Current Build

Переводит команда Health Samurai . Приглашаем поучаствовать в русификации стандарта FHIR: GitHub , Email.

Public Health and Emergency Response Work GroupMaturity Level: 3 Trial Use Compartments: Patient, Practitioner

Подробное описание элементов ресурса Immunization.

Immunization
Element IdImmunization
Definition

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.

Control0..*
TypeDomainResource
Immunization.identifier
Element IdImmunization.identifier
Definition

Уникальный идентификатор, присвоенный конкретно этой записи о рекомендации.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Immunization.status
Element IdImmunization.status
Definition

Показывает текущий статус события вакцинации.

Control1..1
Terminology BindingImmunization Status Codes (Required)
Typecode
Is Modifiertrue (Reason: 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)
Summarytrue
Comments

Will generally be set to show that the immunization has been completed or not done. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Immunization.statusReason
Element IdImmunization.statusReason
Definition

Indicates the reason the immunization event was not performed.

Control0..1
Terminology BindingImmunization Status Reason Codes (Example)
TypeCodeableConcept
Comments

This is generally only used for the status of "not-done". The reason for performing the immunization event is captured in reasonCode, not here.

Immunization.vaccineCode
Element IdImmunization.vaccineCode
Definition

Вакцина, которая была введена или должна была быть введена.

Control1..1
Terminology BindingVaccine Administered Value Set (Example)
TypeCodeableConcept
Summarytrue
Immunization.patient
Element IdImmunization.patient
Definition

Пациент, который получил или не получил иммунизацию.

Control1..1
TypeReference(Patient)
Summarytrue
Immunization.encounter
Element IdImmunization.encounter
Definition

Визит, госпитализация или другой вид контакта пациента и поставщика медицинского обслуживания, в рамках которого проведена иммунизация.

Control0..1
TypeReference(Encounter)
Immunization.occurrence[x]
Element IdImmunization.occurrence[x]
Definition

Дата, когда вакцина была введена или должна была быть введена.

Control1..1
TypedateTime|string
[x] NoteSee Choice of Data Types for further information about how to use [x]
Summarytrue
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. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose.

Immunization.recorded
Element IdImmunization.recorded
Definition

The date the occurrence of the immunization was first captured in the record - potentially significantly after the occurrence of the event.

Control0..1
TypedateTime
Summaryfalse
Immunization.primarySource
Element IdImmunization.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.

Control0..1
Typeboolean
Summarytrue
Comments

Reflects the “reliability” of the content.

Immunization.reportOrigin
Element IdImmunization.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.

Control0..1
Terminology BindingImmunization Origin Codes (Example)
TypeCodeableConcept
Comments

Should not be populated if primarySource = True, not required even if primarySource = False.

Immunization.location
Element IdImmunization.location
Definition

Место оказания услуги, где произошла вакцинация.

Control0..1
TypeReference(Location)
Immunization.manufacturer
Element IdImmunization.manufacturer
Definition

Название производителя вакцины.

Control0..1
TypeReference(Organization)
Immunization.lotNumber
Element IdImmunization.lotNumber
Definition

Номер партии вакцины.

Control0..1
Typestring
Immunization.expirationDate
Element IdImmunization.expirationDate
Definition

Дата истечения годности вакцины.

Control0..1
Typedate
Immunization.site
Element IdImmunization.site
Definition

Место на теле, куда ввели вакцину.

Control0..1
Terminology BindingCodes for Immunization Site of Administration (Example)
TypeCodeableConcept
Immunization.route
Element IdImmunization.route
Definition

Пусть, который вакцинный продукт прошел в теле.

Control0..1
Terminology BindingImmunization Route Codes (Example)
TypeCodeableConcept
Immunization.doseQuantity
Element IdImmunization.doseQuantity
Definition

Количество вакцинного продукта, которое было введено.

Control0..1
TypeSimpleQuantity
Immunization.performer
Element IdImmunization.performer
Definition

Indicates who performed the immunization event.

Control0..*
Summarytrue
Immunization.performer.function
Element IdImmunization.performer.function
Definition

Describes the type of performance (e.g. ordering provider, administering provider, etc.).

Control0..1
Terminology BindingImmunization Function Codes (Extensible)
TypeCodeableConcept
Summarytrue
Immunization.performer.actor
Element IdImmunization.performer.actor
Definition

The practitioner or organization who performed the action.

Control1..1
TypeReference(Practitioner | PractitionerRole | Organization)
Summarytrue
Comments

When the individual practitioner who performed the action is known, it is best to send.

Immunization.note
Element IdImmunization.note
Definition

Дополнительная информация об иммунизации, не передаваемая другими полями.

Control0..*
TypeAnnotation
Summarytrue
Immunization.reasonCode
Element IdImmunization.reasonCode
Definition

Причины, по которым была введена вакцина.

Control0..*
Terminology BindingImmunization Reason Codes (Example)
TypeCodeableConcept
Immunization.reasonReference
Element IdImmunization.reasonReference
Definition

Condition, Observation or DiagnosticReport that supports why the immunization was administered.

Control0..*
TypeReference(Condition | Observation | DiagnosticReport)
Immunization.isSubpotent
Element IdImmunization.isSubpotent
Definition

Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent.

Control0..1
Typeboolean
Is Modifiertrue (Reason: 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.)
Meaning if MissingBy default, a dose should be considered to be potent.
Summarytrue
Comments

Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event.

Immunization.subpotentReason
Element IdImmunization.subpotentReason
Definition

Reason why a dose is considered to be subpotent.

Control0..*
Terminology BindingImmunization Subpotent Reason (Example)
TypeCodeableConcept
Immunization.education
Element IdImmunization.education
Definition

Educational material presented to the patient (or guardian) at the time of vaccine administration.

Control0..*
Invariants
Defined on this element
imm-1Rule One of documentType or reference SHALL be presentdocumentType.exists() or reference.exists()
Immunization.education.documentType
Element IdImmunization.education.documentType
Definition

Identifier of the material presented to the patient.

Control0..1
Typestring
Immunization.education.reference
Element IdImmunization.education.reference
Definition

Reference pointer to the educational material given to the patient if the information was on line.

Control0..1
Typeuri
Immunization.education.publicationDate
Element IdImmunization.education.publicationDate
Definition

Date the educational material was published.

Control0..1
TypedateTime
Immunization.education.presentationDate
Element IdImmunization.education.presentationDate
Definition

Date the educational material was given to the patient.

Control0..1
TypedateTime
Immunization.programEligibility
Element IdImmunization.programEligibility
Definition

Indicates a patient's eligibility for a funding program.

Control0..*
Terminology BindingImmunization Program Eligibility (Example)
TypeCodeableConcept
Immunization.fundingSource
Element IdImmunization.fundingSource
Definition

Indicates the source of the vaccine actually administered. This may be different than the patient eligibility (e.g. the patient may be eligible for a publically purchased vaccine but due to inventory issues, vaccine purchased with private funds was actually administered).

Control0..1
Terminology BindingImmunization Funding Source (Example)
TypeCodeableConcept
Immunization.reaction
Element IdImmunization.reaction
Definition

Категорийные данные, обозначающие, что нежелательное побочное событие по времени связано с иммунизацией.

Control0..*
Comments

Реакция может быть признаком аллергии или непереносимости и, если выяснили, что это так и есть, то её следует записать в виде отдельного экземпляра ресурса AllergyIntolerance, поскольку многие системы не будут запрашивать архивные элементы Immunization.reaction.

Immunization.reaction.date
Element IdImmunization.reaction.date
Definition

Дата реакции на иммунизацию.

Control0..1
TypedateTime
Immunization.reaction.detail
Element IdImmunization.reaction.detail
Definition

Подробные сведения о реакции.

Control0..1
TypeReference(Observation)
Immunization.reaction.reported
Element IdImmunization.reaction.reported
Definition

Флаг, что это реакция со слов пациента.

Control0..1
Typeboolean
Immunization.protocolApplied
Element IdImmunization.protocolApplied
Definition

The protocol (set of recommendations) being followed by the provider who administered the dose.

Control0..*
Immunization.protocolApplied.series
Element IdImmunization.protocolApplied.series
Definition

Один из возможных путей достижения предполагаемого иммунитета к заболеванию - с контексте органа власти.

Control0..1
Typestring
Immunization.protocolApplied.authority
Element IdImmunization.protocolApplied.authority
Definition

Indicates the authority who published the protocol (e.g. ACIP) that is being followed.

Control0..1
TypeReference(Organization)
Immunization.protocolApplied.targetDisease
Element IdImmunization.protocolApplied.targetDisease
Definition

The vaccine preventable disease the dose is being administered against.

Control0..*
Terminology BindingImmunization Target Disease Codes (Example)
TypeCodeableConcept
Immunization.protocolApplied.doseNumber[x]
Element IdImmunization.protocolApplied.doseNumber[x]
Definition

Номинальная позиция в серии.

Control1..1
TypepositiveInt|string
[x] NoteSee Choice of Data Types for further information about how to use [x]
Comments

The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).

Immunization.protocolApplied.seriesDoses[x]
Element IdImmunization.protocolApplied.seriesDoses[x]
Definition

Рекомендуемое количество доз для достижения иммунитета.

Control0..1
TypepositiveInt|string
[x] NoteSee Choice of Data Types for further information about how to use [x]
Comments

The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).