Immunization

$10 / year

The Immunization resource intends to cover the recording of current and historical administration of vaccines to patients across all healthcare disciplines in all care settings and regions. It includes immunization of both humans and animals but does not include the administration of non-vaccine agents, even those that may have or claim to have immunological effects.

Complexity

While the terms “immunization” and “vaccination” are not clinically identical, for the purposes of the Fast Healthcare Interoperability Resources (FHIR) resources, the terms are used synonymously.

Additionally, the Immunization resource is expected to cover key concepts related to the creation, revision and querying of a patient’s immunization history. This resource – through consultation with the Public Health work group – is believed to meet key use cases and information requirements.

Administration of vaccines is intended to be handled using the Immunization resource. Medication Administration is intended for tracking the administration of non-vaccine medications. Some systems treat immunizations in the same way as any other medication administration. Such systems should use an immunization resource to represent these. If systems need to use a Medication Administration resource to capture vaccinations for workflow or other reasons, they should also expose an equivalent Immunization instance.

Immunization reaction may be an indication of an allergy or intolerance. If this is deemed to be the case, a separate Allergy Intolerance resource instance should be created to indicate it, as most systems will not query against past Immunization reaction.

Date Created

2018-09-20

Last Modified

2019-11-01

Version

4.0.1

Update Frequency

Annual

Temporal Coverage

N/A

Spatial Coverage

United States

Source

John Snow Labs; Health Level Seven International;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

FHIR, HL7, Medical Terminology, Processes Data, Processes Information, Processes Documentation, Health Information Exchange, Electronic Health Records, FHIR Smart, Smart on FHIR

Other Titles

FHIR Immunization Resource, Electronic Health Records Exchange Through FHIR

NameDescriptionTypeConstraints
Concept_NameName of the concept in the FHIR structure.stringrequired : 1
Computer_Ready_NameA Computer-ready name (e.g. a token) that identifies the structure - suitable for code generation. Note that this name (and other names relevant for code generation, including element & slice names, codes etc) may collide with reserved words in the relevant target language, and code generators will need to handle this.string-
TypeThe type the structure describes.string-
Dollar_RefThe "$ref" string value contains a Uniform Resource Identifier (URI) which identifies the location of the JSON value being referenced.string-
DescriptionA free text natural language description of the structure and its use.string-
ItemsThe value of the keyword should be an object or an array of objects. If the keyword value is an object, then for the data array to be valid each item of the array should be valid according to the schema in this value.string-
RequiredThe value of the keyword should be an array of unique strings. The data object to be valid should contain all properties with names equal to the elements in the keyword value.string-
ConstThe value of this keyword can be anything. The data is valid if it is deeply equal to the value of the keyword.string-
Concept NameComputer Ready NameTypeDollar RefDescriptionItemsRequiredConst
ImmunizationresourceTypeThis is a Immunization resourceImmunization
Immunizationid#/definitions/idThe logical id of the resource as used in the URL for the resource. Once assigned this value never changes.
Immunizationmeta#/definitions/MetaThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
ImmunizationimplicitRules#/definitions/uriA reference to a set of rules that were followed when the resource was constructed and which must be understood when processing the content. Often this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Immunization_implicitRules#/definitions/ElementExtensions for implicitRules
Immunizationlanguage#/definitions/codeThe base language in which the resource is written.
Immunization_language#/definitions/ElementExtensions for language
Immunizationtext#/definitions/NarrativeA human-readable narrative that contains a summary of the resource and can 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.
ImmunizationcontainedarrayThese 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.{'$ref': '#/definitions/ResourceList'}
ImmunizationextensionarrayMay be used to represent additional information that is not part of the basic definition of the resource. 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.{'$ref': '#/definitions/Extension'}
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