International Patient Access
1.0.0-preview - STU1 International flag

International Patient Access, published by HL7 International - Patient Care Work Group. This is not an authorized publication; it is the continuous build for version 1.0.0-preview). This version is based on the current content of https://github.com/HL7/fhir-ipa/ and changes regularly. See the Directory of published versions

Resource Profile: IPA-Immunization

Official URL: http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-immunization Version: 1.0.0-preview
Active as of 2022-08-02 Computable Name: IPAImmunization

Copyright/Legal: Used by permission of HL7 International all rights reserved Creative Commons License

Minimum expectations for an Immunization resource when accessed via a International Patient Access API

Mandatory and Must Support Data Elements

The following data elements must always be present (in other words, mandatory resource properties with a minimum cardinality of 1) or must be supported (Must Support definition). Servers cannot restrict access to mandatory elements when authorizing an application. However, servers may choose to provide additional information or may be required to do so by national or other profiles that apply to the server’s context.

Each Immunization SHALL have:

  • a status
  • a code that identifies the allergy or intolerance
  • a patient
  • date vaccine administered or was to be administered.

Applications must also support:

  • a status reason

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Immunization

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..*ImmunizationImmunization event information
... status S1..1codecompleted | entered-in-error | not-done
... statusReason S0..1CodeableConceptReason not done
... vaccineCode S1..1CodeableConceptVaccine product administered
... occurrence[x] S1..1dateTime, stringVaccine administration date

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..*ImmunizationImmunization event information
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1codecompleted | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.

... vaccineCode SΣ1..1CodeableConceptVaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.

... patient SΣ1..1Reference(IPA-Patient)Who was immunized
... occurrence[x] SΣ1..1Vaccine administration date
.... occurrenceDateTimedateTime
.... occurrenceStringstring
... isSubpotent ?!Σ0..1booleanDose potency

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Immunization.statusrequiredImmunizationStatusCodes
Immunization.statusReasonexampleImmunizationStatusReasonCodes
Immunization.vaccineCodeexampleVaccineAdministeredValueSet
NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..*ImmunizationImmunization event information
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierBusiness identifier
... status ?!SΣ1..1codecompleted | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.

... statusReason S0..1CodeableConceptReason not done
Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.

... vaccineCode SΣ1..1CodeableConceptVaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.

... patient SΣ1..1Reference(IPA-Patient)Who was immunized
... encounter 0..1Reference(Encounter)Encounter immunization was part of
... occurrence[x] SΣ1..1Vaccine administration date
.... occurrenceDateTimedateTime
.... occurrenceStringstring
... recorded 0..1dateTimeWhen the immunization was first captured in the subject's record
... primarySource Σ0..1booleanIndicates context the data was recorded in
... reportOrigin 0..1CodeableConceptIndicates 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..1Reference(Location)Where immunization occurred
... manufacturer 0..1Reference(Organization)Vaccine manufacturer
... lotNumber 0..1stringVaccine lot number
... expirationDate 0..1dateVaccine expiration date
... site 0..1CodeableConceptBody site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.

... route 0..1CodeableConceptHow vaccine entered body
Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.

... doseQuantity 0..1SimpleQuantityAmount of vaccine administered
... performer Σ0..*BackboneElementWho performed event
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function Σ0..1CodeableConceptWhat type of performance was done
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.

.... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization)Individual or organization who was performing
... note Σ0..*AnnotationAdditional immunization notes
... reasonCode 0..*CodeableConceptWhy immunization occurred
Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.


... reasonReference 0..*Reference(Condition | Observation | DiagnosticReport)Why immunization occurred
... isSubpotent ?!Σ0..1booleanDose potency
... subpotentReason 0..*CodeableConceptReason for being subpotent
Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.


... education C0..*BackboneElementEducational material presented to patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... documentType 0..1stringEducational material document identifier
.... reference 0..1uriEducational material reference pointer
.... publicationDate 0..1dateTimeEducational material publication date
.... presentationDate 0..1dateTimeEducational material presentation date
... programEligibility 0..*CodeableConceptPatient eligibility for a vaccination program
Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.


... fundingSource 0..1CodeableConceptFunding source for the vaccine
Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.

... reaction 0..*BackboneElementDetails of a reaction that follows immunization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... date 0..1dateTimeWhen reaction started
.... detail 0..1Reference(Observation)Additional information on reaction
.... reported 0..1booleanIndicates self-reported reaction
... protocolApplied 0..*BackboneElementProtocol followed by the provider
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... series 0..1stringName of vaccine series
.... authority 0..1Reference(Organization)Who is responsible for publishing the recommendations
.... targetDisease 0..*CodeableConceptVaccine preventatable disease being targetted
Binding: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.


.... doseNumber[x] 1..1Dose number within series
..... doseNumberPositiveIntpositiveInt
..... doseNumberStringstring
.... seriesDoses[x] 0..1Recommended number of doses for immunity
..... seriesDosesPositiveIntpositiveInt
..... seriesDosesStringstring

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Immunization.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Immunization.statusrequiredImmunizationStatusCodes
Immunization.statusReasonexampleImmunizationStatusReasonCodes
Immunization.vaccineCodeexampleVaccineAdministeredValueSet
Immunization.reportOriginexampleImmunizationOriginCodes
Immunization.siteexampleCodesForImmunizationSiteOfAdministration
Immunization.routeexampleImmunizationRouteCodes
Immunization.performer.functionextensibleImmunizationFunctionCodes
Immunization.reasonCodeexampleImmunizationReasonCodes
Immunization.subpotentReasonexampleImmunizationSubpotentReason
Immunization.programEligibilityexampleImmunizationProgramEligibility
Immunization.fundingSourceexampleImmunizationFundingSource
Immunization.protocolApplied.targetDiseaseexampleImmunizationTargetDiseaseCodes

This structure is derived from Immunization

Summary

Mandatory: 4 elements
Must-Support: 5 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from Immunization

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..*ImmunizationImmunization event information
... status S1..1codecompleted | entered-in-error | not-done
... statusReason S0..1CodeableConceptReason not done
... vaccineCode S1..1CodeableConceptVaccine product administered
... occurrence[x] S1..1dateTime, stringVaccine administration date

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..*ImmunizationImmunization event information
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1codecompleted | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.

... vaccineCode SΣ1..1CodeableConceptVaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.

... patient SΣ1..1Reference(IPA-Patient)Who was immunized
... occurrence[x] SΣ1..1Vaccine administration date
.... occurrenceDateTimedateTime
.... occurrenceStringstring
... isSubpotent ?!Σ0..1booleanDose potency

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Immunization.statusrequiredImmunizationStatusCodes
Immunization.statusReasonexampleImmunizationStatusReasonCodes
Immunization.vaccineCodeexampleVaccineAdministeredValueSet

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..*ImmunizationImmunization event information
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierBusiness identifier
... status ?!SΣ1..1codecompleted | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization.

... statusReason S0..1CodeableConceptReason not done
Binding: ImmunizationStatusReasonCodes (example): The reason why a vaccine was not administered.

... vaccineCode SΣ1..1CodeableConceptVaccine product administered
Binding: VaccineAdministeredValueSet (example): The code for vaccine product administered.

... patient SΣ1..1Reference(IPA-Patient)Who was immunized
... encounter 0..1Reference(Encounter)Encounter immunization was part of
... occurrence[x] SΣ1..1Vaccine administration date
.... occurrenceDateTimedateTime
.... occurrenceStringstring
... recorded 0..1dateTimeWhen the immunization was first captured in the subject's record
... primarySource Σ0..1booleanIndicates context the data was recorded in
... reportOrigin 0..1CodeableConceptIndicates 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..1Reference(Location)Where immunization occurred
... manufacturer 0..1Reference(Organization)Vaccine manufacturer
... lotNumber 0..1stringVaccine lot number
... expirationDate 0..1dateVaccine expiration date
... site 0..1CodeableConceptBody site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example): The site at which the vaccine was administered.

... route 0..1CodeableConceptHow vaccine entered body
Binding: ImmunizationRouteCodes (example): The route by which the vaccine was administered.

... doseQuantity 0..1SimpleQuantityAmount of vaccine administered
... performer Σ0..*BackboneElementWho performed event
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function Σ0..1CodeableConceptWhat type of performance was done
Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event.

.... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization)Individual or organization who was performing
... note Σ0..*AnnotationAdditional immunization notes
... reasonCode 0..*CodeableConceptWhy immunization occurred
Binding: ImmunizationReasonCodes (example): The reason why a vaccine was administered.


... reasonReference 0..*Reference(Condition | Observation | DiagnosticReport)Why immunization occurred
... isSubpotent ?!Σ0..1booleanDose potency
... subpotentReason 0..*CodeableConceptReason for being subpotent
Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent.


... education C0..*BackboneElementEducational material presented to patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... documentType 0..1stringEducational material document identifier
.... reference 0..1uriEducational material reference pointer
.... publicationDate 0..1dateTimeEducational material publication date
.... presentationDate 0..1dateTimeEducational material presentation date
... programEligibility 0..*CodeableConceptPatient eligibility for a vaccination program
Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program.


... fundingSource 0..1CodeableConceptFunding source for the vaccine
Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered.

... reaction 0..*BackboneElementDetails of a reaction that follows immunization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... date 0..1dateTimeWhen reaction started
.... detail 0..1Reference(Observation)Additional information on reaction
.... reported 0..1booleanIndicates self-reported reaction
... protocolApplied 0..*BackboneElementProtocol followed by the provider
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... series 0..1stringName of vaccine series
.... authority 0..1Reference(Organization)Who is responsible for publishing the recommendations
.... targetDisease 0..*CodeableConceptVaccine preventatable disease being targetted
Binding: ImmunizationTargetDiseaseCodes (example): The vaccine preventable disease the dose is being administered for.


.... doseNumber[x] 1..1Dose number within series
..... doseNumberPositiveIntpositiveInt
..... doseNumberStringstring
.... seriesDoses[x] 0..1Recommended number of doses for immunity
..... seriesDosesPositiveIntpositiveInt
..... seriesDosesStringstring

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Immunization.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Immunization.statusrequiredImmunizationStatusCodes
Immunization.statusReasonexampleImmunizationStatusReasonCodes
Immunization.vaccineCodeexampleVaccineAdministeredValueSet
Immunization.reportOriginexampleImmunizationOriginCodes
Immunization.siteexampleCodesForImmunizationSiteOfAdministration
Immunization.routeexampleImmunizationRouteCodes
Immunization.performer.functionextensibleImmunizationFunctionCodes
Immunization.reasonCodeexampleImmunizationReasonCodes
Immunization.subpotentReasonexampleImmunizationSubpotentReason
Immunization.programEligibilityexampleImmunizationProgramEligibility
Immunization.fundingSourceexampleImmunizationFundingSource
Immunization.protocolApplied.targetDiseaseexampleImmunizationTargetDiseaseCodes

This structure is derived from Immunization

Summary

Mandatory: 4 elements
Must-Support: 5 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron