PackagesCanonicalsLogsProblems
    Packages
    hl7.fhir.r5.core@4.4.0
    http://hl7.org/fhir/StructureDefinition/Immunization
description: Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party.
package_name: hl7.fhir.r5.core
derivation: specialization
name: Immunization
type: Immunization
elements:
  patient:
    short: Who was immunized
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    type: Reference
    isSummary: true
    index: 4
  isSubpotent: {isModifier: true, short: Dose potency, type: boolean, meaningWhenMissing: 'By default, a dose should be considered to be potent.', isModifierReason: This element is labeled as a modifier because an immunization event with a subpotent vaccine doesn't protect the patient the same way as a potent dose., isSummary: true, index: 28}
  protocolApplied:
    type: BackboneElement
    short: Protocol followed by the provider
    array: true
    index: 41
    elements:
      series: {type: string, short: Name of vaccine series, index: 42}
      authority:
        short: Who is responsible for publishing the recommendations
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization']
        type: Reference
        index: 43
      targetDisease:
        short: Vaccine preventatable disease being targetted
        type: CodeableConcept
        array: true
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/immunization-target-disease'}
        index: 44
      doseNumber: {short: Dose number within series, type: string, index: 45}
      seriesDoses: {short: Recommended number of doses for immunity, type: string, index: 46}
    required: [doseNumber]
  site:
    short: Body site vaccine  was administered
    type: CodeableConcept
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/immunization-site'}
    index: 20
  encounter:
    short: Encounter immunization was part of
    refers: ['http://hl7.org/fhir/StructureDefinition/Encounter']
    type: Reference
    index: 5
  vaccineCode:
    short: Vaccine product administered
    type: CodeableConcept
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/vaccine-code'}
    isSummary: true
    index: 3
  doseQuantity: {type: Quantity, short: Amount of vaccine administered, index: 22}
  statusReason:
    short: Reason for current status
    type: CodeableConcept
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/immunization-status-reason'}
    index: 2
  route:
    short: How vaccine entered body
    type: CodeableConcept
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/immunization-route'}
    index: 21
  recorded: {short: When the immunization was first captured in the subject's record, type: dateTime, isSummary: false, index: 10}
  programEligibility:
    short: Patient eligibility for a vaccination program
    type: CodeableConcept
    array: true
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/immunization-program-eligibility'}
    index: 35
  note: {short: Additional immunization notes, type: Annotation, array: true, isSummary: true, index: 26}
  reason:
    short: Why immunization occurred
    type: CodeableReference
    array: true
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/immunization-reason'}
    index: 27
  primarySource: {short: Indicates context the data was recorded in, type: boolean, isSummary: true, index: 11}
  informationSourceReference:
    short: Indicates the source of a  reported record
    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson']
    type: Reference
    choiceOf: informationSource
    index: 15
  status:
    isModifier: true
    short: completed | entered-in-error | not-done
    type: code
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/immunization-status|4.4.0'}
    isModifierReason: This element is labeled as a modifier because it is a status element that contains statuses entered-in-error and not-done which means that the resource should not be treated as valid
    isSummary: true
    index: 1
  informationSourceCodeableConcept: {short: Indicates the source of a  reported record, type: CodeableConcept, choiceOf: informationSource, index: 14}
  lotNumber: {type: string, short: Vaccine lot number, index: 18}
  identifier: {type: Identifier, short: Business identifier, array: true, index: 0}
  manufacturer:
    short: Vaccine manufacturer
    refers: ['http://hl7.org/fhir/StructureDefinition/Organization']
    type: Reference
    index: 17
  education:
    constraint:
      imm-1: {human: One of documentType or reference SHALL be present, source: 'http://hl7.org/fhir/StructureDefinition/Immunization', severity: error, expression: documentType.exists() or reference.exists()}
    short: Educational material presented to patient
    type: BackboneElement
    array: true
    index: 30
    elements:
      documentType: {type: string, short: Educational material document identifier, index: 31}
      reference: {type: uri, short: Educational material reference pointer, index: 32}
      publicationDate: {type: dateTime, short: Educational material publication date, index: 33}
      presentationDate: {type: dateTime, short: Educational material presentation date, index: 34}
  occurrenceString: {short: Vaccine administration date, type: string, choiceOf: occurrence, isSummary: true, index: 9}
  informationSource:
    short: Indicates the source of a  reported record
    choices: [informationSourceCodeableConcept, informationSourceReference]
    index: 13
  reaction:
    short: Details of a reaction that follows immunization
    type: BackboneElement
    array: true
    index: 37
    elements:
      date: {type: dateTime, short: When reaction started, index: 38}
      detail:
        short: Additional information on reaction
        refers: ['http://hl7.org/fhir/StructureDefinition/Observation']
        type: Reference
        index: 39
      reported: {type: boolean, short: Indicates self-reported reaction, index: 40}
  location:
    short: Where immunization occurred
    refers: ['http://hl7.org/fhir/StructureDefinition/Location']
    type: Reference
    index: 16
  occurrenceDateTime: {short: Vaccine administration date, type: dateTime, choiceOf: occurrence, isSummary: true, index: 8}
  fundingSource:
    short: Funding source for the vaccine
    type: CodeableConcept
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/immunization-funding-source'}
    index: 36
  subpotentReason:
    short: Reason for being subpotent
    type: CodeableConcept
    array: true
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/immunization-subpotent-reason'}
    index: 29
  occurrence:
    short: Vaccine administration date
    choices: [occurrenceDateTime, occurrenceString]
    isSummary: true
    index: 7
  expirationDate: {type: date, short: Vaccine expiration date, index: 19}
  performer:
    short: Who performed event
    type: BackboneElement
    array: true
    isSummary: true
    index: 23
    elements:
      function:
        short: What type of performance was done
        type: CodeableConcept
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/immunization-function'}
        isSummary: true
        index: 24
      actor:
        short: Individual or organization who was performing
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole']
        type: Reference
        isSummary: true
        index: 25
    required: [actor]
package_version: 4.4.0
class: resource
kind: resource
url: http://hl7.org/fhir/StructureDefinition/Immunization
base: http://hl7.org/fhir/StructureDefinition/DomainResource
version: 4.4.0
required: [vaccineCode, occurrenceDateTime, occurrenceString, status, occurrence, patient]