HL7 FHIR JP Core ImplementationGuide
2.0.0-dev - ci-build
HL7 FHIR JP Core ImplementationGuide - Local Development build (v2.0.0-dev) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Active as of 2023-10-31 |
Definitions for the jp-immunization resource profile.
Guidance on how to interpret the contents of this table can be found here
0. Immunization | |
Definition | ワクチンを接種したときの記録,あるいは予防接種について患者や医療従事者などが報告した記録。 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. |
Short | 予防接種Immunization event information |
Control | 0..* |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) |
2. Immunization.id | |
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
Short | このResourceに対する論理IDLogical id of this artifact |
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
Control | 0..1 |
Type | id |
Is Modifier | false |
Must Support | false |
Summary | true |
4. Immunization.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
Short | A set of rules under which this content was created |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
Control | 0..1 |
Type | uri |
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
6. Immunization.extension | |
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | ExtensionAdditional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Must Support | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on Immunization.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
8. Immunization.extension:dueDateOfNextDose | |
Slice Name | dueDateOfNextDose |
Definition | 次回接種を予定している日、期限 |
Short | 次回接種予定日 |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(JP Core Immunization DueDateOfNextDose Extension) (Extension Type: date) |
Is Modifier | false |
Must Support | false |
Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
10. Immunization.extension:manufacturedDate | |
Slice Name | manufacturedDate |
Definition | ワクチンが製造された年月日 |
Short | 製造年月日 |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(JP Core Immunization ManufacturedDate Extension) (Extension Type: date) |
Is Modifier | false |
Must Support | false |
Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
12. Immunization.extension:certificatedDate | |
Slice Name | certificatedDate |
Definition | ワクチンが検定された年月日 |
Short | 検定年月日 |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(JP Core Immunization CertificatedDate Extension) (Extension Type: date) |
Is Modifier | false |
Must Support | false |
Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
14. Immunization.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
Must Support | false |
Summary | false |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
16. Immunization.status | |
Definition | 予防接種記録の現在の状態を示すコード Indicates the current status of the immunization event. |
Short | completed | entered-in-error | not-done |
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. |
Control | 1..1 |
Binding | The codes SHALL be taken from ImmunizationStatusCodeshttp://hl7.org/fhir/ValueSet/immunization-status|4.3.0 (required to http://hl7.org/fhir/ValueSet/immunization-status|4.3.0 )予防接種の現在の状態を表すコード |
Type | code |
Is Modifier | true because 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 |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
18. Immunization.statusReason | |
Definition | Indicates the reason the immunization event was not performed. |
Short | 実施しなかった理由Reason not done |
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. |
Control | 0..1 |
Binding | For example codes, see ImmunizationStatusReasonCodeshttp://hl7.org/fhir/ValueSet/immunization-status-reason (example to http://hl7.org/fhir/ValueSet/immunization-status-reason ) |
Type | CodeableConcept |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
20. Immunization.vaccineCode | |
Definition | 接種されたあるいは接種予定のワクチン。 Vaccine that was administered or was to be administered. |
Short | 接種されたワクチン製剤Vaccine product administered |
Comments | 全てのターミノロジがこのパターンに当てはまるわけではない。モデルによってはCodeableConceptではなく,独自構造でCodingを直接指定して文書やコーディング,その解釈や事前条件や事後条件との関連について示される。 |
Control | 1..1 |
Binding | The codes SHOULD be taken from For example codes, see JP Core MedicationCode Immunization ValueSethttp://hl7.org/fhir/ValueSet/vaccine-code (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_Immunization_VS ) |
Type | CodeableConcept |
Is Modifier | false |
Must Support | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
