HL7 FHIR JP Core ImplementationGuide
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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

Resource Profile: JP_Immunization - Detailed Descriptions

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
Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsdom-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.

Control0..1
Typeid
Is Modifierfalse
Must Supportfalse
Summarytrue
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.

ShortA 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.

Control0..1
Typeuri
Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-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.

ShortExtensionAdditional 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.

Control0..*
TypeExtension
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-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())
SlicingThis element introduces a set of slices on Immunization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 8. Immunization.extension:dueDateOfNextDose
    Slice NamedueDateOfNextDose
    Definition

    次回接種を予定している日、期限

    Short次回接種予定日
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(JP Core Immunization DueDateOfNextDose Extension) (Extension Type: date)
    Is Modifierfalse
    Must Supportfalse
    Invariantsele-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 NamemanufacturedDate
    Definition

    ワクチンが製造された年月日

    Short製造年月日
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(JP Core Immunization ManufacturedDate Extension) (Extension Type: date)
    Is Modifierfalse
    Must Supportfalse
    Invariantsele-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 NamecertificatedDate
    Definition

    ワクチンが検定された年月日

    Short検定年月日
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(JP Core Immunization CertificatedDate Extension) (Extension Type: date)
    Is Modifierfalse
    Must Supportfalse
    Invariantsele-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).

    ShortExtensions 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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Must Supportfalse
    Summaryfalse
    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 Namesextensions, user content
    Invariantsele-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.

    Shortcompleted | 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.

    Control1..1
    BindingThe 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

    Typecode
    Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Invariantsele-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.

    Control0..1
    BindingFor example codes, see ImmunizationStatusReasonCodeshttp://hl7.org/fhir/ValueSet/immunization-status-reason
    (example to http://hl7.org/fhir/ValueSet/immunization-status-reason)
    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-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。

    Control1..1
    BindingThe 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)
    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Invariantsele-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
    Control1..1
    TypeReference(JP Core Patient Profile, Patient)
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Invariantsele-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
    Control0..1
    TypeReference(JP Core Encounter Profile, Encounter)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-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.

    Control1..1
    TypeChoice of: dateTime, string
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Invariantsele-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
    Control0..1
    TypedateTime
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summaryfalse
    Invariantsele-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.

    Control0..1
    BindingFor example codes, see ImmunizationOriginCodeshttp://hl7.org/fhir/ValueSet/immunization-origin
    (example to http://hl7.org/fhir/ValueSet/immunization-origin)
    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-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
    Control0..1
    TypeReference(JP Core Location Profile, Location)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-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
    Control0..1
    TypeReference(JP Core Organization Profile, Organization)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-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
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summaryfalse
    Invariantsele-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
    Control0..1
    Typedate
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summaryfalse
    Invariantsele-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
    Control0..1
    BindingFor example codes, see CodesForImmunizationSiteOfAdministrationhttp://hl7.org/fhir/ValueSet/immunization-site
    (example to http://hl7.org/fhir/ValueSet/immunization-site)
    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-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
    Control0..1
    BindingFor example codes, see ImmunizationRouteCodeshttp://hl7.org/fhir/ValueSet/immunization-route
    (example to http://hl7.org/fhir/ValueSet/immunization-route)
    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-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
    Control0..1
    TypeQuantity(JP Core Medication Quantity DataType, SimpleQuantity)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-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
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Invariantsele-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).

    ShortExtensions 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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    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 Namesextensions, user content, modifiers
    Invariantsele-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.

    ShortIndividual or organization who was performing
    Comments

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

    Control1..1
    TypeReference(JP Core Practitioner Profile, JP Core PractitionerRole Profile, JP Core Organization Profile, Practitioner, PractitionerRole, Organization)
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Invariantsele-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
    Control0..*
    TypeAnnotation
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Invariantsele-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
    Control0..*
    BindingFor example codes, see ImmunizationReasonCodeshttp://hl7.org/fhir/ValueSet/immunization-reason
    (example to http://hl7.org/fhir/ValueSet/immunization-reason)
    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-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
    Control0..*
    TypeReference(Condition, Observation, DiagnosticReport)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-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.

    Control0..1
    Typeboolean
    Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Meaning if MissingBy default, a dose should be considered to be potent.
    Invariantsele-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
    Control0..*
    BindingFor 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.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-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
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-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).

    ShortExtensions 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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    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 Namesextensions, user content, modifiers
    Invariantsele-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
    Control0..*
    BindingFor example codes, see ImmunizationProgramEligibilityhttp://hl7.org/fhir/ValueSet/immunization-program-eligibility
    (example to http://hl7.org/fhir/ValueSet/immunization-program-eligibility)
    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-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
    Control0..1
    BindingFor example codes, see ImmunizationFundingSourcehttp://hl7.org/fhir/ValueSet/immunization-funding-source
    (example to http://hl7.org/fhir/ValueSet/immunization-funding-source)
    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-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.

    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-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).

    ShortExtensions 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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    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 Namesextensions, user content, modifiers
    Invariantsele-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
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-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).

    ShortExtensions 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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    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 Namesextensions, user content, modifiers
    Invariantsele-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.

    ShortDose 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).

    Control1..1
    TypeChoice of: positiveInt, string
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summaryfalse
    Invariantsele-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
    SlicingThis element introduces a set of slices on Immunization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 6. Immunization.extension:dueDateOfNextDose
      Slice NamedueDateOfNextDose
      Control0..1
      TypeExtension(JP Core Immunization DueDateOfNextDose Extension) (Extension Type: date)
      8. Immunization.extension:manufacturedDate
      Slice NamemanufacturedDate
      Control0..1
      TypeExtension(JP Core Immunization ManufacturedDate Extension) (Extension Type: date)
      10. Immunization.extension:certificatedDate
      Slice NamecertificatedDate
      Control0..1
      TypeExtension(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

      BindingThe 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。

      BindingThe 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
      TypeReference(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
      TypeReference(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] NoteSeeChoice 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
      TypeReference(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
      TypeReference(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
      TypeQuantity(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
      TypeReference(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
      Control0..*
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsdom-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.

      Control0..1
      Typeid
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      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.

      ShortMetadata about the resource
      Control0..1
      TypeMeta
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Invariantsele-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.

      ShortA 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.

      Control0..1
      Typeuri
      Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summarytrue
      Invariantsele-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.

      ShortLanguage 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).

      Control0..1
      BindingThe codes SHOULD be taken from CommonLanguages
      (preferred to http://hl7.org/fhir/ValueSet/languages)

      IETF language tag

      Additional BindingsPurpose
      AllLanguagesMax Binding
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Invariantsele-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.

      ShortText 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.

      Control0..1
      TypeNarrative
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Alternate Namesnarrative, html, xhtml, display
      Invariantsele-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.

      ShortContained, 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.

      Control0..*
      TypeResource
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Alternate Namesinline resources, anonymous resources, contained resources
      Invariantsdom-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

      ShortExtension
      Control0..*
      TypeExtension
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-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())
      SlicingThis element introduces a set of slices on Immunization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 16. Immunization.extension:dueDateOfNextDose
        Slice NamedueDateOfNextDose
        Definition

        次回接種を予定している日、期限

        Short次回接種予定日
        Control0..1
        This element is affected by the following invariants: ele-1
        TypeExtension(JP Core Immunization DueDateOfNextDose Extension) (Extension Type: date)
        Is Modifierfalse
        Must Supportfalse
        Invariantsele-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 NamemanufacturedDate
        Definition

        ワクチンが製造された年月日

        Short製造年月日
        Control0..1
        This element is affected by the following invariants: ele-1
        TypeExtension(JP Core Immunization ManufacturedDate Extension) (Extension Type: date)
        Is Modifierfalse
        Must Supportfalse
        Invariantsele-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 NamecertificatedDate
        Definition

        ワクチンが検定された年月日

        Short検定年月日
        Control0..1
        This element is affected by the following invariants: ele-1
        TypeExtension(JP Core Immunization CertificatedDate Extension) (Extension Type: date)
        Is Modifierfalse
        Must Supportfalse
        Invariantsele-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).

        ShortExtensions 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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
        Must Supportfalse
        Summaryfalse
        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 Namesextensions, user content
        Invariantsele-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.

        ShortBusiness identifier
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..*
        TypeIdentifier
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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

        Shortcompleted | 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.

        Control1..1
        BindingThe 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

        Typecode
        Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Invariantsele-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.

        Control0..1
        BindingFor example codes, see ImmunizationStatusReasonCodes
        (example to http://hl7.org/fhir/ValueSet/immunization-status-reason)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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。

        Control1..1
        BindingThe codes SHOULD be taken from JP Core MedicationCode Immunization ValueSet
        (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_Immunization_VS)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Invariantsele-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
        Control1..1
        TypeReference(JP Core Patient Profile)
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Invariantsele-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
        Control0..1
        TypeReference(JP Core Encounter Profile)
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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.

        Control1..1
        TypeChoice of: dateTime, string
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Invariantsele-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
        Control0..1
        TypedateTime
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-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.

        ShortIndicates context the data was recorded in
        Comments

        Reflects the “reliability” of the content.

        Control0..1
        Typeboolean
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Invariantsele-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.

        Control0..1
        BindingFor example codes, see ImmunizationOriginCodes
        (example to http://hl7.org/fhir/ValueSet/immunization-origin)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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
        Control0..1
        TypeReference(JP Core Location Profile)
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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
        Control0..1
        TypeReference(JP Core Organization Profile)
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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
        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-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
        Control0..1
        Typedate
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-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
        Control0..1
        BindingFor example codes, see CodesForImmunizationSiteOfAdministration
        (example to http://hl7.org/fhir/ValueSet/immunization-site)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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
        Control0..1
        BindingFor example codes, see ImmunizationRouteCodes
        (example to http://hl7.org/fhir/ValueSet/immunization-route)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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
        Control0..1
        TypeQuantity(JP Core Medication Quantity DataType)
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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
        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Invariantsele-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.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        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.

        ShortAdditional 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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-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).

        ShortExtensions 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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        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 Namesextensions, user content, modifiers
        Invariantsele-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.).

        ShortWhat type of performance was done
        Control0..1
        BindingUnless not suitable, these codes SHALL be taken from ImmunizationFunctionCodes
        (extensible to http://hl7.org/fhir/ValueSet/immunization-function)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Invariantsele-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.

        ShortIndividual or organization who was performing
        Comments

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

        Control1..1
        TypeReference(JP Core Practitioner Profile, JP Core PractitionerRole Profile, JP Core Organization Profile)
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Invariantsele-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
        Control0..*
        TypeAnnotation
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Invariantsele-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
        Control0..*
        BindingFor example codes, see ImmunizationReasonCodes
        (example to http://hl7.org/fhir/ValueSet/immunization-reason)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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
        Control0..*
        TypeReference(Condition, Observation, DiagnosticReport)
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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.

        Control0..1
        Typeboolean
        Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Meaning if MissingBy default, a dose should be considered to be potent.
        Invariantsele-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
        Control0..*
        BindingFor example codes, see ImmunizationSubpotentReason
        (example to http://hl7.org/fhir/ValueSet/immunization-subpotent-reason)

        The reason why a dose is considered to be subpotent.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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
        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        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.

        ShortAdditional 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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-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).

        ShortExtensions 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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        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 Namesextensions, user content, modifiers
        Invariantsele-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.

        ShortEducational material document identifier
        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-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.

        ShortEducational material reference pointer
        Control0..1
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-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.

        ShortEducational material publication date
        Control0..1
        TypedateTime
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-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.

        ShortEducational material presentation date
        Control0..1
        TypedateTime
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-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
        Control0..*
        BindingFor example codes, see ImmunizationProgramEligibility
        (example to http://hl7.org/fhir/ValueSet/immunization-program-eligibility)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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
        Control0..1
        BindingFor example codes, see ImmunizationFundingSource
        (example to http://hl7.org/fhir/ValueSet/immunization-funding-source)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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.

        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        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.

        ShortAdditional 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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-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).

        ShortExtensions 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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        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 Namesextensions, user content, modifiers
        Invariantsele-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.

        ShortWhen reaction started
        Control0..1
        TypedateTime
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-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.

        ShortAdditional information on reaction
        Control0..1
        TypeReference(Observation)
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        112. Immunization.reaction.reported
        Definition

        Self-reported indicator.

        ShortIndicates self-reported reaction
        Control0..1
        Typeboolean
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-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
        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        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.

        ShortAdditional 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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-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).

        ShortExtensions 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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        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 Namesextensions, user content, modifiers
        Invariantsele-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.

        ShortName of vaccine series
        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-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.

        ShortWho is responsible for publishing the recommendations
        Control0..1
        TypeReference(Organization)
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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.

        ShortVaccine preventatable disease being targetted
        Control0..*
        BindingFor example codes, see ImmunizationTargetDiseaseCodes
        (example to http://hl7.org/fhir/ValueSet/immunization-target-disease)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-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.

        ShortDose 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).

        Control1..1
        TypeChoice of: positiveInt, string
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-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.

        ShortRecommended 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).

        Control0..1
        TypeChoice of: positiveInt, string
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
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