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: 1 Trial Use Compartments: Patient

Detailed Descriptions for the elements in the ImmunizationRecommendation resource.

ImmunizationRecommendation
Definition

A patient's point-in-time set of recommendations (i.e. forecasting) according to a published schedule with optional supporting justification.

Control1..1
ImmunizationRecommendation.identifier
Definition

A unique identifier assigned to this particular recommendation record.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Summarytrue
ImmunizationRecommendation.patient
Definition

The patient the recommendation(s) are for.

Control1..1
TypeReference(Patient)
Summarytrue
ImmunizationRecommendation.date
Definition

The date the immunization recommendation(s) were created.

Control1..1
TypedateTime
Summarytrue
ImmunizationRecommendation.authority
Definition

Indicates the authority who published the protocol (e.g. ACIP).

Control0..1
TypeReference(Organization)
ImmunizationRecommendation.recommendation
Definition

Vaccine administration recommendations.

Control1..*
Summarytrue
InvariantsDefined on this element
imr-1: One of vaccineCode or targetDisease SHALL be present (expression : vaccineCode.exists() or targetDisease.exists(), xpath: exists(f:vaccineCode) or exists(f:targetDisease))
ImmunizationRecommendation.recommendation.vaccineCode
Definition

Vaccine(s) or vaccine group that pertain to the recommendation.

Control0..*
Terminology BindingVaccine Administered Value Set (Example)
TypeCodeableConcept
Summarytrue
ImmunizationRecommendation.recommendation.targetDisease
Definition

The targeted disease for the recommendation.

Control0..1
Terminology BindingImmunization Recommendation Target Disease Codes (Example)
TypeCodeableConcept
Summarytrue
ImmunizationRecommendation.recommendation.contraindicatedVaccineCode
Definition

Vaccine(s) which should not be used to fulfill the recommendation.

Control0..*
Terminology BindingVaccine Administered Value Set (Example)
TypeCodeableConcept
Summarytrue
ImmunizationRecommendation.recommendation.forecastStatus
Definition

Indicates the patient status with respect to the path to immunity for the target disease.

Control1..1
Terminology BindingImmunization Recommendation Status Codes (Example)
TypeCodeableConcept
Summarytrue
ImmunizationRecommendation.recommendation.forecastReason
Definition

The reason for the assigned forecast status.

Control0..*
Terminology BindingImmunization Recommendation Reason Codes (Example)
TypeCodeableConcept
Summarytrue
ImmunizationRecommendation.recommendation.dateCriterion
Definition

Vaccine date recommendations. For example, earliest date to administer, latest date to administer, etc.

Control0..*
ImmunizationRecommendation.recommendation.dateCriterion.code
Definition

Date classification of recommendation. For example, earliest date to give, latest date to give, etc.

Control1..1
Terminology BindingImmunization Recommendation Date Criterion Codes (Example)
TypeCodeableConcept
ImmunizationRecommendation.recommendation.dateCriterion.value
Definition

The date whose meaning is specified by dateCriterion.code.

Control1..1
TypedateTime
ImmunizationRecommendation.recommendation.description
Definition

Contains the description about the protocol under which the vaccine was administered.

Control0..1
Typestring
ImmunizationRecommendation.recommendation.series
Definition

One possible path to achieve presumed immunity against a disease - within the context of an authority.

Control0..1
Typestring
ImmunizationRecommendation.recommendation.doseNumber
Definition

Nominal position of the recommended dose in a series (e.g. dose 2 is the next recommended dose).

Control0..1
TypepositiveInt
Summarytrue
ImmunizationRecommendation.recommendation.seriesDoses
Definition

The recommended number of doses to achieve immunity.

Control0..1
TypepositiveInt
ImmunizationRecommendation.recommendation.supportingImmunization
Definition

Immunization event history and/or evaluation that supports the status and recommendation.

Control0..*
TypeReference(Immunization | ImmunizationEvaluation)
ImmunizationRecommendation.recommendation.supportingPatientInformation
Definition

Patient Information that supports the status and recommendation. This includes patient observations, adverse reactions and allergy/intolerance information.

Control0..*
TypeReference(Any)