22. Immunization.patient | |
Definition | 予防接種を受けた,あるいは受けなかった患者。 The patient who either received or did not receive the immunization. |
Short | 予防接種を受けた人Who was immunized |
Control | 1..1 |
Type | Reference(JP Core Patient Profile, Patient) |
Is Modifier | false |
Must Support | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
24. Immunization.encounter | |
Definition | 患者が医療従事者から予防接種を受けた外来,入院あるいは他の対面の状態を表す。 The visit or admission or other contact between patient and health care provider the immunization was performed as part of. |
Short | 予防接種を受けた診察Encounter immunization was part of |
Control | 0..1 |
Type | Reference(JP Core Encounter Profile, Encounter) |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
26. Immunization.occurrence[x] | |
Definition | ワクチンを接種した日あるいは接種予定だった日。 Date vaccine administered or was to be administered. |
Short | ワクチンを接種した日時Vaccine administration date |
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. |
Control | 1..1 |
Type | Choice of: dateTime, string |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
28. Immunization.recorded | |
Definition | The date the occurrence of the immunization was first captured in the record - potentially significantly after the occurrence of the event. |
Short | 予防接種を受けた対象者の記録として最初に記載された日When the immunization was first captured in the subject's record |
Control | 0..1 |
Type | dateTime |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
30. Immunization.reportOrigin | |
Definition | 予防接種を実施した時に,ワクチンを接種した人以外からの報告からの情報である場合のデータの発生源。 The source of the data when the report of the immunization event is not based on information from the person who administered the vaccine. |
Short | 二次的に報告された記録の発生源を示すIndicates the source of a secondarily reported record |
Comments | Should not be populated if primarySource = True, not required even if primarySource = False. |
Control | 0..1 |
Binding | For example codes, see ImmunizationOriginCodeshttp://hl7.org/fhir/ValueSet/immunization-origin (example to http://hl7.org/fhir/ValueSet/immunization-origin ) |
Type | CodeableConcept |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
32. Immunization.location | |
Definition | 接種医療機関。ワクチン接種がどこで実施されたかを表す。サービスが提供された場所。摂取された身体部位ではない。 The service delivery location where the vaccine administration occurred. |
Short | ワクチンを接種した場所Where immunization occurred |
Control | 0..1 |
Type | Reference(JP Core Location Profile, Location) |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
34. Immunization.manufacturer | |
Definition | ワクチメーカーの名前。 Name of vaccine manufacturer. |
Short | ワクチンメーカーVaccine manufacturer |
Control | 0..1 |
Type | Reference(JP Core Organization Profile, Organization) |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
36. Immunization.lotNumber | |
Definition | ワクチン製剤のロット番号。 Lot number of the vaccine product. |
Short | ワクチンのロット番号Vaccine lot number |
Control | 0..1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
38. Immunization.expirationDate | |
Definition | ワクチンの消費期限を表す日。 Date vaccine batch expires. |
Short | ワクチンの使用期限Vaccine expiration date |
Control | 0..1 |
Type | date |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
40. Immunization.site | |
Definition | ワクチンが接種された身体部位 Body site where vaccine was administered. |
Short | ワクチンが接種された身体部位Body site vaccine was administered |
Control | 0..1 |
Binding | For example codes, see CodesForImmunizationSiteOfAdministrationhttp://hl7.org/fhir/ValueSet/immunization-site (example to http://hl7.org/fhir/ValueSet/immunization-site ) |
Type | CodeableConcept |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
42. Immunization.route | |
Definition | ワクチンが体内へと接種された経路。 The path by which the vaccine product is taken into the body. |
Short | ワクチンを接種した経路How vaccine entered body |
Control | 0..1 |
Binding | For example codes, see ImmunizationRouteCodeshttp://hl7.org/fhir/ValueSet/immunization-route (example to http://hl7.org/fhir/ValueSet/immunization-route ) |
Type | CodeableConcept |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
44. Immunization.doseQuantity | |
Definition | ワクチン製剤が接種された量 The quantity of vaccine product that was administered. |
Short | ワクチンの投与量Amount of vaccine administered |
Control | 0..1 |
Type | Quantity(JP Core Medication Quantity DataType, SimpleQuantity) |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
46. Immunization.performer | |
Definition | 誰が予防接種を実施したかを表す。 Indicates who performed the immunization event. |
Short | ワクチン接種を実施した人Who performed event |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Must Support | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters) |
48. Immunization.performer.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
50. Immunization.performer.actor | |
Definition | The practitioner or organization who performed the action. |
Short | Individual or organization who was performing |
Comments | When the individual practitioner who performed the action is known, it is best to send. |
Control | 1..1 |
Type | Reference(JP Core Practitioner Profile, JP Core PractitionerRole Profile, JP Core Organization Profile, Practitioner, PractitionerRole, Organization) |
Is Modifier | false |
Must Support | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
52. Immunization.note | |
Definition | 他の属性で伝達することができない予防接種に関する他の記録。 Extra information about the immunization that is not conveyed by the other attributes. |
Short | 予防接種についての補足的記録Additional immunization notes |
Control | 0..* |
Type | Annotation |
Is Modifier | false |
Must Support | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
54. Immunization.reasonCode | |
Definition | 予防接種が行われた理由 Reasons why the vaccine was administered. |
Short | 予防接種を接種した理由Why immunization occurred |
Control | 0..* |
Binding | For example codes, see ImmunizationReasonCodeshttp://hl7.org/fhir/ValueSet/immunization-reason (example to http://hl7.org/fhir/ValueSet/immunization-reason ) |
Type | CodeableConcept |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
56. Immunization.reasonReference | |
Definition | 予防接種が実施された理由を表すCondition,ObservationあるいはDiagnosticReportリソースを参照する。 Condition, Observation or DiagnosticReport that supports why the immunization was administered. |
Short | 予防接種を実施した理由Why immunization occurred |
Control | 0..* |
Type | Reference(Condition, Observation, DiagnosticReport) |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
58. Immunization.isSubpotent | |
Definition | 量が通常の効力より弱いと考えられているかどうかを示す。デフォルトでは示されている量と同等の効力をもつと考えられている。 Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent. |
Short | 効力量Dose potency |
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. |
Control | 0..1 |
Type | boolean |
Is Modifier | true because 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. |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | true |
Meaning if Missing | By default, a dose should be considered to be potent. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
60. Immunization.subpotentReason | |
Definition | 効力が減弱すると考えられている理由。 Reason why a dose is considered to be subpotent. |
Short | 効力が減弱する理由Reason for being subpotent |
Control | 0..* |
Binding | For example codes, see ImmunizationSubpotentReasonhttp://hl7.org/fhir/ValueSet/immunization-subpotent-reason (example to http://hl7.org/fhir/ValueSet/immunization-subpotent-reason )The reason why a dose is considered to be subpotent. |
Type | CodeableConcept |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
62. Immunization.education | |
Definition | ワクチンを接種するときに患者(あるいは保護者)に提示された教材。 Educational material presented to the patient (or guardian) at the time of vaccine administration. |
Short | 患者に提示された教材Educational material presented to patient |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters) imm-1: One of documentType or reference SHALL be present (documentType.exists() or reference.exists()) |
64. Immunization.education.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
66. Immunization.programEligibility | |
Definition | ワクチン接種計画での患者適格性を示す Indicates a patient's eligibility for a funding program. |
Short | ワクチン接種計画での患者適格性Patient eligibility for a vaccination program |
Control | 0..* |
Binding | For example codes, see ImmunizationProgramEligibilityhttp://hl7.org/fhir/ValueSet/immunization-program-eligibility (example to http://hl7.org/fhir/ValueSet/immunization-program-eligibility ) |
Type | CodeableConcept |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
68. Immunization.fundingSource | |
Definition | ワクチンが実際に接種されるときの資金源を示す。これは患者適格性(たとえば,公的に購入されたワクチンには適格性があるが,在庫の問題で私的資金で購入されたワクチンを投与するような場合)とは異なることがある。 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). |
Short | ワクチン接種計画のの資金源Funding source for the vaccine |
Control | 0..1 |
Binding | For example codes, see ImmunizationFundingSourcehttp://hl7.org/fhir/ValueSet/immunization-funding-source (example to http://hl7.org/fhir/ValueSet/immunization-funding-source ) |
Type | CodeableConcept |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
70. Immunization.reaction | |
Definition | 予防接種に関連する時期に発生した副反応を示す分類されたデータ。 Categorical data indicating that an adverse event is associated in time to an immunization. |
Short | 予防接種後に起こった反応についての詳細な記録Details of a reaction that follows immunization |
Comments | A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements. |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters) |
72. Immunization.reaction.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
74. Immunization.protocolApplied | |
Definition | ワクチンを接種した提供者が実施したプロトコール(推奨される手順の集合)。 The protocol (set of recommendations) being followed by the provider who administered the dose. |
Short | 提供者が実施したプロトコールProtocol followed by the provider |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters) |
76. Immunization.protocolApplied.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
78. Immunization.protocolApplied.doseNumber[x] | |
Definition | Nominal position in a series. |
Short | Dose number within series |
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). |
Control | 1..1 |
Type | Choice of: positiveInt, string |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
0. Immunization | |
Definition | ワクチンを接種したときの記録,あるいは予防接種について患者や医療従事者などが報告した記録。 |
Short | 予防接種 |
2. Immunization.id | |
Short | このResourceに対する論理ID |
4. Immunization.extension | |
Slicing | This element introduces a set of slices on Immunization.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
6. Immunization.extension:dueDateOfNextDose | |
Slice Name | dueDateOfNextDose |
Control | 0..1 |
Type | Extension(JP Core Immunization DueDateOfNextDose Extension) (Extension Type: date) |
8. Immunization.extension:manufacturedDate | |
Slice Name | manufacturedDate |
Control | 0..1 |
Type | Extension(JP Core Immunization ManufacturedDate Extension) (Extension Type: date) |
10. Immunization.extension:certificatedDate | |
Slice Name | certificatedDate |
Control | 0..1 |
Type | Extension(JP Core Immunization CertificatedDate Extension) (Extension Type: date) |
12. Immunization.status | |
Definition | 予防接種記録の現在の状態を示すコード |
Binding | The codes SHALL be taken from ImmunizationStatusCodes (required to http://hl7.org/fhir/ValueSet/immunization-status|4.3.0 )予防接種の現在の状態を表すコード |
14. Immunization.statusReason | |
Short | 実施しなかった理由 |
16. Immunization.vaccineCode | |
Definition | 接種されたあるいは接種予定のワクチン。 |
Short | 接種されたワクチン製剤 |
Comments | 全てのターミノロジがこのパターンに当てはまるわけではない。モデルによってはCodeableConceptではなく,独自構造でCodingを直接指定して文書やコーディング,その解釈や事前条件や事後条件との関連について示される。 |
Binding | The codes SHOULD be taken from JP Core MedicationCode Immunization ValueSet (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_Immunization_VS ) |
18. Immunization.patient | |
Definition | 予防接種を受けた,あるいは受けなかった患者。 |
Short | 予防接種を受けた人 |
Type | Reference(JP Core Patient Profile) |
20. Immunization.encounter | |
Definition | 患者が医療従事者から予防接種を受けた外来,入院あるいは他の対面の状態を表す。 |
Short | 予防接種を受けた診察 |
Type | Reference(JP Core Encounter Profile) |
22. Immunization.occurrence[x] | |
Definition | ワクチンを接種した日あるいは接種予定だった日。 |
Short | ワクチンを接種した日時 |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
24. Immunization.recorded | |
Short | 予防接種を受けた対象者の記録として最初に記載された日 |
26. Immunization.reportOrigin | |
Definition | 予防接種を実施した時に,ワクチンを接種した人以外からの報告からの情報である場合のデータの発生源。 |
Short | 二次的に報告された記録の発生源を示す |
28. Immunization.location | |
Definition | 接種医療機関。ワクチン接種がどこで実施されたかを表す。サービスが提供された場所。摂取された身体部位ではない。 |
Short | ワクチンを接種した場所 |
Type | Reference(JP Core Location Profile) |
30. Immunization.manufacturer | |
Definition | ワクチメーカーの名前。 |
Short | ワクチンメーカー |
Type | Reference(JP Core Organization Profile) |
32. Immunization.lotNumber | |
Definition | ワクチン製剤のロット番号。 |
Short | ワクチンのロット番号 |
34. Immunization.expirationDate | |
Definition | ワクチンの消費期限を表す日。 |
Short | ワクチンの使用期限 |
36. Immunization.site | |
Definition | ワクチンが接種された身体部位 |
Short | ワクチンが接種された身体部位 |
38. Immunization.route | |
Definition | ワクチンが体内へと接種された経路。 |
Short | ワクチンを接種した経路 |
40. Immunization.doseQuantity | |
Definition | ワクチン製剤が接種された量 |
Short | ワクチンの投与量 |
Type | Quantity(JP Core Medication Quantity DataType) |
42. Immunization.performer | |
Definition | 誰が予防接種を実施したかを表す。 |
Short | ワクチン接種を実施した人 |
44. Immunization.performer.actor | |
Type | Reference(JP Core Practitioner Profile, JP Core PractitionerRole Profile, JP Core Organization Profile) |
46. Immunization.note | |
Definition | 他の属性で伝達することができない予防接種に関する他の記録。 |
Short | 予防接種についての補足的記録 |
48. Immunization.reasonCode | |
Definition | 予防接種が行われた理由 |
Short | 予防接種を接種した理由 |
50. Immunization.reasonReference | |
Definition | 予防接種が実施された理由を表すCondition,ObservationあるいはDiagnosticReportリソースを参照する。 |
Short | 予防接種を実施した理由 |
52. Immunization.isSubpotent | |
Definition | 量が通常の効力より弱いと考えられているかどうかを示す。デフォルトでは示されている量と同等の効力をもつと考えられている。 |
Short | 効力量 |
54. Immunization.subpotentReason | |
Definition | 効力が減弱すると考えられている理由。 |
Short | 効力が減弱する理由 |
56. Immunization.education | |
Definition | ワクチンを接種するときに患者(あるいは保護者)に提示された教材。 |
Short | 患者に提示された教材 |
58. Immunization.programEligibility | |
Definition | ワクチン接種計画での患者適格性を示す |
Short | ワクチン接種計画での患者適格性 |
60. Immunization.fundingSource | |
Definition | ワクチンが実際に接種されるときの資金源を示す。これは患者適格性(たとえば,公的に購入されたワクチンには適格性があるが,在庫の問題で私的資金で購入されたワクチンを投与するような場合)とは異なることがある。 |
Short | ワクチン接種計画のの資金源 |
62. Immunization.reaction | |
Definition | 予防接種に関連する時期に発生した副反応を示す分類されたデータ。 |
Short | 予防接種後に起こった反応についての詳細な記録 |
64. Immunization.protocolApplied | |
Definition | ワクチンを接種した提供者が実施したプロトコール(推奨される手順の集合)。 |
Short | 提供者が実施したプロトコール |
Guidance on how to interpret the contents of this table can be found here
0. Immunization | |||||
Definition | ワクチンを接種したときの記録,あるいは予防接種について患者や医療従事者などが報告した記録。 | ||||
Short | 予防接種 | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty() )dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() )dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() ) | ||||
2. Immunization.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | このResourceに対する論理ID | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
4. Immunization.meta | |||||
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
Short | Metadata about the resource | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
6. Immunization.implicitRules | |||||
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
Short | A set of rules under which this content was created | ||||
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
8. Immunization.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Language of the resource content | ||||
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages )IETF language tag
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
10. Immunization.text | |||||
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
Short | Text summary of the resource, for human interpretation | ||||
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
12. Immunization.contained | |||||
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
Short | Contained, inline Resources | ||||
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
Invariants | dom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems (($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic) ) | ||||
14. Immunization.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Immunization.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
16. Immunization.extension:dueDateOfNextDose | |||||
Slice Name | dueDateOfNextDose | ||||
Definition | 次回接種を予定している日、期限 | ||||
Short | 次回接種予定日 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(JP Core Immunization DueDateOfNextDose Extension) (Extension Type: date) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
18. Immunization.extension:manufacturedDate | |||||
Slice Name | manufacturedDate | ||||
Definition | ワクチンが製造された年月日 | ||||
Short | 製造年月日 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(JP Core Immunization ManufacturedDate Extension) (Extension Type: date) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
20. Immunization.extension:certificatedDate | |||||
Slice Name | certificatedDate | ||||
Definition | ワクチンが検定された年月日 | ||||
Short | 検定年月日 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(JP Core Immunization CertificatedDate Extension) (Extension Type: date) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
22. Immunization.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Must Support | false | ||||
Summary | false | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
24. Immunization.identifier | |||||
Definition | A unique identifier assigned to this immunization record. | ||||
Short | Business identifier | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
26. Immunization.status | |||||
Definition | 予防接種記録の現在の状態を示すコード | ||||
Short | completed | entered-in-error | not-done | ||||
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. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from ImmunizationStatusCodes (required to http://hl7.org/fhir/ValueSet/immunization-status|4.3.0 )予防接種の現在の状態を表すコード | ||||
Type | code | ||||
Is Modifier | true because 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 | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
28. Immunization.statusReason | |||||
Definition | Indicates the reason the immunization event was not performed. | ||||
Short | 実施しなかった理由 | ||||
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. | ||||
Control | 0..1 | ||||
Binding | For example codes, see ImmunizationStatusReasonCodes (example to http://hl7.org/fhir/ValueSet/immunization-status-reason ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
30. Immunization.vaccineCode | |||||
Definition | 接種されたあるいは接種予定のワクチン。 | ||||
Short | 接種されたワクチン製剤 | ||||
Comments | 全てのターミノロジがこのパターンに当てはまるわけではない。モデルによってはCodeableConceptではなく,独自構造でCodingを直接指定して文書やコーディング,その解釈や事前条件や事後条件との関連について示される。 | ||||
Control | 1..1 | ||||
Binding | The codes SHOULD be taken from JP Core MedicationCode Immunization ValueSet (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_Immunization_VS ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
32. Immunization.patient | |||||
Definition | 予防接種を受けた,あるいは受けなかった患者。 | ||||
Short | 予防接種を受けた人 | ||||
Control | 1..1 | ||||
Type | Reference(JP Core Patient Profile) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
34. Immunization.encounter | |||||
Definition | 患者が医療従事者から予防接種を受けた外来,入院あるいは他の対面の状態を表す。 | ||||
Short | 予防接種を受けた診察 | ||||
Control | 0..1 | ||||
Type | Reference(JP Core Encounter Profile) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
36. Immunization.occurrence[x] | |||||
Definition | ワクチンを接種した日あるいは接種予定だった日。 | ||||
Short | ワクチンを接種した日時 | ||||
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. | ||||
Control | 1..1 | ||||
Type | Choice of: dateTime, string | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
38. Immunization.recorded | |||||
Definition | The date the occurrence of the immunization was first captured in the record - potentially significantly after the occurrence of the event. | ||||
Short | 予防接種を受けた対象者の記録として最初に記載された日 | ||||
Control | 0..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
40. Immunization.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. | ||||
Short | Indicates context the data was recorded in | ||||
Comments | Reflects the “reliability” of the content. | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
42. Immunization.reportOrigin | |||||
Definition | 予防接種を実施した時に,ワクチンを接種した人以外からの報告からの情報である場合のデータの発生源。 | ||||
Short | 二次的に報告された記録の発生源を示す | ||||
Comments | Should not be populated if primarySource = True, not required even if primarySource = False. | ||||
Control | 0..1 | ||||
Binding | For example codes, see ImmunizationOriginCodes (example to http://hl7.org/fhir/ValueSet/immunization-origin ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
44. Immunization.location | |||||
Definition | 接種医療機関。ワクチン接種がどこで実施されたかを表す。サービスが提供された場所。摂取された身体部位ではない。 | ||||
Short | ワクチンを接種した場所 | ||||
Control | 0..1 | ||||
Type | Reference(JP Core Location Profile) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
46. Immunization.manufacturer | |||||
Definition | ワクチメーカーの名前。 | ||||
Short | ワクチンメーカー | ||||
Control | 0..1 | ||||
Type | Reference(JP Core Organization Profile) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
48. Immunization.lotNumber | |||||
Definition | ワクチン製剤のロット番号。 | ||||
Short | ワクチンのロット番号 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
50. Immunization.expirationDate | |||||
Definition | ワクチンの消費期限を表す日。 | ||||
Short | ワクチンの使用期限 | ||||
Control | 0..1 | ||||
Type | date | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
52. Immunization.site | |||||
Definition | ワクチンが接種された身体部位 | ||||
Short | ワクチンが接種された身体部位 | ||||
Control | 0..1 | ||||
Binding | For example codes, see CodesForImmunizationSiteOfAdministration (example to http://hl7.org/fhir/ValueSet/immunization-site ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
54. Immunization.route | |||||
Definition | ワクチンが体内へと接種された経路。 | ||||
Short | ワクチンを接種した経路 | ||||
Control | 0..1 | ||||
Binding | For example codes, see ImmunizationRouteCodes (example to http://hl7.org/fhir/ValueSet/immunization-route ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
56. Immunization.doseQuantity | |||||
Definition | ワクチン製剤が接種された量 | ||||
Short | ワクチンの投与量 | ||||
Control | 0..1 | ||||
Type | Quantity(JP Core Medication Quantity DataType) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
58. Immunization.performer | |||||
Definition | 誰が予防接種を実施したかを表す。 | ||||
Short | ワクチン接種を実施した人 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters ) | ||||
60. Immunization.performer.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
62. Immunization.performer.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
64. Immunization.performer.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
66. Immunization.performer.function | |||||
Definition | Describes the type of performance (e.g. ordering provider, administering provider, etc.). | ||||
Short | What type of performance was done | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ImmunizationFunctionCodes (extensible to http://hl7.org/fhir/ValueSet/immunization-function ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
68. Immunization.performer.actor | |||||
Definition | The practitioner or organization who performed the action. | ||||
Short | Individual or organization who was performing | ||||
Comments | When the individual practitioner who performed the action is known, it is best to send. | ||||
Control | 1..1 | ||||
Type | Reference(JP Core Practitioner Profile, JP Core PractitionerRole Profile, JP Core Organization Profile) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
70. Immunization.note | |||||
Definition | 他の属性で伝達することができない予防接種に関する他の記録。 | ||||
Short | 予防接種についての補足的記録 | ||||
Control | 0..* | ||||
Type | Annotation | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
72. Immunization.reasonCode | |||||
Definition | 予防接種が行われた理由 | ||||
Short | 予防接種を接種した理由 | ||||
Control | 0..* | ||||
Binding | For example codes, see ImmunizationReasonCodes (example to http://hl7.org/fhir/ValueSet/immunization-reason ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
74. Immunization.reasonReference | |||||
Definition | 予防接種が実施された理由を表すCondition,ObservationあるいはDiagnosticReportリソースを参照する。 | ||||
Short | 予防接種を実施した理由 | ||||
Control | 0..* | ||||
Type | Reference(Condition, Observation, DiagnosticReport) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
76. Immunization.isSubpotent | |||||
Definition | 量が通常の効力より弱いと考えられているかどうかを示す。デフォルトでは示されている量と同等の効力をもつと考えられている。 | ||||
Short | 効力量 | ||||
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. | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Is Modifier | true because 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. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | true | ||||
Meaning if Missing | By default, a dose should be considered to be potent. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
78. Immunization.subpotentReason | |||||
Definition | 効力が減弱すると考えられている理由。 | ||||
Short | 効力が減弱する理由 | ||||
Control | 0..* | ||||
Binding | For example codes, see ImmunizationSubpotentReason (example to http://hl7.org/fhir/ValueSet/immunization-subpotent-reason )The reason why a dose is considered to be subpotent. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
80. Immunization.education | |||||
Definition | ワクチンを接種するときに患者(あるいは保護者)に提示された教材。 | ||||
Short | 患者に提示された教材 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters )imm-1: One of documentType or reference SHALL be present ( documentType.exists() or reference.exists() ) | ||||
82. Immunization.education.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
84. Immunization.education.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
86. Immunization.education.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
88. Immunization.education.documentType | |||||
Definition | Identifier of the material presented to the patient. | ||||
Short | Educational material document identifier | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
90. Immunization.education.reference | |||||
Definition | Reference pointer to the educational material given to the patient if the information was on line. | ||||
Short | Educational material reference pointer | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
92. Immunization.education.publicationDate | |||||
Definition | Date the educational material was published. | ||||
Short | Educational material publication date | ||||
Control | 0..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
94. Immunization.education.presentationDate | |||||
Definition | Date the educational material was given to the patient. | ||||
Short | Educational material presentation date | ||||
Control | 0..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
96. Immunization.programEligibility | |||||
Definition | ワクチン接種計画での患者適格性を示す | ||||
Short | ワクチン接種計画での患者適格性 | ||||
Control | 0..* | ||||
Binding | For example codes, see ImmunizationProgramEligibility (example to http://hl7.org/fhir/ValueSet/immunization-program-eligibility ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
98. Immunization.fundingSource | |||||
Definition | ワクチンが実際に接種されるときの資金源を示す。これは患者適格性(たとえば,公的に購入されたワクチンには適格性があるが,在庫の問題で私的資金で購入されたワクチンを投与するような場合)とは異なることがある。 | ||||
Short | ワクチン接種計画のの資金源 | ||||
Control | 0..1 | ||||
Binding | For example codes, see ImmunizationFundingSource (example to http://hl7.org/fhir/ValueSet/immunization-funding-source ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
100. Immunization.reaction | |||||
Definition | 予防接種に関連する時期に発生した副反応を示す分類されたデータ。 | ||||
Short | 予防接種後に起こった反応についての詳細な記録 | ||||
Comments | A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements. | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters ) | ||||
102. Immunization.reaction.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
104. Immunization.reaction.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
106. Immunization.reaction.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
108. Immunization.reaction.date | |||||
Definition | Date of reaction to the immunization. | ||||
Short | When reaction started | ||||
Control | 0..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
110. Immunization.reaction.detail | |||||
Definition | Details of the reaction. | ||||
Short | Additional information on reaction | ||||
Control | 0..1 | ||||
Type | Reference(Observation) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
112. Immunization.reaction.reported | |||||
Definition | Self-reported indicator. | ||||
Short | Indicates self-reported reaction | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
114. Immunization.protocolApplied | |||||
Definition | ワクチンを接種した提供者が実施したプロトコール(推奨される手順の集合)。 | ||||
Short | 提供者が実施したプロトコール | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters ) | ||||
116. Immunization.protocolApplied.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
118. Immunization.protocolApplied.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
120. Immunization.protocolApplied.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
122. Immunization.protocolApplied.series | |||||
Definition | One possible path to achieve presumed immunity against a disease - within the context of an authority. | ||||
Short | Name of vaccine series | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
124. Immunization.protocolApplied.authority | |||||
Definition | Indicates the authority who published the protocol (e.g. ACIP) that is being followed. | ||||
Short | Who is responsible for publishing the recommendations | ||||
Control | 0..1 | ||||
Type | Reference(Organization) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
126. Immunization.protocolApplied.targetDisease | |||||
Definition | The vaccine preventable disease the dose is being administered against. | ||||
Short | Vaccine preventatable disease being targetted | ||||
Control | 0..* | ||||
Binding | For example codes, see ImmunizationTargetDiseaseCodes (example to http://hl7.org/fhir/ValueSet/immunization-target-disease ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
128. Immunization.protocolApplied.doseNumber[x] | |||||
Definition | Nominal position in a series. | ||||
Short | Dose number within series | ||||
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). | ||||
Control | 1..1 | ||||
Type | Choice of: positiveInt, string | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
130. Immunization.protocolApplied.seriesDoses[x] | |||||
Definition | The recommended number of doses to achieve immunity. | ||||
Short | Recommended number of doses for immunity | ||||
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). | ||||
Control | 0..1 | ||||
Type | Choice of: positiveInt, string | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |