Publish Box goes here
Definitions for the StructureDefinition-Immunization-uv-ips Profile.
1. Immunization | |
Definition | Describes the event of a patient being administered a vaccination or a record of a vaccination as reported by a patient, a clinician or another party and may include vaccine reaction information and what vaccination protocol was followed. If it describes a reported information the details about the assertion (e.g. who did the assertion, when was done) can be optionally documented in the statement extension. |
Control | 0..* |
Must Support | true |
Invariants | Defined on this element dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (: contained.text.empty()) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (: contained.where(('#'+id in %resource.descendants().reference).not()).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) imm-1: If immunization was not administered (notGiven=true) then there SHALL be no reaction nor explanation.reason present (: (notGiven = true).not() or (reaction.empty() and explanation.reason.empty())) imm-2: If immunization was administered (notGiven=false) then explanation.reasonNotGiven SHALL be absent. (: (notGiven = true) or explanation.reasonNotGiven.empty()) |
2. Immunization.id | |
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
Control | 0..1 |
Type | id |
Must Support | true |
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
3. Immunization.meta | |
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. |
Control | 0..1 |
Type | Meta |
Must Support | true |
4. Immunization.meta.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
5. Immunization.meta.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
6. Immunization.meta.versionId | |
Definition | The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted. |
Control | 0..1 |
Type | id |
Comments | The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. |
7. Immunization.meta.lastUpdated | |
Definition | When the resource last changed - e.g. when the version changed. |
Control | 0..1 |
Type | instant |
Comments | This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. |
8. Immunization.meta.profile | |
Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. |
Control | 0..* |
Type | uri |
Must Support | true |
Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. |
9. Immunization.meta.security | |
Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. |
Control | 0..* |
Binding | Security Labels from the Healthcare Privacy and Security Classification System. The codes SHALL be taken from All Security Labels; other codes may be used where these codes are not suitable |
Type | Coding |
Comments | The security labels can be updated without changing the stated version of the resource The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. |
10. Immunization.meta.tag | |
Definition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. |
Control | 0..* |
Binding | Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones" For example codes, see Common Tags |
Type | Coding |
Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. |
11. Immunization.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. |
Control | 0..1 |
Type | uri |
Is Modifier | true |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. |
12. Immunization.language | |
Definition | The base language in which the resource is written. |
Control | 0..1 |
Binding | A human language. The codes SHALL be taken from Common Languages; other codes may be used where these codes are not suitable Max Binding: All Languages |
Type | code |
Must Support | true |
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). |
13. Immunization.text | |
Definition | A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. |
Control | 0..1 This element is affected by the following invariants: dom-1 |
Type | Narrative |
Must Support | true |
Alternate Names | narrative, html, xhtml, display |
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later. |
14. Immunization.contained | |
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. |
Control | 0..* |
Type | Resource |
Alternate Names | inline resources, anonymous resources, contained resources |
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. |
15. Immunization.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
16. Immunization.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
17. Immunization.identifier | |
Definition | A unique identifier assigned to this immunization record. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
18. Immunization.status | |
Definition | Indicates the current status of the vaccination event. |
Control | 1..1 |
Binding | A set of codes indicating the current status of an Immunization The codes SHALL be taken from Immunization Status Codes |
Type | code |
Is Modifier | true |
Must Support | true |
Comments | Will generally be set to show that the immunization has been completed. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
19. Immunization.notGiven | |
Definition | Indicates if the vaccination was or was not given. |
Control | 1..1 |
Type | boolean |
Is Modifier | true |
Comments | This element is labeled as a modifier because it indicates that an immunization didn't happen. |
20. Immunization.vaccineCode | |
Definition | Vaccine that was administered or was to be administered. Several kinds of vaccine product coding could be provided. The IPS assumes that either the type of the vaccine for particular disease or diseases (e.g. MMR vaccine) against which the patient has been immunized is provided; or the known absent / unknown. Other coded information can be provided as well as:
The value sets used for the PhPID, MPID and PCID identifiers are provisional and include only few equivalent concepts used for exemplification purposes, they will be updated with real IDMP identifiers when they will become available. |
Control | 1..1 This element is affected by the following invariants: ele-1 |
Binding | The type of vaccine for particular disease or diseases against which the patient has been immunised. The codes SHOULD be taken from IPS Vaccines |
Type | CodeableConcept(CodeableConceptIPS) |
Must Support | true |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
21. Immunization.vaccineCode.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
22. Immunization.vaccineCode.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
23. Immunization.vaccineCode.coding | |
Definition | A representation of the vaccine in a code system. The representation can be granular or may also be a class or category. |
Control | 1..* |
Type | Coding(CodingIPS) |
Must Support | true |
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
24. Immunization.vaccineCode.coding:atcClass | |
Definition | WHO ATC classification |
Control | 0..1 |
Binding | The codes SHALL be taken from WHO ATC |
Type | Coding(CodingIPS) |
Must Support | true |
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
Comments | Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. |
25. Immunization.vaccineCode.coding:atcClass.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
26. Immunization.vaccineCode.coding:atcClass.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
27. Immunization.vaccineCode.coding:atcClass.system | |
Definition | The identification of the code system that defines the meaning of the symbol in the code. |
Control | 1..1 |
Type | uri |
Must Support | true |
Requirements | Need to be unambiguous about the source of the definition of the symbol. |
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. |
Fixed Value | http://www.whocc.no/atc |
28. Immunization.vaccineCode.coding:atcClass.version | |
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. |
Note | This is a business versionId, not a resource version id (see discussion) |
Control | 0..1 |
Type | string |
Must Support | true |
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. |
29. Immunization.vaccineCode.coding:atcClass.code | |
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
Control | 0..1 |
Type | code |
Must Support | true |
Requirements | Need to refer to a particular code in the system. |
30. Immunization.vaccineCode.coding:atcClass.display | |
Definition | A representation of the meaning of the code in the system, following the rules of the system. |
Control | 0..1 |
Type | string |
Must Support | true |
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
31. Immunization.vaccineCode.coding:atcClass.display.id | |
Definition | unique id for the element within a resource (for internal references) |
Control | 0..1 |
Type | string |
32. Immunization.vaccineCode.coding:atcClass.display.extension | |
Definition | An Extension |
Control | 0..* |
Type | Extension |
33. Immunization.vaccineCode.coding:atcClass.display.extension:translation | |
Definition | Language translation from base language of resource to another language. |
Control | 0..* This element is affected by the following invariants: ele-1 |
Type | Extension(Translation) (Extension Type: Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta) |
Must Support | true |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
34. Immunization.vaccineCode.coding:atcClass.display.value | |
Definition | The actual value |
Control | 0..1 |
Max Length | 1048576 |
35. Immunization.vaccineCode.coding:atcClass.userSelected | |
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). |
Control | 0..1 |
Type | boolean |
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. |
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. |
36. Immunization.vaccineCode.text | |
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. |
Control | 0..1 |
Type | string |
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. |
Comments | Very often the text is the same as a displayName of one of the codings. |
37. Immunization.vaccineCode:absentOrUnknownImmunization | |
Definition | A reference to a code indicating that there there are no known immunizations or that this information is unknown. |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Binding | The codes SHALL be taken from Absent or Unknown Immunization |
Type | CodeableConcept(CodeableConceptIPS) |
Must Support | true |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
38. Immunization.vaccineCode:absentOrUnknownImmunization.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
39. Immunization.vaccineCode:absentOrUnknownImmunization.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
40. Immunization.vaccineCode:absentOrUnknownImmunization.coding | |
Definition | A reference to a code defined by a terminology system. |
Control | 1..1 |
Type | Coding(CodingIPS) |
Must Support | true |
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
41. Immunization.vaccineCode:absentOrUnknownImmunization.coding.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
42. Immunization.vaccineCode:absentOrUnknownImmunization.coding.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
43. Immunization.vaccineCode:absentOrUnknownImmunization.coding.system | |
Definition | The identification of the code system that defines the meaning of the symbol in the code. |
Control | 1..1 |
Type | uri |
Must Support | true |
Requirements | Need to be unambiguous about the source of the definition of the symbol. |
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. |
Fixed Value | http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips |
44. Immunization.vaccineCode:absentOrUnknownImmunization.coding.version | |
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. |
Note | This is a business versionId, not a resource version id (see discussion) |
Control | 0..1 |
Type | string |
Must Support | true |
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. |
45. Immunization.vaccineCode:absentOrUnknownImmunization.coding.code | |
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
Control | 0..1 |
Type | code |
Must Support | true |
Requirements | Need to refer to a particular code in the system. |
46. Immunization.vaccineCode:absentOrUnknownImmunization.coding.display | |
Definition | A representation of the meaning of the code in the system, following the rules of the system. |
Control | 0..1 |
Type | string |
Must Support | true |
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
47. Immunization.vaccineCode:absentOrUnknownImmunization.coding.display.id | |
Definition | unique id for the element within a resource (for internal references) |
Control | 0..1 |
Type | string |
48. Immunization.vaccineCode:absentOrUnknownImmunization.coding.display.extension | |
Definition | An Extension |
Control | 0..* |
Type | Extension |
49. Immunization.vaccineCode:absentOrUnknownImmunization.coding.display.extension:translation | |
Definition | Language translation from base language of resource to another language. |
Control | 0..* This element is affected by the following invariants: ele-1 |
Type | Extension(Translation) (Extension Type: Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta) |
Must Support | true |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
50. Immunization.vaccineCode:absentOrUnknownImmunization.coding.display.value | |
Definition | The actual value |
Control | 0..1 |
Max Length | 1048576 |
51. Immunization.vaccineCode:absentOrUnknownImmunization.coding.userSelected | |
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). |
Control | 0..1 |
Type | boolean |
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. |
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. |
52. Immunization.vaccineCode:absentOrUnknownImmunization.text | |
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. |
Control | 0..1 |
Type | string |
Must Support | true |
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. |
Comments | The text should be at the displayName level and not on this level. |
53. Immunization.patient | |
Definition | The patient who either received or did not receive the immunization. |
Control | 1..1 |
Type | Reference(Patient_uv_ips) |
Must Support | true |
54. Immunization.patient.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
55. Immunization.patient.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
56. Immunization.patient.reference | |
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
Control | 1..1 This element is affected by the following invariants: ref-1 |
Type | string |
Must Support | true |
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
57. Immunization.patient.identifier | |
Definition | An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..1 |
Type | Identifier |
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. |
58. Immunization.patient.display | |
Definition | Plain text narrative that identifies the resource in addition to the resource reference. |
Control | 0..1 |
Type | string |
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. |
59. Immunization.encounter | |
Definition | The visit or admission or other contact between patient and health care provider the immunization was performed as part of. |
Control | 0..1 |
Type | Reference(Encounter) |
60. Immunization.date | |
Definition | Date vaccine administered or was to be administered. |
Control | 1..1 |
Type | dateTime |
Must Support | true |
Comments | When immunizations are given a specific date and time should always be known. When immunizations are patient reported, a specific date might not be known. Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. |
61. Immunization.date.id | |
Definition | unique id for the element within a resource (for internal references) |
Control | 0..1 |
Type | string |
62. Immunization.date.extension | |
Definition | An Extension |
Control | 0..* |
Type | Extension |
63. Immunization.date.extension:data-absent-reason | |
Definition | Provides a reason why the date is missing. |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(Data Absent Reason) (Extension Type: code) |
Must Support | true |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
64. Immunization.date.value | |
Definition | The actual value |
Control | 0..1 |
65. Immunization.primarySource | |
Definition | An indication that the content of the record is based on information from the person who administered the vaccine. This reflects the context under which the data was originally recorded. |
Control | 1..1 |
Type | boolean |
Comments | Reflects the “reliability” of the content. |
66. Immunization.reportOrigin | |
Definition | The source of the data when the report of the immunization event is not based on information from the person who administered the vaccine. |
Control | 0..1 |
Binding | The source of the data for a record which is not from a primary source. For example codes, see Immunization Origin Codes |
Type | CodeableConcept |
Comments | Should not be populated if primarySource = True, will not be required even if primarySource = False. |
67. Immunization.location | |
Definition | The service delivery location where the vaccine administration occurred. |
Control | 0..1 |
Type | Reference(Location) |
68. Immunization.manufacturer | |
Definition | Name of vaccine manufacturer. |
Control | 0..1 |
Type | Reference(Organization) |
69. Immunization.lotNumber | |
Definition | Lot number of the vaccine product. |
Control | 0..1 |
Type | string |
70. Immunization.expirationDate | |
Definition | Date vaccine batch expires. |
Control | 0..1 |
Type | date |
71. Immunization.site | |
Definition | Body site where vaccine was administered. |
Control | 0..1 |
Binding | The site at which the vaccine was administered For example codes, see Codes for Immunization Site of Administration |
Type | CodeableConcept |
72. Immunization.site.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
73. Immunization.site.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
74. Immunization.site.coding | |
Definition | A reference to a code defined by a terminology system. |
Control | 0..* This element is affected by the following invariants: ele-1 |
Binding | The codes SHOULD be taken from IPS Target Site |
Type | Coding(CodingIPS) |
Must Support | true |
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
Comments | Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
75. Immunization.site.text | |
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. |
Control | 0..1 |
Type | string |
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. |
Comments | Very often the text is the same as a displayName of one of the codings. |
76. Immunization.route | |
Definition | The path by which the vaccine product is taken into the body. |
Control | 0..1 |
Binding | The route by which the vaccine was administered For example codes, see Immunization Route Codes |
Type | CodeableConcept |
Must Support | true |
77. Immunization.route.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
78. Immunization.route.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
79. Immunization.route.coding | |
Definition | A reference to a code defined by a terminology system. |
Control | 0..* This element is affected by the following invariants: ele-1 |
Binding | The codes SHALL be taken from Medicine Route of Administration |
Type | Coding(CodingIPS) |
Must Support | true |
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
Comments | Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
80. Immunization.route.text | |
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. |
Control | 0..1 |
Type | string |
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. |
Comments | Very often the text is the same as a displayName of one of the codings. |
81. Immunization.doseQuantity | |
Definition | The quantity of vaccine product that was administered. |
Control | 0..1 |
Type | Quantity(SimpleQuantity) |
82. Immunization.practitioner | |
Definition | Indicates who or what performed the event. |
Control | 0..1 |
Type | BackboneElement |
Must Support | true |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count())) |
83. Immunization.practitioner.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
84. Immunization.practitioner.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
85. Immunization.practitioner.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content, modifiers |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
86. Immunization.practitioner.role | |
Definition | Describes the type of performance (e.g. ordering provider, administering provider, etc.). |
Control | 0..1 |
Binding | The role a practitioner plays in the immunization event The codes SHALL be taken from Immunization Role Codes; other codes may be used where these codes are not suitable |
Type | CodeableConcept |
87. Immunization.practitioner.actor | |
Definition | The device, practitioner, etc. who performed the action. |
Control | 1..1 |
Type | Reference(Practitioner) |
Must Support | true |
88. Immunization.practitioner.actor.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
89. Immunization.practitioner.actor.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
90. Immunization.practitioner.actor.reference | |
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
Control | 0..1 This element is affected by the following invariants: ref-1 |
Type | string |
Must Support | true |
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
91. Immunization.practitioner.actor.identifier | |
Definition | An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..1 |
Type | Identifier |
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. |
92. Immunization.practitioner.actor.display | |
Definition | Plain text narrative that identifies the resource in addition to the resource reference. |
Control | 0..1 |
Type | string |
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. |
93. Immunization.note | |
Definition | Extra information about the immunization that is not conveyed by the other attributes. |
Control | 0..* |
Type | Annotation |
94. Immunization.explanation | |
Definition | Reasons why a vaccine was or was not administered. |
Control | 0..1 |
Type | BackboneElement |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count())) |
95. Immunization.explanation.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
96. Immunization.explanation.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
97. Immunization.explanation.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content, modifiers |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
98. Immunization.explanation.reason | |
Definition | Reasons why a vaccine was administered. |
Control | 0..* |
Binding | The reason why a vaccine was administered For example codes, see Immunization Reason Codes |
Type | CodeableConcept |
99. Immunization.explanation.reasonNotGiven | |
Definition | Reason why a vaccine was not administered. |
Control | 0..* |
Binding | The reason why a vaccine was not administered For example codes, see Immunization Reasons for Not Immunizing Codes |
Type | CodeableConcept |
100. Immunization.reaction | |
Definition | Categorical data indicating that an adverse event is associated in time to an immunization. |
Control | 0..* |
Type | BackboneElement |
Comments | A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count())) |
101. Immunization.reaction.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
102. Immunization.reaction.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
103. Immunization.reaction.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content, modifiers |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
104. Immunization.reaction.date | |
Definition | Date of reaction to the immunization. |
Control | 0..1 |
Type | dateTime |
105. Immunization.reaction.detail | |
Definition | Details of the reaction. |
Control | 0..1 |
Type | Reference(Observation) |
106. Immunization.reaction.reported | |
Definition | Self-reported indicator. |
Control | 0..1 |
Type | boolean |
107. Immunization.vaccinationProtocol | |
Definition | Contains information about the protocol(s) under which the vaccine was administered. |
Control | 0..* |
Type | BackboneElement |
Must Support | true |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count())) |
108. Immunization.vaccinationProtocol.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
109. Immunization.vaccinationProtocol.extension | |
Definition | An Extension |
Control | 0..* |
Type | Extension |
110. Immunization.vaccinationProtocol.extension:vaccinationValidity | |
Definition | Validity of Vaccination |
Control | 0..1 |
Type | Extension(vaccinationValidity-immunization-uv-trillium2) (Extension Type: Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta) |
Must Support | true |
111. Immunization.vaccinationProtocol.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content, modifiers |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
112. Immunization.vaccinationProtocol.doseSequence | |
Definition | Nominal position in a series. |
Control | 0..1 |
Type | positiveInt |
113. Immunization.vaccinationProtocol.description | |
Definition | Contains the description about the protocol under which the vaccine was administered. |
Control | 0..1 |
Type | string |
114. Immunization.vaccinationProtocol.authority | |
Definition | Indicates the authority who published the protocol. E.g. ACIP. |
Control | 0..1 |
Type | Reference(Organization) |
115. Immunization.vaccinationProtocol.series | |
Definition | One possible path to achieve presumed immunity against a disease - within the context of an authority. |
Control | 0..1 |
Type | string |
116. Immunization.vaccinationProtocol.seriesDoses | |
Definition | The recommended number of doses to achieve immunity. |
Control | 0..1 |
Type | positiveInt |
117. Immunization.vaccinationProtocol.targetDisease | |
Definition | The targeted disease. |
Control | 1..* |
Binding | The disease target of the vaccination protocol For example codes, see Vaccination Protocol Dose Target Codes |
Type | CodeableConcept |
118. Immunization.vaccinationProtocol.targetDisease.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
119. Immunization.vaccinationProtocol.targetDisease.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
120. Immunization.vaccinationProtocol.targetDisease.coding | |
Definition | A reference to a code defined by a terminology system. |
Control | 0..* This element is affected by the following invariants: ele-1 |
Type | Coding(CodingIPS) |
Must Support | true |
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
Comments | Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
121. Immunization.vaccinationProtocol.targetDisease.text | |
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. |
Control | 0..1 |
Type | string |
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. |
Comments | Very often the text is the same as a displayName of one of the codings. |
122. Immunization.vaccinationProtocol.doseStatus | |
Definition | Indicates if the immunization event should "count" against the protocol. |
Control | 1..1 |
Binding | The status of the vaccination protocol (i.e. should this count) For example codes, see Vaccination Protocol Dose Status codes |
Type | CodeableConcept |
Comments | May need to differentiate between status declarations by a provider vs. a CDS engine. |
123. Immunization.vaccinationProtocol.doseStatus.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
124. Immunization.vaccinationProtocol.doseStatus.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
125. Immunization.vaccinationProtocol.doseStatus.coding | |
Definition | A reference to a code defined by a terminology system. |
Control | 0..* This element is affected by the following invariants: ele-1 |
Type | Coding(CodingIPS) |
Must Support | true |
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
Comments | Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
126. Immunization.vaccinationProtocol.doseStatus.text | |
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. |
Control | 0..1 |
Type | string |
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. |
Comments | Very often the text is the same as a displayName of one of the codings. |
127. Immunization.vaccinationProtocol.doseStatusReason | |
Definition | Provides an explanation as to why an immunization event should or should not count against the protocol. |
Control | 0..1 |
Binding | The reason for the determining if a vaccination should count or why vaccination should not count. For example codes, see Vaccination Protocol Dose Status Reason codes |
Type | CodeableConcept |