Immunization Decision Support Forecast (ImmDS) Implementation Guide - Local Development build (v0.1.0). See the Directory of published versions
Immunization event for the patient.
The official URL for this profile is:
http://hl7.org/fhir/us/ImmunizationFHIRDS/StructureDefinition/immds-immunization
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreImmunizationProfile
This structure is derived from USCoreImmunizationProfile
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Immunization | 0..* | USCoreImmunizationProfile | Immunization event information | |
patient | 1..1 | Reference(ImmDS Patient) | Who was immunized | |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Immunization | I | 0..* | USCoreImmunizationProfile | Immunization event information |
id | Σ | 0..1 | string | Logical id of this artifact |
meta | ΣI | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained | 0..* | Resource | Contained, inline Resources | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
identifier | I | 0..* | Identifier | Business identifier |
status | ?!SΣI | 1..1 | code | completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required) |
statusReason | SI | 0..1 | CodeableConcept | Reason not done Binding: ImmunizationStatusReasonCodes (example) |
vaccineCode | SΣI | 1..1 | CodeableConcept | Vaccine Product Type (bind to CVX) Binding: US Core Vaccine Administered Value Set (CVX) (extensible) us-core-1: SHOULD have a translation to the NDC value set |
patient | SΣI | 1..1 | Reference(ImmDS Patient) | Who was immunized |
encounter | I | 0..1 | Reference(Encounter) | Encounter immunization was part of |
occurrence[x] | SΣI | 1..1 | Vaccine administration date | |
occurrenceDateTime | dateTime | |||
occurrenceString | string | |||
recorded | I | 0..1 | dateTime | When the immunization was first captured in the subject's record |
primarySource | SΣI | 1..1 | boolean | Indicates context the data was recorded in |
reportOrigin | I | 0..1 | CodeableConcept | Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example) |
location | I | 0..1 | Reference(Location) | Where immunization occurred |
manufacturer | I | 0..1 | Reference(Organization) | Vaccine manufacturer |
lotNumber | I | 0..1 | string | Vaccine lot number |
expirationDate | I | 0..1 | date | Vaccine expiration date |
site | I | 0..1 | CodeableConcept | Body site vaccine was administered Binding: CodesForImmunizationSiteOfAdministration (example) |
route | I | 0..1 | CodeableConcept | How vaccine entered body Binding: ImmunizationRouteCodes (example) |
doseQuantity | I | 0..1 | SimpleQuantity | Amount of vaccine administered |
performer | ΣI | 0..* | BackboneElement | Who performed event |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
function | ΣI | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible) |
actor | ΣI | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Individual or organization who was performing |
note | ΣI | 0..* | Annotation | Additional immunization notes |
reasonCode | I | 0..* | CodeableConcept | Why immunization occurred Binding: ImmunizationReasonCodes (example) |
reasonReference | I | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why immunization occurred |
isSubpotent | ?!ΣI | 0..1 | boolean | Dose potency |
subpotentReason | I | 0..* | CodeableConcept | Reason for being subpotent Binding: ImmunizationSubpotentReason (example) |
education | I | 0..* | BackboneElement | Educational material presented to patient imm-1: One of documentType or reference SHALL be present |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
documentType | I | 0..1 | string | Educational material document identifier |
reference | I | 0..1 | uri | Educational material reference pointer |
publicationDate | I | 0..1 | dateTime | Educational material publication date |
presentationDate | I | 0..1 | dateTime | Educational material presentation date |
programEligibility | I | 0..* | CodeableConcept | Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example) |
fundingSource | I | 0..1 | CodeableConcept | Funding source for the vaccine Binding: ImmunizationFundingSource (example) |
reaction | I | 0..* | BackboneElement | Details of a reaction that follows immunization |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
date | I | 0..1 | dateTime | When reaction started |
detail | I | 0..1 | Reference(Observation) | Additional information on reaction |
reported | I | 0..1 | boolean | Indicates self-reported reaction |
protocolApplied | I | 0..* | BackboneElement | Protocol followed by the provider |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
series | I | 0..1 | string | Name of vaccine series |
authority | I | 0..1 | Reference(Organization) | Who is responsible for publishing the recommendations |
targetDisease | I | 0..* | CodeableConcept | Vaccine preventatable disease being targetted Binding: ImmunizationTargetDiseaseCodes (example) |
doseNumber[x] | I | 1..1 | Dose number within series | |
doseNumberPositiveInt | positiveInt | |||
doseNumberString | string | |||
seriesDoses[x] | I | 0..1 | Recommended number of doses for immunity | |
seriesDosesPositiveInt | positiveInt | |||
seriesDosesString | string | |||
Documentation for this format |
This structure is derived from USCoreImmunizationProfile
Differential View
This structure is derived from USCoreImmunizationProfile
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Immunization | 0..* | USCoreImmunizationProfile | Immunization event information | |
patient | 1..1 | Reference(ImmDS Patient) | Who was immunized | |
Documentation for this format |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Immunization | I | 0..* | USCoreImmunizationProfile | Immunization event information |
id | Σ | 0..1 | string | Logical id of this artifact |
meta | ΣI | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained | 0..* | Resource | Contained, inline Resources | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
identifier | I | 0..* | Identifier | Business identifier |
status | ?!SΣI | 1..1 | code | completed | entered-in-error | not-done Binding: ImmunizationStatusCodes (required) |
statusReason | SI | 0..1 | CodeableConcept | Reason not done Binding: ImmunizationStatusReasonCodes (example) |
vaccineCode | SΣI | 1..1 | CodeableConcept | Vaccine Product Type (bind to CVX) Binding: US Core Vaccine Administered Value Set (CVX) (extensible) us-core-1: SHOULD have a translation to the NDC value set |
patient | SΣI | 1..1 | Reference(ImmDS Patient) | Who was immunized |
encounter | I | 0..1 | Reference(Encounter) | Encounter immunization was part of |
occurrence[x] | SΣI | 1..1 | Vaccine administration date | |
occurrenceDateTime | dateTime | |||
occurrenceString | string | |||
recorded | I | 0..1 | dateTime | When the immunization was first captured in the subject's record |
primarySource | SΣI | 1..1 | boolean | Indicates context the data was recorded in |
reportOrigin | I | 0..1 | CodeableConcept | Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example) |
location | I | 0..1 | Reference(Location) | Where immunization occurred |
manufacturer | I | 0..1 | Reference(Organization) | Vaccine manufacturer |
lotNumber | I | 0..1 | string | Vaccine lot number |
expirationDate | I | 0..1 | date | Vaccine expiration date |
site | I | 0..1 | CodeableConcept | Body site vaccine was administered Binding: CodesForImmunizationSiteOfAdministration (example) |
route | I | 0..1 | CodeableConcept | How vaccine entered body Binding: ImmunizationRouteCodes (example) |
doseQuantity | I | 0..1 | SimpleQuantity | Amount of vaccine administered |
performer | ΣI | 0..* | BackboneElement | Who performed event |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
function | ΣI | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible) |
actor | ΣI | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Individual or organization who was performing |
note | ΣI | 0..* | Annotation | Additional immunization notes |
reasonCode | I | 0..* | CodeableConcept | Why immunization occurred Binding: ImmunizationReasonCodes (example) |
reasonReference | I | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why immunization occurred |
isSubpotent | ?!ΣI | 0..1 | boolean | Dose potency |
subpotentReason | I | 0..* | CodeableConcept | Reason for being subpotent Binding: ImmunizationSubpotentReason (example) |
education | I | 0..* | BackboneElement | Educational material presented to patient imm-1: One of documentType or reference SHALL be present |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
documentType | I | 0..1 | string | Educational material document identifier |
reference | I | 0..1 | uri | Educational material reference pointer |
publicationDate | I | 0..1 | dateTime | Educational material publication date |
presentationDate | I | 0..1 | dateTime | Educational material presentation date |
programEligibility | I | 0..* | CodeableConcept | Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example) |
fundingSource | I | 0..1 | CodeableConcept | Funding source for the vaccine Binding: ImmunizationFundingSource (example) |
reaction | I | 0..* | BackboneElement | Details of a reaction that follows immunization |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
date | I | 0..1 | dateTime | When reaction started |
detail | I | 0..1 | Reference(Observation) | Additional information on reaction |
reported | I | 0..1 | boolean | Indicates self-reported reaction |
protocolApplied | I | 0..* | BackboneElement | Protocol followed by the provider |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
series | I | 0..1 | string | Name of vaccine series |
authority | I | 0..1 | Reference(Organization) | Who is responsible for publishing the recommendations |
targetDisease | I | 0..* | CodeableConcept | Vaccine preventatable disease being targetted Binding: ImmunizationTargetDiseaseCodes (example) |
doseNumber[x] | I | 1..1 | Dose number within series | |
doseNumberPositiveInt | positiveInt | |||
doseNumberString | string | |||
seriesDoses[x] | I | 0..1 | Recommended number of doses for immunity | |
seriesDosesPositiveInt | positiveInt | |||
seriesDosesString | string | |||
Documentation for this format |
Other representations of profile: Schematron
Path | Conformance | ValueSet |
Immunization.language | preferred | CommonLanguages Max Binding: AllLanguages |
Immunization.status | required | ImmunizationStatusCodes |
Immunization.statusReason | example | ImmunizationStatusReasonCodes |
Immunization.vaccineCode | extensible | USCoreVaccineAdministeredValueSetCvx |
Immunization.reportOrigin | example | ImmunizationOriginCodes |
Immunization.site | example | CodesForImmunizationSiteOfAdministration |
Immunization.route | example | ImmunizationRouteCodes |
Immunization.performer.function | extensible | ImmunizationFunctionCodes |
Immunization.reasonCode | example | ImmunizationReasonCodes |
Immunization.subpotentReason | example | ImmunizationSubpotentReason |
Immunization.programEligibility | example | ImmunizationProgramEligibility |
Immunization.fundingSource | example | ImmunizationFundingSource |
Immunization.protocolApplied.targetDisease | example | ImmunizationTargetDiseaseCodes |
Id | Path | Details | Requirements |
us-core-1 | Immunization.vaccineCode | SHOULD have a translation to the NDC value set : coding.where(system='http://hl7.org/fhir/sid/ndc').empty() | |
imm-1 | Immunization.education | One of documentType or reference SHALL be present : documentType.exists() or reference.exists() |