FHIR Implementation Guide for NDHM CI Build v2.0
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NDHM (R4), Published and maintained by NRCeS for NHA.
This version is based on the NDHM Health Data Interchange Specifications 1.0 and updated periodically.

StructureDefinition-Immunization

This profile sets minimum expectations for the Immunization resource to record, fetch and search immunization history associated with a patient. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile.

Examples

Formal Views of Profile Content

Description of Profiles, Differentials, and Snapshots.

The official URL for this profile is: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Immunization

This profile builds on Immunization

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..*ImmunizationImmunization event information
... status S1..1codecompleted | entered-in-error | not-done
... vaccineCode S1..1CodeableConceptVaccine product administered
Binding: Vaccine Codes (example)
.... coding S0..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... patient S1..1Reference(Patient)Who was immunized
... encounter 0..1Reference(Encounter)Encounter immunization was part of
... occurrence[x] S1..1dateTimeVaccine administration date
... manufacturer S0..1Reference(Organization)Vaccine manufacturer
... lotNumber S0..1stringVaccine lot number
... expirationDate S0..1dateVaccine expiration date
... site
.... coding S0..*CodingCode defined by a terminology system
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... route
.... coding S0..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... performer
.... function
..... coding S0..*CodingCode defined by a terminology system
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
..... text S0..1stringPlain text representation of the concept
.... actor 1..1Reference(Practitioner | PractitionerRole | Organization | Practitioner | PractitionerRole | Organization)Individual or organization who was performing
... reasonCode
.... coding S0..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... reasonReference 0..*Reference(Condition | Observation | DiagnosticReportLab | DiagnosticReportImaging)Why immunization occurred
... reaction
.... detail 0..1Reference(Observation)Additional information on reaction
... protocolApplied
.... authority 0..1Reference(Organization)Who is responsible for publishing the recommendations

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization I0..*ImmunizationImmunization event information
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier I0..*IdentifierBusiness identifier
... status ?!SΣI1..1codecompleted | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required)
... statusReason I0..1CodeableConceptReason not done
Binding: ImmunizationStatusReasonCodes (example)
... vaccineCode SΣI1..1CodeableConceptVaccine product administered
Binding: Vaccine Codes (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... patient SΣI1..1Reference(Patient)Who was immunized
... encounter I0..1Reference(Encounter)Encounter immunization was part of
... occurrence[x] SΣI1..1dateTimeVaccine administration date
... recorded I0..1dateTimeWhen the immunization was first captured in the subject's record
... primarySource ΣI0..1booleanIndicates context the data was recorded in
... reportOrigin I0..1CodeableConceptIndicates the source of a secondarily reported record
Binding: ImmunizationOriginCodes (example)
... location I0..1Reference(Location)Where immunization occurred
... manufacturer SI0..1Reference(Organization)Vaccine manufacturer
... lotNumber SI0..1stringVaccine lot number
... expirationDate SI0..1dateVaccine expiration date
... site I0..1CodeableConceptBody site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... route I0..1CodeableConceptHow vaccine entered body
Binding: ImmunizationRouteCodes (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... doseQuantity I0..1SimpleQuantityAmount of vaccine administered
... performer ΣI0..*BackboneElementWho performed event
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function ΣI0..1CodeableConceptWhat type of performance was done
Binding: ImmunizationFunctionCodes (extensible)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣI0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system ΣI0..1uriIdentity of the terminology system
...... version ΣI0..1stringVersion of the system - if relevant
...... code ΣI1..1codeSymbol in syntax defined by the system
...... display ΣI1..1stringRepresentation defined by the system
...... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
..... text SΣI0..1stringPlain text representation of the concept
.... actor ΣI1..1Reference(Practitioner | PractitionerRole | Organization | Practitioner | PractitionerRole | Organization)Individual or organization who was performing
... note ΣI0..*AnnotationAdditional immunization notes
... reasonCode I0..*CodeableConceptWhy immunization occurred
Binding: ImmunizationReasonCodes (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... reasonReference I0..*Reference(Condition | Observation | DiagnosticReportLab | DiagnosticReportImaging)Why immunization occurred
... isSubpotent ?!ΣI0..1booleanDose potency
... subpotentReason I0..*CodeableConceptReason for being subpotent
Binding: ImmunizationSubpotentReason (example)
... education I0..*BackboneElementEducational material presented to patient
imm-1: One of documentType or reference SHALL be present
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... documentType I0..1stringEducational material document identifier
.... reference I0..1uriEducational material reference pointer
.... publicationDate I0..1dateTimeEducational material publication date
.... presentationDate I0..1dateTimeEducational material presentation date
... programEligibility I0..*CodeableConceptPatient eligibility for a vaccination program
Binding: ImmunizationProgramEligibility (example)
... fundingSource I0..1CodeableConceptFunding source for the vaccine
Binding: ImmunizationFundingSource (example)
... reaction I0..*BackboneElementDetails of a reaction that follows immunization
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... date I0..1dateTimeWhen reaction started
.... detail I0..1Reference(Observation)Additional information on reaction
.... reported I0..1booleanIndicates self-reported reaction
... protocolApplied I0..*BackboneElementProtocol followed by the provider
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... series I0..1stringName of vaccine series
.... authority I0..1Reference(Organization)Who is responsible for publishing the recommendations
.... targetDisease I0..*CodeableConceptVaccine preventatable disease being targetted
Binding: ImmunizationTargetDiseaseCodes (example)
.... doseNumber[x] I1..1Dose number within series
..... doseNumberPositiveIntpositiveInt
..... doseNumberStringstring
.... seriesDoses[x] I0..1Recommended number of doses for immunity
..... seriesDosesPositiveIntpositiveInt
..... seriesDosesStringstring

doco Documentation for this format

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization 0..*ImmunizationImmunization event information
... status S1..1codecompleted | entered-in-error | not-done
... vaccineCode S1..1CodeableConceptVaccine product administered
Binding: Vaccine Codes (example)
.... coding S0..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... patient S1..1Reference(Patient)Who was immunized
... encounter 0..1Reference(Encounter)Encounter immunization was part of
... occurrence[x] S1..1dateTimeVaccine administration date
... manufacturer S0..1Reference(Organization)Vaccine manufacturer
... lotNumber S0..1stringVaccine lot number
... expirationDate S0..1dateVaccine expiration date
... site
.... coding S0..*CodingCode defined by a terminology system
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... route
.... coding S0..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... performer
.... function
..... coding S0..*CodingCode defined by a terminology system
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
..... text S0..1stringPlain text representation of the concept
.... actor 1..1Reference(Practitioner | PractitionerRole | Organization | Practitioner | PractitionerRole | Organization)Individual or organization who was performing
... reasonCode
.... coding S0..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... reasonReference 0..*Reference(Condition | Observation | DiagnosticReportLab | DiagnosticReportImaging)Why immunization occurred
... reaction
.... detail 0..1Reference(Observation)Additional information on reaction
... protocolApplied
.... authority 0..1Reference(Organization)Who is responsible for publishing the recommendations

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Immunization I0..*ImmunizationImmunization event information
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier I0..*IdentifierBusiness identifier
... status ?!SΣI1..1codecompleted | entered-in-error | not-done
Binding: ImmunizationStatusCodes (required)
... statusReason I0..1CodeableConceptReason not done
Binding: ImmunizationStatusReasonCodes (example)
... vaccineCode SΣI1..1CodeableConceptVaccine product administered
Binding: Vaccine Codes (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... patient SΣI1..1Reference(Patient)Who was immunized
... encounter I0..1Reference(Encounter)Encounter immunization was part of
... occurrence[x] SΣI1..1dateTimeVaccine administration date
... recorded I0..1dateTimeWhen the immunization was first captured in the subject's record
... primarySource ΣI0..1booleanIndicates context the data was recorded in
... reportOrigin I0..1CodeableConceptIndicates the source of a secondarily reported record
Binding: ImmunizationOriginCodes (example)
... location I0..1Reference(Location)Where immunization occurred
... manufacturer SI0..1Reference(Organization)Vaccine manufacturer
... lotNumber SI0..1stringVaccine lot number
... expirationDate SI0..1dateVaccine expiration date
... site I0..1CodeableConceptBody site vaccine was administered
Binding: CodesForImmunizationSiteOfAdministration (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... route I0..1CodeableConceptHow vaccine entered body
Binding: ImmunizationRouteCodes (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... doseQuantity I0..1SimpleQuantityAmount of vaccine administered
... performer ΣI0..*BackboneElementWho performed event
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function ΣI0..1CodeableConceptWhat type of performance was done
Binding: ImmunizationFunctionCodes (extensible)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣI0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system ΣI0..1uriIdentity of the terminology system
...... version ΣI0..1stringVersion of the system - if relevant
...... code ΣI1..1codeSymbol in syntax defined by the system
...... display ΣI1..1stringRepresentation defined by the system
...... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
..... text SΣI0..1stringPlain text representation of the concept
.... actor ΣI1..1Reference(Practitioner | PractitionerRole | Organization | Practitioner | PractitionerRole | Organization)Individual or organization who was performing
... note ΣI0..*AnnotationAdditional immunization notes
... reasonCode I0..*CodeableConceptWhy immunization occurred
Binding: ImmunizationReasonCodes (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... reasonReference I0..*Reference(Condition | Observation | DiagnosticReportLab | DiagnosticReportImaging)Why immunization occurred
... isSubpotent ?!ΣI0..1booleanDose potency
... subpotentReason I0..*CodeableConceptReason for being subpotent
Binding: ImmunizationSubpotentReason (example)
... education I0..*BackboneElementEducational material presented to patient
imm-1: One of documentType or reference SHALL be present
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... documentType I0..1stringEducational material document identifier
.... reference I0..1uriEducational material reference pointer
.... publicationDate I0..1dateTimeEducational material publication date
.... presentationDate I0..1dateTimeEducational material presentation date
... programEligibility I0..*CodeableConceptPatient eligibility for a vaccination program
Binding: ImmunizationProgramEligibility (example)
... fundingSource I0..1CodeableConceptFunding source for the vaccine
Binding: ImmunizationFundingSource (example)
... reaction I0..*BackboneElementDetails of a reaction that follows immunization
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... date I0..1dateTimeWhen reaction started
.... detail I0..1Reference(Observation)Additional information on reaction
.... reported I0..1booleanIndicates self-reported reaction
... protocolApplied I0..*BackboneElementProtocol followed by the provider
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... series I0..1stringName of vaccine series
.... authority I0..1Reference(Organization)Who is responsible for publishing the recommendations
.... targetDisease I0..*CodeableConceptVaccine preventatable disease being targetted
Binding: ImmunizationTargetDiseaseCodes (example)
.... doseNumber[x] I1..1Dose number within series
..... doseNumberPositiveIntpositiveInt
..... doseNumberStringstring
.... seriesDoses[x] I0..1Recommended number of doses for immunity
..... seriesDosesPositiveIntpositiveInt
..... seriesDosesStringstring

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron