HL7 Belgium Vaccination (Patient Dossier)
1.0.3 - STU
This page is part of the HL7 Belgium FHIR Implementation Guide - Vaccination profiles (v1.0.3: Release) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Official URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-vaccination | Version: 1.0.3 | |||
Active as of 2023-06-26 | Maturity Level: 1 | Computable Name: BeVaccination |
Defines constraints and extensions on the immunization resource to represent an immunization event i.e. the administration of a vaccine.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Immunization
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Immunization | C | 0..* | Immunization | Immunization event information be-rule-vaccination-1: If vaccineCode.code is other, then vaccinecode text must exist be-rule-vaccination-2: The product code SHALL be cnk, cti extended or atc be-rule-vaccination-3: The reaction detail code SHALL come from be-vs-reaction-manifestation be-rule-vaccination-4: The encounter should have a location from be-vs-care-location |
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
vaccination-originalorder | 0..1 | Reference(ImmunizationRecommendation | MedicationRequest | CarePlan) | BeVaccinationOriginalOrder URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-vaccination-originalorder | |
administeredProduct | 0..1 | (Complex) | BeAdministeredProduct URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct | |
vaccination-confirmationStatus | 0..1 | code | BeVaccinationConfirmationStatus URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-vaccination-confirmationStatus Binding: BeVSVaccinationConfirmationStatus (required) | |
recorder | 1..1 | Reference(Patient core BE profile | Practitioner core BE profile | Organisation core BE profile) | Extension URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder | |
note | 0..1 | Annotation | BeExtSimpleNote URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-simple-note | |
identifier | S | 0..* | Identifier | A unique business identifier for a vaccination entry |
system | S | 1..1 | uri | The namespace for the identifier value |
value | S | 1..1 | string | The value that is unique |
status | S | 1..1 | code | The status of this vaccination record entry |
statusReason | S | 0..1 | CodeableConcept | Reason not done Binding: BeVSVaccinationStatusReason (required) |
vaccineCode | S | 1..1 | CodeableConcept | The vaccine code - a type of vaccine, typically identified by the diseas(s) it covers. For example MMR, HPV, Tetanus, DTPa Binding: BeVSVaccineCode (required) |
patient | S | 1..1 | Reference(Patient core BE profile) | The patient that this received vaccination entry refers to |
encounter | S | 0..1 | Reference(Encounter) | Encounter immunization was part of |
Slices for occurrence[x] | 1..1 | dateTime, string | Vaccine administration date Slice: Unordered, Open by type:$this | |
occurrence[x]:occurrenceDateTime | S | 0..1 | dateTime | Vaccine administration date |
occurrence[x]:occurrenceString | S | 0..1 | string | Vaccine administration date |
recorded | S | 1..1 | dateTime | The date/time when the vaccination event has been recorded |
location | 0..0 | |||
lotNumber | 0..0 | |||
expirationDate | 0..0 | |||
site | S | 0..1 | CodeableConcept | Body site vaccine was administered Binding: BeVSVaccinationBodySite (required) |
bodyLaterality | 0..1 | Coding | BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality (required) | |
route | S | 0..1 | CodeableConcept | How vaccine entered body Binding: BeVSVaccineAdministrationRoute (required) |
doseQuantity | S | 0..1 | SimpleQuantity | Amount of vaccine administered |
performer | S | 0..* | BackboneElement | Who performed event |
actor | 1..1 | Reference(Practitioner core BE profile | Organisation core BE profile | Practitioner role core BE profile) | Individual or organization who was performing | |
reasonCode | S | 0..* | CodeableConcept | Can be used to indicate whether vaccination/prophylaxis took place pre- or post-exposition Binding: BeVSVaccinationReasonCode (preferred) |
reasonReference | S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why vaccination has occurred or not (reference to a finding) |
reaction | S | 0..* | BackboneElement | Reaction immediately after vaccination (15-30 minutes) |
date | 1..1 | dateTime | When reaction started | |
protocolApplied | S | 0..0 | ||
Documentation for this format |
Path | Conformance | ValueSet |
Immunization.statusReason | required | BeVSVaccinationStatusReason |
Immunization.vaccineCode | required | BeVSVaccineCode |
Immunization.site | required | BeVSVaccinationBodySite |
Immunization.route | required | BeVSVaccineAdministrationRoute |
Immunization.reasonCode | preferred | BeVSVaccinationReasonCode |
Id | Grade | Path(s) | Details | Requirements |
be-rule-vaccination-1 | error | Immunization | If vaccineCode.code is other, then vaccinecode text must exist : vaccineCode.coding.code = 'other' implies vaccineCode.text.exists() | |
be-rule-vaccination-2 | error | Immunization | The product code SHALL be cnk, cti extended or atc : (extension('https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct').value as CodeableConcept).exists().not() or (extension('https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct').extension('coded').value as CodeableConcept).coding.where(system = 'https://www.ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-cnk-codes').exists() or (extension('https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct').extension('coded').value as CodeableConcept).coding.where(system = 'https://www.ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-cti-extended-code').exists() or (extension('https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct').extension('coded').value as CodeableConcept).coding.where(system = 'http://whocc.no/atc').exists() | |
be-rule-vaccination-3 | error | Immunization | The reaction detail code SHALL come from be-vs-reaction-manifestation : reaction.detail.empty() or reaction.detail.resolve().code.memberOf('https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-reaction-manifestation-code').anyTrue() | |
be-rule-vaccination-4 | error | Immunization | The encounter should have a location from be-vs-care-location : encounter.empty() or encounter.resolve().location.location.resolve().type.coding.memberOf('https://www.ehealth.fgov.be/standards/fhir/vaccination/ValueSet/be-vs-care-location').anyTrue() |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Immunization | C | 0..* | Immunization | Immunization event information be-rule-vaccination-1: If vaccineCode.code is other, then vaccinecode text must exist be-rule-vaccination-2: The product code SHALL be cnk, cti extended or atc be-rule-vaccination-3: The reaction detail code SHALL come from be-vs-reaction-manifestation be-rule-vaccination-4: The encounter should have a location from be-vs-care-location |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
vaccination-originalorder | 0..1 | Reference(ImmunizationRecommendation | MedicationRequest | CarePlan) | BeVaccinationOriginalOrder URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-vaccination-originalorder | |
administeredProduct | 0..1 | (Complex) | BeAdministeredProduct URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct | |
vaccination-confirmationStatus | 0..1 | code | BeVaccinationConfirmationStatus URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-vaccination-confirmationStatus Binding: BeVSVaccinationConfirmationStatus (required) | |
recorder | 1..1 | Reference(Patient core BE profile | Practitioner core BE profile | Organisation core BE profile) | Extension URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder | |
note | 0..1 | Annotation | BeExtSimpleNote URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-simple-note | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | S | 0..* | Identifier | A unique business identifier for a vaccination entry |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
system | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
value | SΣ | 1..1 | string | The value that is unique Example General: 123456 |
status | ?!SΣ | 1..1 | code | The status of this vaccination record entry Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. |
statusReason | S | 0..1 | CodeableConcept | Reason not done Binding: BeVSVaccinationStatusReason (required) |
vaccineCode | SΣ | 1..1 | CodeableConcept | The vaccine code - a type of vaccine, typically identified by the diseas(s) it covers. For example MMR, HPV, Tetanus, DTPa Binding: BeVSVaccineCode (required) |
patient | SΣ | 1..1 | Reference(Patient core BE profile) | The patient that this received vaccination entry refers to |
encounter | S | 0..1 | Reference(Encounter) | Encounter immunization was part of |
Slices for occurrence[x] | Σ | 1..1 | Vaccine administration date Slice: Unordered, Closed by type:$this | |
occurrenceDateTime | dateTime | |||
occurrenceString | string | |||
occurrence[x]:occurrenceDateTime | SΣ | 0..1 | dateTime | Vaccine administration date |
occurrence[x]:occurrenceString | SΣ | 0..1 | string | Vaccine administration date |
recorded | S | 1..1 | dateTime | The date/time when the vaccination event has been recorded |
site | S | 0..1 | CodeableConcept | Body site vaccine was administered Binding: BeVSVaccinationBodySite (required) |
bodyLaterality | 0..1 | Coding | BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality (required) | |
route | S | 0..1 | CodeableConcept | How vaccine entered body Binding: BeVSVaccineAdministrationRoute (required) |
doseQuantity | S | 0..1 | SimpleQuantity | Amount of vaccine administered |
performer | SΣ | 0..* | BackboneElement | Who performed event |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
actor | Σ | 1..1 | Reference(Practitioner core BE profile | Organisation core BE profile | Practitioner role core BE profile) | Individual or organization who was performing |
reasonCode | S | 0..* | CodeableConcept | Can be used to indicate whether vaccination/prophylaxis took place pre- or post-exposition Binding: BeVSVaccinationReasonCode (preferred) |
reasonReference | S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why vaccination has occurred or not (reference to a finding) |
isSubpotent | ?!Σ | 0..1 | boolean | Dose potency |
reaction | S | 0..* | BackboneElement | Reaction immediately after vaccination (15-30 minutes) |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
date | 1..1 | dateTime | When reaction started | |
Documentation for this format |
Path | Conformance | ValueSet |
Immunization.identifier.use | required | IdentifierUse |
Immunization.status | required | ImmunizationStatusCodes |
Immunization.statusReason | required | BeVSVaccinationStatusReason |
Immunization.vaccineCode | required | BeVSVaccineCode |
Immunization.site | required | BeVSVaccinationBodySite |
Immunization.route | required | BeVSVaccineAdministrationRoute |
Immunization.reasonCode | preferred | BeVSVaccinationReasonCode |
Id | Grade | Path(s) | Details | Requirements |
be-rule-vaccination-1 | error | Immunization | If vaccineCode.code is other, then vaccinecode text must exist : vaccineCode.coding.code = 'other' implies vaccineCode.text.exists() | |
be-rule-vaccination-2 | error | Immunization | The product code SHALL be cnk, cti extended or atc : (extension('https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct').value as CodeableConcept).exists().not() or (extension('https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct').extension('coded').value as CodeableConcept).coding.where(system = 'https://www.ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-cnk-codes').exists() or (extension('https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct').extension('coded').value as CodeableConcept).coding.where(system = 'https://www.ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-cti-extended-code').exists() or (extension('https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct').extension('coded').value as CodeableConcept).coding.where(system = 'http://whocc.no/atc').exists() | |
be-rule-vaccination-3 | error | Immunization | The reaction detail code SHALL come from be-vs-reaction-manifestation : reaction.detail.empty() or reaction.detail.resolve().code.memberOf('https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-reaction-manifestation-code').anyTrue() | |
be-rule-vaccination-4 | error | Immunization | The encounter should have a location from be-vs-care-location : encounter.empty() or encounter.resolve().location.location.resolve().type.coding.memberOf('https://www.ehealth.fgov.be/standards/fhir/vaccination/ValueSet/be-vs-care-location').anyTrue() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Immunization | C | 0..* | Immunization | Immunization event information be-rule-vaccination-1: If vaccineCode.code is other, then vaccinecode text must exist be-rule-vaccination-2: The product code SHALL be cnk, cti extended or atc be-rule-vaccination-3: The reaction detail code SHALL come from be-vs-reaction-manifestation be-rule-vaccination-4: The encounter should have a location from be-vs-care-location | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
vaccination-originalorder | 0..1 | Reference(ImmunizationRecommendation | MedicationRequest | CarePlan) | BeVaccinationOriginalOrder URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-vaccination-originalorder | |||||
administeredProduct | 0..1 | (Complex) | BeAdministeredProduct URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct | |||||
vaccination-confirmationStatus | 0..1 | code | BeVaccinationConfirmationStatus URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-vaccination-confirmationStatus Binding: BeVSVaccinationConfirmationStatus (required) | |||||
recorder | 1..1 | Reference(Patient core BE profile | Practitioner core BE profile | Organisation core BE profile) | Extension URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder | |||||
note | 0..1 | Annotation | BeExtSimpleNote URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-simple-note | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | S | 0..* | Identifier | A unique business identifier for a vaccination entry | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
system | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
value | SΣ | 1..1 | string | The value that is unique Example General: 123456 | ||||
period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
status | ?!SΣ | 1..1 | code | The status of this vaccination record entry Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. | ||||
statusReason | S | 0..1 | CodeableConcept | Reason not done Binding: BeVSVaccinationStatusReason (required) | ||||
