Immunization

This topic describes information for the Immunization resource.

To interact with the REST endpoints in the Immunization resource, see Immunization.

Overview

The Immunization resource is intended to cover the recording of current and historical administration of vaccines to patients across all healthcare disciplines, in all care settings, and all regions. This resource contains the functionality to query a patient's immunization history. You can find detailed administration records in the MedicationAdministration resource, while this Immunization resource represents the known vaccination history regardless of where the administration itself was done.

An immunization reaction may indicate an allergy or intolerance. If so, create a separate AllergyIntolerance resource instance as well.

Note that while the terms immunization and vaccination are not clinically identical, for the purposes of FHIR resources, the terms are used synonymously.

This resource supports the following HL7 FHIR US Core Implementation Guide STU 4.0.0 profile:

• US Core Immunization Profile

The following fields are returned if valued:

• ID

• Immunization Record Identifier

• Status

• Status reason

• Vaccine administered

• Patient

• Patient encounter

• Occurrence DateTime

• Primary Source

• Report Origin

• Location

• Vaccine manufacturer

• Vaccine lot number

• Vaccine expiration date

• Vaccine administration site

• Vaccine administration route

• Dosage administered

• Performer

  • Type of performer (ordering or administering)

  • Individual who performed

• Reference (Practitioner | Organization)

• Note (follows Annotation structure)

  • Reference (Practitioner)

  • Time

  • Text

• Protocol applied

  • Dose Number String

  • Target disease

Terminology Bindings

• Immunization.statusReason

  Description: The reason why the immunization was not performed.

  • Details: Immunization Status Reason

    System: http://terminology.hl7.org/CodeSystem/v3-ActReason

  • Details: For more information, see Code Set 30440 Expire Reasons under the List of Code Sets section in Proprietary Codes and Systems.

    System: https://fhir.cerner.com/<EHR_source_id>/codeSet/30440

• Immunization.vaccineCode

  Description: The vaccine product administered.

  Note:

  The CVX binding is always returned. An NDC binding is returned when available.

  • Details: CVX

    System: http://hl7.org/fhir/sid/cvx

  • Details: NDC

    System: http://hl7.org/fhir/sid/ndc

  • Details: For more information, see Code Set 72 Clinical Event Codes under the Proprietary Systems section in Proprietary Codes and Systems.

    System: https://fhir.cerner.com/<EHR_source_id>/codeSet/72

• Immunization.reportOrigin

  Description: The source of an immunization record when not reported by the person who administered the vaccine.

  • Details: Immunization Report Origin

    System: http://terminology.hl7.org/CodeSystem/immunization-origin

  • Details: For more information, see Code Set 30200 Result Source under the List of Code Sets section in Proprietary Codes and Systems.

    System: https://fhir.cerner.com/<EHR_source_id>/codeSet/30200

• Immunization.site

  Description: The site at which the vaccine was administered.

  • Details: SNOMED CT

    System: http://snomed.info/sct

  • Details: For more information, see Code Set 97 Medication Administration Site under the List of Code Sets section in Proprietary Codes and Systems.

    System: https://fhir.cerner.com/<EHR_source_id>/codeSet/97

• Immunization.route

  Description: The path by which the vaccine product was taken into the body.

  • Details: SNOMED CT

    System: http://snomed.info/sct

  • Details: For more information, see Code Set 4001 Medication Administration Route under the List of Code Sets section in Proprietary Codes and Systems.

    System: https://fhir.cerner.com/<EHR_source_id>/codeSet/4001

• Immunization.protocolApplied.targetDisease

  Description: The vaccine-preventable disease the dose is being administered against.

  • Details: CVX

    System: http://hl7.org/fhir/sid/cvx

  • Details: SNOMED CT

    System: http://snomed.info/sct

  • Details: For more information, see Code Set 4003106 Vaccine Group under the List of Code Sets section in Proprietary Codes and Systems.

    System: https://fhir.cerner.com/<EHR_source_id>/codeSet/4003106