DwImmunization

Purpose

The purpose of this resource to provide documentation of current and historical vaccine administration and will include patient refusal of vaccines.

idS Σ0..1string
id0..1string
extensionI0..*Extension
versionIdΣ0..1id
lastUpdatedS Σ0..1instant
sourceΣ0..1uri
profileΣ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifier0..*Identifier
statusS Σ ?!1..1codeBinding
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemΣ0..1uri
versionΣ0..1string
codeΣ0..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ0..1uri
versionΣ0..1string
codeS Σ0..1code
displayS Σ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionI0..*Extension
systemS Σ0..1uri
versionΣ0..1string
codeS Σ0..1code
displayS Σ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionI0..*Extension
systemS Σ0..1uri
versionS Σ0..1string
codeS Σ0..1code
displayS Σ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionI0..*Extension
systemS Σ0..1uri
versionS Σ0..1string
codeS Σ0..1code
displayS Σ0..1string
userSelectedΣ0..1boolean
textS Σ0..1string
patientS Σ I1..1Reference(Patient)
encounterI0..1Reference(Encounter)
id0..1string
data-absent-reasonI0..1Extension(code)
occurrenceDateTimedateTime
occurrenceStringstring
recordedS0..1dateTime
primarySourceS Σ0..1boolean
reportOriginS0..1CodeableConcept
locationI0..1Reference(Location)
manufacturerI0..1Reference(Organization)
lotNumberS0..1string
expirationDateS0..1date
id0..1string
extensionI0..*Extension
siteCVCΣ0..*CodingBinding
textS Σ0..1string
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ0..1uri
versionΣ0..1string
codeS Σ0..1code
displayS Σ0..1string
userSelectedΣ0..1boolean
textS Σ0..1string
doseQuantityS I0..1SimpleQuantity
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
id0..1string
extensionI0..*Extension
codingΣ0..*Coding
textΣ0..1string
actorΣ I1..1Reference(Practitioner | PractitionerRole | Organization)
noteS Σ0..*Annotation
ICD9Code0..*CodeableConcept
ICD10Code0..*CodeableConcept
SNOMEDCode0..*CodeableConcept
ENCODECode0..*CodeableConcept
reasonReferenceI0..*Reference(Condition | Observation | DiagnosticReport)
isSubpotentΣ ?!0..1boolean
subpotentReason0..*CodeableConcept
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
documentType0..1string
reference0..1uri
publicationDate0..1dateTime
presentationDate0..1dateTime
programEligibility0..*CodeableConcept
fundingSource0..1CodeableConcept
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
date0..1dateTime
detailI0..1Reference(Observation)
reported0..1boolean
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
seriesS0..1string
authorityI0..1Reference(Organization)
targetDisease0..*CodeableConcept
doseNumberStringstring
seriesDosesPositiveIntpositiveInt
seriesDosesStringstring

Usage note

  • status

    FHIR MA PSS CHR
    Not Done Refused treatment
  • immunization.statusReason - This will be provided when a pateint refuses or declines an immunization.

  • immunization.vaccineCode.coding - For patients with no documented immunizations we will provide the absentOrUnknownImmunization code for "no known immunizations".

  • immunization.vaccineCode.text - This will provide the vaccine name as recorded in the EMR.

  • immunization.reportOrigin - This will be populated when recorded in the EMR.

  • immunization.reasonCode - This will be provided when documented in the EMR.

Bundle

Immunization

Example

{
     "resourceType": "Immunization",
     "id": "pss-CDK5-Immunization-5947230445820-3586747",
     "meta": {
        "source": "urn:telus:emr:pss:CDK5",
        "lastUpdated": "2023-04-21T13:32:14.000Z",
        "security": [
           {
              "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
              "code": "N",
              "display": "normal"
           }
        ]
     },
     "identifier": [
        {
           "system": "urn:telus:emr:pss:CDK5:Immunization",
           "use": "official",
           "value": "5947230445820"
        }
     ],
     "status": "completed",
     "vaccineCode": {
        "text": "Shingrix (PF) 50 mcg/0.5 mL"
     },
     "patient": {
        "reference": "Patient/pss-CDK5-Patient-123456",
        "type": "Patient"
     },
     "encounter": {
        "reference": "Encounter/pss-CDK5-Encounter-5745351",
        "type": "Encounter"
     },
     "occurrenceDateTime": "2022-12-20T05:00:00.000Z",
     "recorded": "2022-12-20T05:00:00.000Z",
     "primarySource": true,
     "manufacturer": {
        "display": "GSK"
     },
     "lotNumber": "123456",
     "expirationDate": "2023-05-31",
     "site": {
        "text": "L"
     },
     "route": {
        "coding": [
           {
              "system": "http://fhir.infoway-inforoute.ca/io/psca/ValueSet/CVC-RouteOfAdmin",
              "version": "1.1.25",
              "code": "78421000",
              "display": "Intramuscular: IM",
              "userSelected": false
           }
        ],
        "text": "INTRAMUSCULAR"
     },
     "performer": [
        {
           "function": {
              "coding": [
                 {
                    "system": "http://hl7.org/fhir/ValueSet/immunization-function",
                    "code": "AP",
                    "display": "Administering Provider"
                 }
              ]
           },
           "actor": {
              "reference": "Practitioner/pss-CDK5-Practitioner-15",
              "display": "Dr. Hanna Hook MD",
              "type": "Practitioner"
           }
        }
     ],
     "note": [],
     "reasonCode": [],
     "reaction": []
  }