vaccineCode | SΣ | 1..1 | CodeableConcept | The vaccine code - a type of vaccine, typically identified by the diseas(s) it covers. For example MMR, HPV, Tetanus, DTPa Binding: BeVSVaccineCode (required) | ||||
patient | SΣ | 1..1 | Reference(Patient core BE profile) | The patient that this received vaccination entry refers to | ||||
encounter | S | 0..1 | Reference(Encounter) | Encounter immunization was part of | ||||
Slices for occurrence[x] | Σ | 1..1 | Vaccine administration date Slice: Unordered, Closed by type:$this | |||||
occurrenceDateTime | dateTime | |||||||
occurrenceString | string | |||||||
occurrence[x]:occurrenceDateTime | SΣ | 0..1 | dateTime | Vaccine administration date | ||||
occurrence[x]:occurrenceString | SΣ | 0..1 | string | Vaccine administration date | ||||
recorded | S | 1..1 | dateTime | The date/time when the vaccination event has been recorded | ||||
primarySource | Σ | 0..1 | boolean | Indicates context the data was recorded in | ||||
reportOrigin | 0..1 | CodeableConcept | Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source. | |||||
manufacturer | 0..1 | Reference(Organization) | Vaccine manufacturer | |||||
site | S | 0..1 | CodeableConcept | Body site vaccine was administered Binding: BeVSVaccinationBodySite (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
bodyLaterality | 0..1 | Coding | BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality (required) | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
route | S | 0..1 | CodeableConcept | How vaccine entered body Binding: BeVSVaccineAdministrationRoute (required) | ||||
doseQuantity | S | 0..1 | SimpleQuantity | Amount of vaccine administered | ||||
performer | SΣ | 0..* | BackboneElement | Who performed event | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. | ||||
actor | Σ | 1..1 | Reference(Practitioner core BE profile | Organisation core BE profile | Practitioner role core BE profile) | Individual or organization who was performing | ||||
note | Σ | 0..* | Annotation | Additional immunization notes | ||||
reasonCode | S | 0..* | CodeableConcept | Can be used to indicate whether vaccination/prophylaxis took place pre- or post-exposition Binding: BeVSVaccinationReasonCode (preferred) | ||||
reasonReference | S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why vaccination has occurred or not (reference to a finding) | ||||
isSubpotent | ?!Σ | 0..1 | boolean | Dose potency | ||||
subpotentReason | 0..* | CodeableConcept | Reason for being subpotent Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent. | |||||
education | C | 0..* | BackboneElement | Educational material presented to patient | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
documentType | 0..1 | string | Educational material document identifier | |||||
reference | 0..1 | uri | Educational material reference pointer | |||||
publicationDate | 0..1 | dateTime | Educational material publication date | |||||
presentationDate | 0..1 | dateTime | Educational material presentation date | |||||
programEligibility | 0..* | CodeableConcept | Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program. | |||||
fundingSource | 0..1 | CodeableConcept | Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered. | |||||
reaction | S | 0..* | BackboneElement | Reaction immediately after vaccination (15-30 minutes) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
date | 1..1 | dateTime | When reaction started | |||||
detail | 0..1 | Reference(Observation) | Additional information on reaction | |||||
reported | 0..1 | boolean | Indicates self-reported reaction | |||||
Documentation for this format |
Path | Conformance | ValueSet | ||||
Immunization.language | preferred | CommonLanguages
| ||||
Immunization.identifier.use | required | IdentifierUse | ||||
Immunization.identifier.type | extensible | Identifier Type Codes | ||||
Immunization.status | required | ImmunizationStatusCodes | ||||
Immunization.statusReason | required | BeVSVaccinationStatusReason | ||||
Immunization.vaccineCode | required | BeVSVaccineCode | ||||
Immunization.reportOrigin | example | ImmunizationOriginCodes | ||||
Immunization.site | required | BeVSVaccinationBodySite | ||||
Immunization.route | required | BeVSVaccineAdministrationRoute | ||||
Immunization.performer.function | extensible | ImmunizationFunctionCodes | ||||
Immunization.reasonCode | preferred | BeVSVaccinationReasonCode | ||||
Immunization.subpotentReason | example | ImmunizationSubpotentReason | ||||
Immunization.programEligibility | example | ImmunizationProgramEligibility | ||||
Immunization.fundingSource | example | ImmunizationFundingSource | ||||
Immunization.protocolApplied.targetDisease | example | ImmunizationTargetDiseaseCodes |
This structure is derived from Immunization
Summary
Mandatory: 3 elements (3 nested mandatory elements)
Must-Support: 19 elements
Prohibited: 4 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Differential View
This structure is derived from Immunization
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Immunization | C | 0..* | Immunization | Immunization event information be-rule-vaccination-1: If vaccineCode.code is other, then vaccinecode text must exist be-rule-vaccination-2: The product code SHALL be cnk, cti extended or atc be-rule-vaccination-3: The reaction detail code SHALL come from be-vs-reaction-manifestation be-rule-vaccination-4: The encounter should have a location from be-vs-care-location |
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
vaccination-originalorder | 0..1 | Reference(ImmunizationRecommendation | MedicationRequest | CarePlan) | BeVaccinationOriginalOrder URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-vaccination-originalorder | |
administeredProduct | 0..1 | (Complex) | BeAdministeredProduct URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct | |
vaccination-confirmationStatus | 0..1 | code | BeVaccinationConfirmationStatus URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-vaccination-confirmationStatus Binding: BeVSVaccinationConfirmationStatus (required) | |
recorder | 1..1 | Reference(Patient core BE profile | Practitioner core BE profile | Organisation core BE profile) | Extension URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder | |
note | 0..1 | Annotation | BeExtSimpleNote URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-simple-note | |
identifier | S | 0..* | Identifier | A unique business identifier for a vaccination entry |
system | S | 1..1 | uri | The namespace for the identifier value |
value | S | 1..1 | string | The value that is unique |
status | S | 1..1 | code | The status of this vaccination record entry |
statusReason | S | 0..1 | CodeableConcept | Reason not done Binding: BeVSVaccinationStatusReason (required) |
vaccineCode | S | 1..1 | CodeableConcept | The vaccine code - a type of vaccine, typically identified by the diseas(s) it covers. For example MMR, HPV, Tetanus, DTPa Binding: BeVSVaccineCode (required) |
patient | S | 1..1 | Reference(Patient core BE profile) | The patient that this received vaccination entry refers to |
encounter | S | 0..1 | Reference(Encounter) | Encounter immunization was part of |
Slices for occurrence[x] | 1..1 | dateTime, string | Vaccine administration date Slice: Unordered, Open by type:$this | |
occurrence[x]:occurrenceDateTime | S | 0..1 | dateTime | Vaccine administration date |
occurrence[x]:occurrenceString | S | 0..1 | string | Vaccine administration date |
recorded | S | 1..1 | dateTime | The date/time when the vaccination event has been recorded |
location | 0..0 | |||
lotNumber | 0..0 | |||
expirationDate | 0..0 | |||
site | S | 0..1 | CodeableConcept | Body site vaccine was administered Binding: BeVSVaccinationBodySite (required) |
bodyLaterality | 0..1 | Coding | BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality (required) | |
route | S | 0..1 | CodeableConcept | How vaccine entered body Binding: BeVSVaccineAdministrationRoute (required) |
doseQuantity | S | 0..1 | SimpleQuantity | Amount of vaccine administered |
performer | S | 0..* | BackboneElement | Who performed event |
actor | 1..1 | Reference(Practitioner core BE profile | Organisation core BE profile | Practitioner role core BE profile) | Individual or organization who was performing | |
reasonCode | S | 0..* | CodeableConcept | Can be used to indicate whether vaccination/prophylaxis took place pre- or post-exposition Binding: BeVSVaccinationReasonCode (preferred) |
reasonReference | S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why vaccination has occurred or not (reference to a finding) |
reaction | S | 0..* | BackboneElement | Reaction immediately after vaccination (15-30 minutes) |
date | 1..1 | dateTime | When reaction started | |
protocolApplied | S | 0..0 | ||
Documentation for this format |
Path | Conformance | ValueSet |
Immunization.statusReason | required | BeVSVaccinationStatusReason |
Immunization.vaccineCode | required | BeVSVaccineCode |
Immunization.site | required | BeVSVaccinationBodySite |
Immunization.route | required | BeVSVaccineAdministrationRoute |
Immunization.reasonCode | preferred | BeVSVaccinationReasonCode |
Id | Grade | Path(s) | Details | Requirements |
be-rule-vaccination-1 | error | Immunization | If vaccineCode.code is other, then vaccinecode text must exist : vaccineCode.coding.code = 'other' implies vaccineCode.text.exists() | |
be-rule-vaccination-2 | error | Immunization | The product code SHALL be cnk, cti extended or atc : (extension('https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct').value as CodeableConcept).exists().not() or (extension('https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct').extension('coded').value as CodeableConcept).coding.where(system = 'https://www.ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-cnk-codes').exists() or (extension('https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct').extension('coded').value as CodeableConcept).coding.where(system = 'https://www.ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-cti-extended-code').exists() or (extension('https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct').extension('coded').value as CodeableConcept).coding.where(system = 'http://whocc.no/atc').exists() | |
be-rule-vaccination-3 | error | Immunization | The reaction detail code SHALL come from be-vs-reaction-manifestation : reaction.detail.empty() or reaction.detail.resolve().code.memberOf('https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-reaction-manifestation-code').anyTrue() | |
be-rule-vaccination-4 | error | Immunization | The encounter should have a location from be-vs-care-location : encounter.empty() or encounter.resolve().location.location.resolve().type.coding.memberOf('https://www.ehealth.fgov.be/standards/fhir/vaccination/ValueSet/be-vs-care-location').anyTrue() |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Immunization | C | 0..* | Immunization | Immunization event information be-rule-vaccination-1: If vaccineCode.code is other, then vaccinecode text must exist be-rule-vaccination-2: The product code SHALL be cnk, cti extended or atc be-rule-vaccination-3: The reaction detail code SHALL come from be-vs-reaction-manifestation be-rule-vaccination-4: The encounter should have a location from be-vs-care-location |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
vaccination-originalorder | 0..1 | Reference(ImmunizationRecommendation | MedicationRequest | CarePlan) | BeVaccinationOriginalOrder URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-vaccination-originalorder | |
administeredProduct | 0..1 | (Complex) | BeAdministeredProduct URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct | |
vaccination-confirmationStatus | 0..1 | code | BeVaccinationConfirmationStatus URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-vaccination-confirmationStatus Binding: BeVSVaccinationConfirmationStatus (required) | |
recorder | 1..1 | Reference(Patient core BE profile | Practitioner core BE profile | Organisation core BE profile) | Extension URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder | |
note | 0..1 | Annotation | BeExtSimpleNote URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-simple-note | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | S | 0..* | Identifier | A unique business identifier for a vaccination entry |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
system | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
value | SΣ | 1..1 | string | The value that is unique Example General: 123456 |
status | ?!SΣ | 1..1 | code | The status of this vaccination record entry Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. |
statusReason | S | 0..1 | CodeableConcept | Reason not done Binding: BeVSVaccinationStatusReason (required) |
vaccineCode | SΣ | 1..1 | CodeableConcept | The vaccine code - a type of vaccine, typically identified by the diseas(s) it covers. For example MMR, HPV, Tetanus, DTPa Binding: BeVSVaccineCode (required) |
patient | SΣ | 1..1 | Reference(Patient core BE profile) | The patient that this received vaccination entry refers to |
encounter | S | 0..1 | Reference(Encounter) | Encounter immunization was part of |
Slices for occurrence[x] | Σ | 1..1 | Vaccine administration date Slice: Unordered, Closed by type:$this | |
occurrenceDateTime | dateTime | |||
occurrenceString | string | |||
occurrence[x]:occurrenceDateTime | SΣ | 0..1 | dateTime | Vaccine administration date |
occurrence[x]:occurrenceString | SΣ | 0..1 | string | Vaccine administration date |
recorded | S | 1..1 | dateTime | The date/time when the vaccination event has been recorded |
site | S | 0..1 | CodeableConcept | Body site vaccine was administered Binding: BeVSVaccinationBodySite (required) |
bodyLaterality | 0..1 | Coding | BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality (required) | |
route | S | 0..1 | CodeableConcept | How vaccine entered body Binding: BeVSVaccineAdministrationRoute (required) |
doseQuantity | S | 0..1 | SimpleQuantity | Amount of vaccine administered |
performer | SΣ | 0..* | BackboneElement | Who performed event |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
actor | Σ | 1..1 | Reference(Practitioner core BE profile | Organisation core BE profile | Practitioner role core BE profile) | Individual or organization who was performing |
reasonCode | S | 0..* | CodeableConcept | Can be used to indicate whether vaccination/prophylaxis took place pre- or post-exposition Binding: BeVSVaccinationReasonCode (preferred) |
reasonReference | S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why vaccination has occurred or not (reference to a finding) |
isSubpotent | ?!Σ | 0..1 | boolean | Dose potency |
reaction | S | 0..* | BackboneElement | Reaction immediately after vaccination (15-30 minutes) |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
