QI-Core Implementation Guide: STU 4 (v4.0.0 for FHIR 4.0.0)

QI-Core Implementation Guide, Clinical Quality Improvement WG - CI build for vesion 4.0.0). This version is based on the current content of https://github.com/cqframework/qi-core/ and changes regularly. See the Directory of published versions

7.12.0 Immunization

QDM defines Immunization as vaccines administered to patients in healthcare settings but does not include non-vaccine agents. The FHIR Immunization Recommendation resource is specifically designed to provide an immunization forecast from a forecasting engine to a provider, basically to carry clinical decision support recommendations specific to immunizations and, therefore, is not consistent with the intent of the QDM datatype "Immunization, Order" or “Immunization, Administered.” The FHIR Immunization Evaluation references an appraisal of an immunization that was administered to determine if it is valid with respect to the expected immunization schedule. The US-Core Immunization profile is most consistent with the QDM datatype Immunization, Administered The mapping tables provided include mapping from QDM Immunization, Administered and a reference to the FHIR Immunization Evaluation resource. Note, the mapping table includes additional metadata about immunizations that QDM does not address, but that may be relevant to quality measures or clinical decision support (CDS) artifacts.

7.12.1 Immunization, Administered

QDM Context USCore R4 Comments
Immunization, Administered Immunization
Immunization.status Constrain to Completed, entered-in-error, not-done
QDM Attributes
code Immunization.vaccineCode
id Immunization.id
Dosage Immunization.doseQuantity
Negation Rationale Immunization.status Constrain to not-done
Immunization.statusReason
Route Immunization.route
Reason Immunization.reasonCode
Relevant dateTime Immunization.occurrence[x]
author dateTime Immunization.recorded
Performer Immunization.performer.actor

7.12.2 Immunization, Order

To address the QDM datatype Immunization, Order see Medication: Immunization, Order.