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Public Health icon Work GroupMaturity Level: 1 Trial UseSecurity Category: Patient Compartments: Patient

Detailed Descriptions for the elements in the ImmunizationRecommendation resource.

ImmunizationRecommendation
Element Id ImmunizationRecommendation
Definition

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

Short Display Guidance or advice relating to an immunization
Cardinality 0..*
Type DomainResource
Summary false
ImmunizationRecommendation.identifier
Element Id ImmunizationRecommendation.identifier
Definition

A unique identifier assigned to this particular recommendation record.

Short Display Business identifier
Note This is a business identifier, not a resource identifier (see discussion)
Cardinality 0..*
Type Identifier
Summary true
ImmunizationRecommendation.patient
Element Id ImmunizationRecommendation.patient
Definition

The patient the recommendation(s) are for.

Short Display Who this profile is for
Cardinality 1..1
Type Reference(Patient)
Summary true
ImmunizationRecommendation.date
Element Id ImmunizationRecommendation.date
Definition

The date the immunization recommendation(s) were created.

Short Display Date recommendation(s) created
Cardinality 1..1
Type dateTime
Summary true
ImmunizationRecommendation.authority
Element Id ImmunizationRecommendation.authority
Definition

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

Short Display Who is responsible for protocol
Cardinality 0..1
Type Reference(Organization)
Summary false
ImmunizationRecommendation.recommendation
Element Id ImmunizationRecommendation.recommendation
Definition

Vaccine administration recommendations.

Short Display Vaccine administration recommendations
Cardinality 1..*
Summary true
Comments

A given instance of the .recommendation backbone element should correspond to a single recommended administration or the entire immunization series when there is no recommended administration

Invariants
Defined on this element
imr-1Rule One of vaccineCode or targetDisease SHALL be presentvaccineCode.exists() or targetDisease.exists()
ImmunizationRecommendation.recommendation.vaccineCode
Element Id ImmunizationRecommendation.recommendation.vaccineCode
Definition

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

Short Display Vaccine or vaccine group recommendation applies to
Cardinality 0..*
Terminology Binding Vaccine Administered Value Set (Example)
Type CodeableConcept
Summary true
Invariants
Affect this element
imr-1Rule One of vaccineCode or targetDisease SHALL be presentvaccineCode.exists() or targetDisease.exists()
ImmunizationRecommendation.recommendation.targetDisease
Element Id ImmunizationRecommendation.recommendation.targetDisease
Definition

The targeted disease for the recommendation.

Short Display Disease to be immunized against
Cardinality 0..*
Terminology Binding Immunization Target Disease Codes (Example)
Type CodeableConcept
Summary true
Comments

A given instance of the .recommendation backbone element should correspond to a single recommended administration but sometimes that administration (e.g. MMR) will encompass multiple diseases, thus the targetDisease element is allowed to repeat.

Invariants
Affect this element
imr-1Rule One of vaccineCode or targetDisease SHALL be presentvaccineCode.exists() or targetDisease.exists()
ImmunizationRecommendation.recommendation.contraindicatedVaccineCode
Element Id ImmunizationRecommendation.recommendation.contraindicatedVaccineCode
Definition

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

Short Display Vaccine which is contraindicated to fulfill the recommendation
Cardinality 0..*
Terminology Binding Vaccine Administered Value Set (Example)
Type CodeableConcept
Summary true
ImmunizationRecommendation.recommendation.forecastStatus
Element Id ImmunizationRecommendation.recommendation.forecastStatus
Definition

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

Short Display Vaccine recommendation status
Cardinality 1..1
Terminology Binding Immunization Recommendation Status Codes (Example)
Type CodeableConcept
Is Modifier true (Reason: This element is labeled as a modifier because the forecastStatus indicates whether a patient needs additional doses (due, overdue, etc.) or not (contraindicated, complete, etc.).)
Summary true
ImmunizationRecommendation.recommendation.forecastReason
Element Id ImmunizationRecommendation.recommendation.forecastReason
Definition

The reason for the assigned forecast status.

Short Display Vaccine administration status reason
Cardinality 0..*
Terminology Binding Immunization Recommendation Reason Codes (Example)
Type CodeableConcept
Summary true
ImmunizationRecommendation.recommendation.dateCriterion
Element Id ImmunizationRecommendation.recommendation.dateCriterion
Definition

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

Short Display Dates governing proposed immunization
Cardinality 0..*
Summary false
ImmunizationRecommendation.recommendation.dateCriterion.code
Element Id ImmunizationRecommendation.recommendation.dateCriterion.code
Definition

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

Short Display Type of date
Cardinality 1..1
Terminology Binding Immunization Recommendation Date Criterion Codes (Example)
Type CodeableConcept
Summary false
ImmunizationRecommendation.recommendation.dateCriterion.value
Element Id ImmunizationRecommendation.recommendation.dateCriterion.value
Definition

The date whose meaning is specified by dateCriterion.code.

Short Display Recommended date
Cardinality 1..1
Type dateTime
Summary false
ImmunizationRecommendation.recommendation.description
Element Id ImmunizationRecommendation.recommendation.description
Definition

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

Short Display Protocol details
Cardinality 0..1
Type markdown
Summary false
ImmunizationRecommendation.recommendation.series
Element Id ImmunizationRecommendation.recommendation.series
Definition

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

Short Display Name of vaccination series
Cardinality 0..1
Type string
Summary false
ImmunizationRecommendation.recommendation.doseNumber
Element Id ImmunizationRecommendation.recommendation.doseNumber
Definition

Nominal position of the recommended dose in a series as determined by the evaluation and forecasting process (e.g. dose 2 is the next recommended dose).

Short Display Recommended dose number within series
Cardinality 0..1
Type string
Summary true
Comments

The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).

ImmunizationRecommendation.recommendation.seriesDoses
Element Id ImmunizationRecommendation.recommendation.seriesDoses
Definition

The recommended number of doses to achieve immunity as determined by the evaluation and forecasting process.

Short Display Recommended number of doses for immunity
Cardinality 0..1
Type string
Summary false
Comments

The use of an integer is preferred if known.

ImmunizationRecommendation.recommendation.supportingImmunization
Element Id ImmunizationRecommendation.recommendation.supportingImmunization
Definition

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

Short Display Past immunizations supporting recommendation
Cardinality 0..*
Type Reference(Immunization | ImmunizationEvaluation)
Summary false
ImmunizationRecommendation.recommendation.supportingPatientInformation
Element Id ImmunizationRecommendation.recommendation.supportingPatientInformation
Definition

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

Short Display Patient observations supporting recommendation
Cardinality 0..*
Type Reference(Any)
Summary false