date | 1..1 | dateTime | When reaction started | |
Documentation for this format |
Path | Conformance | ValueSet |
Immunization.identifier.use | required | IdentifierUse |
Immunization.status | required | ImmunizationStatusCodes |
Immunization.statusReason | required | BeVSVaccinationStatusReason |
Immunization.vaccineCode | required | BeVSVaccineCode |
Immunization.site | required | BeVSVaccinationBodySite |
Immunization.route | required | BeVSVaccineAdministrationRoute |
Immunization.reasonCode | preferred | BeVSVaccinationReasonCode |
Id | Grade | Path(s) | Details | Requirements |
be-rule-vaccination-1 | error | Immunization | If vaccineCode.code is other, then vaccinecode text must exist : vaccineCode.coding.code = 'other' implies vaccineCode.text.exists() | |
be-rule-vaccination-2 | error | Immunization | The product code SHALL be cnk, cti extended or atc : (extension('https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct').value as CodeableConcept).exists().not() or (extension('https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct').extension('coded').value as CodeableConcept).coding.where(system = 'https://www.ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-cnk-codes').exists() or (extension('https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct').extension('coded').value as CodeableConcept).coding.where(system = 'https://www.ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-cti-extended-code').exists() or (extension('https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct').extension('coded').value as CodeableConcept).coding.where(system = 'http://whocc.no/atc').exists() | |
be-rule-vaccination-3 | error | Immunization | The reaction detail code SHALL come from be-vs-reaction-manifestation : reaction.detail.empty() or reaction.detail.resolve().code.memberOf('https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-reaction-manifestation-code').anyTrue() | |
be-rule-vaccination-4 | error | Immunization | The encounter should have a location from be-vs-care-location : encounter.empty() or encounter.resolve().location.location.resolve().type.coding.memberOf('https://www.ehealth.fgov.be/standards/fhir/vaccination/ValueSet/be-vs-care-location').anyTrue() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Immunization | C | 0..* | Immunization | Immunization event information be-rule-vaccination-1: If vaccineCode.code is other, then vaccinecode text must exist be-rule-vaccination-2: The product code SHALL be cnk, cti extended or atc be-rule-vaccination-3: The reaction detail code SHALL come from be-vs-reaction-manifestation be-rule-vaccination-4: The encounter should have a location from be-vs-care-location | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
vaccination-originalorder | 0..1 | Reference(ImmunizationRecommendation | MedicationRequest | CarePlan) | BeVaccinationOriginalOrder URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-vaccination-originalorder | |||||
administeredProduct | 0..1 | (Complex) | BeAdministeredProduct URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-administeredProduct | |||||
vaccination-confirmationStatus | 0..1 | code | BeVaccinationConfirmationStatus URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-vaccination-confirmationStatus Binding: BeVSVaccinationConfirmationStatus (required) | |||||
recorder | 1..1 | Reference(Patient core BE profile | Practitioner core BE profile | Organisation core BE profile) | Extension URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder | |||||
note | 0..1 | Annotation | BeExtSimpleNote URL: https://www.ehealth.fgov.be/standards/fhir/vaccination/StructureDefinition/be-ext-simple-note | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | S | 0..* | Identifier | A unique business identifier for a vaccination entry | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
system | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
value | SΣ | 1..1 | string | The value that is unique Example General: 123456 | ||||
period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
status | ?!SΣ | 1..1 | code | The status of this vaccination record entry Binding: ImmunizationStatusCodes (required): A set of codes indicating the current status of an Immunization. | ||||
statusReason | S | 0..1 | CodeableConcept | Reason not done Binding: BeVSVaccinationStatusReason (required) | ||||
vaccineCode | SΣ | 1..1 | CodeableConcept | The vaccine code - a type of vaccine, typically identified by the diseas(s) it covers. For example MMR, HPV, Tetanus, DTPa Binding: BeVSVaccineCode (required) | ||||
patient | SΣ | 1..1 | Reference(Patient core BE profile) | The patient that this received vaccination entry refers to | ||||
encounter | S | 0..1 | Reference(Encounter) | Encounter immunization was part of | ||||
Slices for occurrence[x] | Σ | 1..1 | Vaccine administration date Slice: Unordered, Closed by type:$this | |||||
occurrenceDateTime | dateTime | |||||||
occurrenceString | string | |||||||
occurrence[x]:occurrenceDateTime | SΣ | 0..1 | dateTime | Vaccine administration date | ||||
occurrence[x]:occurrenceString | SΣ | 0..1 | string | Vaccine administration date | ||||
recorded | S | 1..1 | dateTime | The date/time when the vaccination event has been recorded | ||||
primarySource | Σ | 0..1 | boolean | Indicates context the data was recorded in | ||||
reportOrigin | 0..1 | CodeableConcept | Indicates the source of a secondarily reported record Binding: ImmunizationOriginCodes (example): The source of the data for a record which is not from a primary source. | |||||
manufacturer | 0..1 | Reference(Organization) | Vaccine manufacturer | |||||
site | S | 0..1 | CodeableConcept | Body site vaccine was administered Binding: BeVSVaccinationBodySite (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
bodyLaterality | 0..1 | Coding | BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality (required) | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
route | S | 0..1 | CodeableConcept | How vaccine entered body Binding: BeVSVaccineAdministrationRoute (required) | ||||
doseQuantity | S | 0..1 | SimpleQuantity | Amount of vaccine administered | ||||
performer | SΣ | 0..* | BackboneElement | Who performed event | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
function | Σ | 0..1 | CodeableConcept | What type of performance was done Binding: ImmunizationFunctionCodes (extensible): The role a practitioner or organization plays in the immunization event. | ||||
actor | Σ | 1..1 | Reference(Practitioner core BE profile | Organisation core BE profile | Practitioner role core BE profile) | Individual or organization who was performing | ||||
note | Σ | 0..* | Annotation | Additional immunization notes | ||||
reasonCode | S | 0..* | CodeableConcept | Can be used to indicate whether vaccination/prophylaxis took place pre- or post-exposition Binding: BeVSVaccinationReasonCode (preferred) | ||||
reasonReference | S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Why vaccination has occurred or not (reference to a finding) | ||||
isSubpotent | ?!Σ | 0..1 | boolean | Dose potency | ||||
subpotentReason | 0..* | CodeableConcept | Reason for being subpotent Binding: ImmunizationSubpotentReason (example): The reason why a dose is considered to be subpotent. | |||||
education | C | 0..* | BackboneElement | Educational material presented to patient | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
documentType | 0..1 | string | Educational material document identifier | |||||
reference | 0..1 | uri | Educational material reference pointer | |||||
publicationDate | 0..1 | dateTime | Educational material publication date | |||||
presentationDate | 0..1 | dateTime | Educational material presentation date | |||||
programEligibility | 0..* | CodeableConcept | Patient eligibility for a vaccination program Binding: ImmunizationProgramEligibility (example): The patient's eligibility for a vaccation program. | |||||
fundingSource | 0..1 | CodeableConcept | Funding source for the vaccine Binding: ImmunizationFundingSource (example): The source of funding used to purchase the vaccine administered. | |||||
reaction | S | 0..* | BackboneElement | Reaction immediately after vaccination (15-30 minutes) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
date | 1..1 | dateTime | When reaction started | |||||
detail | 0..1 | Reference(Observation) | Additional information on reaction | |||||
reported | 0..1 | boolean | Indicates self-reported reaction | |||||
Documentation for this format |
Path | Conformance | ValueSet | ||||
Immunization.language | preferred | CommonLanguages
| ||||
Immunization.identifier.use | required | IdentifierUse | ||||
Immunization.identifier.type | extensible | Identifier Type Codes | ||||
Immunization.status | required | ImmunizationStatusCodes | ||||
Immunization.statusReason | required | BeVSVaccinationStatusReason | ||||
Immunization.vaccineCode | required | BeVSVaccineCode | ||||
Immunization.reportOrigin | example | ImmunizationOriginCodes | ||||
Immunization.site | required | BeVSVaccinationBodySite | ||||
Immunization.route | required | BeVSVaccineAdministrationRoute | ||||
Immunization.performer.function | extensible | ImmunizationFunctionCodes | ||||
Immunization.reasonCode | preferred | BeVSVaccinationReasonCode | ||||
Immunization.subpotentReason | example | ImmunizationSubpotentReason | ||||
Immunization.programEligibility | example | ImmunizationProgramEligibility | ||||
Immunization.fundingSource | example | ImmunizationFundingSource | ||||
Immunization.protocolApplied.targetDisease | example | ImmunizationTargetDiseaseCodes |
This structure is derived from Immunization
Summary
Mandatory: 3 elements (3 nested mandatory elements)
Must-Support: 19 elements
Prohibited: 4 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron