered.

Control0..*
Terminology BindingImmunization Reason Codes (Example)
TypeCodeableConcept
Immunization.education
Definition

Educational material presented to the patient (or guardian) at the time of vaccine administration.

Control0..*
InvariantsDefined on this element
imm-1: One of documentType or reference SHALL be present (expression : documentType.exists() or reference.exists(), xpath: exists(f:documentType) or exists(f:reference))
Immunization.education.documentType
Definition

Identifier of the material presented ot the patient.

Control0..1
Typestring
Immunization.education.reference
Definition

Reference pointer to the educational material given to the patient if the information was on line.

Control0..1
Typeuri
Immunization.education.publicationDate
Definition

Date the educational material was published.

Control0..1
TypedateTime
Immunization.education.presentationDate
Definition

Date the educational material was given to the patient.

Control0..1
TypedateTime
Immunization.programEligibility
Definition

Indicates a patient's eligibility for a funding program.

Control0..*
Terminology BindingImmunization Program Eligibility (Example)
TypeCodeableConcept
Immunization.fundingSource
Definition

Indicates the source of the vaccine actually administered. This may be different than the patient eligbility (e.g. the patient may be eligibile for a publically purchased vaccine but due to inventory issues, vaccine purchased with private funds was actually administered).

Control0..1
Terminology BindingImmunization Funding Source (Example)
TypeCodeableConcept